Diagnosis and management of 76 cases with choledochoduodenal fistula
10.11659/jjssx.12E014017
- VernacularTitle:76例胆总管十二指肠瘘的诊断和治疗
- Author:
Zili PENG
;
Yunbing WANG
;
Jianping GONG
- Publication Type:Journal Article
- Keywords:
choledochoduodenal fistula;
diagnosis;
treatment
- From:
Journal of Regional Anatomy and Operative Surgery
2015;(4):417-418,419
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the case of 76 patients with choledochoduodenal fistula ( CDF) ,and summarize the experience of mak-ing diagnosis and treatment. Methods From January 1999 to June 2012,76 patients with CDF were treated in our department and then was confirmed by endoscopic retrograde cholangiography ( ERCP) . All patients were classified based on the location of duodenal papilla in rela-tion to the orificium fistulae of CDF. Different therapies were used to certain CDF depending on the diameter of the orificium fistulae of CDF. Of the 76 CDF patients,70 patients (92%) required surgery. Results The fistula of 76 CDF patients have three types,and the formation of this classification was based on the position between the duodenal papilla and the orificium fistulae of CDF. Different therapies referred to cer-tain diameter of CDF,70 patients required surgery and 6 acquired pharmacotherapy. Of the 70 patients needing surgical intervention,clinical outcomes were excellent in 66 patients. Follow-up of these patients for 6 months to 10 years showed they did not suffer from further cholangi-tis. Conclusion The past history of biliary disease,upper abdominal pain,fever,and jaundice may lead to the disease of CDF. ERCP was the primary method for diagnosing this disease,and operative therapy was the primary treatment for most CDF patients.
