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[Internal biliary fistula of lithiasic origin]
Revista De Chirurgie, Oncologie, Radiologie, O.R.L., Oftalmologie, Stomatologie. Chirurgie
|July 1, 1981
Summary
This study reviewed 17 cases of internal biliary fistulae caused by gallstones, finding surgical restoration of normal transit effective. Early diagnosis and management of biliary ileus were crucial for positive outcomes in these complex lithiasic cases.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
- Medical Case Studies
Context:
- Internal biliary fistulae are rare complications of biliary lithiasis (gallstones).
- These fistulae pose diagnostic and therapeutic challenges, particularly in elderly patients with comorbidities.
- The study analyzes a decade of cases (1971-1980) involving lithiasic internal biliary fistulae.
Purpose:
- To report on 17 cases of internal biliary fistulae of lithiasic origin.
- To evaluate the diagnostic and therapeutic difficulties encountered.
- To assess the outcomes of surgical interventions aimed at restoring normal biliary and digestive transit.
Summary:
- Seventeen cases of internal biliary fistulae (cholecystoduodenal, cholecysto-gastric, cholecysto-colic, bilio-biliary) were analyzed.
- These fistulae represented 1.1% of extra-hepatic biliary surgeries and 13% of biliary lithiasis interventions.
- Preoperative diagnosis was challenging, achieved in only two patients.
- Surgical restoration of physiological conditions and normal transit led to good postoperative outcomes in 76% of cases.
- Securing intestinal transit was the primary measure for biliary ileus.
Impact:
- Highlights the importance of surgical restoration for favorable outcomes in complex biliary lithiasis complications.
- Underscores the diagnostic difficulties associated with internal biliary fistulae.
- Provides insights into the management of biliary ileus in the context of internal biliary fistulae.