[Nasobiliary tube in management of postoperative bile fistulas].
A postoperative bile fistula is a rare but severe complication after biliary surgery. Clinical signs, laboratory findings, ultrasound and ERC lead to diagnosis. We report on 40 cases with postoperative bile leakage after cholecystectomy treated by a nasobiliary tube. In all patients the fistula healed within 7 days after placement of the tube. Two patients needed operative treatment of a subhepatic abscess, and in 2 patients drainage of a bilioma was performed. In 2 cases with biliary peritonitis, a step-by-step lavage was necessary. The nasobiliary tube for postoperative bile fistula offers regular radiological control and reduces the necessity of operative reintervention in the biliary tract.
Belz
J
J
II. Chirurgische Abteilung, Allgemein- und Bauchchirurgie, Krankenhauses Plau am See.
Schwacha
H
H
Hagenmüller
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D006801:Humans; D007440:Intubation / Q000295:instrumentation*; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012086:Reoperation; D016896:Treatment Outcome