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Bronchobiliary Fistula Secondary to Hepatic Resection -Treatment by endoscopic retrograde biliary drainage-

Other Title
간절제술 후 발생한 기관지 담도 누공 1예
Authors
홍, 사준; 이, 광재; 문, 영수; 김, 영수; 함, 기백; 김, 진홍; 조, 성원
Citation
Taehan Sohwagi Naesigyŏng Hakhoe chi, 17(2):220-225, 1997
Journal Title
Taehan Sohwagi Naesigyŏng Hakhoe chi; The Korean journal of gastrointestinal endoscopy; 대한소화기내시경학회지
ISSN
1225-7001
Abstract
Bronchobiliary fistula (BBF) is a rare disorder, defined as opening of a passage between the bronchial tree and the biliary tract and presence of bile in the sputum (biloptysis). BBF usually occurs either in the congenital form of following

multiple

causes, including mainly thoracoabdominal trauma, liver abscess, parasitic liver disease, choledocholithiasis, and post operative biliary stenosis. The cardinal clinical features were respiratory symptoms, jaundice, and cholangitis. Management of

fistula is often very difficult and can be associated with high morbidity and mortality rates. Early recognition and proper management are essential to avoid a fatal outcome. To date, surgery has been favored as the most efficient therapeutic

option,

although percutaneous approaches, and more recently, endoscopic sphincterotomy and stent insertion, have succeeded in resolving certain kind of BBF. We are reporting a case of BBF secondary to hepatic resection of hepatocellular carcinoma which

was

managed by endoscopic retrograde biliary stenting for keeping optimal bile drainage and surgical operation for resection of recurred tumor and removal of subphrenic abscess. (Korean J Gastrointest Endosc 17: 220~224, 1997)
Keywords
Bronchobiliary fistulaHepatic resectionEndoscopic biliary drainage
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
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