Zakharov S N
Khirurgiia (Mosk). 1989 Jan(1):53-6.
Twenty-nine patients with external biliary fistulae were under observation. In 22 cases the formation and functioning of the fistula was caused by obstruction of the flow of bile into the intestine. The abdominal cavity was drained in the acute stage, and then, after the formation of the fistula was concluded and the general condition normalized, its source was removed. In addition to liquidation of the fistula for removal of the cause of biliary hypertension, choledochoenteroanastomosis was established in 4 patients and various manipulations on the papilla were performed in 16 patients.
对29例胆外瘘患者进行了观察。22例患者瘘管的形成和功能是由胆汁流入肠道受阻所致。急性期对腹腔进行引流,然后,在瘘管形成结束且一般情况恢复正常后,去除其病因。除了为消除胆道高压病因而处理瘘管外,4例患者进行了胆总管空肠吻合术,16例患者对乳头进行了各种操作。