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Ann Thorac Surg 2004;78:1513
© 2004 The Society of Thoracic Surgeons


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Bhugwan Singh, FCS (SA), Jaynathan Moodley, FCS(SA)

Department of Surgery, Faculty of Health Sciences, Nelson K. Mandela School of Medicine, University of Natal, Private Bag 7, Congella 4013, South Africa.

moodleyj6@nu.ac.za

The first 20% of the full text of this article appears below.

To the Editor:

The persistence of a thoracobiliary fistula (TBF) is widely attributed to the differential pressure gradient between the common bile duct and the sphincter of Oddi [1, 2]. When this pressure gradient is effectively eliminated (as after an endoscopic sphincterotomy), the output of the biliary fistula . . . [Full Text of this Article]


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