• Bronchobilary fistula commonly caused by primary and metastatic tumors, bile duct obstruction secondary to biliary stenosis, cholangiolithiasis, hepatic hydatidosis and trauma. (wikipedia.org)
  • Recurrent pyogenic cholangitis (RPC) is characterized by a recurrent syndrome of bacterial cholangitis that occurs in association with intrahepatic pigment stones and intrahepatic biliary obstruction. (medscape.com)
  • Recurrent episodes of cholangitis develop in the absence of extrahepatic biliary obstruction (EHBO) as a result of pyogenic bile duct infection. (medscape.com)
  • Pigment stone formation then leads to recurrent biliary obstruction with the characteristic consequence of suppurative cholangitis. (medscape.com)
  • Repeated portal bacteremia, in turn, results in the cascade of events characterized by biliary stasis, obstruction, and stone formation, which consequently result as recurrent pyogenic cholangitis (RPC). (medscape.com)
  • The term sphincter of Oddi dysfunction has been used to describe a clinical syndrome of biliary or pancreatic obstruction related to mechanical or functional abnormalities of the sphincter of Oddi. (medscape.com)
  • Its effect on postoperative pancreatic fistula is variably reported in literature. (thieme-connect.de)
  • Simultaneous biliary and pancreatic drainage is rarely performed for very selected indications and its effects on postoperative pancreatic fistula are largely unknown. (thieme-connect.de)
  • Patients who underwent biliary stenting alone, biliary and pancreatic stenting, and no stenting prior to pancreaticoduodenectomy were the three study cohort groups and their records were scrutinized for the incidence of postoperative pancreatic fistula. (thieme-connect.de)
  • Results Sixty-two patients underwent biliary stenting alone, 5 patients underwent both biliary and pancreatic stenting, and 237 patients were not stented in the adenocarcinoma group without chronic pancreatitis. (thieme-connect.de)
  • The pancreatic fistula rate was similar in the patients who underwent biliary stenting alone when compared with the group which was not stented. (thieme-connect.de)
  • However, the patients who underwent both biliary and pancreatic stenting had a significant increase in postoperative pancreatic fistula compared with the not stented ( p = 0.003). (thieme-connect.de)
  • By univariate and multivariate analysis using Firth logistic regression, pancreatic texture (OR = 1.205, CI = 0.103-2.476, p = 0.032) and the presence of a biliary and pancreatic stent (OR = 2.695, CI = 0.273-7.617, p = 0.027) were the significant factors affecting pancreatic fistula. (thieme-connect.de)
  • Conclusion Preoperative biliary drainage alone has no significant influence on postoperative pancreatic fistula except when combined with pancreatic stenting. (thieme-connect.de)
  • We need more such studies from other centers to confirm that the rare event of preoperative biliary and pancreatic stenting has indeed this harmful effect on healing of postoperative pancreatic anastomosis. (thieme-connect.de)
  • The effect of preoperative biliary drainage (PBD) prior to pancreaticoduodenectomy (PD) on postoperative pancreatic fistula (POPF) is variably reported in literature. (thieme-connect.de)
  • Why should biliary or pancreatic stenting affect the incidence of POPF? (thieme-connect.de)
  • PURPOSE: The International Study Group on Pancreatic Fistula's definition of postoperative pancreatic fistula (POPF) has recently been updated. (koreamed.org)
  • Conclusion: Biliary bypass surgery for unresectable pancreatic cancer may improve patient survival, although prolongs hospital stay. (scirp.org)
  • Pancreatic and biliary fistulas and delayed gastric emptying are the most common complications after pancreatoduodenectomy. (mssm.edu)
  • Annals of Hepato-Biliary-Pancreatic Surgery. (ewha.ac.kr)
  • Pancreatic fistula (PF) is the most common and challenging complication after pancreaticoduodenectomy (PD). (scipedia.com)
  • Jianhua Yu, L. Wu and B. Li, Meta-analysis of pancreaticogastrostomy versus pancreaticojejunostomy on occurrences of postoperative pancreatic fistula after pancreaticoduodenectomy, Asian Journal of Surgery (2015). (scipedia.com)
  • 1 Pancreatic fistula (PF) is the most devastating postoperative complication occurring in 2.5-25% patients, 2 and has become the main reason for increased morbidity and mortality, prolonged length of hospital stay, and increased medical costs. (scipedia.com)
  • Predictive Factors for Postoperative Pancreatic Fistula-A Swedish Nationwide Register-Based Study. (cancercentrum.se)
  • Predominantly coliform-type bacteria are seeded into the biliary system, and, as a consequence, a cascade of stone formation and recurrent cholangitis is initiated. (medscape.com)
  • The initial insult(s) to the bile ducts precipitates a cycle of biliary stone formation and infection that results in recurrent episodes of pyogenic cholangitis. (medscape.com)
  • Morbidity is related to recurrent biliary infection and may manifest as pancreatobiliary abnormalities, such as pancreatitis, biliary fistulae, hepatic abscesses, and suppurative cholangitis. (medscape.com)
  • patients having choledocholithiasis, cholangitis, biliary fistula and surgical jaundice. (hvt-journal.com)
  • All the patients were done ERCP procedure because of external biliary fistula after hydatid liver surgery. (longdom.org)
  • Many months or years may pass before mild cholestasis or symptoms develop when biliary sludge or stones form proximal to a stricture. (medscape.com)
  • Cholecystectomy with a choledochoplasty is the most frequent treatment of primary fistulas, whereas the bile duct drainage or the endoscopic stenting is the best choice in case of minor iatrogenic bile duct injuries. (wikipedia.org)
  • The cholecystic abscess may initially cause a tender area in the abdominal wall and spontaneously rupture, forming a fistula with drainage onto the skin. (medscape.com)
  • Background Surgeons and endoscopists welcome routine preoperative biliary drainage prior to pancreaticoduodenectomy despite evidence that it increases complications. (thieme-connect.de)
  • Initial studies on PBD included both benign and malignant pathologies, employed the percutaneous means of biliary drainage, and did not specifically address POPF after PD. (thieme-connect.de)
  • Percutaneous transhepatic biliary drainage (PTBD) was performed, and 30-50 mL of bile was drained daily. (kjpbt.org)
  • 기관지담관루의 치료는 비수술적 방법인 내시경적 또는 경피적 담관 배액술(percutaneous transhepatic biliary drainage, PTBD)이 첫 치료로 시도되고 있으며 이러한 치료들이 실패하는 경우 수술적 치료를 시행하고 있다[ 3 - 6 ]. (kjpbt.org)
  • Major intraoperative bleeding during pancreatoduodenectomy - preoperative biliary drainage is the only modifiable risk factor. (cancercentrum.se)
  • This study aimed to evaluate our experience in Morocco on treating patients, by surgical biliary bypass or endoscopic stenting, presented by obstructive jaundice from advanced cancer head pancreas and to compare the patient's outcome in terms of post procedure mortality, morbidity, assess cost effectiveness, re-hos- pitalization and overall survival in these patients. (scirp.org)
  • biliary tree and pancreas were normal ( Figure 1 ). (spg.pt)
  • CMC Dubai has become a center of advanced Hepato-Pancreato-Biliary surgery in the region, performing complex surgeries of the liver, gall bladder, pancreas and biliary tree. (cmcdubai.ae)
  • The Hepato-Pancreato-Biliary (HPB) system refers to the organs involved in the production, storage, and transportation of digestive fluids, including the liver, pancreas, and bile ducts. (cmcdubai.ae)
  • A cholecystocutaneous fistula is an abnormal epithelial tract that allows communication between the gallbladder and the skin. (medscape.com)
  • Both the gallbladder and the fistula must be resected to achieve a cure. (medscape.com)
  • The cystic duct or the gallbladder is almost always obstructed in patients with spontaneous cholecystocutaneous fistula. (medscape.com)
  • In an attempt to discharge this abscess, a fistula may therefore form between the gallbladder and the duodenum, colon, or abdominal wall. (medscape.com)
  • The fistula usually occurs via the fundus of the gallbladder, as this is the farthest from the cystic artery and most likely to be affected in inflammation-caused ischemia. (medscape.com)
  • Because of the anatomy and position of the gallbladder, the gallbladder is more likely to adhere to neighboring viscera, such as the duodenum and colon, forming cholecystoduodenal fistula that predisposes to gallstone ileus or cholecystocolonic fistula. (medscape.com)
  • This condition is invariably a complication of neglected gallstone disease, though isolated case reports have described spontaneous cholecystocutaneous fistula due to carcinoma of the gallbladder and acalculous cholecystitis . (medscape.com)
  • In rare instances, an opening in the duodenum close to the duodenal papilla may be seen, representing a fistulous communication between the duodenal wall and the bile duct (choledochoduodenal fistula) or the gallbladder (cholecystoduodenal fistula). (spg.pt)
  • Biliary leaks or fistula occur in 0.1-0.4% of all gallbladder operations. (medscape.com)
  • Benign biliary strictures occur with a frequency of 0.1-0.8% of all gallbladder operations. (medscape.com)
  • Hepatic resection in 485 R0 pT2 and pT3 cases of advanced carcinoma of the gallbladder: results of a Japanese Society of Biliary Surgery survey--a multicenter study. (cancercentrum.se)
  • CASE REPORT The fistula origin was in the ileocolic segment in all cases, and all of the patients underwent preoperative optimization with improvement of nutritional status and infection control. (bvsalud.org)
  • Management of Postoperative Biliary Fistula After Hydatid Liver Surgery: Are There Any Differences between Localizations? (longdom.org)
  • The aim of this study is to compare managements of postoperative biliary fistula after hydatid liver surgery, according to localization of hepatic cyst. (longdom.org)
  • Endoscopic retrograde cholangiopancreatography (ERCP) Imaging is essential for accurately diagnosing biliary tract disorders and is important for detecting focal liver lesions (eg, abscess, tumor). (msdmanuals.com)
  • Post-transplant complications can be categorized into vascular, non-vascular and biliary. (medscape.com)
  • Lee et al retrospectively enrolled 75 patients who had undergone liver transpalantation and found that although MDCT in the late period should be interpreted with caution in patients with suspected biliary complication, MDCT is a reliable diagnostic technique for the identification of early and late abdominal complications after liver transplantation. (medscape.com)
  • MS and cholecystoenteric fistulas are rare and late complications of gallstone disease [ 3 , 4 ]. (hindawi.com)
  • The proposed book intends to discuss in an extended mode the fistulas complications of the digestive tract. (sciencepg.com)
  • For bronchobiliary fistula, the following tests are performed: 1) ultrasound abdomen, may show subdiaphragmatic collection around the surface of the right lobe of the liver. (wikipedia.org)
  • Biliary toxicity is the dose limiting side effect of HAC with FUDR, usually indicated by an increase of bilirubin and liver enzymes [ 15 - 18 ]. (biomedcentral.com)
  • Types of biliary fistula include: bilioenteric fistula: abnormal connection to small bowel, usually duodenum. (wikipedia.org)
  • Multidisciplinary discussion and iconography review raised the diagnostic suspicion of a gallstone impacted in the duodenal wall through a peripapillary bilioenteric fistula. (spg.pt)
  • Duodenoscopy was repeated at day 6 but, instead of the lesion previously seen, there was now a large peripappilary orifice, suggestive of a bilioenteric fistula (40mm large after contrast injection and guide-wire exploration) ( Figure 5 ). (spg.pt)
  • Large peripappilary orifice, suggestive of bilioenteric fistula (guide-wire exploration). (spg.pt)
  • We would like to report laparoscopic subtotal cholecystectomy (SC) and resection of cholecystocolic fistula by the help of Tri-Staple ™ in a case with type V MS and cholecystocolic fistula, for first time in the literature. (hindawi.com)
  • Laparoscopic resection of cholecystocolic fistula and subtotal cholecystectomy were performed by the help of Tri-Staple. (hindawi.com)
  • In a patient with type V MS and cholecystocolic fistula, laparoscopic resection of cholecystocolic fistula and SC can be performed by using Tri-Staple safely. (hindawi.com)
  • According to our knowledge there is no reported data about laparoscopic treatment of type V MS. We would like to report laparoscopic SC and resection of cholecystocolic fistula by the help of endoscopic stapler (Covidien Endo GIA Reinforced Reload with Tri-Staple Technology) in a case with type V MS with cholecystocolic fistula. (hindawi.com)
  • It can occur as a complication following biliary trauma (such as cholelithiasis), as an iatrogenic effect or as a result of a penetrating injury. (wikipedia.org)
  • Objectives The most common complication of hepatic hydatid cysts is the intra-biliary rupture seen approximately in 10-30% of patients. (longdom.org)
  • Bronchobiliary fistula (BBF) is a rare complication after transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma. (kjpbt.org)
  • Endoscopic sphincterotomy alleviates biliary-type pain in most, but not all, patients with papillary stenosis. (medscape.com)
  • As with cholecystocutaneous fistula, the incidence of cholecystoduodenal fistula has also declined because of expeditious surgical intervention. (medscape.com)
  • Here, we reviewed registers from 855 patients with Crohn's disease treated in our service from January 2007 to December 2020 and found 4 cases of duodenal fistula and 1 case of gastric fistula. (bvsalud.org)
  • One case of a duodenal fistula was complicated by duodenal dehiscence. (bvsalud.org)
  • bronchobiliary fistula: pathological communication between a bronchus and the biliary tract (extremely rare). (wikipedia.org)
  • 기관지담관루(bronchobiliary fistula)는 드문 질환으로 기관지와 담관 사이에 비정상적인 연결이 있으면서 지속적인 담즙성 객담(biliptysis)이 주증상이다[ 1 ]. (kjpbt.org)
  • Hendriquez R, Keihanian T, Goyal J, Abraham RR, Mishra R, Girotra M. Radiofrequency ablation in the management of primary hepatic and biliary tumors. (wjgnet.com)
  • To approach centrally located tumors more cautiously, avoid tumors abutting large major blood vessels and biliary ducts. (dirjournal.org)
  • BACKGROUND Fistulas involving the stomach and duodenum in Crohn's disease are rare (occurring in less than 1% of patients). (bvsalud.org)
  • CONCLUSIONS Fistulas with the involvement of the stomach and duodenum in patients with Crohn's disease are almost always due to inflammation in the ileum, colon, or previous ileocolic anastomosis. (bvsalud.org)
  • In spontaneous cholecystocutaneous fistula, the abscess is walled off by the abdominal wall and progressively penetrates it. (medscape.com)
  • For nontraumatic abdominal emergencies, ultrasound is used to investigate biliary colic, pelvic pain in women, scrotal pathology in men, suspected appendicitis or intussusception in children, and lower-extremity deep venous thrombosis. (radiologykey.com)
  • Biliary-enteric fistulas represent the most common forms of biliary fistulas and are usually associated with gallstone disease. (spg.pt)
  • There are only two published case reports of parapapillary fistula with impaction of a gallstone into the duodenal wall. (spg.pt)
  • It is important to identify MS and fistula formation before surgery or at least during surgery because of serious morbidity and mortality related to the condition [ 3 ]. (hindawi.com)
  • Results of a Japanese Society of Biliary Surgery Survey: a multicenter study. (cancercentrum.se)
  • A biliary fistula is a type of fistula in which bile flows along an abnormal connection from the bile ducts into a nearby hollow structure. (wikipedia.org)
  • thoracobiliary fistula: abnormal connection to pleural space or bronchus (rare). (wikipedia.org)
  • Our patient, a 6-year-old girl, underwent a porto-enterostomy (Kasai) operation on the 45 th day of delivery due to biliary atresia. (transpopmed.org)
  • We present a 6-year-old female patient with successful anesthetic management of pediatric living donor LT with HPS and pulmonary arteriovenous fistula (AVF) due to biliary atresia. (transpopmed.org)
  • Herein, we present the successful anesthetic management of a pediatric living donor LT for biliary atresia with a pulmonary AVF and HPS in the light literature. (transpopmed.org)
  • A 6-year-old female (height: 115 cm, weight: 22 kg) patient with pediatric living donor LT for biliary atresia (cirrhosis with portal hypertension) with a pulmonary AVF, HPS, was admitted to an intensive care unit (ICU) transplantation. (transpopmed.org)
  • She had a Kasai operation on the 45 th day after birth to treat biliary atresia. (transpopmed.org)
  • It is also used to treat primary biliary cirrhosis. (rxwiki.com)
  • Brochobilary fistula is challenging because patients may experience repeat chest infections, pleural effusion, and perihepatic abdominal collection. (wikipedia.org)
  • However, with subsequent improvements in surgical care, the incidence of spontaneous cholecystocutaneous fistula has declined dramatically, with most cases now originating from developing countries or from elderly, institutionalized patients in developed countries. (medscape.com)
  • Moreover, a debate on outcome results in these patients who receive plastic biliary endoprothesis versus surgical bypass as palliation of obstructive jaundice. (scirp.org)
  • Depending on the degree of involvement of the biliary tract, the patients may be grouped into five distinct groups and coexistence of cholecystoenteric fistula and MS was classified as type V [ 2 ]. (hindawi.com)
  • All patients were successfully cured of their gastroduodenal fistulas, and at the time of this publication, none of them died or had fistula recurrence. (bvsalud.org)
  • In biliary fistula, bile leaks freely into the abdominal or thoracic cavity. (msdmanuals.com)
  • A history of recurrent biliary-type pain associated with nausea, vomiting, fever, and chills is suggestive of a retained common duct stone, and sonographic evidence of ductal dilation is supportive of this diagnosis. (medscape.com)
  • In addition, retained gallstones following laparoscopic cholecystectomy may cause biliary fistula or abdominal wall sinuses. (medscape.com)
  • A biliary fistula often occurs or may be suspected in a person who has recently undergone a surgical procedure. (wikipedia.org)
  • Spontaneous cholecystocutaneous fistula is a rare condition that has become even rarer because of prompt diagnosis and expedient surgical intervention for gallstones. (medscape.com)
  • Correct surgical approach and management are very important for MS as chronic biliary tree inflammation and bile duct anatomic alteration necessitate a rigorous technique [ 5 ]. (hindawi.com)
  • Biliary injury results from poor dissection and failure to adequately define the surgical anatomy (13-15). (hvt-journal.com)
  • US is excellent for screening for biliary, arterial, and venous problems. (medscape.com)
  • Gemcitabine combined with oxaliplatin (GEMOX) in advanced biliary tract adenocarcinoma: a GERCOR study. (cancercentrum.se)