Features of of spontaneous internal billiar fistulas
DOI:
https://doi.org/10.24144/2415-8127.2018.58.49-52Keywords:
Spontaneous internal biliary fistulas, Myrizzi syndrome, mechanical jaundice, choledocholithiasis.Abstract
Spontaneous internal biliary fistulas (SIBF) is one of the complications of gallstone disease (GD), as well as inflammatory, degenerative-dystrophic and oncological diseases of organs located close to the hepatobiliary zone – such as the stomach, duodenum, small intestine and small intestine, other organs The frequency of cholecystial cholecystectomy was 84 patients (43.6%), of which 76 (91.5%) and 8 (8.5%) patients had Myrizzi (SM) type I and type II syndrome. Mechanical jaundice and choledocholithiasis were observed most frequently in patients with SIBF -86 (44.7%) and 80 (41.6%) patients. In the second place purulent cholangitis in 9 (4.6%) and acute pancreatitis was found in 6 (3.1%). The main choice of surgical intervention is cholecystectomy 132 (69%), along with choledochotomy and late extraction 107 (56%).
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