The Added Value of Intraoperative Near-Infrared Fluorescence Imaging in Elective Laparoscopic Cholecystectomy
Surg Innov. 2021 Nov 21:15533506211052744. doi: 10.1177/15533506211052744. Online ahead of print.ABSTRACTBile duct injury is a major complication of laparoscopic cholecystectomy (LC). Intraoperative cholangiogram is useful, but faster techniques are available to assist the surgeon, like near-infrared fluorescent cholangiography (NIFC) with indocyanine green (ICG). The aim of our study is to evaluate the usefulness of NIFC during LC. This is a retrospective study conducted on prospectively recorded data of the General Surgery department of Trieste Academic Hospital, Italy. All patients underwent elective LC from January 201...
Source: Surgical Innovation - November 22, 2021 Category: Surgery Authors: Cristiana Iacuzzo Livia Bressan Marina Troian Paola Germani Fabiola Giudici Marina Bortul Source Type: research
The Added Value of Intraoperative Near-Infrared Fluorescence Imaging in Elective Laparoscopic Cholecystectomy
Surg Innov. 2021 Nov 21:15533506211052744. doi: 10.1177/15533506211052744. Online ahead of print.ABSTRACTBile duct injury is a major complication of laparoscopic cholecystectomy (LC). Intraoperative cholangiogram is useful, but faster techniques are available to assist the surgeon, like near-infrared fluorescent cholangiography (NIFC) with indocyanine green (ICG). The aim of our study is to evaluate the usefulness of NIFC during LC. This is a retrospective study conducted on prospectively recorded data of the General Surgery department of Trieste Academic Hospital, Italy. All patients underwent elective LC from January 201...
Source: Surgical Innovation - November 22, 2021 Category: Surgery Authors: Cristiana Iacuzzo Livia Bressan Marina Troian Paola Germani Fabiola Giudici Marina Bortul Source Type: research
The Added Value of Intraoperative Near-Infrared Fluorescence Imaging in Elective Laparoscopic Cholecystectomy
Surg Innov. 2021 Nov 21:15533506211052744. doi: 10.1177/15533506211052744. Online ahead of print.ABSTRACTBile duct injury is a major complication of laparoscopic cholecystectomy (LC). Intraoperative cholangiogram is useful, but faster techniques are available to assist the surgeon, like near-infrared fluorescent cholangiography (NIFC) with indocyanine green (ICG). The aim of our study is to evaluate the usefulness of NIFC during LC. This is a retrospective study conducted on prospectively recorded data of the General Surgery department of Trieste Academic Hospital, Italy. All patients underwent elective LC from January 201...
Source: Surgical Innovation - November 22, 2021 Category: Surgery Authors: Cristiana Iacuzzo Livia Bressan Marina Troian Paola Germani Fabiola Giudici Marina Bortul Source Type: research
The Added Value of Intraoperative Near-Infrared Fluorescence Imaging in Elective Laparoscopic Cholecystectomy
Surg Innov. 2021 Nov 21:15533506211052744. doi: 10.1177/15533506211052744. Online ahead of print.ABSTRACTBile duct injury is a major complication of laparoscopic cholecystectomy (LC). Intraoperative cholangiogram is useful, but faster techniques are available to assist the surgeon, like near-infrared fluorescent cholangiography (NIFC) with indocyanine green (ICG). The aim of our study is to evaluate the usefulness of NIFC during LC. This is a retrospective study conducted on prospectively recorded data of the General Surgery department of Trieste Academic Hospital, Italy. All patients underwent elective LC from January 201...
Source: Surgical Innovation - November 22, 2021 Category: Surgery Authors: Cristiana Iacuzzo Livia Bressan Marina Troian Paola Germani Fabiola Giudici Marina Bortul Source Type: research
Creation of a Pediatric Choledocholithiasis Prediction Model
Conclusion:
Our novel pediatric choledocholithiasis predictive model is a highly specific tool to suggest ERCP in the setting of likely choledocholithiasis. (Source: Journal of Pediatric Gastroenterology and Nutrition)
Source: Journal of Pediatric Gastroenterology and Nutrition - November 1, 2021 Category: Gastroenterology Tags: Original Articles: Hepatology Source Type: research
Validation of choledocholithiasis predictors from the “2019 ASGE Guideline for the role of endoscopy in the evaluation and management of choledocholithiasis.”
ConclusionCompared to 2010, the 2019 high-risk criterion improves diagnostic test performance, but still performs suboptimally. Less invasive tests, such as EUS or MRCP, should be considered in patients with suspected CDL prior to ERCP. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - October 15, 2021 Category: Surgery Source Type: research
Cholangioscopy to diagnose and treat a patient with congenital absence of the cystic duct
A 15-year-old young woman presented with progressive painless jaundice that she had experienced for 6 weeks. Owing to failed biliary cannulation during the first ERCP attempt, temporary drainage from the left intrahepatic duct was provided before biliary access was successful. A cholangiogram revealed a normal-sized common bile duct (CBD) with abrupt dilatation of the common hepatic and intrahepatic ducts and marked dilatation of the gallbladder (A). Cholangioscopy revealed a mucosal ring at the gallbladder opening (B), and a guidewire was placed through the cholangioscope into the gallbladder. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - October 12, 2021 Category: Gastroenterology Authors: Phonthep Angsuwatcharakon, Panida Piyachaturawat, Linda Pantongrag-Brown, Rungsun Rerknimitr Tags: At the focal point Source Type: research
Transcholecystic management of extrahepatic duct stones in poor candidates for endoscopic or transhepatic approaches
ConclusionsPercutaneous EHD stone removal through transcholecystic and transhepatic routes after PC is effective and safe in poor candidates for PTBD or ERCP.Key Points• This study shows the safety and efficacy of extrahepatic duct (EHD) stones in patients who are poor candidates for initial percutaneous transhepatic biliary drainage and endoscopic retrograde cholangiopancreatography.• The overall technical success for the transcholecystic-only approach was 80.5% (33/41). Including transhepatic conversions, it was 100% (41/41). Stone removal was successful in one session in 78% (32/41) of the patients and in multiple s...
Source: European Radiology - September 9, 2021 Category: Radiology Source Type: research
Cost-effectiveness analysis of optimal diagnostic strategy for patients with symptomatic cholelithiasis with intermediate probability for choledocholithiasis
Endoscopic ultrasound (EUS), magnetic resonance cholangiopancreatography (MRCP), and intraoperative cholangiogram (IOC) are the recommended diagnostic modalities for patients with intermediate probability for choledocholithiasis (IPC). The relative cost-effectiveness of these modalities in patients with cholelithiasis and IPC is understudied. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - September 6, 2021 Category: Gastroenterology Authors: Faisal S. Ali, Tomas DaVee, Elmer Bernstam, Lillian S. Kao, Mike Wandling, Maryam R. Hussain, Shahrooz Rashtak, Srinivas Ramireddy, Sushovan Guha, Nirav Thosani Source Type: research
Endoscopic retrograde cholangiopancreatography and intraductal ultrasonography in the diagnosis of autoimmune pancreatitis and IgG4-related sclerosing cholangitis
AbstractEndoscopic retrograde cholangiopancreatography is used to evaluate the narrowing of the main pancreatic duct in autoimmune pancreatitis (AIP) and biliary stricture in IgG4-related sclerosing cholangitis (IgG4-SC). Intraductal ultrasonography enables detailed visualization of the thickening of the bile duct wall in IgG4-SC. Pancreatic cancer, cholangiocarcinoma, and primary sclerosing cholangitis are important mimicking conditions of AIP and IgG4-SC. Diffuse or segmental stricture without marked upstream dilatation is a typical pancreatographic finding in AIP. By contrast, a single, short stricture with marked upstr...
Source: Journal of Medical Ultrasonics - July 31, 2021 Category: Radiology Source Type: research
Cutting edge issues in juvenile sclerosing cholangitis
Sclerosing cholangitis (SC) is a rare chronic disorder characterised by inflammation and progressive obliterative fibrosis of the intrahepatic and/or extrahepatic bile ducts.Diagnosis is based on cholangiogram showing bile duct dilatation, narrowing and obliteration of the biliary tree, and histologically, on the presence of inflammatory bile duct damage leading to periductal fibrosis.In children the most common SC is associated with strong autoimmune features, overlapping with those of autoimmune hepatitis (AIH); this form is known as autoimmune sclerosing cholangitis, ASC. (Source: Digestive and Liver Disease)
Source: Digestive and Liver Disease - July 18, 2021 Category: Gastroenterology Authors: Angelo Di Giorgio, Diego Vergani, Giorgina Mieli-Vergani Tags: Review Article Source Type: research
Gravity dependent and hand held 'push' injection method of contrast cholangiography: A pilot study comparing outcomes and efficacy
CONCLUSIONS: When required, GDC, limiting rise in intrabiliary pressure, is a safer, completely efficacious and economical technique.PMID:34230299 | DOI:10.14701/ahbps.EP-204 (Source: Hand Surgery)
Source: Hand Surgery - July 7, 2021 Category: Surgery Authors: Neha Bhatt Nalini Kanta Ghosh Rajan Saxena Source Type: research
Prevalence of Persistent Common Bile Duct Stones in Acute Biliary Pancreatitis Remains Stable Within the First Week of Symptoms
ConclusionsIn patients with mild acute biliary pancreatitis, the prevalence of persistent CBD stones does not change within the first 7 days since the onset of symptoms. This fact may have major clinical relevance when deciding the optimal therapeutic strategy in this population. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 22, 2021 Category: Surgery Source Type: research
