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Biliary enteric fistula

F Glenn, C Reed, W R Grafe

Surgery, Gynecology & Obstetrics

|October 1, 1981

Summary

This summary is machine-generated.

Biliary enteric fistulas occurred in 0.9% of patients undergoing surgery for nonmalignant biliary tract disease. Definitive treatment involves cholecystectomy and fistula excision, with a 6% operative mortality.

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Area of Science:

Gastroenterology
Surgical Gastroenterology
Hepatobiliary Surgery

Background:

Biliary enteric fistulas are rare complications of biliary tract disease.
This study reviews a large cohort of patients treated over a significant period.

Purpose of the Study:

To analyze the incidence, characteristics, and management outcomes of biliary enteric fistulas.
To evaluate surgical outcomes and recommend optimal treatment strategies.

Main Methods:

Retrospective review of 105 patients with biliary enteric fistulas treated between 1932 and 1978.
Analysis of surgical procedures, complications, and mortality rates.

Main Results:

The incidence of biliary enteric fistulas was 0.9% among 11,808 patients with nonmalignant biliary tract disease.

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Cholecystoduodenal fistulas were most common (77%), followed by cholecystocolic (15%).

Operative mortality was 6% for definitive procedures and 4.5% for patients with gallstone-induced obstruction.

Conclusions:

Definitive management should include cholecystectomy, fistula excision, common bile duct exploration, and operative cholangiography.
Patients presenting with intestinal obstruction require staged surgical intervention.