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