EVOLUTION OF MIRIZZI-SYNDROME WITH BILIOBILIARY FISTULA

被引：22

作者：

TANAKA, N

NOBORI, M

FURUYA, T

UENO, T

KIMURA, H

NAGAI, M

KANNO, T

MIZUTA, K

ASADA, M

机构：

[1] Department of Surgery, Asahi General Hospital, Chiba, 289-25, i-1326, Asahi

[2] Department of Internal Medicine, Asahi General Hospital, Chiba, 289-25, i-1326, Asahi

来源：

JOURNAL OF GASTROENTEROLOGY | 1995年 / 30卷 / 01期

关键词：

MIRIZZI SYNDROME; BILIOBILIARY FISTULA; CORLETTE-BISMUTH CLASSIFICATION;

D O I：

10.1007/BF01211386

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The mechanisms of fistula formation were analyzed in eight patients with Mirizzi syndrome with biliobiliary fistula. The fistula was type I in three patients and type 2 in five, according to the Corlette-Bismuth classification. The apparent mechanisms of fistula formation include inflammation of the gallbladder, its subsequent fusion to the bile duct, and increase in the internal pressure due to either contraction of the gallbladder or multiple stones. However, no predisposing conditions other than a longstanding history of cholelithiasis have been suggested. Differences in the type of fistula are considered to be due to the mode of fusion of the gallbladder to the bile duct, and the size of the perforation, which is apparently determined by the area in contact with the stone.

引用

页码：117 / 121

页数：5

共 11 条

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