biliary fistula/kräkning

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Biliary enteric fistulas.

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Thirty-one patients with biliary enteric fistula who were operated on over a 19-year period (1976-1994) with an incidence of 0.74% in all biliary tract operations were reviewed retrospectively to identify etiologic factors, types of fistulas, signs and symptoms, methods of diagnosis, management and

Complications in pediatric laparoscopic cholecystectomy: systematic review

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Laparoscopic cholecystectomy (LC) is the gold standard for surgical management in symptomatic children, but it is not without complications, bile duct injury being among the most feared. This study reviewed the complications of LC in children. MEDLINE/PubMed, CENTRAL and Lilacs were reviewed for LC.

Successful treatment of post-cholecystectomy bile leaks using nasobiliary tube drainage and sphincterotomy.

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OBJECTIVE Bile leaks are known complications of cholecystectomy. The combination of sphincterotomy and nasobiliary tube (NBT) drainage is effective for the immediate decompression of bile ducts and provides access for follow-up cholangiography. Our objective was to study, retrospectively, 19

The Bouveret syndrome: an unusual cause of hematemesis.

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Gallstones are usually silent. Less commonly, patients with cholelithiasis develop symptoms and/or complications; biliary fistula occurs in 3% to 5% of the cases. When a large stone is passed and occludes the duodenum, gastric outlet obstruction (the Bouveret syndrome) may result. In reported cases,

Application value of ERAS in perioperative period of precise hepatectomy for hepatocellular carcinoma patients

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Purpose: To explore the efficacy and reliability of enhanced recovery after surgery (ERAS) applied in the perioperative period of precise hepatectomy for hepatocellular carcinoma (HCC). Methods:

[Clinical evaluation of neocarzinostatin in digestive system cancer. 2. Clinical studies on the administration of neocarzinostatin in advanced and recurrent carcinoma of the pancreas].
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The present study was designed to evaluate the efficacy of chemotherapy by NCS for advanced and/or recurrent carcinoma of the pancreas, mainly nonresectable cases in which exploratory laparotomy or construction of biliary fistula were performed. Three hundred fifty seven cases were available for the

Metastatic breast cancer presenting as a gallstone ileus.
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Metastatic breast cancer to the small bowel (SB) presenting as gallstone ileus and resulting in SB obstruction has not been described previously. A 76-year-old woman with previous metastatic breast cancer to the axial spine and hips presented with abdominal pain and bilious vomiting. CT scanning

[Diagnosis and surgical treatment for non-functional islet cell tumor: a retrospective analysis of 44 cases].
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OBJECTIVE To evaluate the methods of diagnosis and surgical treatment for nonfunctional islet cell tumor (NICT). METHODS Forty-four patients with non-functional islet cell tumor treated at the First Affiliated Hospital of Nanjing Medical University during January 1968 to June 2008 were analyzed

Spontaneous choledocoduodenal fistula--due to chronic duodenal ulcer.
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A case of spontaneous choledocoduodenal fistula due to penetrating posterior duodenal ulcer is reported. The only presenting symptoms were pain and vomiting. There was no fever or recurrent jaundice which is usually expected in such a condition. The radiological findings included barium and air in

Functional results of a personal technique of reconstruction after pancreaticoduodenectomy.
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The aim of the study is to propose a new technique of reconstruction after pancreaticoduodenectomy with more attention to the functional aspects. From 1995 and 2003, 25 patients underwent pancreaticoduodenectomy for pancreatic or periampullary cancer. The reconstruction was carried out by:

Cutaneous bronchobiliary fistula treated with Tissucol sealant.
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Bronchobiliary fistula is a rare and is an uncommon but severe complication of hydatid disease of the liver. Treatment has traditionally been surgical resection, but embolization and stent placement have been described. The invasive method seems to be a key component of patient treatment. We

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