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Updated: Apr 18, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Novel technique in managing bronchobiliary fistula in adults: Endobronchial embolization using silicone spigots in 2
Kostas Kostopanagiotou1, Robert S George1, Emmanuel Kefaloyannis1
1Department of Thoracic Surgery, St. James's University Hospital, Leeds, UK.
Abstract:
Bronchobiliary fistula (BBF) can complicate most hepatic pathologies. This is a challenging group of patients, especially when surgery is precluded. The bronchoscopic application of silicon spigots is a recognized technique for the treatment of massive hemoptysis and the management of patients with bronchopleural fistula following lung resection. Their role in the treatment of BBF has never been described. In this paper we report the successful embolization using silicon spigots in two patients with BBF secondary to malignant disease, when all surgical options were exhausted.

