Radical surgical treatment of complicated biliodigestive fistula

Authors

  • I. M. DEIKALO Horbachevsky Ternopil National Medical University
  • D. V. OSADCHUK Horbachevsky Ternopil National Medical University
  • A. V. VYNNYK Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2023.4.14349

Keywords:

gallstone disease, biliodigestive fistula, surgical treatment

Abstract

The aim of the work: to evaluate the results of surgical treatment of patients with complicated cholecystoduodenal fistulas after various types of surgical interventions.

Materials and Methods. А retrospective analysis of 17 patients operated on in the surgical department of the Ternopil City Emergency Hospital for complicated cholecystoduodenal fistula in the form of biliary ileus was performed. In one of the clinical cases, we encountered an extremely difficult situation that required an extraordinary solution.

Results and Discussion. The presence of the triad: advanced or senile age of the patient; signs of obstruction of the small intestine: a tumor of stony density in the abdominal cavity during palpation, especially when there is information about the housing and communal services in the anamnesis, is the basis for establishing a clinical diagnosis of biliary obstruction of the small intestine. In previous works, we analyzed in detail the features of the course, diagnosis and surgical treatment of acute biliary obstruction of the small intestine and Bouveret syndrome.

References

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Deikalo, I.M., Osadchuk, D.V., Karel, O.I., Makhnitskyi, A.V., & Nazarko, L.R. (2018). Hostra zhovchnokamiana neprokhidnist tonkoi kyshky [Tekst] [Acute gallstone obstruction of the small intestine [Text]].Clinical Surgery 1, 79-80 [in Ukranian].

Deikalo, I.M., Osadchuk, D.V., Karel, O.I., Makhnitskyi, A.V., & Nazarko, L.R. (2017). Syndrom Buvere [Bouveret syndrome]. Clinical Surgery, 12, 78-79 [in Ukranian].

Khomenko, V.S. [et al.]. (2021). Syndrom Buvere (klinichnyy vypadok) [Tekst] [Bouveret syndrome (clinical case) [Text] ]. Childhood Surgery, 1, 74-79 [in Ukranian].

Published

2023-12-28

How to Cite

DEIKALO, I. M., OSADCHUK, D. V., & VYNNYK, A. V. (2023). Radical surgical treatment of complicated biliodigestive fistula. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 56–59. https://doi.org/10.11603/2414-4533.2023.4.14349

Issue

Section

EXPERIENCE OF WORK