Management of biliary obstruction. Medical search. Frequent questions

Purpose To evaluate the factors that predict symptomatic dislodgement of a percutaneous transhepatic biliary drainage (PTBD) catheter in patients with malignant biliary obstruction. (koreamed.org)
Endoscopically applied radiofrequency ablation appears to be safe in the treatment of malignant biliary obstruction. (thieme-connect.com)
Radiofrequency ablation combined with biliary stent placement versus stent placement alone for malignant biliary strictures: a systemic review and meta-analysis. (thieme-connect.com)
ROLE OF IMAGING BEFORE PALLIATIVE BILIARY DRAINAGE Because the method of management of malignant biliary obstruction depends on the resectability of the underlying tumor, patients should undergo accurate staging of the disease. (kipdf.com)

Endoscopic retrograde cholangiopancreatography drainage for palliation of malignant hilar biliary obstruction - stent-in-stent or side-by-side? (wjgnet.com)
Stents can be placed via endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTC) to relieve biliary obstruction. (medscape.com)
Background/Aims: Endoscopic biliary drainage is the gold standard treatment for cholangitis. (koreamed.org)
The two methods of biliary drainage are endoscopic biliary stenting and nasobiliary drainage. (koreamed.org)
This study aimed to evaluate our experience in Morocco on treating patients, by surgical biliary bypass or endoscopic stenting, presented by obstructive jaundice from advanced cancer head pancreas and to compare the patient's outcome in terms of post procedure mortality, morbidity, assess cost effectiveness, re-hos- pitalization and overall survival in these patients. (scirp.org)
Endoscopic retrograde cholangiopancreatography (ERCP) demonstrates the site of obstruction, excludes ampullary pathology, and allows collection of specimens for histologic studies. (medscape.com)
Malignant distal biliary obstruction: a systemic review and meta-analysis of endoscopic and surgical bypass results. (thieme-connect.com)
Intraductal endoscopic radiofrequency ablation for the treatment of hilar non-resectable malignant bile duct obstruction. (thieme-connect.com)
Background: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is widely used for the pathological diagnosis of solid pancreatic lesions but in cases with obstructive jaundice, transpapillary sampling can be performed during endoscopic retrograde cholangiopancreatography with transpapillary biliary stent placement. (bvsalud.org)
Thus, it is still controversial whether EUS-FNA should be performed prior to endoscopic retrograde cholangiopancreatography with biliary stent placement or only after negative transpapillary sampling. (bvsalud.org)
Conclusions: The presence of biliary stents had a negative impact on the diagnostic performance of EUS-FNA, and EUS-FNA prior to endoscopic retrograde cholangiopancreatography with biliary stent placement should be considered in cases with obstructive jaundice. (bvsalud.org)
Background: Endoscopic self-expandable metal stent (SEMS) placement is a current mainstay for malignant gastric outlet obstruction (GOO), but symptomatic recurrence due to initial SEMS dysfunction commonly occurs. (bvsalud.org)
Surgical, endoscopic, and interventional radiologic (IR) percutaneous techniques are available for biliary drainage. (kipdf.com)
Because most patients undergo endoscopic retrograde cholangiopancreaticogram (ERCP) during the diagnostic workup for obstructive jaundice endoscopic insertion of biliary endoprostheses is performed more often than percutaneous drainage. (kipdf.com)
In patients with strictures below the hilum of the liver, endoscopic drainage achieves a high rate of success, is associated with fewer complications than percutaneous intervention, and avoids the discomfort of a percutaneous biliary catheter. (kipdf.com)
The majority of strictures of the mid and lower common bile ducts, which are mainly caused by carcinoma of the head of the pancreas, can be drained effectively by the endoscopic approach.5 Many hilar biliary strictures are difficult to treat endoscopically, however, and are best dealt with interventional radiologic techniques.6 The indications for PTBD are summarized in Table 15.1. (kipdf.com)
We analyzed six patients who underwent endoscopic management for rectal DL after presenting with hematochezia at a single institute over 10 years. (e-ce.org)
Therefore, we report on our experiences with endoscopic management for rectal DL at a single tertiary medical center between January 1, 2002 and December 31, 2011. (e-ce.org)

Adequate biliary drainage can be achieved in a high percentage of cases. (medscape.com)
PDT is effective in restoring biliary drainage and improving quality of life in patients with nonresectable disseminated cholangiocarcinomas. (medscape.com)
Percutaneous transhepatic cholangiography (PTC) may allow access to proximal lesions with obstruction of both right and left hepatic ducts, permitting collection of material for cytologic studies and performance of drainage. (medscape.com)
Life-threatening infection (cholangitis) may occur that requires immediate antibiotic intervention and aggressive biliary drainage. (medscape.com)
This retrospective study included 6 children with choledochal cyst who underwent initial US-guided percutaneous external drainage and subsequent cyst excision with Roux-en-Y hepaticojejunostomy between January 2021 and September 2022. (biomedcentral.com)
Four patients (4/6) had a giant choledochal cyst with the widest diameter of ≥ 10 cm and underwent US-guided percutaneous biliary drainage on admission or after conservative treatments. (biomedcentral.com)
INTRODUCTION Interventional radiologists first became involved in the management of malignant obstruction of the biliary tree in the late 1960s, when Kaude et al.1 introduced nonsurgical biliary drainage. (kipdf.com)
BILIARY DRAINAGE FOR MALIGNANT STRICTURES Biliary obstruction is potentially fatal because of the adverse pathologic effects including depressed immunity, impaired phagocytic activity, reduced Kupffer cell function, and paucity of bile salts reaching the gut, with consequent endotoxemia, septicemia, and renal failure. (kipdf.com)
Because of the lower morbidity and mortality associated with ERC and percutaneous transhepatic biliary drainage (PTBD) compared to surgical methods, surgery is now rarely employed for palliative purposes. (kipdf.com)
Preoperative Percutaneous Transhepatic Biliary Drainage The practice of PTBD prior to surgery is controversial. (kipdf.com)
Either internal/external biliary drainage catheters or more plastic stents are inserted 2 to 6 weeks prior to elective surgery. (kipdf.com)
3 ]. Although not common in devel- cultures from abdominal drainage spec- and penetrate the biliary ducts or the oped countries, ascariasis infection is imens were negative. (who.int)

Blumgart's Surgery of the Liver, Biliary Tract and Pancreas. (medlineplus.gov)
Wyatt JI, Haugk B. Liver, biliary system and pancreas. (medlineplus.gov)
Drug-induced liver injury should be considered in any acute liver injury or jaundice without evidence of biliary obstruction. (bsg.org.uk)
Liver biopsy and HLA genotyping can help clinical management by differentiating DILI from AIH and excluding DILI secondary to certain drugs. (bsg.org.uk)
Following a large national audit in the UK of 881 consecutive patients admitted with jaundice, where a biliary obstruction was ruled out by imaging, idiosyncratic DILI was the second most common cause of liver injury (15% of cases) after alcoholic liver disease (2). (bsg.org.uk)
Cholangiocarcinomas (CCCs) are malignancies of the biliary duct system that may originate in the liver and extrahepatic bile ducts, which terminate at the ampulla of Vater. (medscape.com)
Budd-Chiari Syndrome Budd-Chiari syndrome is obstruction of hepatic venous outflow that originates anywhere from the small hepatic veins inside the liver to the inferior vena cava and right atrium. (msdmanuals.com)
Alanine aminotransferase and aspartate transaminase are usually suggestive of liver disease whereas elevation of bilirubin and alkaline phosphatase suggests common bile duct obstruction. (wikipedia.org)
The role of radiotherapy and chemoradiation in the management of primary liver tumours. (cancercentrum.se)
A bile duct obstruction (extrahepatic biliary tract obstruction) occurs when the normal flow of bile secretions is blocked from leaving the liver and entering the intestines. (hugspetproducts.com)

A study by Kida et al found that covered biliary self-expandable metal stents could be safely removed when they become occluded and that patency rates were similar for reintervention and initial stent placement. (medscape.com)
Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal ENDOSCOPY (ESGE) clinical guideline. (thieme-connect.com)
Comparative performance of uncoated, self-expanding metal biliary stents of different designs in 2 diameters: final results of an international multicenter randomized controlled trial. (thieme-connect.com)
Radiofrequency ablation for the management of occluded biliary metal stents. (thieme-connect.com)
Methods: The accuracy, sensitivity, and specificity of EUS-FNA for solid pancreatic lesions with or without indwelling biliary stents were retrospectively studied in patients undergoing EUS-FNA between January 2017 and December 2021. (bvsalud.org)
We also conducted a meta-analysis including our data to compare the accuracy and sensitivity of EUS-FNA with or without biliary stents. (bvsalud.org)
Results: A total of 509 patients (40 with biliary stents and 469 without biliary stents) were included. (bvsalud.org)

an ultrasound, which showed an extrahepatic biliary dilatation, and common bile duct measuring 12.6mm. (hdc.org.nz)
Cholangiocarcinomas arise from the intrahepatic or extrahepatic biliary epithelium. (medscape.com)
This causes what's known as an extrahepatic biliary tract obstruction. (hugspetproducts.com)

Palliative stenting to relieve biliary obstruction can be performed at the time of evaluation. (medscape.com)

Pitt HA, Nakeeb A. Bile secretion and pathophysiology of biliary tract obstruction. (medlineplus.gov)

Moreover, a debate on outcome results in these patients who receive plastic biliary endoprothesis versus surgical bypass as palliation of obstructive jaundice. (scirp.org)
Most patients with malignant obstructive jaundice caused by carcinoma of the gallbladder, carcinoma of the pancreas, and cholangiocarcinoma present with advanced disease2,3 and only 20% to 30% of such tumors are resectable at the time of diagnosis.2,4 Palliation of the malignant obstruction relieves the patient of itching and jaundice, reduces the risk of infection and septicemia, and generally improves the quality of life. (kipdf.com)

The presence of gallstones can lead to inflammation of the gallbladder ( cholecystitis ) or the biliary tree ( cholangitis ) or acute inflammation of the pancreas ( pancreatitis ). (wikipedia.org)

In addition, doxylamine succinate has anticholinergic properties and should be used with caution in patients with glaucoma, asthma, or urinary obstruction. (medscape.com)
The management of diabetic dyslipidemia, a well-recognized and modifiable risk factor, is a key element in the multifactorial approach to preventing CVD in patients with type 2 diabetes. (ahdbonline.com)
To describe the effective approach to the management of dyslipidemia in patients with diabetes to allow providers and payers to become familiar with the treatment goals for all the components of lipoproteins, to correctly initiate appropriate lipid-lowering medications based on treatment goals and lipid-lowering capability, and to apply the data presented in lipid clinical trials to the treatment of patients with diabetes. (ahdbonline.com)
however, good lipid management is vital for reducing the incidence of cardiovascular events in patients with diabetes. (ahdbonline.com)
Patients with longer-lasting biliary pain, in combination with abdominal tenderness, fever, and/or leukocytosis, require an ultrasound evaluation to help establish a diagnosis of acute cholecystitis. (aafp.org)
Patients with biliary pain should have laparoscopic cholecystectomy on first open operative day. (aafp.org)
Patients with acute cholecystitis should have a laparoscopic cholecystectomy early in their management course. (aafp.org)
In a randomized clinical study 7 comparing surgery with observation for patients with symptomatic, noncomplicated gallstone disease, approximately 20 percent of patients in the observation group had recurrent biliary pain requiring hospital admission. (aafp.org)
[6] Patients usually have normal vital signs with biliary colic, whereas patients with cholecystitis are usually febrile and more ill appearing. (wikipedia.org)
Furthermore, biliary pain may be associated with functional disorders of the biliary tract, so-called acalculous biliary pain (pain without stones), and can even be found in patients post-cholecystectomy (removal of the gallbladder), possibly as a consequence of dysfunction of the biliary tree and the sphincter of Oddi . (wikipedia.org)
Biopsy methods for accurate histologic or cytologic proof of malignancy are absolutely essential to workup and subsequent management of suspected cancer patients. (oncolink.org)
The role of staging laparoscopy in primary gall bladder cancer--an analysis of 409 patients: a prospective study to evaluate the role of staging laparoscopy in the management of gallbladder cancer. (cancercentrum.se)
Patients presenting with symptomatic single-level lumbar DDD who failed at least 6 months of nonsurgical management were randomly allocated (2:1) to treatment with an investigational TDR device (activL®, n = 218) or FDA-approved control TDR devices (ProDisc-L or Charité, n = 106). (medscape.com)

1] The ERCP was performed on 21 June 1999 by Dr J. The report concluded that Mrs K had a mildly dilated extra and intrahepatic biliary system, the cause of which was uncertain, and queried whether she had an obstructed cystic duct from a cystic duct stone obstruction or stone in the neck of the gall bladder. (hdc.org.nz)

Since then, improved diagnostic imaging techniques, significant developments in interventional radiology, and the results of clinical trials have revolutionized and clearly defined the role of percutaneous biliary interventions. (kipdf.com)

Ultrasound may demonstrate biliary duct dilatation and larger hilar lesions. (medscape.com)

A biliary catheter (red tube) runs through the tumor volume and was used to deliver brachytherapy, which was given in addition to external-beam radiotherapy. (medscape.com)

The aim of this report is to present a case of bowel obstruction caused by A. lumbricoides as a cause of acute abdomen in one governorate in Egypt. (who.int)

If there's a blockage (bile duct obstruction), the bilirubin builds up and eventually finds its way into the bloodstream. (hugspetproducts.com)
Dogs who like to swallow things other than their own food (toys, bones, rocks, socks, trash, etc.) are at risk of bile duct obstruction. (hugspetproducts.com)

Biliary tract infection results from bile stasis due to chronic obstruction, mainly (80%) gallstones. (nepjol.info)
Laparoscopic cholecystectomy is considered the most cost-effective management strategy in the treatment of symptomatic gallstones. (aafp.org)
[3] Of those with gallstones, biliary colic occurs in 1 to 4% each year. (wikipedia.org)
Biliary pain in the absence of gallstones, known as postcholecystectomy syndrome , may severely affect the patient's quality of life, even in the absence of disease progression. (wikipedia.org)

The most common causes of acute abdomen are acute appendicitis, acute peptic ulcer, acute cholecystitis, acute pancreatitis, intestinal obstruction, acute peritonitis and acute pyelonephritis [8]. (who.int)

I provide the specialist pancreato-biliary surgical service to Hertfordshire and South Bedfordshire. (bupa.co.uk)
Emergency surgical treatment may be necessary in acute intestinal obstruction in which the mass of the parasite obstructs the intestinal lumen or intestinal obstruction develops due to volvulus [11]. (who.int)

Biliary SEMS are used to palliatively treat tumours of the pancreas or bile duct that obstruct the common bile duct. (wikipedia.org)

Early diagnosis of intestinal obstruction caused by A. lumbricoides using ultrasonography is very useful to avoid its serious and lethal complications [10]. (who.int)

Obstructed biliary system due to an obstruction in the distal CBD [common bile duct]. (hdc.org.nz)
Biliary pain is most frequently caused by obstruction of the common bile duct or the cystic duct by a gallstone . (wikipedia.org)

Although ascariasis cases are usually asymptomatic, infection leads to malnutrition in children and causes about 3000-60 000 deaths every year, usually as a result of intestinal obstruction [5-7]. (who.int)
One cause of intestinal obstruction by parasites is A. lumbricoides infection. (who.int)
The most commonly known serious and lethal complication of A. lumbricoides infection is intestinal obstruction, caused by an aggregated mass of A. lumbricoides worms, which may develop acutely or subacutely [9]. (who.int)

Biliary colic , also known as symptomatic cholelithiasis , a gallbladder attack or gallstone attack , is when a colic (sudden pain) occurs due to a gallstone temporarily blocking the cystic duct . (wikipedia.org)

SEMS are used to treat additional complications of cancer, such as tracheoesophageal fistulas from esophageal cancer, and gastric outlet obstruction from stomach, duodenal, or pancreatic cancer. (wikipedia.org)

Debate exists about whether preoperative stenting is warranted, but most surgeons believe that preoperative biliary decompression does not alter the outcome of surgery. (medscape.com)

It is often used for detecting ascites, biliary or renal obstruction, or pelvic tumors, and is also useful for guiding biopsies. (oncolink.org)

Traditionally, management of lumbar DDD was limited to either nonsurgical treatment or fusion of the affected level. (medscape.com)

Once cirrhosis develops, treatment is aimed at the management of complications as they arise. (medscape.com)

Conclusion: Biliary bypass surgery for unresectable pancreatic cancer may improve patient survival, although prolongs hospital stay. (scirp.org)
[1] As of 2017, [update] it is not clear whether surgery is indicated for everyone with biliary colic. (wikipedia.org)
It covers the most common problems in thoracic, obstetric, gynecologic, anorectal, vascular and skin surgery and also includes chapters on postoperative complications in bariatric surgery, antibiotic management, nutrition and interventional radiology in acute care surgery. (nshealth.ca)
Hepatic resection in 485 R0 pT2 and pT3 cases of advanced carcinoma of the gallbladder: results of a Japanese Society of Biliary Surgery survey--a multicenter study. (cancercentrum.se)
Results of a Japanese Society of Biliary Surgery Survey: a multicenter study. (cancercentrum.se)
It is advocated by some surgeons in certain circumstances before curative resection, however, as a method of correcting metabolic derangements produced by biliary obstruction prior to surgery. (kipdf.com)

Medical management strategies are mostly palliative and are not widely supported. (aafp.org)

Anything that stops the bile from entering the first part of the small intestine (known as the duodenum) is considered an obstruction. (hugspetproducts.com)

DILI is a common cause of emergency admissions with jaundice after excluding biliary pathology. (bsg.org.uk)

Project: The Role of Photodynamic Therapy in the treatment of pancreatico-biliary and prostatic malignancy. (bupa.co.uk)

How to address complicated choledochal cyst has always been challenging in clinical management. (biomedcentral.com)

on the other hand, the antibiotic usage for its management cover a broad spectrum of organism which may not be required most of the times. (nepjol.info)

Anatomy25

Organisms1

Diseases104

Chemicals and Drugs14

Analytical, Diagnostic and Therapeutic Techniques and Equipment75

Psychiatry and Psychology1

Phenomena and Processes13

Disciplines and Occupations2

Anthropology, Education, Sociology and Social Phenomena2

Technology, Industry, Agriculture2

Humanities1

Information Science6

Named Groups1

Health Care42

Geographicals2

Malignant biliary4

Endoscopic18

Drainage12

Liver10

Stents7

Extrahepatic biliary3

Relieve biliary obstruction1

Tract obstruction1

Obstructive jaundice2

Cholangitis1

Patients13

Intrahepatic biliary1

Percutaneous biliary1

Dilatation1

Catheter1

Bowel1

Bile duct obstruction2

Gallstones4

Appendicitis1

Surgical2

Pancreas1

Diagnosis1

Common bile2

Intestinal3

Symptomatic cholelithiasis1

Gastric1

Stenting1

Ascites1

Nonsurgical1

Cirrhosis1

Surgery6

Palliative1

Duodenum1

Pathology1

Malignancy1

Clinical management1

Antibiotic1