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Updated: Jul 14, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Successful treatment of intractable bronchobiliary fistula using long-term biliary stenting
Panagiotis Katsinelos1, George Paroutoglou, Grigoris Chatzimavroudis
1Department of Endoscopy and Motility Unit, Central Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece. akis_katsinelos@yahoo.gr
Abstract:
A bronchobiliary fistula (BBF) is an uncommon entity with bilioptysis being a pathognomonic sign. We describe the case of a 41-year-old man who had recurrent BBF, 6 months after resection of the anterior segment of the right lower pulmonary lobe and repair of a BBF due to hepatic hydatid disease. Magnetic resonance cholangiography revealed a communication between the biliary tree and the lower lobe of the right lung. Endoscopic biliary sphincterotomy and repeated insertion of large size biliary plastic stents led to a successful resolution of the symptoms and closure of the fistula.