We reviewed 29 cases with biliary enteric fistula diagnosed and treated at Seoul National University Hospital from 1980 to 1991. The incidence was 0.8% of hepatobiliary operations. the male patients were 12 and females were 17 (1:1.4). the most
common
etiologic disease was galllstone disease (23 cases) and other cases were gallbladder cancer (3 cases), peptic ulcer (2 cases) and pancreatic cancer (1 case). cholecystoduodenal fistula was the most common type (14 cases) and choledochoduodenal
fistula
was second common type (11 cases). Others were cholecystocolic (2 cases) and cholecystocholedochal fistulas (2 cases). the mean age of patients was 51 years. The most common symptom was RUQ pain (22 cases). The mean age of patients was 51 yeara.
The
most common symptom was RUQ pain (22 cases) and history of cholangitis was found in 17 cases. Preoperative diagnosis was made in 14 cases (56%). Postoperative complications were found in 7 cases (Wound abscess 2, residual stones 2, cholangitis 1,
cutaneous fistula 1, bleeding 1).
In our results, we noted that mean age of the biliary-enteric fistula patients was younger than that of the other reports from western countries. Female predominance was not so distinct and choledochoduodenal fistula occupied much larger
proportion
(38%) compared to western country. these differences were considered as the result of high incidence of intrahepatic duct and common bile duct stones in our country.
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