"Biliary fistula"

Prevention of biliary fistula after partial hepatectomy by transcystic biliary drainage: randomized clinical trial

Prevention of biliary fistula after partial hepatectomy by transcystic biliary drainage: randomized clinical trial.

Transient Biliary Fistula After Pancreatoduodenectomy Increases Risk of Biliary Anastomotic Stricture. Biliary fistula after pancreatoduodenectomy (PD) is associated with significant morbidity and mortality. The aim of this study was to determine the risk of early postoperative biliary fistula for developing biliary anastomotic stricture after PD. Retrospective review of all PD performed for various indications at a single institution between 2013 and 2018. Postoperative biliary fistulae were graded according to the International Study Group of Liver Surgery (ISGLS) as grade A-C. Multivariable analysis was performed for all comparative patient subgroups. A total of 843 patients underwent PD for malignant (68%) and benign (32%) indications. Postoperative biliary fistula developed in 66 (8

An Atypical Biliary Fistula In A Liver Transplant Recipient.

[Neonatal congenital broncho-biliary fistula]. 患儿　女，系足月剖宫产出生，无窒息史。生后第5天因"阵发性青紫3 d，呼吸困难1 d"入院。口腔内可见金黄色胆汁样物，呼吸急促（70次/min），双肺大量啰音，以右侧为著。气管插管后气管导管内可见大量金黄色稀薄样物质涌出，胃肠减压管内可见透明胃液引出。经胸部CT重建、腹腔三维超声及纤维支气管镜检查确定诊断新生儿先天性支气管胆管瘘。行手术治疗，患儿康复出院。.

Substantial atherosclerotic celiac axis stenosis is a new risk factor for biliary fistula after pancreaticoduodenectomy. Biliary fistula (BF) is a major surgical complication that can develop after pancreaticoduodenectomy (PD) whose risk factors remain unclear. Substantial atherosclerotic celiac axis stenosis (SACAS) has not been reported to be one of them. Data from 507 patients undergoing PD

Biliary Fistulas in Surgery of Liver Echinococcosis The objective of the study is to improving the results of surgical treatment of liver echinococcosis complicated by biliary fistula by optimizing diagnostic approaches to early verification of this complication and improving the tactical and technical aspects of its elimination.

Combined radiologic and endoscopic treatment (using the “rendezvous technique”) of a biliary fistula following left hepatectomy Despite the ongoing decrease in the frequency of complications after hepatectomy, biliary fistulas still occur and are associated with high morbidity and mortality rates. Here, we report on an unusual technique for managing biliary fistula following left hepatectomy in a patient in whom the right posterior segmental duct joined the left hepatic duct. The biliary fistula was treated with a combined radiologic and endoscopic procedure based on the "rendezvous technique". The clinical outcome was good, and reoperation was not required.

Double Incomplete Internal Biliary Fistula: Coexisting Cholecystogastric and Cholecystoduodenal Fistula Internal biliary fistula is a rare complication of a common surgical disease, cholelithiasis. It is seen in 0.74% of all biliary tract surgeries and is thought to be a result of repeated inflammatory periods of the gallbladder. In this report we present a case of incomplete cholecystogastric and cholecystoduodenal fistulae in a single patient missed by ultrasonography and endoscopic retrograde cholangiopancreatography and diagnosed intraoperatively. In the literature there is only one report of an incomplete cholecystogastric fistula. To our knowledge this is the first case of double incomplete internal biliary fistulae.

Transjugular Intrahepatic Portosystemic Shunt Occlusion Complicated with Biliary Fistula Successfully Treated with a Stent Graft: A Case Report A 43-year-old man with liver cirrhosis received transjugular intrahepatic portosystemic shunt (TIPS) for the treatment of recurrent variceal bleeding and F3 esophageal varices. During routine follow up liver ultrasound examination, six months after of an additional stent-graft, the biliary fistula and common bile duct were no more delineated. We herein report a rare case with an obvious visualization of biliary-TIPS fistula associated with obstruction of TIPS shunt on the tractogram and recanalization with an additional stent-graft.

Diagnosis and Treatment of Biliary Fistulas in the Laparoscopic Era Biliary fistulas are rare complications of gallstone. They can affect either the biliary or the gastrointestinal tract and are usually classified as primary or secondary. The primary fistulas are related to the biliary lithiasis, while the secondary ones are related to surgical complications. Laparoscopic surgery is a therapeutic option for the treatment of primary biliary fistulas. However, it could be the first responsible for the development of secondary biliary fistulas. An accurate preoperative diagnosis together with an experienced surgeon on the hepatobiliary surgery is necessary to deal with biliary fistulas. Cholecystectomy with a choledocoplasty is the most frequent treatment of primary fistulas, whereas the bile duct

Subadventitial cystectomy in the management of biliary fistula with liver hydatid disease. Biliary fistulas are the most common morbidity (8.2-26%) following hydatid liver surgery. The aim of this study was to evaluate the results of subadventitial cystectomy in the treatment of liver hydatid cyst associated with a biliocystic fistula. The medical records of 153 patients who underwent in 74 patients (48.4%), open (incised) subadventitial total cystectomy in 30 patients (19.6%), and subadventitial subtotal cystectomy in 49 patients (32.0%). Biliocystic communication was found in 52 patients (34.0%), and 21 patients (13.7%) were treated with T-tube drainage. Two patients had performed biliodigestive anastomosis. Biliary fistula was detected in 9 patients after subtotal subadventitial

Management of post-cholecystectomy biliary fistula according to type of cholecystectomy A study was undertaken to describe the management of post-cholecystectomy biliary fistula according to the type of cholecystectomy. A retrospective analysis of 111 patients was undertaken. They were divided into open cholecystectomy (OC) and laparoscopic cholecystectomy (LC) groups. Of the 111 patients, 38

Occult Cysto-biliary Communication and Cyst Fluid Analysis Predicts Post-operative Biliary Fistula and Late Recurrence After Laparoscopic Partial Cystectomy With Omentoplasty in Solitary Primary Adult Liver Hydatid Cyst Disease - A Prospective Multicente Purpose : The primary goals of this study were to determine the prevalence and risk factors of occult CBC and recurrence, as well several studies have looked at the results of laparoscopic partial cystectomy with omentoplasty in terms of postoperative biliary fistula and recurrence, no investigations into the link between occult cysto-biliary communication and late recurrence have been published. Furthermore, no studies have looked into the value of cystic fluid analysis in detecting occult cysto-biliary communication, which can

a biliary fistula (a form of Mirizzi syndrome), and if it occurs in the ileum it is known as gallstone ileus. * Biliary peritonitis. * Gallbladder mucocele. * Gallbladder cancer — there is an association between gallstones and cancer of the biliary tract, however, no causative link has been established. [Sanders, 2007; Gurusamy, 2014; Unalp-Arida, 2023; BMJ Best Practice, 2024] The content on the NICE

with percutaneous drainage (GoR 2A).Combination of percutaneous drainage andendoscopic techniques may be considered inmanaging post-traumatic biliary complications notsuitable for percutaneous management alone (GoR2B).Laparoscopic lavage/drainage and endoscopicstenting may be considered as the first approach indelayed post-traumatic biliary fistula without anyother indication for laparotomy (GoR 2B , biloma, biliary peritonitis,biliary fistula), and liver necrosis are the most frequentcomplications associated with NOM [16, 66]. Ultrasoundis useful in the assessment of bile leak/biloma in gradeIV–V injuries, especially with a central laceration.Re-bleeding or secondary hemorrhage is the most fre-quently reported complications after NOM as in subcap-sular hematoma or pseudo-aneurysm (PSA) rupture

by MWA in the RCT of 30 patients; this was treated by antibiotics (no further details provided). Biliary fistula was reported in 1 patient out of 37 treated by MWA plus resection, and in 1 patient out of 16 treated by resection alone in the non-randomised controlled study of 53 patients (measurement of significance and length of follow-up not reported). 5.6 Biloma was reported in 1 patient with liver

-biliary fistula, and percutaneous aspiration injection and reaspiration (PAIR). EC should be considered in the differential diagnosis of hepatic cysts, especially among individuals with risk factors, such as individuals who have traveled to or immigrated from areas with a high prevalence. Echinococcus species require two hosts to complete their life cycle, with humans acting as intermediate hosts

2010 onward, Strasberg E4 injuries were considered for a right hepatectomy with the left duct HJ. Patients were followed up at six monthly intervals with liver function tests and abdominal ultrasound. Sixteen patients had Strasberg E4 injuries, thirteen presented with an external biliary fistula and three presented with obstructive jaundice. Nine of the ten patients who underwent HJ before 2010