Biliary enteric fistula is, with rare exception, a complication of. long-standing and far advanced biliary tract disease, peptic ulcer and malignancy and followed by trauma.
Biliary enteric fistula is very difficult to diagnose preoperatively and the condition is unexpectedly encountered in the operating room.
The management of biliary enteric fistula is usually complex and often controversial.
Most surgeons recommended that surgical treatment is necessary of gall stone, common bile duct stone and peptic ulcer.
Our experience with 10 cases of biliary enteric fistula during 10 years period from January, 1973 to December, 1982 in the Department of Surgery, Hanyang, College of Medicine. The results were as followings;
1) There were 8 males and 2 females;
the -ages varied from= 38 years to 65 years with average of 48 years.
2) The most common symptoms were pain and tenderness epigastrium and right upper abdomen, mild fever, indigestion.
3) The type of biliary enteric fistulas were as followings; cholecystoduodenal fistulas in 6 cases, choledochoduodenal fistulas in 2 cases, cholecystogastroduodenal_fistula in -1 case, cholecystocolic fistula in i ease.
4) Causes of fistula were gall stone, common bile duct stone in 7´cases, duodenal ulcer in 2 cases and colon carcinoma in 1 case.
5) Carrect diagnosis was made in 2 cases preoperativielyby simple abdoman and U.G.I. and others by "operative cholanglogram and palpation in underrwent operation.
6) surgical treatment was carried out in 10 cases and essentially, cholecystectomy, common bile duct exploration and fistulectomy were done in all cases.
7) Death after operation was 1 case which was sepsis preoperatively.
8) There was no gall stone ileus.
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