ISSN:
1432-2218
Keywords:
Key words: Hydatid cysts — Liver — Complications — Endoscopy
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Background: Ten patients with postoperative external biliary fistula treated by endoscopic sphincterotomy are reported. Methods: Nine of these patients were operated for hepatic hydatid disease and one for a liver abscess. Mean daily output of bile through the fistulae which were present for 5–39 days was approximately 500 cc. Results: Treatment was successful in nine patients with closure of the fistulae in 2–15 days (mean, 7 days). No response was obtained in one patient who was reoperated, and an intrahepatic biliary duct was found to be completely eroded by the cyst wall. Conclusions: Endoscopic sphincterotomy should be the first-line treatment for postoperative external biliary fistulae related to hepatic hydatid disease.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s004649900195
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