Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Choledochoduodenal fistulas.

A Jorge1, M Diaz, J Lorenzo

  • 1Department of Gastroenterology, Hospital Español, Mendoza, Argentina.

Endoscopy
|March 1, 1991
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Digital speech biomarkers can measure acute effects of levodopa in Parkinson's disease.

NPJ Parkinson's disease·2025
Same author

Randomized trial to evaluate contraceptive efficacy, safety and acceptability of a two-rod contraceptive implant over 4 years in the Dominican Republic.

Contraception: X·2020
Same author

Development of a tool for screening adverse food reactions and food allergy in Portuguese children.

Allergologia et immunopathologia·2018
Same author

Dual T<sub>1</sub>/ T<sub>2</sub> Nanoscale Coordination Polymers as Novel Contrast Agents for MRI: A Preclinical Study for Brain Tumor.

ACS applied materials & interfaces·2018
Same author

Ionization and Single and Double Electron Capture in Proton-Ar Collisions.

The journal of physical chemistry. A·2018
Same author

Correction: Postnatal Anthropometric and Body Composition Profiles in Infants with Intrauterine Growth Restriction Identified by Prenatal Doppler.

PloS one·2016
Same journal

Correction: A novel technique for endoscopic stepwise clamping and resection of giant pedunculated colonic polyps.

Endoscopy·2026
Same journal

Feasibility and safety of an adaptive endoscopic resection algorithm guided by the muscle-retracting sign for early rectal cancer.

Endoscopy·2026
Same journal

Is ERCP losing its dominance to endoscopic ultrasound-guided biliary drainage for malignant distal biliary obstruction?

Endoscopy·2026
Same journal

Endoscopic ultrasound-guided gallbladder drainage for distal malignant biliary obstruction: It's not the tool - but knowing which one to use!

Endoscopy·2026
Same journal

Endoscopic closure of a large gastric mucosal defect using a novel endoscopic suturing device in a porcine model.

Endoscopy·2026
Same journal

Anchor clip-assisted detachable loop ligation for definitive hemostasis and closure of a high-risk bleeding gastric ulcer.

Endoscopy·2026
See all related articles

Choledochoduodenal fistulas, often iatrogenic from surgical papillotomy, can lead to complications like cholangitis and jaundice. Endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy are key management strategies.

Area of Science:

  • Gastroenterology
  • Endoscopic Surgery

Background:

  • Choledochoduodenal fistulas are rare but serious complications.
  • They can arise spontaneously or iatrogenically, often related to procedures involving the papilla of Vater.

Purpose of the Study:

  • To analyze the incidence, causes, and outcomes of choledochoduodenal fistulas.
  • To evaluate the effectiveness of endoscopic retrograde cholangiopancreatography (ERCP) and related interventions in managing these fistulas.

Main Methods:

  • Retrospective review of 2,012 ERCP studies conducted between 1976 and 1989.
  • Analysis of 14 identified cases of choledochoduodenal fistula.
  • Evaluation of treatment outcomes, including endoscopic papillotomy and surgical interventions.

Main Results:

Related Experiment Videos

  • 14 choledochoduodenal fistulas were identified, with 12 being iatrogenic following surgical papillotomy.
  • Common complications included acute cholangitis (8 patients) and jaundice (7 patients).
  • Endoscopic papillotomy was successful in managing most cases, including those with distal common bile duct stones and papillary stenosis.

Conclusions:

  • Iatrogenic causes, particularly from surgical papillotomy, are a significant factor in choledochoduodenal fistula formation.
  • ERCP with endoscopic papillotomy is an effective treatment modality for choledochoduodenal fistulas and associated biliary pathologies.
  • Prompt diagnosis and management are crucial for improving patient outcomes and preventing complications.