biliary fistula/phosphatase

OBJECTIVE To determine the outcome of patients with biliary fistula (BF) after treatment for hydatid disease of the liver. METHODS Between January 2000 and December 2010, out of 301 patients with a diagnosis of hydatid cyst of the liver, 282 patients who underwent treatment [either surgery or

Endoscopic sphincterotomy in the management of posttraumatic biliary fistula.

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Complications after nonoperative management of hepatic trauma are rare but include persistent biliary fistula in 4% of cases. Therapy usually involves surgical drainage or hepatic resection to control the fistula. The authors present a case of hepatic biliary fistula treated nonoperatively with

A new and simple score for predicting cystobiliary fistula in patients with hepatic hydatid cysts.

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BACKGROUND Hepatic hydatid cysts are common disorders in Turkey. Although most patients are treated by percutaneous drainage, some cases require operative intervention. Biliary fistula is a major complication of hydatid cyst operations. The purpose of this study is to identify preoperative

Indications and therapeutical options in hepatolithiasis.

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OBJECTIVE to present our experience with the treatment of hepatolithiasis. METHODS METHODS a retrospective study. Every patient operated on during 2002-2004. RESULTS mean age was 68.2 years. All patients were male. Two patients had been operated on before. The other three suffered from: monolobar

Risk factors for development of biliary stricture in patients presenting with bile leak after cholecystectomy.

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OBJECTIVE This study was aimed at determining the factors associated with the development of benign biliary stricture (BBS) in patients who had sustained a bile duct injury (BDI) at cholecystectomy and developed bile leaks. METHODS A retrospective analysis of 214 patients with BDI who were referred

Surgical management of spontaneous intrabiliary rupture of hydatid liver cysts.

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OBJECTIVE The most common complication of hydatid liver cysts is spontaneous rupture into the biliary tract. This study was conducted to evaluate the surgical management of spontaneous intrabiliary rupture of a hydatid liver cyst in 41 patients. METHODS The preoperative diagnosis was confirmed by

Occult cystobiliary communication presenting as postoperative biliary leakage after hydatid liver surgery: are there significant preoperative clinical predictors?

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BACKGROUND Occult cystobiliary communication (CBC) presents with biliary leakage, if the cystobiliary opening cannot be detected and repaired at operation. We investigated the clinical signs associated with the risk of occult CBC in the preoperative period by studying patients who developed biliary

Can occult cystobiliary fistulas in hepatic hydatid disease be predicted before surgery?

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BACKGROUND Biliary fistulas because of the cystobiliary communication is the most frequent and undesirable postoperative complication of hepatic hydatid surgery. We aimed to identify the predicting factors of the occult cystobiliary communication in this study. METHODS The patients who underwent

Asymptomatic occult cysto-biliary communication without bile into cavity of the liver hydatid cyst: a pitfall in conservative surgery.

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BACKGROUND An occult cysto-biliary communication in liver hydatid disease is still a major problem in surgical practice. Radiologic and intraoperative findings may not be helpful to detect cysto-biliary communications in some asymptomatic patients with liver hydatid disease. Biliary leakage is a

Fistuloclysis improves liver function and nutritional status in patients with high-output upper enteric fistula.

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Background. We aimed to determine the efficacy of fistuloclysis in patients with high-output upper enteric fistula (EF). Methods. Patients were assigned into the fistuloclysis group (n = 35, receiving fistuloclysis plus total enteral nutrition (TEN)) and the control group (n = 60, receiving TEN).

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