Diagnosis and Treatment of Biliary Fistulas in the Laparoscopic Era

5Citations
Citations of this article
16Readers
Mendeley users who have this article in their library.

Abstract

<p>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 drainage or the endoscopic stenting is the best choice in case of minor iatrogenic bile duct injuries. Roux-en-Y hepaticojejunostomy is the extreme therapeutic option for both conditions. The sepsis, the level of the bile duct damage, and the involvement of the gastrointestinal tract increase the complexity of the operation and affect early and late results.</p>

Cite

CITATION STYLE

APA

Crespi, M., Montecamozzo, G., & Foschi, D. (2016). Diagnosis and Treatment of Biliary Fistulas in the Laparoscopic Era. Gastroenterology Research and Practice. Hindawi Limited. https://doi.org/10.1155/2016/6293538

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free