SPOTANEOUS INTERNAL BILIARY FISTULAS: MANAGEMENT OF 11 CASES

Authors

  • Μ. ΣΤΟΚΚΟΣ
  • Κ. ΔΕΛΗΣ
  • Π. ΔΕΔΕΗΛΙΑΣ
  • Μ. ΑΡΓΥΡΙΟΥ
  • Δ. ΜΑΓΓΑΝΑΣ
  • Ζ. ΜΟΥΓΙΑΚΑΚΟΥ

Abstract

Ιn this study we refer to 11 cases of spontaneous intraabdominal biliary fistulas which were managed surgically in our department during the years 1980-1989. Extensive review of current literature is undergone with particular emphasis on the incidence, age, or sex dixtrubution and the typing or fistulas. In addition the aetiopathologenicity, the clinical presentation as well as the preoperative management are encountered. Ιn our material regardless of the preoperative evaluation diagnosis was made or confirmed intraoperatively. Enemtually thorough reference is considered over the specific operations engaged for the various types of cholepeptic communications, on which our personal experience is provided.

References

Anderson R. E., Woodward Ν, Diffenbauch W.G, Strohl E.L.: Gallstone obstruction of the intestine. SGO, 125:540, 1967.

Balthazar ε.J, Schechter L.S.: Air in gallbladder: a frequent finding in gallstone ileus. Ann. J. Roentgenol 131:219, 1978.

Berliner S.D, Burson L.C.: One-stage repair for cholecystoduodenal fistula and gallstone ileus. Arch. Surg, 90:313, 1965.

Cooperman Α.Μ, Dickson E.R, Remine W.H.: Changing concepts in the syrgical treatment of gallstone ileus. Am. Surg. 167:377, 1986.

Day Ε.Α, Marks C.: Gallstone ileus. Reνiew of the literature and presentation of thirty-four new cases. Am J. Surg. 129:552, 1975.

Herny Bockus.: Gastroenterology. Volurne 3. Edit. 3rd, Saunders, Philadelphia, London, Toronto 1976.

Gilenn F, Reed C, Grafe W.R.: Biliary enteric fistula. Surg. Gynecol. Obstret. 153:527-531, 1981.

Hesselfeldt Ρ, Jess Ρ. : Gallstone ileus. Α reνiew of 39 cases with emphasis on surgical treatment. Acta Chir. Scand. 148:431-433, 1982.

Jenkins Η.Ρ, Evans R, Kallert W.: Gallstone ileus: a continuing surgical problern. Arch. Surg. 100:668-672, 1970.

Lidney Τ.Μ, Katz-Unger Α. Strickland W.M.: Gallstone ileus in the absence of a gallbladder. Arch. Surg. 110:448, 1975.

Maingot's Abdominal Operations.: Ninth Edition νolume II, Appleton and Lance United States of America 1990.

Πεβεράτος Π.: Εσωτερικά χοληφόρα συρίγγια. Εις την: χειρουργική της λιθιάσεως των χοληφόρων οδών (αμφιλεγόμενες απόψεις, λάθη, επιπλοκαί, αποτελέσματα) Αθήνα 1985.

Piedad Oh, Wells Ρ.Ρ.: Spontaneous internal biliary fistula, obstructiνe and non obstructiνe types. Ann. Sυrg. 175:75-79, 1972.

Rosato F.E.: Gallstone ileus and fistula. In: Sabiston D.C. Daνis - Christifer. Textbook of Surgery. London Ν.Υ.: Saunders: 1272-1275, 1981.