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External Hepaticostomy Followed By Spontaneous Hepatoduodenal Fistula

WALTMAN WALTERS, M.D.; CHARLES P. MARVIN, M.D.

Arch Surg. 1948;57(1):18-23.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

WE WISH to report 6 cases of complete stricture of the extrahepatic bile ducts in which external hepaticostomy was followed by the spontaneous development of a hepatoduodenal fistula. In 5 of these cases no effort was made to create an anatomic condition which would favor the development of such a fistula. A rubber catheter was sutured into the intrahepatic duct to create an external biliary fistula in the first 2 cases. It was the intention of the surgeon (W.W.) to transplant the fistulous tract into the intestine at a later date, but a fistula developed between the bile duct and the intestine in the interim. Owing to the gratifying result obtained in these cases, one of us (W.W.) decided to use a similar surgical procedure in the next case of complete stricture of the extrahepatic bile ducts in which an anastomosis could not be effected between a patent bile duct . . . [Full Text PDF of this Article]

Author Affiliations
Fellow in Surgery, Mayo Foundation ROCHESTER, MINN.

Dr. Walters is in the Division of Surgery at the Mayo Clinic.

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