Predictors of success for double balloon assisted endoscopic retrograde cholangiopancreatography in patients with Roux ‐en‐Y anastomosis
ConclusionThe indication for REYA appears to impact on successful biliary cannulation in patients undergoing DBE‐ERCP. The procedure is most successful in non‐liver transplant adult surgery and post‐transplant patients without a second operation. It is least successful in patients with surgically corrected biliary atresia and post‐transplant patients who had a second operation. Alternative methods of biliary access should be considered in these patients.This article is protected by copyright. All rights reserved. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - August 31, 2016 Category: Gastroenterology Authors: K Liu, V Joshi, P Saxena, A J Kaffes Tags: Original Article Source Type: research
Is endoscopic treatment beneficial in patients with clinically suspicious of common bile duct stones but no obvious filling defects during the ERCP examination?
Sometimes, no definite filling defect could be found by cholangiogram (ERC) during the endoscopic retrograde cholangio-pancreatiographic (ERCP) exam; even prior images had evidence of common bile duct stones (... (Source: BMC Gastroenterology)
Source: BMC Gastroenterology - August 26, 2016 Category: Gastroenterology Authors: Po-Hung Chiang, Kwok-Hung Lai, Tzung-Jiun Tsai, Kung-Hung Lin, Kai-Ming Wang, Sung-Shuo Kao, Wei-Chih Sun, Jin-Shiung Cheng, Ping-I Hsu, Wei-Lun Tsai, Wen-Chi Chen, Yun-Da Li, E-Ming Wang, Huey-Shyan Lin and Hoi-Hung Chan Source Type: research
The development of an automatically produced cholangiography procedure using the reconstruction of portal-phase multidetector-row computed tomography images: preliminary experience
ConclusionsAlthough our procedure requires further improvement based on the analysis of additional patient data, it may represent an alternative to direct cholangiography in the future. (Source: Surgery Today)
Source: Surgery Today - August 7, 2016 Category: Surgery Source Type: research
Single-stage laparoscopic management of acute gallstone pancreatitis: outcomes at different timings
Conclusions This study demonstrated the feasibility and reproducibility of single-stage laparoscopic management of acute gallstone pancreatitis, which has a low complication rate at any stage. Patients undergoing early treatment have a higher incidence of choledocholithiasis and multiple stones than those treated after 30 days, supporting the passage of stones with time. (Source: Hepatobiliary and Pancreatic Diseases International)
Source: Hepatobiliary and Pancreatic Diseases International - August 1, 2016 Category: Gastroenterology Source Type: research
Biliary tree variations as viewed by intra-operative cholangiography – Comparing Egyptian versus international data
Conclusion In our small scale study (n =248); the more common typical biliary anatomy is observed here in Egypt at percentages nearly similar to that reported in the international literature. On the other hand, the less common variation types, show prevalence here in Egypt that are different from those reported in the international literature; a finding that could cause a higher number of bile duct injuries in laparoscopic cholecystectomies if not recognized. (Source: The Egyptian Journal of Radiology and Nuclear Medicine)
Source: The Egyptian Journal of Radiology and Nuclear Medicine - July 22, 2016 Category: Nuclear Medicine Source Type: research
Safety and effectiveness of endobiliary radiofrequency ablation according to the different power and target temperature in a swine model
ConclusionsEB‐RFA using a temperature controlled RFA catheter successfully ablates the bile duct wall without adverse events in a swine model. (Source: Journal of Gastroenterology and Hepatology)
Source: Journal of Gastroenterology and Hepatology - May 31, 2016 Category: Gastroenterology Authors: Jae Hee Cho, Kwang Hyuck Lee, Joon Mee Kim, Yeon Suk Kim, Don Haeng Lee, Seok Jeong Tags: Original Article ‐ Biliary and Pancreatic Source Type: research
Outcomes after discontinuation of routine use of transanastomotic biliary stents in pediatric liver transplantation at a single site
This study is a retrospective review of 99 patients who underwent first LT (2005–2014). In 2011, RTBS was discontinued at our center. This study describes biliary complications following LT with and without RTBS. 56 (56%) patients had RTBS. Median age at LT was 1.9 yr (IQR 0.7, 8.6); 55% were female. Most common indication for LT was biliary atresia (36%). Most common biliary reconstruction was Roux‐en‐Y choledochojejunostomy (75% with RTBS, 58% without RTBS, p = 0.09). Biliary complications (strictures, bile leaks, surgical revision) occurred in 23% without significant difference between groups (20% with RTBS, 28% w...
Source: Pediatric Transplantation - May 30, 2016 Category: Transplant Surgery Authors: Pamela L. Valentino, Maureen M. Jonas, Christine K. Lee, Heung B. Kim, Khashayar Vakili, Scott A. Elisofon Tags: Original Article Source Type: research
Use of an esophageal stent for successful treatment of significant choledocholithiasis to facilitate direct cholangioscopy
An 89-year-old woman with a history of cholecystectomy presented with abdominal pain, jaundice, and a common bile duct (CBD) dilated to 20 mm with a large stone burden. ERCP with sphincterotomy, sphincteroplasty, balloon sweeps, and mechanical lithotripsy facilitated the removal of many stones. However, a cholangiogram revealed a persistent stone burden. Sphincteroplasty with a 20-mm balloon dilator was repeated but was complicated b y postdilation bleeding despite balloon tamponade. A fully covered, self-expanding, through-the-scope esophageal metal stent measuring 18 mm × 60 mm (Taewoong Medical, Gyeonggi-do, Korea...
Source: Gastrointestinal Endoscopy - April 17, 2016 Category: Gastroenterology Authors: Amit Desai, Nikhil A. Kumta, Porfirio J. Reinoso, Amy Tyberg, Michel Kahaleh Tags: VideoGIE Source Type: research
Intraoperative cholangiogram during laparoscopic cholecystectomy: A clinical trial in rural setting
ConclusionThe majority of patients treated in our centre were women, middle‐aged patients booked for elective laparoscopic cholecystectomy. Although only 6.7% cases were suspicious for CBD stones pre‐operatively, a total of 17% of patients with routine IOC suggested CBD stones. IOC was found to be safe, taking only an additional 28 min of total theatre time. Routine rather than selective use of IOC could be considered to improve patient safety and long‐term results. (Source: Australian Journal of Rural Health)
Source: Australian Journal of Rural Health - April 16, 2016 Category: Rural Health Authors: Shreya Verma, Matthias W. Wichmann, Thomas Gunning, Eben Beukes, Guy Maddern Tags: Original Research Source Type: research
Quadrate lobe: a reliable landmark for bile duct anatomy during laparoscopic cholecystectomy
ConclusionThis investigation confirms a relationship between the shape of the inferior surface of the quadrate lobe and the cystic/bile duct angle and suggests that the anatomy of the inferior surface of the quadrate lobe can be used to define an optimal starting point for dissection of the biliary cystic triangle. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - April 7, 2016 Category: Surgery Authors: Kheman Rajkomar, Matthew Bowman, Michael Rodgers, Jonathan B. Koea Tags: Original Article Source Type: research
Virtual Intraoperative Cholangiogram Using WebCL.
In this study, we developed a web based platform to generate IC images from any virtual bile duct anatomy. As the generation of X-Ray image from 3D scene is a computationally intensive task, we utilized WebCL technology to parallelize the computation for achieving real-time rates. In this work, we present details of our WebCL IC generation algorithm and benchmark results.
PMID: 27046623 [PubMed - as supplied by publisher] (Source: Studies in Health Technology and Informatics)
Source: Studies in Health Technology and Informatics - April 6, 2016 Category: Information Technology Tags: Stud Health Technol Inform Source Type: research
A Prospective Blinded Study Evaluating the Role of Endoscopic Ultrasound before Endoscopic Retrograde Cholangiopancreatography in the Setting of "Positive" Intraoperative Cholangiogram during Cholecystectomy.
This study sought to assess the role of EUS in predicting the likelihood of choledocholithiasis at ERCP in patients found to have a positive IOC. This was a prospective blinded study of EUS before ERCP in patients with a positive IOC. Recruited subjects who underwent cholecystectomy and had an IOC with suspicion for obstruction were referred for ERCP within one month of their procedure. In patients with a positive IOC, EUS had a positive predictive value of 95 per cent in detecting choledocholithiasis. IOC with single or multiple filling defects more often correlated to the presence of CBD stones. At ERCP, choledocholithia...
Source: The American Surgeon - March 31, 2016 Category: Surgery Authors: Luthra AK, Aggarwal V, Mishra G, Conway J, Evans JA Tags: Am Surg Source Type: research
Broncho-biliary fistula secondary to biliary obstruction and lung abscess in a patient with pancreatic neuro-endocrine tumor
We present a case report of broncho-biliary fistula that developed due to the blockage of biliary stent placed during the management of pancreatic neuroendocrine tumor (pNET); diagnosed on high clinical suspicion, percutaneous cholangiogram and contrast enhanced computed tomography (CECT); and successfully treated with percutaneous transhepatic biliary drainage (PTBD). (Source: Journal of the Egyptian National Cancer Institute)
Source: Journal of the Egyptian National Cancer Institute - March 18, 2016 Category: Cancer & Oncology Source Type: research
Broncho-biliary fistula secondary to biliary obstruction and lung abscess in a patient with pancreatic neuro-endocrine tumor.
We present a case report of broncho-biliary fistula that developed due to the blockage of biliary stent placed during the management of pancreatic neuroendocrine tumor (pNET); diagnosed on high clinical suspicion, percutaneous cholangiogram and contrast enhanced computed tomography (CECT); and successfully treated with percutaneous transhepatic biliary drainage (PTBD).
PMID: 26994644 [PubMed - as supplied by publisher] (Source: J Egypt Natl Canc In...)
Source: J Egypt Natl Canc In... - March 16, 2016 Category: Cancer & Oncology Authors: Panda D, Aggarwal M, Yadav V, Kumar S, Mukund A, Baghmar S Tags: J Egypt Natl Canc Inst Source Type: research
Use of digital cholangioscopy in a dilated bile duct for detection of small symptomatic bile duct stones
A 47-year-old woman recently underwent an ERCP with mechanical lithotripsy for a symptomatic stone. The stone was cleared per the endoscopist, but because of ampullary edema a stent was placed. The patient continued to experience right upper-quadrant abdominal pain, and thus the clinical picture suggested a retained stone. A subsequent ERCP was performed for stent removal and re-evaluation. The stent was removed, and multiple balloon sweeps that started at the hilum yielded no stones. An occlusion cholangiogram showed a bile duct dilated to 15 mm and no filling defects (Fig. 1A). (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - March 13, 2016 Category: Gastroenterology Authors: Arvind J. Trindade, Robert Hirten, Divyesh V. Sejpal Tags: VideoGIE Source Type: research
