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- W1964249207 abstract "Introduction: Bronchobiliary fistula (BBF) is an uncommon, serious complication of liver hidatic cyst. Most of the published series show that the surgical management has high morbidity and mortality. Aim: To describe our experience in the endoscopic management of this rare entity. Methods: In the last 5 years, our endoscopic group treated 6 patients, all men (38 to 67 years) with BBF. The main symptoms were: biliptysis, cough, dyspnea and fever. CT and US were the diagnostic studies that confirmed this pathology. Results: ERCP was performed by experienced endoscopists under Propofol sedation. Informed consent was asked to each patient before the procedure. After the fistula tract was contrasted, papillotomy was performed in all cases and a stent was placed. In one case, the cystic membranes were extracted through the papilla (migration to the BCD). In another case Histoacryl was used to occlude the fistula tract, after selective duct canulation. The clinical evolution was satisfactory in all cases. Biliptysis disappeared before 24 hrs and clinical improvement was notable. At 6 months of follow up (5 patients/one is still in the fist month) all patients showed no recurrence of the fistula. Conclusion: The BBF is still a serious complication of Hidatic disease that appears to benefit from endoscopic treatment. Papillotomy + biliary stent seem to be the best initial approach. Histoacryl has the advantage of fistula tract occlusion, and is probable the second approach if the initial one fails. More data will be available as the number of patients will increase." @default.
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- W1964249207 date "2007-04-01" @default.
- W1964249207 modified "2023-10-18" @default.
- W1964249207 title "Endoscopic Management of Bronchobiliary Fistula" @default.
- W1964249207 doi "https://doi.org/10.1016/j.gie.2007.03.473" @default.
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