Successful Treatment of Postoperative External Biliary Fistula by Selective
Nasobiliary Drainage
C. Vagianos,1A. Polydorou,2T. Karatzas,1C. Vagenas,1M. Stavropoulos,1and J. Androulakis1
Received08 Apr 1992
Abstract
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.