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Common Bile Duct Exploration Or Choledocoscopy OR Gallbladder OR Pancreatitis

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https://read.qxmd.com/read/30874827/-immune-mediated-cholangiopathies-diagnostic-and-therapeutic-challenges
#1
REVIEW
T Herta, U Beuers
BACKGROUND: Immune-mediated cholangiopathies comprise primary biliary cholangitis (PBC), primary sclerosing cholangitis (PSC) and IgG4-associated cholangitis (IAC). A common feature is the progressive destruction of bile ducts leading to cholestasis with fibrosis and cirrhosis of the liver over time. The diseases are mostly identified during routine laboratory testing. Clinical signs and symptoms such as pruritus, fatigue or jaundice are infrequent in the early stage. DIAGNOSIS: The diagnostic work-up involves the patient's history, physical examination, serological tests, abdominal ultrasonography, magnetic resonance cholangiopancreatography (MRCP) and, where necessary, liver biopsy and genetic testing...
March 15, 2019: Der Radiologe
https://read.qxmd.com/read/30863815/intraoperatively-malpositioned-stent-as-a-complication-of-common-bile-duct-injury-during-laparoscopic-cholecystectomy
#2
Timur Özdemir, Anne Schmitt, Manuela Cesaretti, Alban Zarzavadjian Le Bian, Long R Jiao
Injuries occurring during laparoscopic bile duct exploration in the course of laparoscopic cholecystectomy may represent threatening complications and lead to inappropriate management. We present a case of patient with biliary colic who underwent laparoscopic cholecystectomy. During the procedure, a common bile duct injury occurred, compelling conversion to open approach, and the patient was treated using a manually inserted biliary stent. She was referred with severe right upper quadrant pain six weeks after the surgery...
February 2019: Annals of Hepato-Biliary-Pancreatic Surgery
https://read.qxmd.com/read/30863811/laparoscopic-radical-cholecystectomy-with-common-bile-duct-resection-for-t2-gallbladder-cancer
#3
Jonathan Geograpo Navarro, Chang Moo Kang
The oncologic safety and feasibility of laparoscopic radical cholecystectomy for a preoperatively suspected gallbladder cancer is continually being challenged even in an era of minimally invasive surgery. A seventy-four-year-old woman was presented in the outpatient department with a history of fever, abdominal pain, and vomiting. CT scan showed an irregular wall thickening of the body to the cystic duct of the gallbladder and portocaval lymph node. In addition, EUS revealed no subserosal invasion of the tumor...
February 2019: Annals of Hepato-Biliary-Pancreatic Surgery
https://read.qxmd.com/read/30863806/epidemiology-and-disease-characteristics-of-symptomatic-choledocholithiasis-in-sri-lanka
#4
Waduthanthri Supun Lakmal De Silva, Ajith Aloka Pathirana, Thejana Kamil Wijerathne, Bawantha Dilshan Gamage, Buddhika Kemiya Dassanayake, Mohan Malith De Silva
Backgrounds/Aims: Published data on choledocholithiasis in Sri Lanka is scarce. This study was conducted to determine epidemiological, clinical and endoscopic characteristics of choledocholithiasis in Sri Lanka. Methods: This was a retrospective study of consecutive patients for a period of three years until April 2016. The sample included patients from many parts of the island. Patients were selected from the endoscopy database of the unit and the data were collected from the records of the patients...
February 2019: Annals of Hepato-Biliary-Pancreatic Surgery
https://read.qxmd.com/read/30860513/rendez-vous-laparoendoscopic-after-ercp-failure-in-patient-with-billroth-ii-gastrectomy
#5
Fernanda Kreve, Francisco S Loss, Janaina Gatto, Jonas Takada, Juliana Dantas, Karina Inoue, Alfredo L Jacomo, Everson L A Artifon
Endoscopic retrograde cholangiopancreatography (ERCP) is the treatment of choice in patients with choledocholithiasis. However,despite its high success rate, in some cases it is not successful, requiring alternative therapy. Billroth II partial gastrectomy is a condition associated with an important failure rate of ERCP. When endoscopic treatment fails, surgical exploration of the bile duct is the most common approach. However, the surgery is related to a greater complexity of execution and morbimortality. We describe the case of a patient with choledocholithiasis and Billroth II partial gastrectomy, submitted to the combined treatment called rendez-vous laparoendoscopic, after failure of ERCP, which unites in a single stage the endoscopic treatment of choledocholithiasis and laparoscopic removal of the gallbladder...
October 2018: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
https://read.qxmd.com/read/30859236/-passive-and-active-magnetic-resonance-cholangiopancreatography-technique-indications-and-typical-anatomy
#6
REVIEW
J Vosshenrich, D T Boll, C J Zech
CLINICAL/METHODICAL ISSUE: In daily routine, every radiologist is confronted with a variety of questions concerning the biliary tract and pancreatic system. STANDARD RADIOLOGICAL METHODS: Today, besides sonography, magnetic resonance cholangiopancreatography (MRCP) is considered the method of choice in the investigation of many disorders of the hepatobiliary and pancreatic system and is commonly preferred over invasive ERCP in a mere diagnostic setting. METHODICAL INNOVATIONS: Since its introduction in 1991, MRCP has constantly evolved...
March 11, 2019: Der Radiologe
https://read.qxmd.com/read/30857526/case-report-cholecystoduodenostomy-for-cholestatic-liver-disease-in-a-premature-infant-with-cystic-fibrosis-and-short-gut-syndrome
#7
Laura K Fawcett, John Widger, Guy M Henry, Chee Y Ooi
BACKGROUND: Cholecystoduodenostomy is a surgical procedure that bypasses the extrahepatic biliary tree and connects the gallbladder directly to the duodenum. This case describes the successful use of this procedure in a novel situation. CASE PRESENTATION: A premature (34 weeks gestation) female infant with cystic fibrosis required a laparotomy on day 1 of life due to an intrauterine small bowel perforation. Resection of small bowel and ileostomy formation resulted in short gut syndrome, with 82 cm residual small bowel and intact ileocaecal valve...
March 11, 2019: BMC Pediatrics
https://read.qxmd.com/read/30846034/technical-aspects-of-bile-duct-evaluation-and-exploration-an-update
#8
REVIEW
William Scott Helton, Subhashini Ayloo
Consensus guidelines recommend patients with symptomatic cholelithiasis and suspected choledocholithiasis have common bile duct exploration (CBDE) at the time of cholecystectomy to prevent downstream problems. Despite superiority of single-stage cholecystectomy with CBDE, 2-stage precholecystectomy/postcholecystectomy with endoscopic clearance of the duct is commonly practiced. This is related to inadequate training in minimally invasive techniques, lack of technical support for efficient and safe CBDE, and surgeons' inexperience with complex biliary pathologic condition...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30844716/qingyi-decoction-amerliorates-acute-biliary-pancreatitis-by-targeting-gpbar1-nf-kb-pathway
#9
Gui-Xin Zhang, Chen Zhan, Kai Wang, Jian Han, Dong Shang, Hai-Iong Chen
Acute biliary pancreatitis (ABP) is a potentially life-threatening disease that is induced by the common bile duct (CBD) sludge or stones. This study aimed to investigate protective effects of Qingyi Decoction (QYT) on deoxycholic-acid-sodium salt (DCA) induced ABP in rats. Gpbar1 is a G-protein coupled receptor that can be activated by DCA. Both Gpbar1 overexpression vector and Gpbar1 RNAi were constructed and transfected into ABP cell models. Functional assays reveal that DCA significantly induced AR42J apoptosis and triggered Gpbar1 expression...
March 1, 2019: Frontiers in Bioscience (Landmark Edition)
https://read.qxmd.com/read/30840291/influence-of-mir-26b-on-hepatic-cirrhosis-and-portal-pressure-in-rats-with-cirrhotic-portal-hypertension-by-targeting-hent1-depending-on-rhoa-rock-1-pathway
#10
Y Chen, Y Tian
OBJECTIVE: To explore the regulatory effect of micro ribonucleic acid-26b (miR-26b) on rat models of cirrhotic portal hypertension and the underlying mechanism of action. MATERIALS AND METHODS: Common bile duct ligation (BDL) was applied to establish rat models. A total of 30 male Wistar rats were randomly divided into sham operation group (Sham group), operation group (BDL group) and miR-26b intervention group (miR-26b mimic group). Hematoxylin-eosin (HE) staining assay was performed to detect pathological characteristics of rat liver tissues in each group...
February 2019: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/30836441/left-sided-gallbladder-a-systematic-review-of-a-rare-biliary-anomaly
#11
REVIEW
Ryan Pereira, Talbir Singh, John Avramovic, Sam Baker, Guy D Eslick, Michael R Cox
BACKGROUND: A left-sided gallbladder (LSGB) is a rare anatomical anomaly that is often not discovered until surgery. Two cases of LSGB managed with laparoscopic cholecystectomy (LC) stimulated this systematic review. The aims of this study were in LSGB to define the rate of pre-operative detection, variations in biliary anatomy, laparoscopic techniques employed and outcomes of surgery for symptomatic gallstones. METHODS: A systematic review was performed using Preferred Reporting Items for Systematic reviews and Meta-Analyses principles...
March 5, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30813203/ectopic-papilla-of-vater-in-duodenum-bulb-a-hospital-based-study
#12
Yen-Chun Peng, Wai-Keung Chow
The major papilla of Vater can be ectopically present in the stomach, pyloric canal, duodenal bulb, and third or fourth portion of the duodenum. In this study, we determined the clinical significance of ectopic papilla of Vater by endoscopic retrograde cholangiopancreatogram (ERCP).A retrospective study was conducted by reviewing the medical records of 6133 patients receiving ERCP from 1988 to 2011. The diagnosis was confirmed if both the common bile duct (CBD) and the main pancreatic duct (PD) drained into the same opening, either by ERCP or magnetic resonance cholangiopancreatography...
February 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30810329/endoscopic-papillary-large-balloon-dilatation-eplbd-for-the-extraction-of-common-bile-duct-stones-cbds
#13
Mohamed Alsenbesy, Khaled Shahat, Abdallah Nawara, Mohammad Sallam, Mohamed Fakhry, Mohamed Shazly, Mohamed Moussa, Mohammed Tag-Adeen, Hussein El-Amin, Mohammed Sobh
BACKGROUND AND AIM: endoscopic papillary large balloon dilatation (EPLBD) is increasingly accepted as an appropriate option for the management of difficult common bile duct stones (CBDS). This study aimed to evaluate the safety and efficacy of EPLBD with a relatively large balloon (15-20 mm) for the extraction of difficult CBDS. PATIENTS AND METHODS: a total of 40 patients were recruited with obstructive jaundice and dilated CBD (≥ 10 mm) subsequent to a single large CBDS of ≥ 10 mm or multiple stones (≥ 3)...
February 27, 2019: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/30807715/newly-described-coccidia-goussia-bayae-from-white-perch-morone-americana-morphology-and-phylogenetics-support-emerging-taxonomy-of-goussia-within-piscine-hosts
#14
Mark A Matsche, Cynthia R Adams, Vicki S Blazer
In March and April 2016, 150 white perch ( Morone americana) were collected from various localities in Chesapeake Bay and examined for coccidia. A previously undescribed species of coccidia was observed in the hepatic bile ducts and gallbladder of all white perch (100%) examined. We describe this species using morphological characteristics, histology, and gene sequences of the small-subunit ribosomal DNA ( rDNA), large-subunit rDNA, and mitochondrial genes cytochrome oxidase 1 ( COI), cytochrome oxidase b ( Cytb), and cytochrome oxidase 3 ( COIII)...
February 2019: Journal of Parasitology
https://read.qxmd.com/read/30806765/adolescent-gallstones-need-for-early-intervention-in-symptomatic-idiopathic-gallstones
#15
M Sarrami, W Ridley, S Nightingale, T Wright, R Kumar
BACKGROUND AND AIM: Currently, there is a paucity of the literature describing the natural history of cholelithiasis (CL) and choledocholithiasis (CDL) in adolescent children. This study aims to analyse the changing demographics of paediatric and adolescent gallstones. METHODOLOGY: Retrospective review of all children (Age 0-18 years) presenting with symptomatic gallstones over the last 15 years (2002-2017) at a single tertiary institution. Demographics, diagnostic and therapeutic information were collected, with a 5-year median follow-up...
February 26, 2019: Pediatric Surgery International
https://read.qxmd.com/read/30802583/crohn-s-disease-complicated-with-extensive-thrombosis-of-limbs-and-mesenteric-arteries-a-case-report-and-literature-review
#16
Chao Qu, Jingyu Cao, Kui Liu, Bin Tan, Chengzhan Zhu, Kun Li, Linlin Qu
INTRODUCTION: Crohn's disease (CD) is a chronic disease characterized by purulent inflammation involving any part of the gastrointestinal tract between the oral cavity and the anus. Although studies have reported various complications of CD, arterial thrombosis is extremely rare in these patients. We report a patient with CD presenting with extensive thrombosis of the extremities and mesenteric arteries. CASE PRESENTATION: A 41-year-old man presented to our hospital with a 2-month history of discomfort in the right upper abdomen, as well as arterial occlusive disease of the left lower extremity and ischemic contracture of the left upper limb for > 2 months...
February 22, 2019: Annals of Vascular Surgery
https://read.qxmd.com/read/30799627/the-best-approach-to-treat-concomitant-gallstones-and-common-bile-duct-stones-is-ercp-still-needed
#17
Jesús García-Cano, Francisco Domper
The authors analyze what should be the best approach to treat patients who had concomitant gallstones and common bile duct stones (CBDS). Laparoscopic common bile duct exploration (LCBDE) appears to be an atractive way to cure all kind of biliary stones in a single procedure. However, when scientific literature is reviewed most patients continue to need from ERCP for CBDS removal. ERCP can be performed before, after or during the same LC procedure. Patients with LCBDE had less pancreatitis rate because the Papilla of Vater is not manipulated but more bile leaks...
February 25, 2019: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/30799541/-feasibility-of-robotic-surgical-system-in-radical-gastrectomy-for-gastric-cancer-after-liver-transplantation
#18
Feng Qian, Qian Chen, Junyan Liu, Junyan Fan, Chuan Li, Jiajia Liu
OBJECTIVE: To explore the feasibility and safety of robotic surgical system for radical gastrectomy after liver transplantation. METHODS: A 65-year-old male patient with gastric cancer after liver transplantation underwent radical distal subtotal gastrectomy using Da Vinci surgical system at the General Surgery Department of Southwest Hospital Affiliated to the Army Military Medical University on October 23,2018. The placement of Trocars was arranged using five-hole method...
February 25, 2019: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30783959/cholecystectomy-related-malpractice-litigation-predictive-factors-of-case-outcome
#19
Davis A Hartnett, Adam E M Eltorai, Adena J Osband, Shaan A Ahmed, Alan H Daniels
Complications following cholecystectomy may lead to malpractice litigation. Little research exists regarding cholecystectomy-related malpractice, the complications that lead to litigation, and the outcomes of such cases. This study is a retrospective analysis utilizing the legal database Verdictsearch (ALM Media Properties, LLC, New York, NY). Medical malpractice cases between July 2004 and November 2017 were identified using the search term "gallbladder." Case information was recorded, including patient information, medical details, trial outcome, and resulting payments...
February 19, 2019: Updates in Surgery
https://read.qxmd.com/read/30783729/differentiating-igg4-related-sclerosing-cholangiopathy-from-cholangiocarcinoma-using-ct-and-mri-experience-from-a-tertiary-referring-center
#20
Jordan Swensson, Temel Tirkes, Mark Tann, Enming Cui, Kumaresan Sandrasegaran
PURPOSE: To compare the cross-sectional imaging findings of immunoglobulin G4-related sclerosing cholangiopathy (IgG4-SC) and cholangiocarcinoma (CCA). METHODS: Retrospective search of radiology and pathology databases identified 24 patients with IgG4-SC and over 500 patients with CCA from January 2009 to December 2016. Patients with no pre-treatment imaging studies available on PACS, non-contrasted imaging only, presence of mass lesions, metastatic disease or biliary stents were excluded...
February 19, 2019: Abdominal Radiology
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