Treatment of spontaneous internal biliary fistula caused by duodenal ulcer |
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| Authors: | JORDAN P H STIRRETT L A |
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| Affiliation: | 1. Hôpital Mohamed Tahar Maamouri, service de gastroentérologie, Nabeul, Tunisie;2. Hôpital Mohamed Tahar Maamouri, service de chirurgie générale, Nabeul, Tunisie;3. Hôpital Mohamed Taher Maamouri, service de radiologie, Nabeul, Tunisie;4. Université Tunis-El Manar, faculté de médecine de Tunis, Nabeul, Tunisie |
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| Abstract: | - 1.1. The incidence, etiology and prognosis of choledochoduodenal fistula is discussed.
- 2.2. Accurate diagnosis of choledochoduodenal and cholecystoduodenal fistulas is stressed because of their different prognosis and treatment.
- 3.3. Two cases of surgically treated choledochoduodenal fistula are presented.
- 4.4. Evidence is submitted to support the thesis that prophylaxis against cholangitis in such cases is not sufficient reason for operation.
- 5.5. The indications for surgery of choledochoduodenal fistula are discussed.
- 6.6. Gastric resection is recommended as the surgical procedure of choice; combined vagotomy and gastroenterostomy is the procedure of second choice.
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