Magnetic resonance cholangiogram patterns and clinical profiles of ketamine-related cholangiopathy in drug users
Recreational use of inhalational ketamine is emerging as a major global social and health issue [1,2]. While ketamine, a N-methyl D-aspartate receptor antagonist, has medical uses in anesthesia and chronic pain control, its highly addictive nature has led to a massive increase in recreational consumption worldwide. Due to the ease of production and low cost, the non-medical use of ketamine is especially increasing in East and South East Asia, with its lifetime prevalence in the general population ranging from 0.3% to 2.0% [3], comprising up to 39.7% of total recreational drugs users in these regions [4]. (Source: Journal of Hepatology)
Source: Journal of Hepatology - March 15, 2018 Category: Gastroenterology Authors: Wai-Kay Seto, Siu-King Mak, Keith Chiu, Varut Vardhanabhuti, Ho-Fai Wong, Heng-Tat Leong, Paul S.F. Lee, Y.C. Ho, Chi-Kei Lee, Ka-Shing Cheung, Man-Fung Yuen, Wai K. Leung Source Type: research
Variability in Case Durations for Common Surgical Procedures.
CONCLUSIONS: There was wide variation in surgery case duration for patients undergoing common general surgical and orthopedic surgeries. This variability in care delivery may represent an important opportunity to promote more efficient use of health care resources.
PMID: 29517575 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - March 6, 2018 Category: Anesthesiology Authors: Glance LG, Dutton RP, Feng C, Li Y, Lustik SJ, Dick AW Tags: Anesth Analg Source Type: research
Laparoscopic cholangiogram in biliary atresia: a refinement in the gallbladder hitch technique
ConclusionThe findings of laparoscopic cholangiogram were confirmed in all six children who underwent laparotomy for Kasai procedure. The laparoscopic cholangiogram using gallbladder hitch reliably demonstrates a patent biliary system (11/11) and was valuable in avoiding further invasive procedures in 70% (14/20) of babies. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - February 9, 2018 Category: Surgery Source Type: research
Analysis of clinical characteristics and treatment of immunoglobulin G4-associated cholangitis: A retrospective cohort study of 39 IAC patients
Immunoglobulin (Ig)G4-associated cholangitis (IAC) is one of the common organ manifestations of IgG4-related systemic disease (ISD). IAC and autoimmune pancreatitis (AIP) may mimic sclerosing cholangitis, cholangiocarcinoma, or pancreatic carcinoma. Diagnosis is based on a combination of clinical, biochemical, radiological, and histological findings.
To study the clinical presentation of and treatment strategy for IAC, we reviewed clinical, serologic, and imaging characteristics, as well as treatment response, in 39 patients with IAC. The majority of patients were men (82%). Clinical features on presentation included obst...
Source: Medicine - February 1, 2018 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Gastrointestinal: Spontaneous air versus dye cholangiogram in bile duct stone disease
(Source: Journal of Gastroenterology and Hepatology)
Source: Journal of Gastroenterology and Hepatology - January 26, 2018 Category: Gastroenterology Authors: V Zimmer Tags: Education and Imaging Source Type: research
Increasing bile duct injury and decreasing utilization of intraoperative cholangiogram and common bile duct exploration over 14 years: an analysis of outcomes in New York State
ConclusionIn an era of laparoscopy, the rate of IOC/CBD exploration during LC has significantly decreased, while BDI significantly increased. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 18, 2018 Category: Surgery Source Type: research
Endoscopic diagnosis and treatment of biliary obstruction due to acute cholangitis and acute pancreatitis secondary to Fasciola hepatica infection.
Abstract
In the differential diagnosis of biliary obstruction with unknown etiology, biliary fascioliasis should be considered in endemic and nonendemic regions. After diagnostic evaluation, endoscopic retrograde cholangiopancreatography (ERCP) was performed for etiological evaluation and/or treatment of biliary obstruction in five patients with a mean age of 55.8 years. Endoscopic sphincterotomy and cholangiogram revealed linear filling defects in the biliary system. Fasciola hepatica parasites were extracted using balloon and basket catheters in two and three patients, respectively. No morbidity or morta...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2018 Category: Emergency Medicine Authors: Dolay K, Hasbahçeci M, Hatipoğlu E, Ümit Malya F, Akçakaya A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
Guidewire cannulation in ERCP: from zero to hero!
For decades biliary cannulation during ERCP was done by lining up and advancing a catheter or a sphincterotome into the ampulla at what one believed was a “good” biliary angle and then gently (or not so gently) injecting contrast. This either resulted in a cholangiogram or a pancreatogram. If the bile duct was accessed, a wire was then advanced through the catheter into the biliary tree, and the procedure moved forward. If the pancreas was accesse d, the catheter was pulled out and the maneuver was attempted again (and again and again) until ultimately successful or the biliary tree was not accessed. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - December 12, 2017 Category: Gastroenterology Authors: Douglas G. Adler Tags: Original article Source Type: research
Selective intraoperative cholangiography during laparoscopic cholecystectomy in children is justified
Intraoperative cholangiograms (IOC) during laparoscopic cholecystectomy have been advocated to detect biliary anomalies and intraductal calculi. However, IOC increases operative time and patient irradiation, and therefore is not universally used. We hypothesise selective IOC may be a valuable tool in children. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - December 8, 2017 Category: Surgery Authors: Benjamin Martin, Evelyn Geok Peng Ong Source Type: research
A Retrospective Review of the Diagnostic and Management Challenges of Mirizzi Syndrome at the Singapore General Hospital
Conclusion: MS is a challenging condition and multimodal diagnostic approach has the greatest yield in achieving accurate pre-operative diagnosis. If suspicion is high, a trial of laparoscopic dissection with low threshold for open conversion is recommended.Dig Surg (Source: Digestive Surgery)
Source: Digestive Surgery - November 30, 2017 Category: Surgery Source Type: research
Side-by-side partially covered self-expandable metal stent placement for malignant hilar biliary obstruction
Conclusions Endoscopic SBS placement of a PCSEMS was feasible in patients with unresectable MHBO. Additionally, reinterventional stent removal was possible in the absence of tumor ingrowth. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | open access Full text (Source: Endoscopy International Open)
Source: Endoscopy International Open - November 22, 2017 Category: Gastroenterology Authors: Kitamura, Katsuya Yamamiya, Akira Ishii, Yu Mitsui, Yuta Nomoto, Tomohiro Yoshida, Hitoshi Tags: Original article Source Type: research
Imaging appearances of hepatic tuberculosis: experience with 12 patients
To review computed tomography (CT), ultrasound (US), magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic cholangiogram (PTC) appearances and their diagnostic value in hepatic tuberculosis. (Source: Clinical Radiology)
Source: Clinical Radiology - November 21, 2017 Category: Radiology Authors: L.S. Ch'ng, H. Amzar, K.C. Ghazali, F. Siam Source Type: research
Uncomplicated common bile duct stone removal guided by cholangioscopy versus conventional endoscopic retrograde cholangiopancreatography
ConclusionsIn the management of uncomplicated CBDS, our data confirmed the feasibility of DCS for CBDS clearance as it showed efficacy and safety comparable to those of cERCP. Although certain conditions may limit its effectiveness, DCS offers the ability to perform CBDS clearance without the need for fluoroscopy unit and can avoid radiation exposure while ERCP under fluoroscopy remains the current standard of care in patients with CBDS. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 3, 2017 Category: Surgery Source Type: research
IRCAD recommendation on safe laparoscopic cholecystectomy
Abstract
An expert recommendation conference was conducted to identify factors associated with adverse events during laparoscopic cholecystectomy (LC) with the goal of deriving expert recommendations for the reduction of biliary and vascular injury. Nineteen hepato‐pancreato‐biliary (HPB) surgeons from high‐volume surgery centers in six countries comprised the Research Institute Against Cancer of the Digestive System (IRCAD) Recommendations Group. Systematic search of PubMed, Cochrane, and Embase was conducted. Using nominal group technique, structured group meetings were held to identify key items for safer LC. Cons...
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 27, 2017 Category: Gastroenterology Authors: Claudius Conrad, Go Wakabayashi, Horacio J. Asbun, Bernard Dallemagne, Nicolas Demartines, Michele Diana, David Fuks, Mariano Eduardo Gim énez, Claire Goumard, Hironori Kaneko, Riccardo Memeo, Alexandre Resende, Olivier Scatton, Anne‐Sophie Schneck, Ol Tags: Guideline Source Type: research
Hybrid Single-Port Cholecystectomy Vs Four-Port Cholecystectomy in Children.
CONCLUSION: Hybrid single-port laparoscopic cholecystectomy in children with uncomplicated gallbladder disease is feasible and equally safe, with similar intra- and postoperative outcomes compared with the conventional 4-port approach. It can contribute to global cost reduction because of lower operative and total hospitalization costs.
PMID: 29026282 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - October 16, 2017 Category: Surgery Tags: JSLS Source Type: research
