Background: Laparoscopic cholecystectomy is commonly performed, and several factors increase the

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Readmissions and complications following cholecystectomy are common and associated with patient and disease characteristics.

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The diagnosis of CVF is predominately a clinical one, and patients with a suspected CVF are over-investigated. Investigations should be focused on determining aetiology rather than demonstrating the fistulous tract itself. We propose that, in the majority of cases, CT and lower gastrointestinal endoscopy should suffice.