Table of Contents
HPB Surgery
Volume 6, Issue 2, Pages 115-124
Case Report

Successful Treatment of Postoperative External Biliary Fistula by Selective Nasobiliary Drainage

1Department of Surgery, University of Patras. Patras Medical School, Patras 265 00, Greece
2Endoscopic Unit, Department of Surgery, Hippocration Hospital, Athens, Greece

Received 8 April 1992

Copyright © 1992 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 25-year old man presented with a high output external biliary fistula after an operation for a giant hydatid cyst of the liver. Endoscopic sphincterotomy was inadequate to close the fistula. A nasobiliary tube was selectively inserted into the leaking hepatic duct and bile was continuously aspirated. The fistula and the residual cavity healed completely. Details of the patients' management using this alternative technique, are discussed.