Treatment of postoperative biliary fistulas by endoscopic papillosphincterotomy and nasobiliary drain
Foco, A.; Garbarini, A.; Serenthà, U.; Salto, C.; Zatteri, R.; Gandini, G.; Righi, D.; Cozza, G.; Colzani, G.; Maccario, P.
Minerva Gastroenterologica E Dietologica 37(4): 219-223
1991
ISSN/ISBN: 1121-421X PMID: 1805973 Document Number: 380415
Personal experience in the non-surgical treatment of postoperative biliary fistulas observed between July 1987 and October 1990 is reported. Leakage were treated with an endoscopic technique (papillosphincterotomy+nasobiliary drain) in 11 of 12 patients in an average time of 2 weeks. The 12 patient, who presented a lesion of an intrahepatic duct, needed 2 months to heal following combined endoscopic-percutaneous manoeuvres. On the basis, then, of the good results obtained, it is recommended that in these cases, non-surgical treatment should be carried out on principle, choosing endoscopy as the initial access route.