title: Biliary and colonic cutaneous fistula successfully treated by endoscopic insertion of biliary stents.
abstract: We report a case in which a large, postoperative cutaneous biliary and a colonic fistula were successfully treated by means of endoscopic insertion of two endoprostheses into the common bile duct. Twenty-four hours after the procedure, bile flow through the leak ceased completely while the colonic fistula closed in 6 days. Six months after the treatment, when a new endoscopic cholangiography showed no evidence of leak or stricture, the stents were removed. For the treatment of postoperative biliary leaks, insertion of endoprostheses is a good and safe alternative to surgery.
authors.affiliation: Department of Gastroenterology, Hadassah University Hospital, Jerusalem, Israel.
authors.forename: E
authors.initials: E
authors.lastname: Goldin
authors.forename: U B
authors.initials: UB
authors.lastname: Aharon
authors.forename: D
authors.initials: D
authors.lastname: Wengrower
authors.forename: Y
authors.initials: Y
authors.lastname: Kluger
authors.forename: T
authors.initials: T
authors.lastname: Sasson
mesh_terms: D000328:Adult; D001658:Biliary Fistula / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003108:Colonic Diseases / Q000628:therapy*; D005260:Female; D005402:Fistula / Q000628:therapy; D006801:Humans; D007412:Intestinal Fistula / Q000628:therapy*; D012871:Skin Diseases / Q000628:therapy; D015607:Stents