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External biliary-gastric fistula: a simple method for recycling bile
The American Journal of Gastroenterology
|December 1, 1982
Summary
This study introduces an external biliary-gastric fistula technique to achieve internal biliary drainage when standard methods fail. This innovative approach effectively manages prolonged external biliary losses in patients with bile duct obstruction.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Biliary System Interventions
Background:
- External biliary drainage is frequently necessary for bile duct obstruction.
- Prolonged external drainage can lead to malabsorption, dehydration, and electrolyte imbalances.
- Establishing internal drainage via surgery or transhepatic stents is the usual approach.
Observation:
- Two cases are presented where internal drainage could not be established through conventional means.
- An external biliary-gastric fistula was created by connecting the biliary drainage catheter to a percutaneous endoscopic gastrostomy (PEG).
Findings:
- The created biliary-gastric fistula effectively achieved internal diversion of bile in both cases.
- This technique provided a viable solution for patients facing prolonged external biliary drainage.
Implications:
- This technique offers a potential alternative for patients with complex bile duct obstruction.
- It may prevent complications associated with long-term external biliary drainage.
- Further consideration of this method is warranted for select patient populations.