Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Post-cholecystectomy external biliary fistula

V Singh1, L K Kacker, S S Sikora

  • 1Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

The Australian and New Zealand Journal of Surgery
|April 1, 1997
PubMed
Summary

A staged management approach effectively treats external biliary fistula (EBF) after cholecystectomy. This strategy, combining conservative care, drainage, and surgery, yields satisfactory outcomes for this complication.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Search for Light Pseudoscalar Bosons, Pair-Produced in Higgs Boson Decays in the Four-Electron Final State in Proton-Proton Collisions at sqrt[s]=13  TeV.

Physical review letters·2026
Same author

Observation of Suppressed Charged-Particle Production in Ultrarelativistic Oxygen-Oxygen Collisions.

Physical review letters·2026
Same author

Observation of tWZ Production at the CMS Experiment.

Physical review letters·2026
Same author

First Exclusive Reconstruction of the B^{*+}, B^{*0}, and B_{s}^{*0} Mesons and Precise Measurement of Their Masses.

Physical review letters·2026
Same author

Simultaneous Probe of the Charm and Bottom Quark Yukawa Couplings Using tt[over ¯]H Events.

Physical review letters·2026
Same author

Shared Decision-Making Supported by Outcome Information During Discharge Planning of Patients Hospitalized With Stroke.

Neurology. Clinical practice·2025

Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Biliary Tract Surgery

Background:

  • External biliary fistula (EBF) is a severe complication following cholecystectomy.
  • Bile duct injury (BDI) is the primary cause of EBF.

Purpose of the Study:

  • To evaluate a staged management approach for post-cholecystectomy EBF.
  • To assess the efficacy of a multidisciplinary strategy in managing EBF.

Main Methods:

  • Retrospective analysis of 37 patients with post-cholecystectomy EBF from 1989-1994.
  • Initial management focused on creating a controlled fistula through conservative treatment, percutaneous drainage, or biliary drainage.
  • Definitive management involved surgical repair of biliary strictures after acute issues resolved.

Related Experiment Videos

Main Results:

  • A staged approach was adopted, with initial management including conservative treatment (n=9), catheter drainage (n=10), biliary drainage (n=6), and surgery (n=7).
  • One patient died from liver failure despite intensive management.
  • Definitive management involved surgical repair of biliary strictures.

Conclusions:

  • A staged approach, utilizing endoscopy, radiology, and surgery based on clinical needs, achieved satisfactory results for EBF.
  • This strategy offers a viable solution for the distressing complication of external biliary fistula.