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Journal articles on the topic 'Biliodigestive fistulas'

Author: Grafiati

Published: 28 May 2022

Last updated: 31 July 2025

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1

Strapko, V. P., and V. N. Kolotsei. "A CASE OF HOLECYSTODUODENOCOLIC FISTULA IN A PATIENT SUFFERING FROM CHOLELITHIASIS, CHRONIC CALCULUS CHOLECYSTITIS, CHOLEDOCHOLITHIASIS." Hepatology and Gastroenterology 9, no. 1 (2025): 58–62. https://doi.org/10.25298/2616-5546-2025-9-1-58-62.

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Internal biliodigestive fistulas are quite rare and the most severe complications of cholelithiasis. A case of holecystoduodenocolic fistula in a patient suffering from cholelithiasis complicated by choledocholithiasis and obstructive jaundice is presented. During surgery, a dense infiltrate was detected in the subhepatic space, upon separation of which a holecystoduodenocolic fistula was diagnosed. The patient was operated on; cholecystectomy, separation of the holecystoduodenal and duodenocolic fistulas, choledocholithotomy, transduodenal papillophincterotomy, suturing of the fistula opening

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2

Vorobey, A. V., Yu N. Orlovsky, E. I. Vizhinis, and A. Ch Shuleyko. "Surgical Treatment of Biliobiliary and Biliodigestive Fistulas." Annaly khirurgicheskoy gepatologii = Annals of HPB surgery 21, no. 3 (2016): 92–100. http://dx.doi.org/10.16931/1995-5464.2016392-100.

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3

Manuylov, V. M., A. N. Shcherbyuk, D. A. Tsarev, et al. "Cholecystoduodenal fistula accompanied by bleeding from the upper gastrointestinal tract (clinical case)." Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH) 15, no. 1 (2025): 123–29. https://doi.org/10.20340/vmi-rvz.2025.1.case.4.

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Introduction. Cholecystoduodenal fistula is a rare complication of cholelithiasis and extremely rarely manifests as massive bleeding from the upper gastrointestinal tract. Only 15 similar clinical cases have been described in the world literature. Objective: To present a clinical case of a biliodigestive fistula complicated by upper gastrointestinal bleeding, and to analyze the features of diagnosis and treatment of this pathology. Materials and methods. A clinical case of a 62-year-old patient with cholelithiasis complicated by cholecystoduodenal fistula and massive gastrointestinal bleeding

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4

Podoluzhny, V. I., V. A. Pelts, I. A. Radionov, A. B. Startsev, and V. V. Pavlenko. "Vesicular-digestive fistulas in cholelithiasis with concomitant pancreatitis." Herald of Pancreatic Club 53, no. 4 (2021): 19–21. http://dx.doi.org/10.33149/vkp.2021.04.02.

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Aim — evaluation of the incidence of pressure ulcers and vesicular-digestive fistulas in cholecystolithiasis, concomitant chronic pancreatitis, as well as the incidence and effectiveness of basic diagnostic studies of gallstone small bowel obstruction in these patients. Materials and methods. Over the past 10 years, we have analyzed 5055 cholecystectomies in the surgical department No 2 of the Kuzbass Clinical Emergency Hospital n. a. M. A. Podgorbunsky. In terms of anamnesis, 509 people in this group were treated for chronic pancreatitis, 116 had diabetes mellitus. We have analyzed the

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5

Gómez García, Tatiana Giomara. "Fistula biliodigestiva en paciente colecistectomizado con síndrome de mirizzi." Más Vita 4, no. 4 (2022): 234–38. http://dx.doi.org/10.47606/acven/mv0181.

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Introducción: Las fístulas biliares después de una operación son difíciles de manejar, como en casos de obstrucción o malignidad. Puede presentarse desde una fuga de bilis sin repercusión clínica y con una resolución espontanea hasta causar un cuadro séptico con riesgo de muerte. Por ser una complicación con diversas etiologías y presentaciones, su tratamiento constituye un desafío. Objetivo: Estudiar un caso clínico de fistula biliodigestiva en paciente colecistectomizado con Síndrome de Mirizzi. Materiales y métodos: Estudio de caso clínico. Investigación de tipo cuantitativo cuasiexperiment

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6

Hontsariuk, D. A., and M. V. Patratii. "Complications of pancreatitis: features of the course and tactics of treatment." Herald of Pancreatic Club 48, no. 3 (2020): 38–43. http://dx.doi.org/10.33149/vkp.2020.03.06.

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The aim of this article is to draw attention of gastroenterologists, surgeons and primary care physicians to the features of the course of pancreatitis complications, which tend to have an acute course and are a complex process that causes medical errors and life tragedies. The importance of complications of pancreatitis such as cysts, pseudocysts, fistulas, cholestatic syndrome, portal hypertension syndrome, bleeding from varicose veins of the esophagus, stomach and erosive-ulcerative secondary gastroduodenal processes is emphasized. Attention is focused on the mechanisms of devel

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7

Korol, Ya, R. Bokhonko, Ya Pater, A. Stasyshyn, N. Fedchyshyn, and Yu Holyk. "30-year experience of the diagnosis and treatment of gallstone ileus." EMERGENCY MEDICINE 20, no. 5 (2024): 305–8. http://dx.doi.org/10.22141/2224-0586.20.5.2024.1728.

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Background. Gallstone ileus is a pathology characterized by a variety of clinical manifestations and types of the course. Therefore, it is difficult in the diagnostic and therapeutic aspect and leads to unsatisfactory treatment results. The aim of the work is to find out the features of diagnosis and treatment of patients with gallstone ileus. Materials and methods. A retrospective analysis was performed of 51 medical records of inpatients with gallstone obstruction operated in the clinic from 1990 to 2020. Women aged 61 to 85 (median of 74.20 ± 12.95) years predominated — 44 (86.3 %). Most pa

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8

Schijf, LJ, D. Van der Vlies, AG Aalbers, and A. Bruining. "Gallstone ileus with a biliodigestive fistula." Journal of the Belgian Society of Radiology 96, no. 4 (2013): 244. http://dx.doi.org/10.5334/jbr-btr.306.

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9

Stojanovic, Ivica, Mario Wokaunn, Diego Carlos Varela, Ilija Sosa, Luko Dalmatin, and Marko Margaritoni. "Bouveret syndrome with double fistula - Case report." Acta Chirurgica Croatica 5, no. 1 (2008): 27–29. https://doi.org/10.5281/zenodo.3534191.

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In the study we have shown an example of an elderly woman who was admitted to the ER suffering from constant vomiting and accompanying melena. Due to the clinical symptoms of high gallstone ileus and a short preoperative procedure the patient was submitted to an urgent surgery during which we found two concretions, one of which was in the duodenum and was the cause of ileus. In literature such cases are described as Bouveret's syndrome and it is a rare case of ileus. Additionally as a concurrent medical report we also had Mirizzi's syndrome. We proceeded with the surgery and finalized

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10

Sana, Landolsi, Idani Marwa, Youssfi Rahma, Saidi Aymen, Riden Imen, and Chebbi Faouzi. "Dual Loop Reconstruction After Pancreaticoduodenectomy for a Previous Roux-en-Y Biliodigestive Anastomosis: A Case Report." International Journal of Innovative Science and Research Technology 8, no. 3 (2023): 2023–24. https://doi.org/10.5281/zenodo.7804027.

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Reconstruction modalities after pancreaticoduodenectomy is still debated since pancreatic fistula constituted the main reason for mortality and morbidity. Sometimes, as in our case, this type of reconstruction wasn’t deliberate but implied by a previous Roux-en-Y biliodigestive anastomosis for a main bile duct cystic dilation.

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11

Chagra-Martínez, Jorge O., Estrella Aguilera-Hernández, María F. Castillo-Salazar, Jorge I. González-Díaz, and Karina Sánchez-Reyes. "Bronchobiliary fistula: a rare complication after biliodigestive surgery for bile duct injury." International Journal of Research in Medical Sciences 10, no. 9 (2022): 2032. http://dx.doi.org/10.18203/2320-6012.ijrms20222284.

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A bronchobiliary fistula (BBF) is an abnormal communication between the biliary and bronchial systems. It is a rare condition with an unclear etiology. The principal causes are hepatic hydatid cysts, obstructive and iatrogenic processes. Presenting symptoms are variable and range from productive cough to recurrent pneumonia. The finding of bilioptisis is patognomonic. This case report presented a 22-year-old female patient who underwent a Roux-en-Y hepaticojejunostomy (RYHJ) for a bile duct injury and who later on, developed a bronchobiliary fistula.

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12

Shtofin, G. S., G. Ts Dambaev, R. A. Nikitin, et al. "Superelastic titanium nickelide stents with memory form prevent the development of cicatricial lesions of the extrahepatic bile ducts in the location of pancreatoand biliodigestive anastomoses." Experimental and Clinical Gastroenterology, no. 4 (July 26, 2023): 93–97. http://dx.doi.org/10.31146/1682-8658-ecg-212-4-93-97.

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Surgical interventions for benign lesions of the extrahepatic bile ducts in 15-25% of cases end with the creation of bypass biliodigestive anastomoses. After pancreaticoduodenal resection, every 6 patients have failure of biliodigestive anastomoses and the formation of an external biliary fistula. During the same operation, failure of the pancreatodigestive anastomosis develops in about 15-40%, leading to high mortality. The use of traditional technologies in the surgical treatment of pancreatic pseudocysts is accompanied by the development of early complications and leads to relapses. In conn

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13

De Melo, Pedro Paulo Fernandes, Camille Bastos Persiano, Vinicius Machado Bringel de Castro Cruz, et al. "PNEUMOBILIA APÓS COLANGITE COMPLICADA COM SEPSE ASSOCIADO A COLECISTITE CRÔNICA - RELATO DE CASO." Revista Contemporânea 4, no. 3 (2024): e3482. http://dx.doi.org/10.56083/rcv4n3-004.

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Pneumobilia tem como uma das principais causas comunicação entre o a via biliar e o trato digestivo através de uma fistula biliodigestiva, resultado de um calculo impactado em seu infundíbulo – Sd Mirizzi. Esse, no entanto, constitui única causa de aerobilia em exames de imagem; o presente caso representa um quadro de sepse por colecistite por bactérias anaeróbias (Klebsiella pneumoniae) que resultam em quadro semelhante com instabilidade hemodinâmica que foi o caso apresentando, com boa resolução após a cirurgia.

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14

Colovic, Radoje, Nikica Grubor, Marko Kaitovic, Stojan Latincic, and Natasa Colovic. "Biliobronchial fistula secondary to percutaneous dilatation of the benign biliary stricture." Srpski arhiv za celokupno lekarstvo 140, no. 11-12 (2012): 772–76. http://dx.doi.org/10.2298/sarh1212772c.

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Introduction. Biliobronchial fistula is rare. Very rarely it may be congenital, more frequently it is acquired as a complication of the hydatide cyst of the liver, pyogenic abscess, serious trauma and resection of the liver as well as recurrent cholangitis due to benign bile duct stricture or cholangiolithiasis. The main causes of the biliobronchial fistula are billiary obstruction and infectious lesion (abscess) in the liver. Case Outline. We present a 56-year-old man with benign stricture of the hepaticojejunostomy performed after operative common bile duct injury, who developed biliobronchi

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15

REVERDITO, RONALD, ANDRÉ DE MORICZ, TÉRCIO DE CAMPOS, ADHEMAR MONTEIRO PACHECO JÚNIOR, and RODRIGO ALTENFELDER SILVA. "Mirizzi syndrome grades III and IV: surgical treatment." Revista do Colégio Brasileiro de Cirurgiões 43, no. 4 (2016): 243–47. http://dx.doi.org/10.1590/0100-69912016004005.

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ABSTRACT Objective : to evaluate the epidemiology and outcomes of surgical treatment of patients with Mirizzi Syndrome (MS) grades III and IV, the most advanced according to Csendes classification. Methods : we conducted a retrospective, cross-sectional study by reviewing records of thirteen patients with grades III and IV MS operated from December 2001 to September 2013, among the 3,691 cholecystectomies performed in the period. Results : the incidence of MS was 0.6% (23 cases) and grades III and IV amounted to 0.35% of this number. There was a predominance of type IV (12 cases). The preopera

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16

Allal, S., D. Chrisment, and B. Blanc. "A cause of aerobilia without biliodigestive fistula: Acute cholecystitis with anaerobic gram-positive bacterial infection." Journal of Visceral Surgery 153, no. 5 (2016): 395–97. http://dx.doi.org/10.1016/j.jviscsurg.2016.05.001.

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17

Monino, Laurent, Jean-Michel Gonzalez, and Marc Barthet. "How to endoscopically repair a biliodigestive fistula complicating a perforated peptic ulcer: a customized “natural” choledochoduodenal anastomosis." Endoscopy 52, no. 01 (2019): E31—E32. http://dx.doi.org/10.1055/a-0978-4760.

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18

Blaz Zavala, Rogelio A., Sandra Lara Trejo, Abril E. Gracia Cerda, and David J. Ampudia Chávez. "One-step approach by enterolithotomy as surgical treatment of biliary ileus associated with bridle: case report and literature review." International Surgery Journal 11, no. 5 (2024): 797–800. http://dx.doi.org/10.18203/2349-2902.isj20241144.

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Gallstone ileus is a rare cause of intestinal obstruction, more common in adults and in the context of late complications due to gallbladder stones. The pathophysiology describes long-term inflammatory processes of the gallbladder, with biliodigestive fistula development and passage of the gallstone into the intestine, impacting the terminal ileum in most cases. It manifests with data of intestinal obstruction in patients with a chronic history of gallbladder lithiasis. The ideal imaging study is a computed tomography (CT) scan of the abdomen to identify pneumobilia, intestinal obstruction and

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19

Shishkina, Galina A., Aleksej V. Petryashev, Rustem E. Topuzov, et al. "Cholelithiasis Intestinal Obstruction." HERALD of North-Western State Medical University named after I.I. Mechnikov 17, no. 1 (2025): 106–12. https://doi.org/10.17816/mechnikov633307.

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The obstructive form of small bowel obstruction is a result of obstruction of the intestinal lumen from the inside or outside, which leads to the disruption of chyme passage while maintaining normal blood circulation in the mesentery. Gallstones, foreign bodies, parasites, tumors, cicatricial stenoses, infiltrates of the intestinal walls can cause an internal block and lead to obstruction. Mechanical obstruction caused by gallstones is rare but it is a serious complication of cholelithiasis. Typically, gallstone intestinal obstruction is preceded by the formation of a large stone, followed by

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20

Avanesyan, R. G., M. P. Korolev, M. Yu Pletnev, S. N. Sabri, and T. V. Amirkhanyan. "Original method for restoring the continuity of the lobar duct of the liver in case of iatrogenic damage." Grekov's Bulletin of Surgery 181, no. 1 (2022): 60–65. http://dx.doi.org/10.24884/0042-4625-2022-181-1-60-65.

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The OBJECTIVE was to demonstrate an original minimally invasive way to restore the continuity of the lobar duct after its complete intersection.METHODS AND MATERIALS. The study included 3 patients aged 38, 56 and 69 years who underwent laparoscopic cholecystectomy for cholelithiasis, cholecystolithiasis in various medical institutions of the city. In all patients, the intersection of the right lobar duct with the formation of an external biliary fistula in the postoperative period was revealed. RESULTS. All patients underwent recanalization of the crossed duct on the first attempt. After the f

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21

Cortez Barragán, Jéssica, Verónica Anabel Paredes Regalado, and Iván Patricio Loaiza Merino. "Reporte de caso clínico: Ileo Biliar." Revista UNIANDES de Ciencias de la Salud 7, no. 2 (2024): 208–18. http://dx.doi.org/10.61154/rucs.v7i2.3436.

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El íleo biliar se define como una obstrucción intestinal por impactación de un cálculo biliar a cualquier nivel, sucede por presencia de una fistula biliodigestiva y es usual en población geriátrica, principalmente en mujeres; se trata de una patología de difícil diagnóstico debido a sus manifestaciones clínicas inespecíficas. Su manejo es quirúrgico, pero no hay consenso sobre cuál de las diferentes fases quirúrgicas es el procedimiento de elección, aunque la mayor parte de autores mencionan que el tratamiento quirúrgico es dos fases brinda más ventajas teniendo en cuenta que cada caso debe s

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22

Macías Jara, Lúver Alexi, David Cipriano Yépez Yépez, José Ramon Chung Villavicencio, Marcos Alvarado Villegas, and Adriano Rocha Galecio. "Bouveret syndrome, a rare form of gallstone ileus. Case report." Case reports 4, no. 1 (2018): 39–45. http://dx.doi.org/10.15446/cr.v4n1.65771.

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Introducción. El síndrome de Bouveret es una entidad poco frecuente de íleo biliar que provoca obstrucción gástrica debido a la presencia de un lito biliar a nivel de píloro o duodeno y secundaria a una fistula biliodigestiva. Esta enfermedad es de difícil diagnóstico y una de sus complicaciones es la hemorragia digestiva alta; su manejo es quirúrgico y se recomienda en dos tiempos, aunque se puede manejar por endoscopia alta en aquellos cálculos <2.5cm. El pronóstico es bueno, con un post-operatorio sin novedades.Presentación del caso. Paciente de 63 años con cuadro clínico de 15 días de e

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23

Torrez, Simon Enrique Prudencio, and Izabella Aparecida Coura Mota. "Síndrome de Mirizzi: revisão de literatura." Brazilian Journal of Health Review 5, no. 4 (2022): 16911–18. http://dx.doi.org/10.34119/bjhrv5n4-243.

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Síndrome de Mirizzi (SM) corresponde a uma rara complicação de colelitíase com incidência variando de 0,05 a 5,7% das colecistesctomias realizadas por ano nos países subdesenvolvidos. É definida através da compressão extrínseca do ducto hepático comum por um cálculo biliar impactado no infundíbulo da vesícula biliar podendo, a partir de um processo inflamatório crônico causar fistulas colecistobiliar e ou colecistoentéricas. Esta entidade patológica apresenta-se de forma semelhante com outras enfermidades benignas e malignas, assim como demais complicações da doença litiásica biliar e constitu

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24

Kustov, A. E., V. I. Khrupkin, I. V. Gorbacheva, A. S. Vorotyntsev, and A. Y. Emelyanov. "Radical surgery for complicated cholelithiasis in elderly patients: three clinical cases." Sechenov Medical Journal 12, no. 3 (2021): 76–84. http://dx.doi.org/10.47093/2218-7332.2021.249.06.

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Management of complicated cholelithiasis (gallstone disease) in elderly patients is often limited to the use of only minimally invasive interventions.Case report. We report three clinical cases of gallstone disease complications in patients over 75 years old who had previously undergone minimally invasive surgery and who was refused radical surgical treatment due to comorbidity. In two patients, this led to the development of purulent cholangitis and multiple organ failure, which required emergency hospitalization. At the first stage, biliary drainage was performed; then the multidisciplinary

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25

Klimentov, M. I., S. N. Styazhkina, E. L. Koposov, R. R. Valiev, and N. R. Salikhova. "Foreign body (gallstone) in the rectum under the mask of a fecal stone." Experimental and Clinical Gastroenterology, no. 11 (November 17, 2024): 215–20. https://doi.org/10.31146/1682-8658-ecg-231-11-215-220.

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Aim: The purpose of the study: to present a clinical observation of a patient with a foreign body (gallstone) of the rectum. To suggest the migration path of the gallstone into the rectum. Materials and methods: The research work was based on the data of the medical history taken from the archive of the coloproctology department of the BUZ UR “1RKB” of the Ministry of Health of UR. An X-ray phase analysis of a foreign body found in the patient’s rectum was performed. The molecular composition of the foreign body sample has been studied. Results: Patient S., 80 years old, came to the reception

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26

Velygotskyy, M. M., S. E. Arutyunov, and O. M. Veligotskyi. "A differentiated approach to the selection of pancreaticojejunostomy during pancreatoduodenectomy." GASTROENTEROLOGY 57, no. 4 (2023): 188–94. http://dx.doi.org/10.22141/2308-2097.57.4.2023.566.

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Background. Pancreatoduodenectomy is a radical surgical intervention in case of neoplasms of the pancreatoduodenal zone, which is accompanied by frequent postoperative complications. The critical point of the reconstructive stage of pancreatoduodenectomy is pancreaticojejunostomy (PES), which dictates the importance of improving the techniques of its repair and drainage, as well as the development of a differentiated approach to the choice of PES. The aim of the study: to evaluate the effectiveness of a differentiated approach to the choice of PES technique when performing pancreatoduodenectom

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27

"Benign stenosis of common bile duct after Roux Y gastrectomy." Perspectives in Surgery 101, no. 7 (2022). http://dx.doi.org/10.33699/pis.2022.101.7.332-336.

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We present the case of a 60-year-old patient with the history of subtotal gastric resection and reconstruction of passage using the Roux-Y loop, five years later diagnosed with benign stenosis of the common bile duct. The possibilities of using endoscopy and interventional radiology for the bile duct treatment in the postoperatively altered terrain of the proximal digestive tract were limited. After failure of these methods the patient was indicated for surgery – biliodigestive anastomosis. The postoperative course was significantly complicated by bleeding and formation of bile and colic fistu

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28

Bernhardt, Jörn, Sylke Schneider-Koriath, and Kaja Ludwig. "Endoscopic options for complications after pancreatic surgery." Visceral Medicine, April 21, 2025, 1–22. https://doi.org/10.1159/000545766.

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Background The shift in surgery is taking place in two directions. On one hand it is shifting from open surgery to minimal invasive surgery which will ultimately morph into robot assisted surgery. On the other hand, the therapeutic possibilities of flexible endoscopy have developed enormously in recent years. Various procedures, such as the debridement of pancreatic necrosis, the resection of early neoplasms, the treatment of achalasia or the resection of numerous submucosal tumors, have passed into the hands of the interventional endoscopist. Endoscopic procedures have also become established

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29

Stagnitti, F. "Biliodigestive fistulae and gallstone ileus: diagnostic and therapeutic considerations. Our experience." Giornale di Chirurgia - Journal of Surgery, 2014. http://dx.doi.org/10.11138/gchir/2014.35.9.235.

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30

Vincenzi, Matteo, Benedetta Rigoni, Carla Manuppelli, Matteo Mazzoli, and Giovanni Balestriero. "Endovascular embolization of a biliary–digestive loop bleeding." Journal of Medical Imaging and Interventional Radiology 11, no. 1 (2024). http://dx.doi.org/10.1007/s44326-024-00008-z.

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AbstractDelayed massive hemorrhage after biliary surgery is a severe complication and carries a high mortality rate. Upper gastrointestinal (GI) tract bleeding is usually managed endoscopically. However, the presence of altered anatomy following hepato-biliary surgery does preclude endoscopic exploration of the anastomoted loop. In our case of hemorrhage from biliodigestive anastomosis, CT angiography provides accurate information about the presence of active bleeding and its source. We present a case of bleeding from a biliary–digestive loop. The patient exhibited several bleeding risk factor

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