BACKGROUND Biliary fistulas because of the cystobiliary communication is the most frequent and undesirable postoperative complication of hepatic hydatid surgery. We aimed to identify the predicting factors of the occult cystobiliary communication in this study. METHODS The patients who underwent surgical treatment for hepatic hydatid disease between 2003 and 2008 were reviewed retrospectively...

Submit Manuscript | http://medcraveonline.com the last fifty years, 20 cases have been reported in the literature [1]. The decrease incidence of this complication is probably due to the technologic developments in imaging techniques, efficient use of broadspectrum antibiotics and impetuous and rational surgical management of the biliary tract diseases [2]. External fistulas of the biliary tract...

OBJECTIVE The aim of this study is to perform a comprehensive evaluation of 5 years of experience with the technique of isolated pancreatic anastomosis reconstruction after pancreatoduodenectomy from the perspective of safety and surgical efficacy using a prospective database. METHODS The study included all consecutive patients undergoing pancreatoduodenectomy from April 2009 to April 2014 at...

We report a case of a brown pigment gallstone, which formed around a phytobezoar in the common bile duct, in a patient without spontaneous biliary enteric fistula or previous abdominal surgery. A brief comment on the possible origin of the phytobezoar in this case and on the pattern of deposition of brown material over a pre-existent nidus is also presented.

Background. We aimed to determine the efficacy of fistuloclysis in patients with high-output upper enteric fistula (EF). Methods. Patients were assigned into the fistuloclysis group (n = 35, receiving fistuloclysis plus total enteral nutrition (TEN)) and the control group (n = 60, receiving TEN). Laboratory variables were measured during the four-week treatment. Results. At baseline, variables ...

The cholelithiasis is a common pathology, however, if left untreated may cause gallbladder perforation (GBP). This complication can include local or generalized biliary spillage, fistulous communication to an adjacent organ. We report case of patient with cholecystopleural fistula in 71-year-old male. Complicated presented GBP into the right pleura cavity, progressing empyema. diagnosis was mad...

BACKGROUND Various chemotherapies have been used as best practice to treat recurrent biliary malignancies. Conversely, relatively few surgeries have been described for recurrent extrahepatic biliary carcinoma (RExBC), so whether surgery for RExBC is feasible has remained unclear. This retrospective study was conducted to evaluate the feasibility of surgery for RExBC. METHODS From February 200...

An outpatient CT scan showed a soft tissue mass adherent to the inferior right lobe of the liver (Figure 1). His colonoscopy revealed oedematous mucosa at the hepatic flexure (biopsies negative for dysplasia). His abdominal ultrasound suggested a collapsed gallbladder in the gallbladder fossa, which was not visualised on CT-cholangiogram either however there was structuring noted around the bil...

Recently, extraction of stones by endoscopic papillary large-balloon dilation (EPLBD) using CRE balloons (Boston Scientific Japan, Tokyo, Japan; 5.5cm long, 10– 12, 12–15, and 15–18mm in diameter) has been shown to be an effective modality, which is being widely used in difficult situations for patients with normal anatomy [1,2]; however, few papers have reported on the use of EPLBD in patients...

INTRODUCTION The proportion of elderly patients is growing rapidly. Knowing the results of pancreatic surgery in this group of patients would help surgeons to make therapeutic decisions. The objective is to evaluate the surgical outcomes of pancreatic resections in patients over 70 years. METHODS Retrospective study including patients undergoing pancreatic resection during the period 2009-201...