Bronchobiliary fistula: principles of management

Endoscopic Management of Biliobronchial Fistulas

“…Bile behaves as a strong irritant when present outside the biliary channel and gastrointestinal system [6]. Regarding the circumstances of the discovery, the only specific sign is biliptysis, which may be more or less abundant.…”

“…Sometimes bronchopulmonary infection may be the main aspect of the clinical symptomatology often associated with non specific signs such as cough and thoracoabdominal pain. Thus, the diagnosis of BBF of hydatid origin must be based on clusters of clinical arguments, documented by para-clinical and radiological examinations [2,6,7]. Radiology reveals patch densities dominantly in the right lower lobe; however, these patches may also be present throughout the right lung and even in the left side [2,4,6].…”

“…Thus, the diagnosis of BBF of hydatid origin must be based on clusters of clinical arguments, documented by para-clinical and radiological examinations [2,6,7]. Radiology reveals patch densities dominantly in the right lower lobe; however, these patches may also be present throughout the right lung and even in the left side [2,4,6]. Thoracic and upper abdominal CTs appear to be the best tools for the initial evaluation of lung and liver pathologies to plan further investigations, the presence of a cystic image of the liver appearing to continue a pulmonary lesion that is variable in a patient with biliptysis in a hydatid endemic area is an incontestable the diagnosis.…”

Pleurobiliary fistula caused by catheter in intrahepatic biliary tract

“…8 Plevrobilier fistül'de ise safralı balgam gözükmemektedir. Tersine PBF genel olarak daha az zararlıdır ve akciğer rezeksiyonu gerektirmez.…”

Transnasal flexible bronchoscopic implantation of a nickel titanium (NiTi) bronchial occlusive device for a bronchobiliary fistula

“…Bronchobiliary fistula (BBF) is rarely seen, and its management can be challenging [1,2]. Although conventional surgical repair is effective, it is a complicated and traumatic procedure [3,4].…”