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Surgical Endoscopy

, Volume 10, Issue 9, pp 909–911 | Cite as

Endoscopic sphincterotomy in the treatment of postoperative biliary fistulas of hepatic hydatid disease

  • Y. Tekant
  • O. Bilge
  • K. Acarli
  • A. Alper
  • A. Emre
  • O. Arioğul
Original Articles

Abstract

Background: Ten patients with postoperative external biliary fistula treated by endoscopic sphincterotomy are reported.

Methods: 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.

Results: 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.

Conclusions: Endoscopic sphincterotomy should be the first-line treatment for postoperative external biliary fistulae related to hepatic hydatid disease.

Key words

Hydatid cysts Liver Complications Endoscopy 

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Copyright information

© Springer-Verlag New York Inc 1996

Authors and Affiliations

  • Y. Tekant
    • 1
  • O. Bilge
    • 1
  • K. Acarli
    • 1
  • A. Alper
    • 1
  • A. Emre
    • 1
  • O. Arioğul
    • 1
  1. 1.Hepatopancreatobiliary Surgery Unit, Istanbul Medical FacultyUniversity of IstanbulCapa-Topkapi, IstanbulTurkey

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