[Endoscopic management of postoperative biliary fistulas].
Biliary fistulas have been managed by surgical correction with no good results. From 1986 to 1990, endoscopic therapy was attempted in 24 patients with postoperative persistent biliary-cutaneous fistulas. Endoscopic retrograde cholangiography demonstrated residual biliary stones in 19 patients (79%). The mean fistula drainage was 540 ml/day, and in 75% the site of the fistula was near the cistic duct stump. Sphincterotomy with or without biliary stent placement resulted in rapid resolution of the fistula in 23 patients (95.8%). In those patients treated with biliary stents the fistula healed spectacularly in 24-72 hrs.
Farca
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A
Departamento de Gastroenterología, Hospital General Dr. Manuel Gea González, México, D.F.
Moreno
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M
Mundo
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F
Rodríguez
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D001658:Biliary Fistula / Q000628:therapy*; D016145:Endoscopy, Digestive System; D005260:Female; D005402:Fistula / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D012871:Skin Diseases / Q000628:therapy*
Manejo endoscópico de fístulas biliares postquirúrgicas.