Comparison of gadoxetic acid to gadobenate dimeglumine for assessment of biliary anatomy of potential liver donors
Conclusion
Equivalent image quality was found for T1 MRC obtained with Gd-BOPTA or Gd-EOB-DTPA and T2 MRC. T1 MRC is equivalent to T2 MRC for detection of variant biliary anatomy, and the combination of sequences may have added value. (Source: Abdominal Imaging)
Source: Abdominal Imaging - March 10, 2016 Category: Radiology Source Type: research
Malignant Hilar Biliary Obstruction: Treatment by Means of Placement of a Newly Designed Y-Shaped Branched Covered Stent
Conclusion
Percutaneous placement of the Y-shaped branched covered stent seems to be technically feasible and clinically effective for palliative treatment of malignant hilar biliary obstruction. (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - March 5, 2016 Category: Radiology Source Type: research
The extended Kasai portoenterostomy for biliary atresia: A preliminary report
Conclusion: In our preliminary report of 31 children, we conclude that the extended KPE leads to increased jaundice clearance and improved NLSR in children with BA. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - February 18, 2016 Category: Surgery Authors: Priya RamachandranMohamed SafwanSankaranarayanan SrinivasNaresh ShanmugamMukul VijMohamed Rela Source Type: research
Long-Term Efficacy of Percutaneous Internal Plastic Stent Placement for Non-anastomotic Biliary Stenosis After Liver Transplantation
Conclusions
Percutaneous plastic stents placement is technically feasible and clinically useful in patients with multiple biliary stenoses following liver transplantation. (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - January 27, 2016 Category: Radiology Source Type: research
A rare gallbladder ciliated foregut cyst in chronic cholecystitis
CONCLUSION Despite the rarity of CFCs and their potential to mimic malignancy, we propose awareness and understanding of the management for them – being excision and hopefully not cause any confusion or devastatingly allow it to become malignant. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - January 23, 2016 Category: Surgery Source Type: research
Choosing the correct path: the double orifice papilla
A 74-year-old woman with rheumatoid arthritis experienced cholestatic liver function. Abdominal US demonstrated intrahepatic and extrahepatic duct dilatation and gallstones in an enlarged gallbladder. Magnetic resonance cholangiography confirmed echogenic foci within a dilated common bile duct (CBD). ERCP revealed a double orifice major papilla (A). After careful assessment, the cranial orifice at 11 o ’clock was intubated, and a biliary cholangiogram confirmed gallstones in a dilated CBD (B). Sphincterotomy was performed, and a plastic stent was inserted for drainage (C), and the patient was given postprocedure intraven...
Source: Gastrointestinal Endoscopy - January 7, 2016 Category: Gastroenterology Authors: Emma L. Culver, Jonathan C. Booth Tags: At the focal point Source Type: research
Extrahepatic biliary cystadenoma: a rare cause of biliary obstruction.
Authors: Metussin A, Telisinghe P, Kok K, Chong V
Abstract
Biliary cystadenoma is a rare tumor of the biliary tree and a rare cause of obstructive jaundice. Most are intrahepatic, and pure extrahepatic biliary cystadenoma is less common. Cases are more common in women. Unless suspected, diagnosis of extrahepatic biliary cystadenoma is often delayed. Here, we report the case of a young woman with extrahepatic biliary cystadenoma who presented at Raja Isteri Pengiran Anak Saleha Hospital with obstructive jaundice initially thought to be due to a large biliary stone based on the endoscopic cholangiogram image...
Source: Oman Medical Journal - December 12, 2015 Category: Middle East Health Tags: Oman Med J Source Type: research
The effect of residents as teaching assistants on operative time in laparoscopic cholecystectomy
Conclusions Residents' operative time improves as experience with LC increases. These improvements become more profound after adjusting for the seniority of the TA. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - December 11, 2015 Category: Surgery Source Type: research
Double common bile duct with an ectopic drainage into the stomach.
In this study, we report a rare case of DCBD with an ectopic drainage into the stomach and review the literature.
PMID: 25844358 [PubMed] (Source: Annals of Surgical Treatment and Research)
Source: Annals of Surgical Treatment and Research - November 28, 2015 Category: Surgery Tags: Ann Surg Treat Res Source Type: research
Adenomas involving the extrahepatic biliary tree are rare but have an aggressive clinical course
We present a case series of extrahepatic bile duct adenomas at our institution, along with a review of the literature. All three patients with extrahepatic biliary adenomas (two in the common bile ducts, one in the hepatic duct) were female with a mean age of 74 years. On initial presentation, none of the patients had obstructive jaundice but two of the three patients had symptoms of biliary origin. Case 1 is an 85-year-old woman with an incidental biliary dilation seen on chest imaging; endoscopic ultrasound revealed a sessile adenomatous polyp in the distal bile duct. The patient refused surgery and presented with occlus...
Source: Endoscopy International Open - November 27, 2015 Category: Gastroenterology Authors: Loh, Kah PohNautsch, DeborahMueller, JamesDesilets, DavidMehendiratta, Vaibhav Tags: Original article Source Type: research
Endoscopic management of radio-opaque bile duct stones
Conclusions
RO bile duct stones provide unique challenges for endoscopic management with success of conventional techniques in only about half of them (46 %). RO stones detected on fluoroscopy are extremely hard and difficult to crush with lithotripsy basket probably due to high calcium content. Cholangioscopy guided LL provides an excellent alternative management strategy. (Source: Indian Journal of Gastroenterology)
Source: Indian Journal of Gastroenterology - November 26, 2015 Category: Gastroenterology Source Type: research
Surgical and Radiological Studies on the Length of the Hepatic Ducts
Conclusions
The aforementioned anatomical assumption is a surgeon’s biased view. Based on our observations, a flexible procedure selection is recommended. (Source: World Journal of Surgery)
Source: World Journal of Surgery - November 8, 2015 Category: Surgery Source Type: research
Training vs practice: A tale of opposition in acute cholecystitis.
Authors: Patel PP, Daly SC, Velasco JM
Abstract
Acute cholecystitis is one of the most common surgical diagnoses encountered by general surgeons. Despite its high incidence there remains a range of treatment of approaches. Current practices in biliary surgery vary as to timing, intraoperative utilization of biliary imaging, and management of bile duct stones despite growing evidence in the literature defining best practice. Management of patients with acute cholecystitis with early laparoscopic cholecystectomy (LC) results in better patient outcomes when compared with delayed surgical management techniques...
Source: World Journal of Hepatology - October 21, 2015 Category: Gastroenterology Tags: World J Hepatol Source Type: research
Comparative long-term outcomes of upfront resected pancreatic cancer after preoperative biliary drainage
Conclusions
Patients with resectable pancreatic cancer who receive PTBD have more advanced disease, higher hepatic recurrence, and worse survival. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - October 16, 2015 Category: Surgery Source Type: research
Single Incision Laparoscopic Cholecystectomy Performed Via the "Marionette" Technique Shows Equivalence in Outcome and Cost to Standard Four Port Laparoscopic Cholecystectomy in a Selected Patient Population.
Abstract
The aim of our study is to compare single incision laparoscopic cholecystectomy (SILC) performed using the "marionette" technique (m-SILC), to the standard four-port technique [four-port laparoscopic cholecystectomy (4PLC)]. Patient information was extracted from a prospectively maintained database (n = 188). Our primary endpoint was operative costs (determined by operating time and instruments used). Secondary endpoints were length of stay, operative time, blood loss, and postoperative complication rates. Univariate and adjusted multivariate analysis was used to compare the outcomes. There were a...
Source: The American Surgeon - October 1, 2015 Category: Surgery Authors: Saidy MN, Patel SS, Choi MW, Al-Temimi M, Tessier DJ Tags: Am Surg Source Type: research
