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Gastroenterology: Bile duct fistula — Endoscopic bougienage and stent implantation. Treatment

Hannover Medical School

9.8/10 from 43 Votes
location_onGermany, Hannover
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Department of Gastroenterology, Hepatology and Endocrinology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #246215

The Department of Gastroenterology, Hepatology and Endocrinology offers the full range of services in these medical fields. The department specializes in the diagnosis and treatment of diseases of the gastrointestinal tract, liver, endocrine glands, metabolic disorders and diabetes mellitus.

University Hospital Frankfurt am Main

10/10 from 97 Votes
location_onGermany, Frankfurt am Main
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Department of Gastroenterology, Pulmonology, Allergology and Endocrinology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #76165

According to the Focus magazine rating of 2017, the Department of Gastroenterology, Pulmonology, Allergology and Endocrinology ranks among the top German departments specializing in diabetes treatment! The main areas of specialization of the department include gastroenterology, hepato...

University Hospital Rechts der Isar Munich

10/10 from 70 Votes
location_onGermany, Munich
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Department of Gastroenterology, Hepatology, Endocrinology, Diabetology and Infectology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #179119

The Department of Gastroenterology, Hepatology, Endocrinology, Diabetology and Infectology offers the full range of services in these medical fields.

Charite University Hospital Berlin

9/10 from 95 Votes
location_onGermany, Berlin
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Department of Hepatology and Gastroenterology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #168179

The Department of Hepatology and Gastroenterology at the University Hospital Charite specializes in gastroenterology, hepatology, endocrinology and diabetology.

University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from 40 Votes
location_onGermany, Munich
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Department of Gastroenterology and Hepatology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #148805

The Department focuses on gastroenterology, hepatology and metabolic diseases and covers the entire range of services and treatment modalities in this spectrum of internal medicine. Gastroenterology is a subspecialty of internal medicine concerned with diseases of the gastrointestinal tract, liver and pancreas.

Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes
location_onGermany, Frankfurt am Main

Department of Cardiology, Gastroenterology and Sleep Medicine

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #334276

The Department of Cardiology, Gastroenterology and Sleep Medicine covers a full range of diagnostics and treatment of all diseases of the gastrointestinal tract, liver and cardiovascular diseases. In addition, the department specializes in the study of sleep and related phenomena.

HELIOS Clinic Krefeld

9.7/10 from 38 Votes
location_onGermany, Krefeld

Department of Gastroenterology, Hepatology, Neurogastroenterology, Infectology, Hematology, Oncology and Palliative Care

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #388291

The Department of Gastroenterology, Hepatology, Neurogastroenterology, Infectology, Hematology, Oncology and Palliative Care offers the full range of services in these medical fields.

University Hospital Muenster

9.8/10 from 78 Votes
location_onGermany, Muenster
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Department of Gerneral Internal Medicine, Gastroenterology and Metabolic Disorders (Medical Department B)

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #151359

The Department of General Internal Medicine, Gastroenterology and Metabolic Disorders (Medical Department B) at the University Hospital Muenster offers a wide range of services in the treatment of internal organs with a focus on gastrointestinal diseases (gastroenterology).

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes
location_onGermany, Munich
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Departments of Gastroenterology and Hepatology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #176981

The department of gastroenterology and hepatology diagnosed and treated diseases of gastro-intestinal system and associated organs as gallbladder, pancreas and liver.

St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10 from 23 Votes
location_onGermany, Karlsruhe

Department of Gastroenterology, Endocrinology and Diabetology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #336130

The Department of Gastroenterology, Endocrinology and Diabetology specializes in inpatient and outpatient treatment of patients with diseases of the stomach, intestines, liver, pancreas (gastroenterology), diseases of the hormonal glands (endocrinology) and diabetes.

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes
location_onGermany, Berlin

Department of Gastroenterology, Hepatology and Diabetology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #337744

The Department of Gastroenterology, Hepatology and Diabetology treats a wide range of diseases of the gastrointestinal tract, liver, gallbladder, ducts, pancreas, cancer, as well as infections.

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes
location_onGermany, Munich

Department of Gastroenterology, Hepatology and Gastroenterological Oncology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #153115

The Department of Gastroenterology, Hepatology and Gastroenterological Oncology at the Academic Hospital Bogenhausen provides treatment for all diseases and disorders of the digestive system, including malignant tumors.

University Hospital Saarland Homburg

9.8/10 from 28 Votes
location_onGermany, Homburg

Department of Gastroenterology, Hepatology, Endocrinology, Diabetology and Nutritional Medicine

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #407770

The Department of Gastroenterology, Hepatology, Endocrinology, Diabetology and Nutritional Medicine offers the full range of services in these medical fields.

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes
location_onGermany, Berlin

Department of Gastroenterology, Diabetology and Hepatology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #357981

The Department of Gastroenterology, Diabetology and Hepatology offers the full range of services in these medical fields. The department provides high-quality diagnostics, as well as medical and endoscopic treatment of diseases of the abdominal cavity of any severity.

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes
location_onIsrael, Tel Aviv

Department of Gastroenterology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #330051

The Department of Gastroenterology at the Tel Aviv Sourasky Medical Center specializes in the diagnosis, treatment and prevention of a broad range of diseases of the digestive system.

HELIOS University Hospital Wuppertal

9.8/10 from 42 Votes
location_onGermany, Wuppertal

Department of Gastroenterology, Hepatology, Diabetology and Endocrinology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #392394

The Department of Gastroenterology, Hepatology, Diabetology and Endocrinology offers individual and complex diagnostics and treatment of all diseases of the digestive system, including those of the pancreas and liver.

Endoscopic retrograde cholangiopancreatography is widely used not only for diagnostic purposes, but also for treatment of certain biliary tract diseases. Stent installed in the course of ERCP is a modern alternative to the treatment of biliary duct fistula; it shows a positive result in 93% cases.

Determination of Indications for Stent Implantation into the Bile Duct

The applicability of this technique to a particular patient is determined on the basis of special tests and physical examination, which includes:

  • examination and case history collection;
  • complete blood count;
  • biochemical blood test;
  • abdominal ultrasound;
  • gastroduodenoscopy with biopsy.

ERCP with Stent Implantation

Biliary stents are miniature cylindrical devices made of metal or medical grade plastic. The design of stents allows them to inflate in the lumen of the bile duct, cover the fistula opening and restore the integrity of the biliary tract.

The endoscope for manipulation is introduced through the mouth and pushed to the duct confluence to the small intestine. Stent implantation is preceded by endoscopic ERCP, which is done under anesthesia, and allows assessing the state of the biliary tract accurately.

After the procedure, the patient stay at the clinic full time for 9 days, receiving a palliative care and all nursing services. The information on the cost of drugs for the treatment is provided by the clinic physician.

The patient is discharged after control gastroscopy. The patient receives recommendations for further treatment and nutrition, compliance with which is very important for long-term results.




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