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Spontaneous biliary enteric fistulas.

K A LeBlanc, L H Barr, B M Rush

    Southern Medical Journal
    |October 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Biliary enteric fistulas, often complications of gallstones, present diagnostic and surgical challenges. Early cholecystectomy can prevent complications and mortality associated with these fistulas.

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    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology

    Background:

    • Biliary enteric fistulas are challenging complications of chronic cholelithiasis.
    • Preoperative diagnosis and surgical management can be difficult.

    Purpose of the Study:

    • To review spontaneous biliary enteric fistulas.
    • To identify diagnostic methods, management strategies, and complications.

    Main Methods:

    • Retrospective review of 13 cases of spontaneous biliary enteric fistulas.
    • Analysis of diagnostic techniques, surgical interventions, and patient outcomes.

    Main Results:

    • No specific clinical signs reliably diagnosed fistulas.
    • Radiographic findings (pneumobilia, gallstones in small bowel) aided diagnosis in 6 cases.

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  • Surgical interventions included cholecystectomy, enterotomy with gallstone removal, and vagotomy/antrectomy.

    • Conclusions:

    • Biliary enteric fistulas pose significant management challenges.
    • Early elective cholecystectomy in optimal condition may prevent associated morbidity and mortality.