Juxtapapillary choledochoduodenal fistula. Diagnosis and treatment in 19 cases

Guido Costamagna, R. Coppola, Paolo Belli, Riccardo Masetti, P. Magistrelli, Gennaro Nuzzo

Research output: Contribution to journalMeeting Abstract

Abstract

Nineteen patients with distal juxtapapillary choledochoduodenal fistula diagnosed by endoscopic retrograde cholangiopancreatography are reported. Eighty-four percent of the patients had undergone previous operations on the biliary tract. Fistula appears to be mostly secondary to common bile duct exploration with rigid probe or to a technical mistake in performing sphincteroplasty. Spontaneous fistula secondary to the passage of a stone into the duodenal lumen may also occur. Common duct stones were responsible for the symptoms in most cases (70%). Endoscopy sphincterotomy showed good results in cholecystectomized patients with stones. Surgery directed to the fistula or biliary by-pass are not recommended. Uncomplicated fistula probably does not require treatment.
Original languageEnglish
Pages (from-to)347-353
Number of pages7
JournalTHE ITALIAN JOURNAL OF SURGICAL SCIENCES
Volume17
Publication statusPublished - 1987

Keywords

  • duodenal

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