Abstracts
Copyright ©The Author(s) 2000. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 15, 2000; 6(Suppl3): 151-151
Published online Sep 15, 2000. doi: 10.3748/wjg.v6.iSuppl3.151
Non-invasive endoprosthesis in treatment of biliary fistulas and pancreatic fistulas
Zhi-Wei Sun, De-Zhuang Fu, Yi-Wo Mo, Yan Jin, Xiu-Fang Zhu, Xin-Jun Zhang, Ou Qiao, Jian-Zhong Tang
Zhi-Wei Sun, De-Zhuang Fu, Yi-Wo Mo, Yan Jin, Xiu-Fang Zhu, Xin-Jun Zhang, Ou Qiao, Jian-Zhong Tang, Department of Hepatobiliary, First People’s Hospital of Yunnan, Kunming 650032, Yunnan Province, China
Author contributions: All authors contributed equally to the work.
Supported by The Natural Science Foundation of Yunnan province, No. 95C1 42Q and Fund for Yuang disepline leaders in Science and technology of Yunnan Province, No. 98-66
Correspondence to: Dr. Zhi-Wei Sun, Department of Hepatobiliary, First People’s Hospital of Yunnan, 172 Jinbi Road, Kunming 650032, Yunnan Province, China
Telephone: 871-3634031-2162
Received: July 5, 2000
Revised: July 28, 2000
Accepted: August 24, 2000
Published online: September 15, 2000
Abstract

AIM: To search for a simple and safe method to avoid reoperation, reduce complications and mortality, shorten hospital stay and lower the medical cost.

METHODS: Based on the characteristic of pathology and anatomy of biliary fistula and pancreatic fistula, modified endoscopic nasobiliary drain age or endoscopic nasopancreatic drainage with negative pressure were used to drain the bile and pancreatic juice to the duodenum and in vitro to facilitate fistulous tract close.

RESULTS: In seven patients with biliary fistulas with conservative treatment who were not yet recovered after 6-110 d, the leakage was blocked after 6-17 d treatment, and in 6 patients with pancreatic fistulas with conservative treatment who were not recovered after 90-720 d, the leakage was blocked after treatment for 12-28 d.

CONCLUSION: The advantages of this modified method are: retain the function of the Oddi sphincter; the anatomy of the pancreatic duct and bile duct and the position of fistulas can be seen clearly with contrast examination; the drainage effect was defieate, safe and with less complications; the leakage block can be promoted with the drainage of negative pressure; and hospital stay is shortened and medical cost is reduced.

Keywords: Gallbladder diseases/therapy; Pancreatic fistula/therapy; modified endoscopic nasobiliary drainage; Endoscopic nasopancreatic drainage; Drainage; Endoprosthesis