Endoscopic Management of Biliobronchial Fistulas

Alila, Mohammed

doi:10.15406/jlprr.2017.04.00150

Cited by 1 publication

(2 citation statements)

References 8 publications

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“…Unlike the previous practice involving surgical management, endoscopic therapy has emerged as the first-line management for bilio-bronchial fistula. 25 In our study, endoscopic therapy alone led to symptom improvement without the need for any surgery. In a previous trial, fistula closure with coil and glue has been performed in patients who do not meet the criteria for ERCP with CBD stenting.…”

Section: Staysupporting

confidence: 51%

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Outcomes of Endoscopic Management among Patients with Bile Leak of Various Etiologies at a Tertiary Care Center

et al. 2020

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The International Study Group of Liver Surgery has defined bile duct leak (BDL) as "fluid with an increased bilirubin concentration in the abdominal drain or in the intra-abdominal fluid or as the need for radiologic intervention because of bil-iary fluid collection or re-laparotomy resulting from bile peritonitis". 1 Bile leak is commonly associated with surgeries (such as cholecystectomy, liver transplantation, partial hepatectomy, and hydatid cyst excision). However, it may also occur secondary to various necro-inflammatory conditions involving the liver. The most frequent cause of bile leak is iatrogenic, and cholecystectomy is the most common procedure associated with this condition. Bile leak occurs in 0.1%-0.5% of patients who underwent open cholecystectomy. 2,3 Approximately 0.5%-2% of patients who underwent laparoscopic cholecystectomy can develop bile leak, with the majority arising from the cystic duct stump. 4-6 The clinical presentation of bile leak varies from asymptomatic drainage of bile to life-threatening conditions including biliary peritonitis. Thus, bile leak can be associated with significant morbidity and can lead to death if left untreated. The communication between the biliary tree and amoebic liver abscess is observed in up to 27% of cases, and it commonly presents with jaundice and has a longer duration. 7 In

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Section: Staysupporting

confidence: 51%

“…Unlike the previous practice involving surgical management, endoscopic therapy has emerged as the first-line management for bilio-bronchial fistula [ 25 ]. In our study, endoscopic therapy alone led to symptom improvement without the need for any surgery.…”

Section: Discussionmentioning

confidence: 99%