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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.

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Hannover Medical School

9.8/10 from 43 Votes

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 at the Hannover Medical School offers treatment of bowel and liver diseases, diseases of the endocrine system, metabolic disorders and diabetes at the highest medicine level.


location_onCountry: Germany
location_searchingCity: Hannover

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

Department of Gastroenterology and Endocrinology

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

The Department of Internal Medicine II – Gastroenterology at the university hospital Klinikum rechts der Isar offers the full range of modern methods of endoscopic and sonographic examinations and performs all relevant gastroenterological and endocrine function examinations.


location_onCountry: Germany
location_searchingCity: Munich
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University Hospital Frankfurt am Main

10/10 from 97 Votes

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...


location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Academic Hospital Sachsenhausen at the Goethe University Frankfurt

10/10 from 23 Votes

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.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

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.


location_onCountry: Germany
location_searchingCity: Munich
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University Hospital Cologne

9.8/10 from 82 Votes

Department of Gastroenterology, Hepatology and Infectiology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #77933

The Department of Gastroenterology, Hepatology and Infectiology treats patients suffering from diseases of digestive system, liver and biliary tract.


location_onCountry: Germany
location_searchingCity: Cologne
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Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

Department of Gastroenterology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #356345

The Department of Gastroenterology offers the full range of services in this focus. The medical team of the department specializes in the treatment of all kinds of benign and malignant diseases of the gastrointestinal tract (esophagus, stomach, small and large intestine, pancreas, liver and bile ducts).


location_onCountry: Germany
location_searchingCity: Hamburg

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

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.


location_onCountry: Germany
location_searchingCity: Munich

University Hospital Muenster

9.8/10 from 78 Votes

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).


location_onCountry: Germany
location_searchingCity: Muenster
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Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

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.


location_onCountry: Germany
location_searchingCity: Berlin

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

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.


location_onCountry: Germany
location_searchingCity: Berlin

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

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.


location_onCountry: Israel
location_searchingCity: Tel Aviv

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

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.


location_onCountry: Germany
location_searchingCity: Karlsruhe

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Gastroenterology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #328839

The Department of Gastroenterology at Rambam Health Care Campus specializes in the diagnosis, treatment and monitoring of patients with different diseases of the gastrointestinal tract, liver, biliary tract, pancreas, as well as those who suffer from inflammatory bowel diseases.


location_onCountry: Israel
location_searchingCity: Haifa

Marienhaus Hospital St. Elisabeth Neuwied

9.8/10 from 23 Votes

Department of Internal Medicine (Gastroenterology)

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #292549

The Department of Internal Medicine (Gastroenterology) has a total of 128 beds. The Department of Gastroenterology at the Marienhaus Klinikum St.


location_onCountry: Germany
location_searchingCity: Neuwied

Vivantes Auguste-Viktoria Hospital Berlin

9.7/10 from 23 Votes

Department of Infectology, Gastroenterology, Oncology

Conservative treatment of bile duct fistula with endoscopic bougienage and stent implantation #341075

The doctors of the Department of Infectology, Gastroenterology, Oncology specialize in the prevention, diagnosis and nonoperative treatment of diseases of the upper and lower digestive tract, as well as treatment of adjacent organs - liver, bile and pancreas.


location_onCountry: Germany
location_searchingCity: Berlin




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