胆囊十二指肠内瘘(国外英文资料).docVIP

胆囊十二指肠内瘘(国外英文资料) Clinical diagnosis and treatment of fistula in cholecystoduodenal fistula Objective to explore the clinical diagnosis and treatment of biliary fistula. Methods 9 cases of biliary fistula treated by patients with biliary fistula were analyzed retrospectively. Results 9 cases of patients with no operative death, all clinical cured and discharged, 9 ~ 24 months follow-up, 1 case of 8 months postoperative recurrence of bile duct stricture, biliary intestinal Roux en - Y anastomosis, 1 case after 13 months left intrahepatic bile duct stone with bile duct inflammation, clinical cure after left liver resection. The two patients were followed up for 12 months and, like the other 7 patients, no longer had biliary stones, cholangitis and biliary stenosis. Conclusion gallbladder duodenal fistula cholelith disease is a rare and complicated complications, diagnosis and treatment process is complex, the misdiagnosis rate is high, the operation risk big, the need to raise awareness, strengthen and improve the preoperative examination to strive for preoperative diagnosis and careful and prudent operation, to avoid and reduce the occurrence of postoperative complications. [keywords] gallstone disease; Biliary fistula; surgery Bile fistula is within the gallbladder and extrahepatic bile duct, pathological channels between and among the gastrointestinal tract and is cholelith disease break out repeatedly and cause acute suppurative inflammation as a result, is a rare complication of cholelith disease, clinical go up to the gallbladder duodenal fistula was the most common. Since 1993, the author participated in the diagnosis and treatment of 9 cases of such cases, by reviewing related literature, in combination with clinical and pathological characteristics in the diagnosis and treatment of some related issues, summarized as follows. 1 data and methods There were 9 patients in the general data group, 2 of whom were treated at the primary hospital. Six men and three wo