Juxtapapillary choledochoduodenal fistula following choledochal exploration and diagnosed by early duodenoscopy.
In 86 patients who had undergone common-duct exploration at surgery for benign biliary disease, duodenoscopy was performed within 4 weeks after the operation. Choledochoduodenal fistula, apparently iatrogenic, was then found in eight patients (9.3%). All eight were among the 35 patients in whom a rigid probe had been passed to the duodenum, giving a fistula incidence of 23% in this group. Four of the eight patients consented to repeat duodenoscopy, which showed healing of fistula within a year in three cases. No patient with choledochoduodenal fistula experienced postoperative biliary symptoms.
D000328:Adult; D000368:Aged; D001660:Biliary Tract Diseases / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000209:etiology*; D004378:Duodenal Diseases / Q000209:etiology*; D004384:Duodenoscopy; D005260:Female; D005402:Fistula / Q000209:etiology*; D005500:Follow-Up Studies; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000453:epidemiology