Tekant Y, Bilge O, Acarli K, Alper A, Emre A, Arioğul O
Hepatopancreatobiliary Surgery Unit, Istanbul Medical Faculty, University of Istanbul, Turkey.
Surg Endosc. 1996 Sep;10(9):909-11. doi: 10.1007/BF00188481.
Ten patients with postoperative external biliary fistula treated by endoscopic sphincterotomy are reported.
Nine of these patients were operated for hepatic hydatid disease and one for a liver abscess. Mean daily output of bile through the fistulae which were present for 5-39 days was approximately 500 cc.
Treatment was successful in nine patients with closure of the fistulae in 2-15 days (mean, 7 days). No response was obtained in one patient who was reoperated, and an intrahepatic biliary duct was found to be completely eroded by the cyst wall.
Endoscopic sphincterotomy should be the first-line treatment for postoperative external biliary fistulae related to hepatic hydatid disease.
报告了10例经内镜括约肌切开术治疗的术后外胆管瘘患者。
其中9例患者因肝包虫病接受手术，1例因肝脓肿接受手术。存在瘘管5 - 39天，胆汁平均每日引流量约为500毫升。
9例患者治疗成功，瘘管在2 - 15天（平均7天）内闭合。1例患者无反应，再次手术时发现肝内胆管被囊肿壁完全侵蚀。
内镜括约肌切开术应作为与肝包虫病相关的术后外胆管瘘的一线治疗方法。
