title: Novel technique in managing bronchobiliary fistula in adults: Endobronchial embolization using silicone spigots in 2 cases.
abstract: Bronchobiliary fistula (BBF) can complicate most hepatic pathologies. This is a challenging group of patients, especially when surgery is precluded. The bronchoscopic application of silicon spigots is a recognized technique for the treatment of massive hemoptysis and the management of patients with bronchopleural fistula following lung resection. Their role in the treatment of BBF has never been described. In this paper we report the successful embolization using silicon spigots in two patients with BBF secondary to malignant disease, when all surgical options were exhausted.
authors.affiliation: Department of Thoracic Surgery, St. James's University Hospital, Leeds, UK.
authors.forename: Kostas
authors.initials: K
authors.lastname: Kostopanagiotou
authors.affiliation: Department of Thoracic Surgery, St. James's University Hospital, Leeds, UK.
authors.forename: Robert S
authors.initials: RS
authors.lastname: George
authors.affiliation: Department of Thoracic Surgery, St. James's University Hospital, Leeds, UK.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Kefaloyannis
authors.affiliation: Department of Thoracic Surgery, St. James's University Hospital, Leeds, UK.
authors.forename: Kostas
authors.initials: K
authors.lastname: Papagiannopoulos
keywords: Bronchobiliary fistula; bilioptysis; endobronchial embolization; silicon spigot