Classification of Choledochoduodenal Fistula Diagnosed by Duodenal Fiberscopy and its Etiological Significance
1975; Elsevier BV; Volume: 69; Issue: 1 Linguagem: Inglês
10.1016/s0016-5085(19)32645-9
ISSN1528-0012
Autores Tópico(s)Gastrointestinal disorders and treatments
ResumoThe incidence of choledochoduodenal fistula has been reported by Glenn and Mannix 1 in only 2 of 4500 cases.Before the introduction of duodenal fiberscopy, 2 • 3 the diagnosis was difficult if not impossible, 4 because it depended solely on the presence of air and/or barium reflux in the biliary tree.However, the diagnosis can now be made easily using duodenal fiberscopy followed by endoscopic cannulation of common bile duct.In this study, choledochoduodenal fistula, which can be classified in two types, has been diagnosed by duodenal fiberscopy in 20 cases.Its etiological significance is also discussed. Materials and MethodsDuodenal fiberscopy was performed from April 1971 to March 1974 in a total of 254 cases who were suspected of having hepatobiliary disease.Duodenal fiberscopy and endoscopic cholangiography techniques have been described elsewhere.•. 6 While the patient was in the left lateral position, the duodenal fiberscope (Olympus JF type B) was introduced into the duodenum.Cannulation and visualization of
Referência(s)