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bilio digestive fistulas

Lorena Brandariz Gil, Tamara Fernández de Miguel, José Perea
Gallstone ileus is an exceptional complication among billiary diseases. It is defined as an intestinal obstruction caused by a gallstone as it passes through a bilio-digestive fistula. This is disease with high morbi-mortality, and whose main contributing factors are the advanced age of the patients, comorbidities and the delayed diagnosis. Most of the times, it is a postoperative diagnosis and a high clinical suspicion is essential for an early diagnosis. In patients with gallstone ileus the abdominal X-ray is frequently nonspecific and to observe a complete Rigler triad is exceptional...
September 2016: Revista Española de Enfermedades Digestivas
N Periselneris, J J Bong
Surgery remains the gold standard for the treatment of bleeding peptic ulcer after failed endoscopic therapy. It is unusual to encounter a bilio-enteric fistula complicating peptic ulcer disease during the emergency surgery for bleeding. We report a case of a 67-year-old man who presented with haemetemesis and hypotension. After failed endoscopy, a laparotomy was performed. A choledocho-duodenal fistula and a Forrest IIA ulcer was encountered. The bleeding ulcer was underrun and a subtotal cholecystectomy was performed...
2011: La Clinica Terapeutica
J Vila Juan, L A Artifon Everson, Marta Basterra, Virginia Arrazubi, Marta Gómez, Jesús Urman, Federico Bolado, F Javier Jiménez
Endoscopic ultrasound-guided bilio-pancreatic drainage (EBPD) has become an endoscopic alternative to percutaneous biliary drainage for patients with unsuccessful transpapillary approach. EBPD has a significant complication rate and expertise in advanced therapeutical endoscopy and endosonography are required. We present a 43 year-old male with pancreatic head adenocarcinoma, who after underwent a transgastric endoscopic rendez-vous technique, a gastric wall perforation at the fistula location was detected...
October 2011: Revista de Gastroenterología de México
Jens Standop, Tim Glowka, Volker Schmitz, Nico Schäfer, Marcus Overhaus, Andreas Hirner, Jörg C Kalff
BACKGROUND: This study analyzed indication and outcome regarding operative re-intervention following pancreatoduodenectomy (PD) and pancreatogastrostomy (PG) with special emphasis on complications related to redo surgery. PATIENTS AND METHODS: Two hundred eighty-five patients who underwent PD with PG between 1989 and 2008 were identified from a pancreatic resection database and indications for repeat surgery were registered. Patients with and without reoperation were analyzed with regard to gender, age, underlying disease, length of hospital stay, mortality rate, and postoperative complications...
August 2009: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
J M Schiappa
Lesions of the biliary tract can happen during the performance of different types of surgery, not only biliary surgery itself. Mainly five types of surgery are responsible for these events: Biliary surgery, Liver surgery, Portal Hypertension surgery, Pancreatic surgery, Gastric surgery. We will concentrate on biliary surgery itself, excluding the specific problems from liver transplant surgery. Surgery for biliary lithiasis, tumours, inflammatory conditions, bilio-digestive anastomosis, placement of prosthesis or tumour intubations or biliary re-interventions, can all be cause for complications, specific of the biliary tree...
March 2008: Acta Chirurgica Belgica
Erwan Bories, F Caillol, C Pesenti, Marc Giovannini
Digestive endoscopy, including endoscopic ultrasound, plays actually an important role in oncology concerning early diagnosis, tumor staging, and therapeutic procedures. Indeed, improvement of endoscope and dedicated accessories allow to increase applications of therapeutic endoscopy in oncologic indications : curative resection of early carcinoma ant submucosa tumor ; palliative treatment of tumoral bilio-digestive obstruction. Possibilities to resect sessile or flat polyps allow to treat curatively well-differentiated carcinoma without infiltration of the muscularis mucosae, the risk of lymph nodes invasion being null in this cases...
December 2007: Bulletin du Cancer
S Simion, G Lepadat, A Croitoru, B Ghita, B Mastalier, M Angelescu, Ioana Simion
Gallstone ileus is a rare, serious condition, requiring emergency surgery, specific to elderly age. The present study deals with 16 cases operated in 25 years period, with median age about 64 years old. The patients had clinical evidence of intestinal obstruction, confirmed by radiological examination and ultrasonography. Emergency operations were performed. In 7 cases had been treated radically both the obstruction (entero-lithotomy) and the bilio-digestive fistula (cholecystectomy, duodenal closure, enteral closure, colon-suture) with good results (only one death)...
November 2005: Chirurgia
Péter Sipos, Szilárd Szabó, Pál Ondrejka, Csaba Hermann, Gábor Elek, István Sugár
A big gallstone penetrating through a bilio-digestive fistula into the bowel can make a complete obstruction of it in the majority of the cases requiring an urgent operation. It is a rare situation that a fistula like this leads into the colon and the stone makes a large bowel obstruction. A 72-year-old male patient was admitted to our department with the symptoms of colon obstruction. After the examinations he underwent an explorative laparotomy. During the course of the operation an obstruction was found in the proximal third of the descending colon...
October 2004: Magyar Sebészet
Shaleen Agarwal, Sadiq Saleem Sikora, Ashok Kumar, Rajan Saxena, Vinay Kumar Kapoor
BACKGROUND: Conservative surgery (cyst evacuation and partial pericystectomy) for hydatid cysts of the liver is known to be safe but is often associated with bile leak and its sequelae. METHODS: Case records of 86 patients undergoing surgery for hydatid cysts of the liver at a tertiary-care center in northern India over a 14-year period were reviewed retrospectively. RESULTS: Sixteen (18%) patients had jaundice and 36 (42%) had a cyst-biliary communication detected at surgery...
March 2005: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
Michele Scialpi, Mariano Scaglione, Luca Volterrani, Luciano Lupattelli, Alfonso Ragozzino, Stefania Romano, Antonio Rotondo
The role of several imaging techniques in patients submitted to pancreatic surgery with special emphasis to single-slice helical computed tomography (CT) and multidetector-row CT (MDCT) was reviewed. Several surgical options may be performed such as Whipple procedure, distal pancreatectomy, central pancreatectomy, and total pancreatectomy. Ultrasound examination may be used to detect peritoneal fluid in the early post-operative period as well as lesion recurrence in long-term follow-up. Radiological gastrointestinal studies has a major role in evaluation of intestinal functionality...
March 2005: European Journal of Radiology
G L Adani, U Baccarani, A Risaliti, M Sainz-Barriga, D Lorenzin, F Bresadola
We report a case of a 38-year-old Caucasian female with ileal carcinoid and bilobar hepatic metastases. After resection of the primary tumor, octreotide therapy was prescribed. Carcinoid histology was positive for chromogranin A and sinaptophsine and negative for MIB1. At 1-year, a follow-up computed tomography scan, Octreoscan, and PET scan were negative for extrahepatic involvement. The patient underwent right lobe living related liver transplantation donated by her sister. Acute hepatic artery thrombosis was successfully revascularized 24 hours after transplantation...
November 2004: Transplantation Proceedings
A Garavello, S Manfroni, G Bellanova, D Antonellis
OBJECTIVE: Evaluation of three cases of Mirizzi's syndrome (MS), a rare condition of non neoplastic biliary tree obstruction. MATERIALS AND METHODS: We reviewed three cases of MS, operated from July 1998 to December 2000 in our institution. All patients were preoperatively evaluated by clinical examination, Ultrasound (US) and Endoscopic retrograde colangiopancreatography (CPRE) for jaundice. Computed Tomography (TC) was also performed in two. RESULTS: Abdominal pain was the main symptom in two patients, jaundice in one (17 mg/dl); Courvoisier-Terrier sign, suggestive for a biliopancreatic neoplasm, was present in two patients...
May 2004: Annali Italiani di Chirurgia
Francesco Lassandro, Nicola Gagliardi, Maria Scuderi, Antonio Pinto, Gianluca Gatta, Raffaele Mazzeo
PURPOSE: We retrospectively compared the clinical value of plain abdominal film, abdominal sonography and abdominal CT in diagnosing gallstone ileus in 27 patients. MATERIAL AND METHODS: 27 patients (23 women and 4 men, age range 58-96 years; mean age 71.5 years) with surgically proven gallstone ileus were submitted to plain film, sonography and CT of the abdomen. Abdominal plain films were performed in 19 cases in upright position (postero-anterior projection), in eight cases in supine position...
April 2004: European Journal of Radiology
G Orlando, P Goffette, O Ciccarelli, J Lerut
No abstract text is available yet for this article.
January 2004: Transplantation Proceedings
No abstract text is available yet for this article.
April 1951: Archives des Maladies de L'appareil Digestif et des Maladies de la Nutrition
No abstract text is available yet for this article.
April 1962: Minerva Gastroenterologica
No abstract text is available yet for this article.
January 1965: Journal de Radiologie, D'électrologie, et de Médecine Nucléaire
No abstract text is available yet for this article.
December 1963: Rivista di Patologia e Clinica
No abstract text is available yet for this article.
December 1963: Rivista di Patologia e Clinica
No abstract text is available yet for this article.
1964: Marseille Médical
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