Endoscopic insertion of endoprostheses in the treatment of postoperative cutaneous biliary fistula.
We report a case in which a large, postoperative, biliary cutaneous fistula was successfully treated by means of endoscopic insertion of two endoprostheses into the common bile duct. Twenty-four hours after the procedure, bile flow from the cutaneous fistula ceased completely. The endoprostheses were removed after 6 weeks, and no evidence of leak from the biliary tract was seen on a retrograde cholangiogram. For the treatment of postoperative biliary leaks, insertion of endoprostheses is a good and safe alternative to surgery.
D001658:Biliary Fistula / Q000209:etiology / Q000628:therapy*; D004322:Drainage; D004724:Endoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012867:Skin