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Title: [Endoscopic management of postoperative biliary fistulas]. Author: Farca A, Moreno M, Mundo F, Rodríguez G. Journal: Rev Gastroenterol Mex; 1991; 56(4):213-5. PubMed ID: 1810009. Abstract: Biliary fistulas have been managed by surgical correction with no good results. From 1986 to 1990, endoscopic therapy was attempted in 24 patients with postoperative persistent biliary-cutaneous fistulas. Endoscopic retrograde cholangiography demonstrated residual biliary stones in 19 patients (79%). The mean fistula drainage was 540 ml/day, and in 75% the site of the fistula was near the cistic duct stump. Sphincterotomy with or without biliary stent placement resulted in rapid resolution of the fistula in 23 patients (95.8%). In those patients treated with biliary stents the fistula healed spectacularly in 24-72 hrs.[Abstract] [Full Text] [Related] [New Search]