Palomar de Luis M, Tubía Landaberea J I, Elorza Orúe J L
Hospital Ntra. Sra. de Aránzazu, San Sebastián.
Rev Esp Enferm Dig. 1990 Jan;77(1):33-8.
A retrospective study was made of 23 cases of spontaneous biliodigestive fistulae collected from bile tract surgery performed in our center from 1979 to 1987, representing 1.05% of the total number of cases. The etiology was cholelithiasis in almost all cases and the most frequent connection was to the duodenum. Forty-eight percent of the cases presented as biliary ileus. In each case surgery depended on the etiology, clinical manifestations and status of the patient. The mortality was 8.7% and the morbidity 52%. Results are analyzed and a bibliographic review of the topic is offered.
对1979年至1987年在本中心进行的胆道手术中收集的23例自发性胆肠瘘病例进行了回顾性研究，占病例总数的1.05%。几乎所有病例的病因都是胆结石，最常见的瘘管是通向十二指肠。48%的病例表现为胆石性肠梗阻。在每例病例中，手术取决于病因、临床表现和患者状况。死亡率为8.7%，发病率为52%。对结果进行了分析，并提供了该主题的文献综述。
