[Diagnosis and surgical treatment of internal biliary fistula].
Results of examination and surgical treatment of 172 patients with internal biliary fistula (IBF) are analyzed. IBF was revealed in 0.22% of hospitalized patients with cholelithiasis. There were 4 variants of fistula formation. Combined spontaneous multiple fistula were described for the first time in 8 patients. Based on assessment of IBF's clinical symptoms formula for prediction of IBF development was proposed. Diagnostic potential of instrumental, X-ray, endoscopic and ultrasonic examinations was assessed. Differential surgical policy depending on IBF variant is described.
Timerbulatov
V M
VM
Khunafin
S N
SN
Nurmukhametov
A A
AA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002769:Cholelithiasis / Q000150:complications; D003137:Common Bile Duct Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D004724:Endoscopy; D005260:Female; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography