Accuracy of intraoperative cholangiogram in hospitalized patients with suspected choledocholithiasis
Masuma Syed: NO financial relationship with a commercial interest (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 1, 2022 Category: Gastroenterology Authors: Masuma Syed, Sang Hee K. Choi, Nikhil R. Thiruvengadam, Kendrick Che, Paul Leonor, Esther Wu, Jeffrey Kim, John J. Kim Tags: Sunday, May 22, 2022 12:30 PM 1:30 PM Source Type: research
Does the absence of contrast passage into the duodenum during intraoperative cholangiogram truly predict choledocholithiasis?
Vishal Kaila: NO financial relationship with a commercial interest | Hemangi Kale: NO financial relationship with a commercial interest (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 1, 2022 Category: Gastroenterology Authors: Vishal Kaila, Hemangi Kale Tags: Sunday, May 22, 2022 12:30 PM 1:30 PM Source Type: research
Multimodal Approach to Acquired Bronchobiliary Fistula Secondary to Hepaticojejunostomy Stricture Following Yttruim-90 Therapy
Am Surg. 2022 Apr 22:31348221088964. doi: 10.1177/00031348221088964. Online ahead of print.ABSTRACTBronchobiliary fistula (BBF) is an abnormal connection between the bronchial system and the biliary tree. It pathognomonically presents with bilioptysis (production of bilious-tinged sputum) and is associated with mortality rates up to 12.7%. Here we present a 56-year-old male with stage IV neuroendocrine pancreatic cancer status post pylorus-preserving pancreaticoduodenectomy. The patient developed an acquired BBF secondary to repeated Yttrium-90 radioembolization therapy that resulted in complete stenosis of the hepaticojej...
Source: The American Surgeon - April 22, 2022 Category: Surgery Authors: Chopra A DeVries M Simo Ka Source Type: research
Multimodal Approach to Acquired Bronchobiliary Fistula Secondary to Hepaticojejunostomy Stricture Following Yttruim-90 Therapy
Am Surg. 2022 Apr 22:31348221088964. doi: 10.1177/00031348221088964. Online ahead of print.ABSTRACTBronchobiliary fistula (BBF) is an abnormal connection between the bronchial system and the biliary tree. It pathognomonically presents with bilioptysis (production of bilious-tinged sputum) and is associated with mortality rates up to 12.7%. Here we present a 56-year-old male with stage IV neuroendocrine pancreatic cancer status post pylorus-preserving pancreaticoduodenectomy. The patient developed an acquired BBF secondary to repeated Yttrium-90 radioembolization therapy that resulted in complete stenosis of the hepaticojej...
Source: The American Surgeon - April 22, 2022 Category: Surgery Authors: Chopra A DeVries M Simo Ka Source Type: research
Multimodal Approach to Acquired Bronchobiliary Fistula Secondary to Hepaticojejunostomy Stricture Following Yttruim-90 Therapy
Am Surg. 2022 Apr 22:31348221088964. doi: 10.1177/00031348221088964. Online ahead of print.ABSTRACTBronchobiliary fistula (BBF) is an abnormal connection between the bronchial system and the biliary tree. It pathognomonically presents with bilioptysis (production of bilious-tinged sputum) and is associated with mortality rates up to 12.7%. Here we present a 56-year-old male with stage IV neuroendocrine pancreatic cancer status post pylorus-preserving pancreaticoduodenectomy. The patient developed an acquired BBF secondary to repeated Yttrium-90 radioembolization therapy that resulted in complete stenosis of the hepaticojej...
Source: The American Surgeon - April 22, 2022 Category: Surgery Authors: Chopra A DeVries M Simo Ka Source Type: research
Terrys nails in an infant with liver cirrhosis
A 33-day-old baby girl was brought with concerns regarding acholic stool colour. After laboratory examinations, abdominal ultrasound and hepatobiliary scintigraphy, biliary atresia was suspected, and the patient was transferred to our hospital for surgery. Biliary atresia was definitively diagnosed by cholangiogram, and the Kasai procedure was performed at 47 days of age, but her jaundice persisted. Her liver condition progressed to cirrhosis requiring liver transplantation. At 5 months of age, during pretransplant evaluation, physical examination revealed conjunctival icterus, hepatosplenomegaly and distended abdominal ve...
Source: Archives of Disease in Childhood - April 20, 2022 Category: Pediatrics Authors: Uda, K., Tsuge, M., Shigehara, K., Yashiro, M., Tsukahara, H. Tags: Miscellanea Source Type: research
Dual Cystic Duct Found and Confirmed by Intraoperative Cholangiography
This report presents a case of aberrant gallbladder anatomy. A 75-year-old female presented to the hospital with choledocholithiasis was admitted and underwent an endoscopic retrograde cholangiopancreatography (ERCP) to clear the common bile duct stones; no aberrant anatomy was noted at this time. The following day she was taken to the operating room for cholecystectomy prior to discharge. During the surgical procedure, the patient was found to have aberrant anatomy and an intraoperative cholangiogram was performed. This identified a dual cystic duct, a rare anomaly.PMID:35435003 | DOI:10.1177/00031348221087442 (Source: The American Surgeon)
Source: The American Surgeon - April 18, 2022 Category: Surgery Authors: Shyamal Pansuriya Elisabeth Ekkel Akash Sheth Source Type: research
Dual Cystic Duct Found and Confirmed by Intraoperative Cholangiography
This report presents a case of aberrant gallbladder anatomy. A 75-year-old female presented to the hospital with choledocholithiasis was admitted and underwent an endoscopic retrograde cholangiopancreatography (ERCP) to clear the common bile duct stones; no aberrant anatomy was noted at this time. The following day she was taken to the operating room for cholecystectomy prior to discharge. During the surgical procedure, the patient was found to have aberrant anatomy and an intraoperative cholangiogram was performed. This identified a dual cystic duct, a rare anomaly.PMID:35435003 | DOI:10.1177/00031348221087442 (Source: The American Surgeon)
Source: The American Surgeon - April 18, 2022 Category: Surgery Authors: Shyamal Pansuriya Elisabeth Ekkel Akash Sheth Source Type: research
Early unplanned readmissions following same-admission cholecystectomy for acute biliary pancreatitis
ConclusionIn this study, using a national population database evaluating patients who underwent same-admission CCY after biliary-AP, we identified potentially modifiable risk factors and causes for early readmission as well as opportunities to improve clinical care. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 12, 2022 Category: Surgery Source Type: research
Three-port laparoscopic cholecystectomy is safe and efficient in the treatment of surgical biliary disease: a retrospective cohort study
AbstractMultiple studies have suggested that three-port laparoscopic cholecystectomy is both feasible and safe. However, this approach has failed to gain acceptance outside of clinical trials, leaving adopters of this approach vulnerable to medico-legal scrutiny. We hypothesized that the three-port approach to laparoscopic cholecystectomy (LC) is safe and efficient in experienced hands. All LC (including robotic) cases were performed on patients 18 years and older between November 2018 and March 2020. Operations utilizing three ports were compared to those performed using more than three ports. The primary outcomes measu...
Source: Journal of Robotic Surgery - April 11, 2022 Category: Surgery Source Type: research
Over-The-Scope Clip for the Immediate Management of Stapfer Type-1 Duodenal Perforation during Endoscopic Retrograde Cholangiopancreatography
Iatrogenic Stapfer type-1 duodenal perforations during endoscopic retrograde cholangiopancreatography (ERCP) typically necessitate surgical management and carry significant morbidity and mortality risk. Here, we present a case of a large duodenal perforation during ERCP managed endoscopically with an over-the-scope clip (OTSC) and describe the subsequent post-procedural management. An 80-year-old woman presented to the emergency department with acute cholangitis. Abdominal ultrasound scan revealed a dilated biliary tree with echogenic material in the common hepatic and intrahepatic ducts. The patient proceeded to ERCP, whe...
Source: Case Reports in Gastroenterology - March 28, 2022 Category: Gastroenterology Source Type: research
Delivery of a Laparoscopic Bile Duct Exploration Service as a Primary Treatment Modality for Choledocholithiasis within the NHS Healthcare System
ConclusionThe data from our study shows that LC and LCBDE is a safe, effective service that can be successfully delivered in the NHS. With the developing specialisation of benign biliary units, we believe that this approach to choledocholithiasis is reproducible and achievable nationally and should be considered first-line in the management of this condition. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 11, 2022 Category: Surgery Source Type: research
Serum matrix metalloproteinase 7 as a diagnostic and prognostic biomarker for extrahepatic biliary atresia
Conclusions: MMP-7 has a diagnostic value in differentiating EHBA from NH and may also be used as a prognostic biomarker in the follow-up of these patients. MMP-7 levels in controls may be used as a baseline for future studies. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - March 1, 2022 Category: Surgery Authors: Teg Rabab Singh Prabudh Goel Minu Bajpai Devasenathipathy Kandasamy Rohan Malik Rajni Yadav Shyam Prakash Kalaivani Mani Madhavi Tripathi Devendra Kumar Yadav Anjan Kumar Dhua Vishesh Jain Sandeep Agarwala Source Type: research
A UK survey on variation in the practice of management of choledocholithiasis and laparoscopic common bile duct exploration (ALiCE Survey)
Conclusion Our survey confirms the significant variability in the diagnosis and management of CBDS. The two-stage approach is still the most common way of managing CBDS in the UK. The main reasons for the low uptake of the single-stage approach are the availability of good ERCP service, lack of equipment and lack of formal training in the technique of LCBDE. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 10, 2022 Category: Surgery Source Type: research
Increased ERCP Volume Improves Cholangiogram Interpretation - A New Performance Measure for ERCP Training?
CONCLUSIONS: This investigation supports the notion that cholangiogram interpretation improves with increased annual ERCP case volumes. Thus, a higher annual volume of procedures performed may improve the ability to correctly interpret particularly difficult findings. Cholangiogram interpretation, in addition to bile duct cannulation, could be considered as another KPI of ERCP training.PMID:35114744 | DOI:10.5946/ce.2021.239 (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - February 3, 2022 Category: Gastroenterology Authors: Shyam Vedantam Sunil Amin Ben Maher Saqib Ahmad Shanil Kadir Saad Khalid Niaz Mark Wright Nadeem Tehami Source Type: research
