[Treatment of postoperative biliary fistulas by endoscopic papillosphincterotomy and nasobiliary drain].
Personal experience in the non-surgical treatment of postoperative biliary fistulas observed between July 1987 and October 1990 is reported. Leakage were treated with an endoscopic technique (papillosphincterotomy+nasobiliary drain) in 11 of 12 patients in an average time of 2 weeks. The 12 patient, who presented a lesion of an intrahepatic duct, needed 2 months to heal following combined endoscopic-percutaneous manoeuvres. On the basis, then, of the good results obtained, it is recommended that in these cases, non-surgical treatment should be carried out on principle, choosing endoscopy as the initial access route.
Foco
A
A
Istituto di Chirurgia d'Urgenza, Università degli Studi di Torino.
Garbarini
A
A
Serenthà
U
U
Salto
C
C
Zatteri
R
R
Gandini
G
G
Righi
D
D
Cozza
G
G
Colzani
G
G
Maccario
P
P
D001658:Biliary Fistula / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004322:Drainage; D004724:Endoscopy; D006801:Humans; D011183:Postoperative Complications; D009803:Sphincter of Oddi / Q000601:surgery*
Trattamento delle fistole biliari postoperatorie con papillo sfinterotomia endoscopica (EST) e sondino naso-biliare (SNB).