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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[] Abstract We report a patient with benign bile duct stricture causing difficulty in differential diagnosis from bile duct carcinoma.[] Abstract Three patients with metastatic colorectal adenocarcinoma developed bile duct strictures after treatment of liver metastases by hepatic artery infusion of 5-fluorodeoxyuridine[] A stricture of the common bile duct was diagnosed by percutaneous transhepatic cholangiography.[] Abstract Access to the gastric remnant and duodenum is lost after laparoscopic Roux-en-Y gastric bypass for morbid obesity.[] 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[] Our Program Our surgeons are experts in treating issues related to the pancreas, gallbladder and bile ducts.[] […] chronic pancreatitis; however, the role of endoscopic treatment for long-term management of these strictures is less clear.[] The low incidence of cholangitis and secondary biliary cirrhosis in association with asymptomatic bile duct strictures may justify a less aggressive approach.[]

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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[] Abstract The first reported case of a leiomyoma of the proximal bile duct simulating a Klatskin tumor and causing obstructive cholestasis is presented.[] PURPOSE: This study aimed to identify the effect of percutaneous transhepatic biliary drainage (PTBD) combined with 3-dimensional conformal radiotherapy (3D-CRT) in comparison[] When resection is not feasible, either operative bilioenteric bypass or percutaneous transhepatic intubation can achieve significant palliation.[] 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[] RESULTS: The nontumoral epithelia of the gallbladder, intrahepatic ducts, and Klatskin tumor did not express MMP-2.[] 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[] Partner: Department of Surgery Series: Department of Surgery Grand Rounds Categories: Gastroenterology , Oncology , Surgery Tags: Bismuth-Corlette Classification , Caudate[] Here, we report a 39-year-old Iranian woman with neurilemmoma in the extrahepatic bile duct presenting with progressively deepening jaundice.[]

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  • Cholangiocarcinoma

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

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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[] CONCLUSION: Biliary drainage may not be mandatory prior to chemoembolisation in patients with HCC invading the bile duct.[] 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[] However, in rare cases of fracture of percutaneous transhepatic biliary drainage (PTBD) catheters, only a percutaneous transhepatic technique for retrieving should be applied[] […] number NTR234 Study information Scientific title Acronym DROP-trial Study hypothesis Early surgical treatment (exploration followed by resection [pancreatoduodenectomy] or bypass[] This report describes the technique used for bilateral drainage via a transgastric approach.[] It is typically performed on patients with an infected gallbladder and can be lifesaving when surgical gallbladder removal is too risky.[] […] 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[] […] case with bile duct cancer extending from the pancreatic head to the hepatic hilum with duodenal invasion.[]

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  • Bile Duct Injury

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

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  • Cholangitis

    Hence, the patient underwent left hepatectomy with caudate lobe resection and received a retrograde diagnosis of EC.[] Cholangiography showed no lesion in his common bile duct and duct-to-duct anastomosis was chosen for him.[] Resources In This Article Inclusion Body Hepatitis/Hydropericardium Syndrome Overview of Inclusion Body Hepatitis/Hydropericardium Syndrome in Poultry[] Abstract Percutaneous cholecystostomy (PC) is a well-established treatment for acute cholecystitis.[] […] 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[] CASE REPORT The best approach for diagnosing primary sclerosing cholangitis Wellington Andraus; Luciana Haddad; Lucas Souto Nacif; Felipe D.[] Aetiology [ 5 , 6 ] Obstruction of the gallbladder or bile duct due to stones. ERCP.[] . 1 , 4 Since these encouraging results of endoscopy were obtained in retrospective or prospective but uncontrolled studies, the advantage of endoscopic drainage remains unproved[] 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[]

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  • Biliary Fistula

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

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

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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[] Cholangiography showed no lesion in his common bile duct and duct-to-duct anastomosis was chosen for him.[] The final diagnosis was hepatic ASC. CONCLUSION: This is the first reported case of hepatic ASC in a patient with PSC.[] In this report, we attempt to explain the technical details of percutaneous transhepatic cholangiography, percutaneous biliary drainage and percutaneous biliary balloon dilatation[] Sometimes surgery to bypass the duct blockage is performed.[] Most of these studies have shown that the effectiveness of MRCP, read by experienced radiologists, may approach that of invasive cholangiography.[] The tumor showed a papillary growth pattern located diffusely in the gallbladder with a massive amount of mucin filling the gallbladder.[] Endoscopy. Management. Endoscopic retrograde cholangiopancreatography [Indexed for MEDLINE] Free full text[] […] 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[]

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  • Choledochal Cyst

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

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