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  • Bile Duct Stricture

    All patients had 1 to 2 tumors measuring 10 to 100 mm in diameter (mean SD 24.5 5.4 mm) near the hepatic hilum fed by the caudate arterial branch (A1) and/or medial segmental[ncbi.nlm.nih.gov] Abstract We report a patient with benign bile duct stricture causing difficulty in differential diagnosis from bile duct carcinoma.[ncbi.nlm.nih.gov] Abstract Three patients with metastatic colorectal adenocarcinoma developed bile duct strictures after treatment of liver metastases by hepatic artery infusion of 5-fluorodeoxyuridine[ncbi.nlm.nih.gov] A stricture of the common bile duct was diagnosed by percutaneous transhepatic cholangiography.[ncbi.nlm.nih.gov] Abstract Access to the gastric remnant and duodenum is lost after laparoscopic Roux-en-Y gastric bypass for morbid obesity.[ncbi.nlm.nih.gov] Abstract Strictures, both benign and malignant, of the distal common bile duct (CBD) are reasonably common, and if stented are usually approached endoscopically via the duodenum[ncbi.nlm.nih.gov] Our Program Our surgeons are experts in treating issues related to the pancreas, gallbladder and bile ducts.[surgery.usc.edu] […] chronic pancreatitis; however, the role of endoscopic treatment for long-term management of these strictures is less clear.[ncbi.nlm.nih.gov] The low incidence of cholangitis and secondary biliary cirrhosis in association with asymptomatic bile duct strictures may justify a less aggressive approach.[emedicine.medscape.com]

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  • Klatskin Tumor

    Abstract We describe the technique of mesohepatectomy including caudate lobectomy and resection of hilar bifurcation with biliary reconstruction by 6 hepaticoejunostomies[ncbi.nlm.nih.gov] Abstract The first reported case of a leiomyoma of the proximal bile duct simulating a Klatskin tumor and causing obstructive cholestasis is presented.[ncbi.nlm.nih.gov] PURPOSE: This study aimed to identify the effect of percutaneous transhepatic biliary drainage (PTBD) combined with 3-dimensional conformal radiotherapy (3D-CRT) in comparison[ncbi.nlm.nih.gov] When resection is not feasible, either operative bilioenteric bypass or percutaneous transhepatic intubation can achieve significant palliation.[ncbi.nlm.nih.gov] A more extensive surgical approach, as proposed by Japanese surgeons, has been applied in our center over the last 5 years; it combines hilar resection with partial hepatectomy[ncbi.nlm.nih.gov] RESULTS: The nontumoral epithelia of the gallbladder, intrahepatic ducts, and Klatskin tumor did not express MMP-2.[ncbi.nlm.nih.gov] All endoscopic examinations and stenting were performed by 4 experienced endoscopists at the Surgical Endoscopy Unit, Queen Mary Hospital, Hong Kong, People's Republic of[jamanetwork.com] Partner: Department of Surgery Series: Department of Surgery Grand Rounds Categories: Gastroenterology , Oncology , Surgery Tags: Bismuth-Corlette Classification , Caudate[videos.med.wisc.edu] Here, we report a 39-year-old Iranian woman with neurilemmoma in the extrahepatic bile duct presenting with progressively deepening jaundice.[ncbi.nlm.nih.gov]

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  • Cholangiocarcinoma

    He underwent left hepatectomy with caudate lobectomy and extrahepatic bile duct resection.[ncbi.nlm.nih.gov] You are here Home Types of Cancer Bile Duct Cancer (Cholangiocarcinoma) Bile Duct Cancer (Cholangiocarcinoma) This is Cancer.Net’s Guide to Bile Duct Cancer (Cholangiocarcinoma[cancer.net] Major partial hepatic resection was defined as resection of 3 or more anatomical hepatic segments.[dx.doi.org] […] prognostic values of nutrition-based prognostic scores in patients with advanced hilar cholangiocarcinoma (HCCA).We retrospectively analyzed 73 cases of HCCA, who underwent percutaneous[ncbi.nlm.nih.gov] During the surgery, the liver was removed with the retrohepatic vena cava, which was replaced by a prosthetic graft without a veno-venous bypass.[ncbi.nlm.nih.gov] […] common hepatobiliary malignancy after hepatocellular carcinoma, is a heterogeneous disease entity with widely varying radiologic features, clinical behavior, and treatment approaches[ncbi.nlm.nih.gov] This case emphasized the importance of a thorough examination of gallbladder before surgery, especially in those cases with suspected double gallbladder, since each gallbladder[ncbi.nlm.nih.gov] Conclusion: Endoscopic ultrasonography is the most accurate tool for detecting pancreatobiliary carcinomas and assessing portal venous invasion.[dx.doi.org] […] carefully operation planning, we successfully performed a radical parenchyma-sparing anatomical surgery of hilar cholangiocarcinoma: Liver segmentectomy (segments 5 and 8) and caudate[ncbi.nlm.nih.gov]

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  • Biliary Drainage

    Resections consist of excision of the liver hilum en bloc with (extended) hemihepatectomy including the caudate lobe, and complete lymphadenectomy of the hepatoduodenal ligament[bmcgastroenterol.biomedcentral.com] CONCLUSION: Biliary drainage may not be mandatory prior to chemoembolisation in patients with HCC invading the bile duct.[ncbi.nlm.nih.gov] PURPOSE: To determine frequency of and assess risk factors for hepatic artery (HA) injury during percutaneous transhepatic biliary drainage (PTBD) and to discuss the technique[ncbi.nlm.nih.gov] However, in rare cases of fracture of percutaneous transhepatic biliary drainage (PTBD) catheters, only a percutaneous transhepatic technique for retrieving should be applied[ncbi.nlm.nih.gov] […] number NTR234 Study information Scientific title Acronym DROP-trial Study hypothesis Early surgical treatment (exploration followed by resection [pancreatoduodenectomy] or bypass[controlled-trials.com] This report describes the technique used for bilateral drainage via a transgastric approach.[ncbi.nlm.nih.gov] It is typically performed on patients with an infected gallbladder and can be lifesaving when surgical gallbladder removal is too risky.[ciraradiology.com] […] devices for EUS-BD would help refine the technical aspects and minimize the possibility of complications, making it a more promising procedure. 2017 Japan Gastroenterological Endoscopy[ncbi.nlm.nih.gov] […] case with bile duct cancer extending from the pancreatic head to the hepatic hilum with duodenal invasion.[ncbi.nlm.nih.gov]

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  • Bile Duct Injury

    BilIN, IPNB, and/or chronic bile duct injury were observed in almost all the large bile ducts.[ncbi.nlm.nih.gov] Liver biopsy disclosed CNSDC-like bile duct injuries and severe interface hepatitis and lobular hepatitis with perivenular zonal necrosis were observed.[ncbi.nlm.nih.gov] Strictures were treated with percutaneous dilatation in 33 patients (89.2%), and 4 patients (1.4%) were reoperated.[ncbi.nlm.nih.gov] Usually this is solved by endoscopic retrograde cholangiopancreatography (ERCP) sphincterotomy and stent, or enteric bypass, suture repair and tube drainage.[ncbi.nlm.nih.gov] The management of LC-related biliary injuries requires a multidisciplinary approach involving an endoscopist experienced in the use of ERCP, a skilled interventional radiologist[ncbi.nlm.nih.gov] During operation, gallbladder was decompressed for achieving critical view.[omicsonline.org] Author information 1 Unit of Digestive Endoscopy, San Paolo Hospital, Milan, Italy - [email protected][ncbi.nlm.nih.gov] The physician will then get to work on repairing the damaged bile duct using the patient’s intestine to bypass the injury and prevent any further complications.[liverandpancreassurgeon.com] Abstract Although laparoscopic cholecystectomy has revolutionized the surgical approach to patients with gallbladder disease, it has also brought a marked increase in the[ncbi.nlm.nih.gov]

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  • Cholangitis

    Hence, the patient underwent left hepatectomy with caudate lobe resection and received a retrograde diagnosis of EC.[ncbi.nlm.nih.gov] Cholangiography showed no lesion in his common bile duct and duct-to-duct anastomosis was chosen for him.[ncbi.nlm.nih.gov] Resources In This Article Inclusion Body Hepatitis/Hydropericardium Syndrome Overview of Inclusion Body Hepatitis/Hydropericardium Syndrome in Poultry[merckvetmanual.com] Abstract Percutaneous cholecystostomy (PC) is a well-established treatment for acute cholecystitis.[ncbi.nlm.nih.gov] […] opens a blocked blood vessel in the heart In some cases, surgery may be an option to remove some scarred and blocked bile ducts and having more normal bile ducts reconnected bypassing[medicinenet.com] CASE REPORT The best approach for diagnosing primary sclerosing cholangitis Wellington Andraus; Luciana Haddad; Lucas Souto Nacif; Felipe D.[scielo.br] Aetiology [ 5 , 6 ] Obstruction of the gallbladder or bile duct due to stones. ERCP.[patient.info] . 1 , 4 Since these encouraging results of endoscopy were obtained in retrospective or prospective but uncontrolled studies, the advantage of endoscopic drainage remains unproved[doi.org] CT contour abnormalities and atrophy (see above) marked caudate lobe hypertrophy the atrophied liver is of lower density than the hypertrophied caudate lobe 1 multiple linear[radiopaedia.org]

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  • Biliary Fistula

    KEYWORDS: Bile ducts; Biliary fistula; Cutaneous fistula; Intrahepatic[ncbi.nlm.nih.gov] This resulted in a previously unreported complication of a hepatic artery-biliary fistula.[ncbi.nlm.nih.gov] MATERIAL AND METHODS: Fifteen patients with hepatic abscesses treated by percutaneous aspiration and drainage are herein reported.[ncbi.nlm.nih.gov] The patient underwent bilio-enteric bypass with gastric access loop, with complete healing of the pleuro-biliary fistula.[ncbi.nlm.nih.gov] RESULTS: A staged approach to the management of these patients was adopted in which the initial management aimed at creating a 'controlled' fistula.[ncbi.nlm.nih.gov] This was complicated by a bilio-biliary fistula between the gallbladder and both the right and left hepatic ducts.[ncbi.nlm.nih.gov] Abstract A number of techniques of surgical endoscopy have been used in the management of a post-traumatic biliary fistula.[ncbi.nlm.nih.gov] An interdisciplinary reference book for the diagnosis and treatment of gallbladder and bile duct diseases With recent developments in the management of hepatobiliary diseases[books.google.com] Digital subtraction angiography revealed a hepatic artery-biliary fistula and a pseudoaneurysm at the catheter tip.[ncbi.nlm.nih.gov]

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  • Recurrent Pyogenic Cholangitis

    Ji , Caudate lobe‐sparing subtotal hepatectomy for primary hepatolithiasis , BJS , 99 , 10 , (1423-1428) , (2012) . M. P. Senthil Kumar and R.[doi.org] Abstract It is not uncommon to find large stones obstructing the bile duct in patients with recurrent pyogenic cholangitis.[ncbi.nlm.nih.gov] CONCLUSION: MR imaging is very useful for differential diagnosis of malignant vs. benign hepatic masses in patients with RPC.[ncbi.nlm.nih.gov] Twenty-seven patients (64%) underwent surgery, after unsuccessful endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous intervention in 19/27 patients.[ncbi.nlm.nih.gov] RESULTS: Four patients had a hepatic lobectomy without biliary enteric bypass. One patient had an uneventful course.[ncbi.nlm.nih.gov] The LCD was performed using a five-port approach with the patient lying in the supine position.[ncbi.nlm.nih.gov] Additional complications in the acute setting include ascending cholangitis, gallbladder empyema, clotting within the hepatic and portal veins, sepsis and death.Chronic biliary[en.wikipedia.org] Endoscopic retrograde cholangiopancreatography (ERCP) is a very useful investigation in the study of RPC.[ncbi.nlm.nih.gov] Patients with concomitant gallbladder stones and common bile duct stones were offered left lateral segmentectomy with cholecystectomy and exploration of the common bile duct[ncbi.nlm.nih.gov]

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  • Primary Sclerosing Cholangitis

    CT contour abnormalities and atrophy (see above) marked caudate lobe hypertrophy the atrophied liver is of lower density than the hypertrophied caudate lobe 1 multiple linear[radiopaedia.org] Cholangiography showed no lesion in his common bile duct and duct-to-duct anastomosis was chosen for him.[ncbi.nlm.nih.gov] The final diagnosis was hepatic ASC. CONCLUSION: This is the first reported case of hepatic ASC in a patient with PSC.[ncbi.nlm.nih.gov] In this report, we attempt to explain the technical details of percutaneous transhepatic cholangiography, percutaneous biliary drainage and percutaneous biliary balloon dilatation[ncbi.nlm.nih.gov] Sometimes surgery to bypass the duct blockage is performed.[ariahealth.org] Most of these studies have shown that the effectiveness of MRCP, read by experienced radiologists, may approach that of invasive cholangiography.[ncbi.nlm.nih.gov] The tumor showed a papillary growth pattern located diffusely in the gallbladder with a massive amount of mucin filling the gallbladder.[ncbi.nlm.nih.gov] Endoscopy. Management. Endoscopic retrograde cholangiopancreatography [Indexed for MEDLINE] Free full text[ncbi.nlm.nih.gov] […] opens a blocked blood vessel in the heart In some cases, surgery may be an option to remove some scarred and blocked bile ducts and having more normal bile ducts reconnected bypassing[rxlist.com]

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  • Choledochal Cyst

    Left hemihepatectomy with left-side caudate lobectomy was performed and the tumor was pathologically diagnosed to be IHCC.[ncbi.nlm.nih.gov] KEYWORDS: Cholecystectomy; Cystic duct cyst; Isolated cystic duct dilation; Type VI choledochal cyst[ncbi.nlm.nih.gov] Abstract We describe a novel technique for laparoscopic hepatic ductoplasty and hepaticojejunostomy in choledochal cyst with a narrow common hepatic duct.[ncbi.nlm.nih.gov] After excluding coagulopathies and hematopathies, we treated him with percutaneous transhepatic angioplasty.[ncbi.nlm.nih.gov] She underwent a laparoscopic Roux-en-Y gastric bypass (LRYGB) in 2011 at an outside facility, with no planned intervention on her biliary tree.[ncbi.nlm.nih.gov] The surgical approach to choledochal cysts has evolved from the cyst-enterostomy to a complete excision with more recent use of minimally invasive approaches.[ncbi.nlm.nih.gov] BACKGROUND: Intracholecystic papillary-tubular neoplasms are rare precursor lesions of gallbladder cancer.[ncbi.nlm.nih.gov] The most frequent diagnostic and treatment modalities were ultrasound (n 10), and endoscopic sphincterotomy (n 5).[ncbi.nlm.nih.gov] ESWL is an excellent therapeutic modality for large intrahepatic biliary calculi, and after dilating the HJ anastomosis percutaneously, it can be offered as first-line therapy[ncbi.nlm.nih.gov]

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