Ponsky J L, Aszodi A
Am J Gastroenterol. 1982 Dec;77(12):939-40.
External biliary drainage is often required to relieve bile duct obstruction. Most often this is a temporary situation and internal drainage is soon established by means of surgery or by transhepatic biliary stents placed through the obstruction into the duodenum. When internal drainage cannot be established and external biliary losses are prolonged, malabsorption, dehydration, and electrolyte imbalance may ensue. In this report we present two such cases in which an external biliary-gastric fistula was created by connecting the biliary drainage catheter to a percutaneous endoscopic gastrostomy. In both cases internal diversion was effectively achieved. We believe this technique warrants consideration in those patients otherwise committed to prolonged external biliary drainage.
通常需要进行外引流以缓解胆管梗阻。多数情况下这是一种临时措施，很快会通过手术或经皮肝穿刺胆管支架置入术将梗阻部位与十二指肠建立内引流。当无法建立内引流且外引流持续时间较长时，可能会出现吸收不良、脱水和电解质失衡。在本报告中，我们介绍两例通过将胆管引流导管与经皮内镜下胃造瘘术相连而形成外胆管 - 胃瘘的病例。在这两例中均有效实现了内转流。我们认为，对于那些注定要长期进行外胆管引流的患者，该技术值得考虑。
