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Endoscopy 1987; 19(3): 136-139
DOI: 10.1055/s-2007-1018260
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Management of a Post-traumatic Biliary Fistula

J. Deviere1 , D. van Gansbeke2 , J. Ansay1 , J. de Toeuf2 , M. Cremer1
  • 1Medicosurgical Department of Gastroenterology
  • 2Department of Radiology, Hôpital Erasme, Free University of Brussels
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Publikationsdatum:
17. März 2008 (online)

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Summary

A number of techniques of surgical endoscopy have been used in the management of a post-traumatic biliary fistula. The endoscopic sphincterotomy with placement of a perfused nasobiliary catheter, followed by the insertion of a biliary stent allowed the fistula to dry out. A secondary stricture of the left hepatic duct was treated by endoscopic internal drainage after the insertion of a transhepatic guidewire by an epigastric route. This kind of combined transhepatic and endoscopic procedure is useful in some difficult cases.

Key words:

Biliary fistula - Endoprosthesis - ERCP - Endoscopic sphincterotomy