The channels that collect and transport the bile secretion from the BILE CANALICULI, the smallest branch of the BILIARY TRACT in the LIVER, through the bile ductules, the bile ducts out the liver, and to the GALLBLADDER for storage.
Passages external to the liver for the conveyance of bile. These include the COMMON BILE DUCT and the common hepatic duct (HEPATIC DUCT, COMMON).
The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.
An emulsifying agent produced in the LIVER and secreted into the DUODENUM. Its composition includes BILE ACIDS AND SALTS; CHOLESTEROL; and ELECTROLYTES. It aids DIGESTION of fats in the duodenum.
Tumors or cancer of the BILE DUCTS.
Impairment of bile flow in the large BILE DUCTS by mechanical obstruction or stricture due to benign or malignant processes.
Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.
Steroid acids and salts. The primary bile acids are derived from cholesterol in the liver and usually conjugated with glycine or taurine. The secondary bile acids are further modified by bacteria in the intestine. They play an important role in the digestion and absorption of fat. They have also been used pharmacologically, especially in the treatment of gallstones.
Passages within the liver for the conveyance of bile. Includes right and left hepatic ducts even though these may join outside the liver to form the common hepatic duct.
Impairment of bile flow due to obstruction in small bile ducts (INTRAHEPATIC CHOLESTASIS) or obstruction in large bile ducts (EXTRAHEPATIC CHOLESTASIS).
Diseases of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.
Predominantly extrahepatic bile duct which is formed by the junction of the right and left hepatic ducts, which are predominantly intrahepatic, and, in turn, joins the cystic duct to form the common bile duct.
A benign tumor of the intrahepatic bile ducts.
Solid crystalline precipitates in the BILIARY TRACT, usually formed in the GALLBLADDER, resulting in the condition of CHOLELITHIASIS. Gallstones, derived from the BILE, consist mainly of calcium, cholesterol, or bilirubin.
An imaging test of the BILIARY TRACT in which a contrast dye (RADIOPAQUE MEDIA) is injected into the BILE DUCT and x-ray pictures are taken.
Tumor or cancer of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.
Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure.
Ducts that collect PANCREATIC JUICE from the PANCREAS and supply it to the DUODENUM.
A malignant tumor arising from the epithelium of the BILE DUCTS.
The BILE DUCTS and the GALLBLADDER.
The duct that is connected to the GALLBLADDER and allows the emptying of bile into the COMMON BILE DUCT.
A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances.
Any surgical procedure performed on the biliary tract.
Jaundice, the condition with yellowish staining of the skin and mucous membranes, that is due to impaired BILE flow in the BILIARY TRACT, such as INTRAHEPATIC CHOLESTASIS, or EXTRAHEPATIC CHOLESTASIS.
Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both.
Progressive destruction or the absence of all or part of the extrahepatic BILE DUCTS, resulting in the complete obstruction of BILE flow. Usually, biliary atresia is found in infants and accounts for one third of the neonatal cholestatic JAUNDICE.
Presence or formation of GALLSTONES in the BILIARY TRACT, usually in the gallbladder (CHOLECYSTOLITHIASIS) or the common bile duct (CHOLEDOCHOLITHIASIS).
Surgical removal of the GALLBLADDER.
Excision of the gallbladder through an abdominal incision using a laparoscope.
A storage reservoir for BILE secretion. Gallbladder allows the delivery of bile acids at a high concentration and in a controlled manner, via the CYSTIC DUCT to the DUODENUM, for degradation of dietary lipid.
The largest lymphatic vessel that passes through the chest and drains into the SUBCLAVIAN VEIN.
Application of a ligature to tie a vessel or strangulate a part.
Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
Incision of Oddi's sphincter or Vater's ampulla performed by inserting a sphincterotome through an endoscope (DUODENOSCOPE) often following retrograde cholangiography (CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE). Endoscopic treatment by sphincterotomy is the preferred method of treatment for patients with retained or recurrent bile duct stones post-cholecystectomy, and for poor-surgical-risk patients that have the gallbladder still present.
Tumors or cancer in the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
Non-invasive diagnostic technique for visualizing the PANCREATIC DUCTS and BILE DUCTS without the use of injected CONTRAST MEDIA or x-ray. MRI scans provide excellent sensitivity for duct dilatation, biliary stricture, and intraductal abnormalities.
Presence or formation of GALLSTONES in the COMMON BILE DUCT.
A dilation of the duodenal papilla that is the opening of the juncture of the COMMON BILE DUCT and the MAIN PANCREATIC DUCT, also known as the hepatopancreatic ampulla.
Impairment of bile flow due to injury to the HEPATOCYTES; BILE CANALICULI; or the intrahepatic bile ducts (BILE DUCTS, INTRAHEPATIC).
A congenital anatomic malformation of a bile duct, including cystic dilatation of the extrahepatic bile duct or the large intrahepatic bile duct. Classification is based on the site and type of dilatation. Type I is most common.
Tumors or cancer of the gallbladder.
A short thick vein formed by union of the superior mesenteric vein and the splenic vein.
Adenocarcinoma of the common hepatic duct bifurcation. These tumors are generally small, sharply localized, and seldom metastasizing. G. Klatskin's original review of 13 cases was published in 1965. Once thought to be relatively uncommon, tumors of the bifurcation of the bile duct now appear to comprise more than one-half of all bile duct cancers. (From Holland et al., Cancer Medicine, 3d ed, p1457)
Any of the ducts which transport saliva. Salivary ducts include the parotid duct, the major and minor sublingual ducts, and the submandibular duct.
Tumors or cancer of the LIVER.
Excision of all or part of the liver. (Dorland, 28th ed)
Linear TETRAPYRROLES that give a characteristic color to BILE including: BILIRUBIN; BILIVERDIN; and bilicyanin.
Minute intercellular channels that occur between liver cells and carry bile towards interlobar bile ducts. Also called bile capillaries.
Surgical formation of an opening (stoma) into the COMMON BILE DUCT for drainage or for direct communication with a site in the small intestine, primarily the DUODENUM or JEJUNUM.
A clinical manifestation of HYPERBILIRUBINEMIA, characterized by the yellowish staining of the SKIN; MUCOUS MEMBRANE; and SCLERA. Clinical jaundice usually is a sign of LIVER dysfunction.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
A bile pigment that is a degradation product of HEME.
FIBROSIS of the hepatic parenchyma due to obstruction of BILE flow (CHOLESTASIS) in the intrahepatic or extrahepatic bile ducts (BILE DUCTS, INTRAHEPATIC; BILE DUCTS, EXTRAHEPATIC). Primary biliary cirrhosis involves the destruction of small intra-hepatic bile ducts and bile secretion. Secondary biliary cirrhosis is produced by prolonged obstruction of large intrahepatic or extrahepatic bile ducts from a variety of causes.
Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.
A pair of excretory ducts of the middle kidneys (MESONEPHROI) of an embryo, also called mesonephric ducts. In higher vertebrates, Wolffian ducts persist in the male forming VAS DEFERENS, but atrophy into vestigial structures in the female.
Chronic inflammatory disease of the BILIARY TRACT. It is characterized by fibrosis and hardening of the intrahepatic and extrahepatic biliary ductal systems leading to bile duct strictures, CHOLESTASIS, and eventual BILIARY CIRRHOSIS.
Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.
Pathological processes of the LIVER.
Abnormal increase of resistance to blood flow within the hepatic PORTAL SYSTEM, frequently seen in LIVER CIRRHOSIS and conditions with obstruction of the PORTAL VEIN.
A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum.
The sphincter of the hepatopancreatic ampulla within the duodenal papilla. The COMMON BILE DUCT and main pancreatic duct pass through this sphincter.
An epimer of chenodeoxycholic acid. It is a mammalian bile acid found first in the bear and is apparently either a precursor or a product of chenodeoxycholate. Its administration changes the composition of bile and may dissolve gallstones. It is used as a cholagogue and choleretic.
INFLAMMATION of the PANCREAS. Pancreatitis is classified as acute unless there are computed tomographic or endoscopic retrograde cholangiopancreatographic findings of CHRONIC PANCREATITIS (International Symposium on Acute Pancreatitis, Atlanta, 1992). The two most common forms of acute pancreatitis are ALCOHOLIC PANCREATITIS and gallstone pancreatitis.
A pair of ducts near the WOLFFIAN DUCTS in a developing embryo. In the male embryo, they degenerate with the appearance of testicular ANTI-MULLERIAN HORMONE. In the absence of anti-mullerian hormone, mullerian ducts give rise to the female reproductive tract, including the OVIDUCTS; UTERUS; CERVIX; and VAGINA.
Retrograde bile flow. Reflux of bile can be from the duodenum to the stomach (DUODENOGASTRIC REFLUX); to the esophagus (GASTROESOPHAGEAL REFLUX); or to the PANCREAS.
The product of conjugation of cholic acid with taurine. Its sodium salt is the chief ingredient of the bile of carnivorous animals. It acts as a detergent to solubilize fats for absorption and is itself absorbed. It is used as a cholagogue and cholerectic.
Gastrointestinal agents that stimulate the flow of bile into the duodenum (cholagogues) or stimulate the production of bile by the liver (choleretic).
A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.
Operation for biliary atresia by anastomosis of the bile ducts into the jejunum or duodenum.
A condition characterized by the formation of CALCULI and concretions in the hollow organs or ducts of the body. They occur most often in the gallbladder, kidney, and lower urinary tract.
Inflammation of the GALLBLADDER; generally caused by impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, or other diseases.
A system of vessels in which blood, after passing through one capillary bed, is conveyed through a second set of capillaries before it returns to the systemic circulation. It pertains especially to the hepatic portal system.
A tool for the study of liver damage which causes bile stasis and hyperbilirubinemia acutely and bile duct hyperplasia and biliary cirrhosis chronically, with changes in hepatocyte function. It may cause skin and kidney damage.
The 3 alpha,7 alpha,12 alpha-trihydroxy-5 beta-cholanic acid family of bile acids in man, usually conjugated with glycine or taurine. They act as detergents to solubilize fats for intestinal absorption, are reabsorbed by the small intestine, and are used as cholagogues and choleretics.
A bile acid, usually conjugated with either glycine or taurine. It acts as a detergent to solubilize fats for intestinal absorption and is reabsorbed by the small intestine. It is used as cholagogue, a choleretic laxative, and to prevent or dissolve gallstones.
Liver disease in which the normal microcirculation, the gross vascular anatomy, and the hepatic architecture have been variably destroyed and altered with fibrous septa surrounding regenerated or regenerating parenchymal nodules.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Examination of the portal circulation by the use of X-ray films after injection of radiopaque material.
The condition of an anatomical structure's being dilated beyond normal dimensions.
Straight tubes commencing in the radiate part of the kidney cortex where they receive the curved ends of the distal convoluted tubules. In the medulla the collecting tubules of each pyramid converge to join a central tube (duct of Bellini) which opens on the summit of the papilla.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.
A primary malignant neoplasm of epithelial liver cells. It ranges from a well-differentiated tumor with EPITHELIAL CELLS indistinguishable from normal HEPATOCYTES to a poorly differentiated neoplasm. The cells may be uniform or markedly pleomorphic, or form GIANT CELLS. Several classification schemes have been suggested.
The excision of the head of the pancreas and the encircling loop of the duodenum to which it is connected.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Blood tests that are used to evaluate how well a patient's liver is working and also to help diagnose liver conditions.
The condition of an anatomical structure's being constricted beyond normal dimensions.
A tubular duct that conveys TEARS from the LACRIMAL GLAND to the nose.
The main structural component of the LIVER. They are specialized EPITHELIAL CELLS that are organized into interconnected plates called lobules.
Histochemical localization of immunoreactive substances using labeled antibodies as reagents.
The shortest and widest portion of the SMALL INTESTINE adjacent to the PYLORUS of the STOMACH. It is named for having the length equal to about the width of 12 fingers.
Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.
Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.
Experimentally induced chronic injuries to the parenchymal cells in the liver to achieve a model for LIVER CIRRHOSIS.
Paired ducts in the human male through which semen is ejaculated into the urethra.
A nodular organ in the ABDOMEN that contains a mixture of ENDOCRINE GLANDS and EXOCRINE GLANDS. The small endocrine portion consists of the ISLETS OF LANGERHANS secreting a number of hormones into the blood stream. The large exocrine portion (EXOCRINE PANCREAS) is a compound acinar gland that secretes several digestive enzymes into the pancreatic ductal system that empties into the DUODENUM.
The destruction of a calculus of the kidney, ureter, bladder, or gallbladder by physical forces, including crushing with a lithotriptor through a catheter. Focused percutaneous ultrasound and focused hydraulic shock waves may be used without surgery. Lithotripsy does not include the dissolving of stones by acids or litholysis. Lithotripsy by laser is LITHOTRIPSY, LASER.
A major primary bile acid produced in the liver and usually conjugated with glycine or taurine. It facilitates fat absorption and cholesterol excretion.
A bile acid formed by bacterial action from cholate. It is usually conjugated with glycine or taurine. Deoxycholic acid acts as a detergent to solubilize fats for intestinal absorption, is reabsorbed itself, and is used as a choleretic and detergent.
Ultrasonography of internal organs using an ultrasound transducer sometimes mounted on a fiberoptic endoscope. In endosonography the transducer converts electronic signals into acoustic pulses or continuous waves and acts also as a receiver to detect reflected pulses from within the organ. An audiovisual-electronic interface converts the detected or processed echo signals, which pass through the electronics of the instrument, into a form that the technologist can evaluate. The procedure should not be confused with ENDOSCOPY which employs a special instrument called an endoscope. The "endo-" of endosonography refers to the examination of tissue within hollow organs, with reference to the usual ultrasonography procedure which is performed externally or transcutaneously.
Endoscopic examination, therapy or surgery of the digestive tract.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Surgery of the smooth muscle sphincter of the hepatopancreatic ampulla to relieve blocked biliary or pancreatic ducts.
A bile acid formed from chenodeoxycholate by bacterial action, usually conjugated with glycine or taurine. It acts as a detergent to solubilize fats for absorption and is itself absorbed. It is used as cholagogue and choleretic.
Pathological processes of the PANCREAS.
The principal sterol of all higher animals, distributed in body tissues, especially the brain and spinal cord, and in animal fats and oils.
Surgical venous shunt between the portal and systemic circulation to effect decompression of the portal circulation. It is performed primarily in the treatment of bleeding esophageal varices resulting from portal hypertension. Types of shunt include portacaval, splenorenal, mesocaval, splenocaval, left gastric-caval (coronary-caval), portarenal, umbilicorenal, and umbilicocaval.
A radiopharmaceutical used extensively in cholescintigraphy for the evaluation of hepatobiliary diseases. (From Int Jrnl Rad Appl Inst 1992;43(9):1061-4)
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
A benign neoplasm derived from glandular epithelium, in which cystic accumulations of retained secretions are formed. In some instances, considerable portions of the neoplasm, or even the entire mass, may be cystic. (Stedman, 25th ed)
Yellow discoloration of the SKIN; MUCOUS MEMBRANE; and SCLERA in the NEWBORN. It is a sign of NEONATAL HYPERBILIRUBINEMIA. Most cases are transient self-limiting (PHYSIOLOGICAL NEONATAL JAUNDICE) occurring in the first week of life, but some can be a sign of pathological disorders, particularly LIVER DISEASES.
The circulation of BLOOD through the LIVER.
Endoscopic examination, therapy or surgery of the luminal surface of the duodenum.
Instruments for the visual examination of interior structures of the body. There are rigid endoscopes and flexible fiberoptic endoscopes for various types of viewing in ENDOSCOPY.
INFLAMMATION of the LIVER.
A bile salt formed in the liver by conjugation of deoxycholate with taurine, usually as the sodium salt. It is used as a cholagogue and choleretic, also industrially as a fat emulsifier.
A bile salt formed in the liver by conjugation of chenodeoxycholate with taurine, usually as the sodium salt. It acts as detergent to solubilize fats in the small intestine and is itself absorbed. It is used as a cholagogue and choleretic.
Diseases of the GALLBLADDER. They generally involve the impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, neoplasms, or other diseases.
A type II keratin found associated with KERATIN-19 in ductal epithelia and gastrointestinal epithelia.
Elements of limited time intervals, contributing to particular results or situations.
Recycling through liver by excretion in bile, reabsorption from intestines (INTESTINAL REABSORPTION) into portal circulation, passage back into liver, and re-excretion in bile.
Tumors or cancer of the PANCREAS. Depending on the types of ISLET CELLS present in the tumors, various hormones can be secreted: GLUCAGON from PANCREATIC ALPHA CELLS; INSULIN from PANCREATIC BETA CELLS; and SOMATOSTATIN from the SOMATOSTATIN-SECRETING CELLS. Most are malignant except the insulin-producing tumors (INSULINOMA).
A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.
One or more layers of EPITHELIAL CELLS, supported by the basal lamina, which covers the inner or outer surfaces of the body.
Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.
The transference of a part of or an entire liver from one human or animal to another.
Body organ that filters blood for the secretion of URINE and that regulates ion concentrations.
An abnormal concretion occurring mostly in the urinary and biliary tracts, usually composed of mineral salts. Also called stones.
The middle portion of the SMALL INTESTINE, between DUODENUM and ILEUM. It represents about 2/5 of the remaining portion of the small intestine below duodenum.
A subclass of ORGANIC ANION TRANSPORTERS whose transport of organic anions is driven either directly or indirectly by a gradient of sodium ions.
Infection of the biliary passages with CLONORCHIS SINENSIS, also called Opisthorchis sinensis. It may lead to inflammation of the biliary tract, proliferation of biliary epithelium, progressive portal fibrosis, and sometimes bile duct carcinoma. Extension to the liver may lead to fatty changes and cirrhosis. (From Dorland, 27th ed)
Fragmentation of CALCULI, notably urinary or biliary, by LASER.
Congenital cystic dilatation of the intrahepatic bile ducts (BILE DUCTS, INTRAHEPATIC). It consists of 2 types: simple Caroli disease is characterized by bile duct dilatation (ectasia) alone; and complex Caroli disease is characterized by bile duct dilatation with extensive hepatic fibrosis and portal hypertension (HYPERTENSION, PORTAL). Benign renal tubular ectasia is associated with both types of Caroli disease.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
The first alpha-globulins to appear in mammalian sera during FETAL DEVELOPMENT and the dominant serum proteins in early embryonic life.
The narrow tube connecting the YOLK SAC with the midgut of the EMBRYO; persistence of all or part of it in post-fetal life produces abnormalities, of which the commonest is MECKEL DIVERTICULUM.
The glycine conjugate of CHOLIC ACID. It acts as a detergent to solubilize fats for absorption and is itself absorbed.
A malignant epithelial tumor with a glandular organization.
An adenocarcinoma containing finger-like processes of vascular connective tissue covered by neoplastic epithelium, projecting into cysts or the cavity of glands or follicles. It occurs most frequently in the ovary and thyroid gland. (Stedman, 25th ed)
A malignant neoplasm derived from glandular epithelium, in which cystic accumulations of retained secretions are formed. The neoplastic cells manifest varying degrees of anaplasia and invasiveness, and local extension and metastases occur. Cystadenocarcinomas develop frequently in the ovaries, where pseudomucinous and serous types are recognized. (Stedman, 25th ed)
Any fluid-filled closed cavity or sac that is lined by an EPITHELIUM. Cysts can be of normal, abnormal, non-neoplastic, or neoplastic tissues.
Establishment of an opening into the gallbladder either for drainage or surgical communication with another part of the digestive tract, usually the duodenum or jejunum.
Genetically identical individuals developed from brother and sister matings which have been carried out for twenty or more generations or by parent x offspring matings carried out with certain restrictions. This also includes animals with a long history of closed colony breeding.
RNA sequences that serve as templates for protein synthesis. Bacterial mRNAs are generally primary transcripts in that they do not require post-transcriptional processing. Eukaryotic mRNA is synthesized in the nucleus and must be exported to the cytoplasm for translation. Most eukaryotic mRNAs have a sequence of polyadenylic acid at the 3' end, referred to as the poly(A) tail. The function of this tail is not known for certain, but it may play a role in the export of mature mRNA from the nucleus as well as in helping stabilize some mRNA molecules by retarding their degradation in the cytoplasm.
Interference with the secretion of tears by the lacrimal glands. Obstruction of the LACRIMAL SAC or NASOLACRIMAL DUCT causing acute or chronic inflammation of the lacrimal sac (DACRYOCYSTITIS). It is caused also in infants by failure of the nasolacrimal duct to open into the inferior meatus and occurs about the third week of life. In adults occlusion may occur spontaneously or after injury or nasal disease. (Newell, Ophthalmology: Principles and Concepts, 7th ed, p250)
Radiography of the gallbladder after ingestion of a contrast medium.
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
The part of the membranous labyrinth that traverses the bony vestibular aqueduct and emerges through the bone of posterior cranial fossa (CRANIAL FOSSA, POSTERIOR) where it expands into a blind pouch called the endolymphatic sac.
The section of the alimentary canal from the STOMACH to the ANAL CANAL. It includes the LARGE INTESTINE and SMALL INTESTINE.
An enzyme that catalyzes the conversion of an orthophosphoric monoester and water to an alcohol and orthophosphate. EC 3.1.3.1.
A family of enzymes accepting a wide range of substrates, including phenols, alcohols, amines, and fatty acids. They function as drug-metabolizing enzymes that catalyze the conjugation of UDPglucuronic acid to a variety of endogenous and exogenous compounds. EC 2.4.1.17.
Dilated blood vessels in the ESOPHAGUS or GASTRIC FUNDUS that shunt blood from the portal circulation (PORTAL SYSTEM) to the systemic venous circulation. Often they are observed in individuals with portal hypertension (HYPERTENSION, PORTAL).
Vein formed by the union (at the hilus of the spleen) of several small veins from the stomach, pancreas, spleen and mesentery.
Accumulation of a drug or chemical substance in various organs (including those not relevant to its pharmacologic or therapeutic action). This distribution depends on the blood flow or perfusion rate of the organ, the ability of the drug to penetrate organ membranes, tissue specificity, protein binding. The distribution is usually expressed as tissue to plasma ratios.
Removal and pathologic examination of specimens in the form of small pieces of tissue from the living body.
An enzyme that catalyzes the conversion of L-alanine and 2-oxoglutarate to pyruvate and L-glutamate. (From Enzyme Nomenclature, 1992) EC 2.6.1.2.
Cells that line the inner and outer surfaces of the body by forming cellular layers (EPITHELIUM) or masses. Epithelial cells lining the SKIN; the MOUTH; the NOSE; and the ANAL CANAL derive from ectoderm; those lining the RESPIRATORY SYSTEM and the DIGESTIVE SYSTEM derive from endoderm; others (CARDIOVASCULAR SYSTEM and LYMPHATIC SYSTEM) derive from mesoderm. Epithelial cells can be classified mainly by cell shape and function into squamous, glandular and transitional epithelial cells.
Organic or functional motility disorder involving the SPHINCTER OF ODDI and associated with biliary COLIC. Pathological changes are most often seen in the COMMON BILE DUCT sphincter, and less commonly the PANCREATIC DUCT sphincter.
Acute inflammation of the GALLBLADDER wall. It is characterized by the presence of ABDOMINAL PAIN; FEVER; and LEUKOCYTOSIS. Gallstone obstruction of the CYSTIC DUCT is present in approximately 90% of the cases.
The act of dilating.
A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.
A strain of albino rat developed at the Wistar Institute that has spread widely at other institutions. This has markedly diluted the original strain.
The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.
The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz.
A membrane-bound cytochrome P450 enzyme that catalyzes the 7-alpha-hydroxylation of CHOLESTEROL in the presence of molecular oxygen and NADPH-FERRIHEMOPROTEIN REDUCTASE. This enzyme, encoded by CYP7, converts cholesterol to 7-alpha-hydroxycholesterol which is the first and rate-limiting step in the synthesis of BILE ACIDS.
A gamma-emitting radionuclide imaging agent used for the diagnosis of diseases in many tissues, particularly in cardiovascular and cerebral circulation.
Pathological conditions in the DUODENUM region of the small intestine (INTESTINE, SMALL).
A series of steps taken in order to conduct research.
Tumors or cancer of the DIGESTIVE SYSTEM.
Repair or renewal of hepatic tissue.
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
Closed vesicles of fragmented endoplasmic reticulum created when liver cells or tissue are disrupted by homogenization. They may be smooth or rough.
A condition characterized by the presence of abnormal quantities of CRYOGLOBULINS in the blood. Upon cold exposure, these abnormal proteins precipitate into the microvasculature leading to restricted blood flow in the exposed areas.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
An NAPH-dependent cytochrome P450 enzyme that catalyzes the oxidation of the side chain of sterol intermediates such as the 27-hydroxylation of 5-beta-cholestane-3-alpha,7-alpha,12-alpha-triol.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)
Presence or formation of GALLSTONES in the GALLBLADDER.
Liver disease caused by infections with parasitic flukes of the genus FASCIOLA, such as FASCIOLA HEPATICA.
An enzyme, sometimes called GGT, with a key role in the synthesis and degradation of GLUTATHIONE; (GSH, a tripeptide that protects cells from many toxins). It catalyzes the transfer of the gamma-glutamyl moiety to an acceptor amino acid.
Veins which return blood from the intestines; the inferior mesenteric vein empties into the splenic vein, the superior mesenteric vein joins the splenic vein to form the portal vein.
Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)
A peptide hormone of about 27 amino acids from the duodenal mucosa that activates pancreatic secretion and lowers the blood sugar level. (USAN and the USP Dictionary of Drug Names, 1994, p597)
A genus of trematode liver flukes of the family Opisthorchidae. It consists of the following species: O. felineus, O. noverca (Amphimerus noverca), and O. viverrini. The intermediate hosts are snails, fish, and AMPHIBIANS.
Infection with flukes of the genus Opisthorchis.
A species of trematode flukes of the family Opisthorchidae. Many authorities consider this genus belonging to Opisthorchis. It is common in China and other Asiatic countries. Snails and fish are the intermediate hosts.
INFLAMMATION of the PANCREAS that is characterized by recurring or persistent ABDOMINAL PAIN with or without STEATORRHEA or DIABETES MELLITUS. It is characterized by the irregular destruction of the pancreatic parenchyma which may be focal, segmental, or diffuse.
A strongly basic anion exchange resin whose main constituent is polystyrene trimethylbenzylammonium Cl(-) anion.
Administration of antineoplastic agents together with an embolizing vehicle. This allows slow release of the agent as well as obstruction of the blood supply to the neoplasm.
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
Tumors or cancer of the DUODENUM.
Enzymes of the transferase class that catalyze the conversion of L-aspartate and 2-ketoglutarate to oxaloacetate and L-glutamate. EC 2.6.1.1.
A spiral tube that is firmly suspended in the bony shell-shaped part of the cochlea. This ENDOLYMPH-filled cochlear duct begins at the vestibule and makes 2.5 turns around a core of spongy bone (the modiolus) thus dividing the PERILYMPH-filled spiral canal into two channels, the SCALA VESTIBULI and the SCALA TYMPANI.
Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
A benign neoplasm of muscle (usually smooth muscle) with glandular elements. It occurs most frequently in the uterus and uterine ligaments. (Stedman, 25th ed)
A genus of the family Muridae having three species. The present domesticated strains were developed from individuals brought from Syria. They are widely used in biomedical research.

Clinical value of K-ras codon 12 analysis and endobiliary brush cytology for the diagnosis of malignant extrahepatic bile duct stenosis. (1/179)

Extrahepatic biliary stenosis can be caused by benign and malignant disorders. In most cases, a tissue diagnosis is needed for optimal management of patients, but the sensitivity of biliary cytology for the diagnosis of a malignancy is relatively low. The additional diagnostic value of K-ras mutational analysis of endobiliary brush cytology was assessed. Endobiliary brush cytology specimens obtained during endoscopic retrograde cholangiopancreaticography were prospectively collected from 312 consecutive patients with extrahepatic biliary stenosis. The results of conventional light microscopic cytology and K-ras codon 12 mutational analysis were compared and evaluated in view of the final diagnosis made by histological examination of the stenotic lesion and/or patient follow-up. The sensitivities of cytology and mutational analysis to detect malignancy were 36 and 42%, respectively. When both tests were combined, the sensitivity increased to 62%. The specificity of cytology was 98%, and the specificity of the mutational analysis and of both tests combined was 89%. Positive predictive values for cytology, mutational analysis, and both tests combined were 98, 92, and 94%, whereas the corresponding negative predictive values were 34, 34, and 44%, respectively. The sensitivity of K-ras mutational analysis was 63% for pancreatic carcinomas compared to 27% for bile duct, gallbladder, and ampullary carcinomas. K-ras mutational analysis can be considered supplementary to conventional light microscopy of endobiliary brush cytology to diagnose patients with malignant extrahepatic biliary stenosis, particularly in the case of pancreatic cancer. The presence of a K-ras codon 12 mutation in endobiliary brush cytology per se supports a clinical suspicion of malignancy, even when the conventional cytology is negative or equivocal.  (+info)

Metachronous bile duct cancer in a patient surviving for a decade and undergoing curative surgery twice. (2/179)

We report a 75-year-old woman with metachronous bile duct cancer who underwent curative resection twice and has survived for a decade. In 1989, she was admitted because her serum alkaline phosphatase level was elevated. Computed tomography (CT) showed a low-density mass, 2 cm in diameter, at the left hepatic duct and intrahepatic bile duct dilatation in the left lobe. We diagnosed the lesion as an intrahepatic bile duct cancer and performed extended left hepatic lobectomy with systematic lymph node dissection. The histological diagnosis was a well differentiated cholangiocellular carcinoma with hepatic hilar and celiac lymph node metastases (T1N2M0, Stage IVB). In 1996, she was re-admitted with obstructive jaundice. CT showed a slightly enhanced mass, 4 cm in diameter, in the pancreatic head. After reducing the jaundice by percutaneous transhepatic biliary drainage, pancreatoduodenectomy was performed. The histological diagnosis of this lesion was a moderately differentiated adenocarcinoma originating from the intrapancreatic bile duct. Ten years after the first operation, she is leading a normal daily life with no cancer recurrence. These findings suggest that repeated curative surgery can result in a long-term survival of patients with metachronous bile duct cancer.  (+info)

Partial hepatectomy and bile duct ligation in rainbow trout (Oncorhynchus mykiss): histologic, immunohistochemical and enzyme histochemical characterization of hepatic regeneration and biliary hyperplasia. (3/179)

Hepatic regeneration following partial hepatectomy (PH) and biliary hyperplasia subsequent to bile duct ligation (BDL) were characterized in rainbow trout (Oncorhynchus mykiss) by light microscopy using routine and special (immunohistochemical and enzyme histochemical) stains. Both PH and BDL involved initial hypertrophy and hyperplasia of bile preductular epithelial cells (BPDECs). BPDECs are small oval cells that form junctional complexes with hepatocytes and bile ductular cells and are commonly found in hepatic tubules of teleost liver. Proliferating BPDECs transitioned through intermediate cell types before final differentiation into large basophilic hepatocytes (following PH) or biliary epithelial cells (after BDL). Normal BPDECs and hepatocytes were both negative for cytokeratin intermediate filaments in control fish when screened with the monoclonal antibody AE1/AE3. In contrast, hyperplastic BPDECs and their progeny (intermediate cells, immature hepatocytes, ductal epithelial cells) were all strongly cytokeratin positive. Cytokeratin expression was transient in newly differentiated hepatocytes (expression decreased as hepatocytes acquired characteristics consistent with full differentiation) but was permanent in biliary epithelial cells (expression was very strong in large mature ducts). BPDECs, intermediate cells, and immature ductal cells were also strongly positive for alkaline phosphatase following BDL. Chronology of histologic events and cytokeratin and enzyme expression all support the hypothesis that BPDECs possess the capacity to differentiate into either hepatocytes or biliary epithelial cells. Thus, BPDECs may be the teleost equivalent of a bipolar hepatic stem cell in mammals.  (+info)

Postoperative bile duct strictures: management and outcome in the 1990s. (4/179)

OBJECTIVE: To describe the management and outcome after surgical reconstruction of 156 patients with postoperative bile duct strictures managed in the 1990s. SUMMARY BACKGROUND DATA: The management of postoperative bile duct strictures and major bile duct injuries remains a challenge for even the most skilled biliary tract surgeon. The 1990s saw a dramatic increase in the incidence of bile duct strictures and injuries from the introduction and widespread use of laparoscopic cholecystectomy. Although the management of these injuries and short-term outcome have been reported, long-term follow-up is limited. METHODS: Data were collected prospectively on 156 patients treated at the Johns Hopkins Hospital with major bile duct injuries or postoperative bile duct strictures between January 1990 and December 1999. With the exception of bile duct injuries discovered and repaired during surgery, all patients underwent preoperative percutaneous transhepatic cholangiography and placement of transhepatic biliary catheters before surgical repair. Follow-up was conducted by medical record review or telephone interview during January 2000. RESULTS: Of the 156 patients undergoing surgical reconstruction, 142 had completed treatment with a mean follow-up of 57.5 months. Two patients died of reasons unrelated to biliary tract disease before the completion of treatment. Twelve patients (7.9%) had not completed treatment and still had biliary stents in place at the time of this report. Of patients who had completed treatment, 90. 8% were considered to have a successful outcome without the need for follow-up invasive, diagnos tic, or therapeutic interventional procedures. Patients with reconstruction after injury or stricture after laparoscopic cholecystectomy had a better overall outcome than patients whose postoperative stricture developed after other types of surgery. Presenting symptoms, number of stents, interval to referral, prior repair, and length of postoperative stenting were not significant predictors of outcome. Overall, a successful outcome, without the need for biliary stents, was obtained in 98% of patients, including those requiring a secondary procedure for recurrent stricture. CONCLUSIONS: Major bile duct injuries and postoperative bile duct strictures remain a considerable surgical challenge. Management with preoperative cholangiography to delineate the anatomy and placement of percutaneous biliary catheters, followed by surgical reconstruction with a Roux-en-Y hepaticojejunostomy, is associated with a successful outcome in up to 98% of patients.  (+info)

Genetic alterations and growth pattern in biliary duct carcinomas: loss of heterozygosity at chromosome 5q bears a close relation with polypoid growth. (5/179)

Biliary duct carcinomas (BDCs) are relatively rare and the carcinogenic mechanisms underlying their induction are poorly understood. There are two growth patterns, polypoid and non-polypoid infiltrative type, but little information is available concerning the relation between growth pattern and genetic alterations. A comparative study was therefore conducted to clarify if differences in genetic changes, including loss of heterozygosity (LOH) at 5q, 9p, 17p, and 18q, and K-ras mutations exist between polypoid and non-polypoid infiltrative type BDCs. LOH analysis was performed using microsatellite markers and K-ras point mutations were analysed by dot blot hybridisation. The incidences of changes for polypoid and non-polypoid infiltrative types were 73% and 26% on 5q, 63% and 59% on 9p, 55% and 50% on 17p, and 20% and 18% on 18q, and 25% and 27% for K-ras mutations. Most importantly, we found the frequency of 5qLOH to be significantly higher with polypoid growth than in the non-polypoid infiltrative type (p<0.05), especially in extrahepatic duct carcinomas (p<0.05). The incidences of other genetic alterations (LOH at 9p, 17p, and 18q, and K-ras mutations) showed similar rates with both tumour types. The present data suggest that 5qLOH may have a close relation with polypoid growth in BDCs.  (+info)

Is preventive resection of the extrahepatic bile duct necessary in cases of pancreaticobiliary maljunction without dilatation of the bile duct? (6/179)

BACKGROUND: No consensus has been reached on whether preventive resection of the extrahepatic bile duct is necessary in cases of pancreaticobiliary maljunction (PBM) without dilatation of the extrahepatic bile duct (undilated type). METHODS: Sixty-eight patients with PBM underwent corrective surgery and several clinical characteristics and pathological findings including K-ras point mutation were evaluated. RESULTS: Unlike dilated bile duct, none of the patients with undilated type duct had clinical symptoms in early childhood. In patients with either cystic or spindle type duct, amylase levels in the bile duct were >10(4) U/l, whereas those in patients with undilated type duct were <10(4) U/l. Postoperative scintigraphy of the biliary system of undilated type revealed no evidence of cholestasis. After surgery, eight patients with undilated type duct, in whom the bile duct had been preserved, had no further clinical symptoms and no evidence of malignancy. Bile duct tissue specimens revealed no hyperplasia, dysplasia or cancerous lesions and they had no K-ras mutation in undilated type. CONCLUSION: The results showed that there was little bile stasis, injury to the mucosa was mild and less genetic changes could be seen in patients with undilated type duct. Therefore, in patients without dilatation of bile duct and advanced cancer, cholecystectomy alone is sufficient.  (+info)

Restrictive cardiomyopathy in a patient with extrahepatic biliary atresia. (7/179)

The most commonly associated anomalies in patients with extrahepatic biliary atresia are cardiovascular, digestive and splenic defects. Of the cardiovascular anomalies, there are very few reports of biliary atresia with cardiomyopathy. We report the first case of a child with extrahepatic biliary atresia and restrictive cardiomyopathy. The patient was a 13-month-old boy diagnosed with extrahepatic biliary atresia at the age of 2 months, when he underwent laparotomy for definite diagnosis.Hepatic portoenterostomy was performed after confirmative cholangiogram. Recently, he developed severe cough and dyspnea, and his respiratory symptoms worsened. Chest radiograph showed cardiomegaly. Two- dimensional echocardiography showed marked biatrial enlargement. On M- mode echocardiogram, a slight increase in left ventricular dimension was seen in early diastole with a relatively good left ventricular function. Mitral inflow Doppler tracing showed an increased E-velocity (1.1 m/sec) with decreased deceleration time (75 m/sec), and increased E/A ratio (0.33). He was diagnosed as having restrictive cardiomyopathy with characteristic echocardiographic features.  (+info)

Immunohistochemical and ultrastructural study of ito cells (fat-storing cells) in response to extrahepatic bile duct ligation in broiler chickens. (8/179)

The Ito cell (fat-storing cell) lies in perisinusoidal space of liver and has a variety of functions. We investigated the immunohistochemistry and ultrastructure of Ito cells in normal and cholestatic livers of broiler chickens. Immunohistochemistry demonstrated that Ito cells expressed HHF35 muscle actin, vimentin, desmin, glial fibrillary acidic protein (GFAP), neuron-specific enolase (NSE), chromogranin A and cytokeratins in normal livers. These cells were diffusely scattered throughout the lobules. Livers treated with extrahepatic bile duct ligation (BDL) showed cholestasis, fibrosis, proliferation of biliary ductules and Ito cells. The Ito cells were frequently found in fibrotic areas and were larger in size with more extensive immunoreactivity than those of normal livers. Ultrastructural study demonstrated that Ito cells were closely associated with the production of collagen fibers in BDL livers. These findings suggest that Ito cells actively react against hepatocytic injuries and play a major role in the hepatic fibrogenesis of cholestatic livers of chickens.  (+info)

Bile duct neoplasms refer to abnormal growths or tumors that occur in the bile ducts, which are the tubes that carry bile from the liver and gallbladder to the small intestine. Bile duct neoplasms can be benign (non-cancerous) or malignant (cancerous).

Types of Bile Duct Neoplasms:

There are several types of bile duct neoplasms, including:

1. Bile duct adenoma: A benign tumor that grows in the bile ducts.
2. Bile duct carcinoma: A malignant tumor that grows in the bile ducts and can spread to other parts of the body.
3. Cholangiocarcinoma: A rare type of bile duct cancer that originates in the cells lining the bile ducts.
4. Gallbladder cancer: A type of cancer that occurs in the gallbladder, which is a small organ located under the liver that stores bile.

Causes and Risk Factors:

The exact cause of bile duct neoplasms is not known, but there are several risk factors that may increase the likelihood of developing these tumors, including:

1. Age: Bile duct neoplasms are more common in people over the age of 50.
2. Gender: Women are more likely to develop bile duct neoplasms than men.
3. Family history: People with a family history of bile duct cancer or other liver diseases may be at increased risk.
4. Previous exposure to certain chemicals: Exposure to certain chemicals, such as thorium, has been linked to an increased risk of developing bile duct neoplasms.

Symptoms:

The symptoms of bile duct neoplasms can vary depending on the location and size of the tumor. Some common symptoms include:

1. Yellowing of the skin and eyes (jaundice)
2. Fatigue
3. Loss of appetite
4. Nausea and vomiting
5. Abdominal pain or discomfort
6. Weight loss
7. Itching all over the body
8. Dark urine
9. Pale stools

Diagnosis:

Diagnosis of bile duct neoplasms typically involves a combination of imaging tests and biopsy. The following tests may be used to diagnose bile duct neoplasms:

1. Ultrasound: This non-invasive test uses high-frequency sound waves to create images of the liver and bile ducts.
2. Computed tomography (CT) scan: This imaging test uses X-rays and computer technology to create detailed images of the liver and bile ducts.
3. Magnetic resonance imaging (MRI): This test uses a strong magnetic field and radio waves to create detailed images of the liver and bile ducts.
4. Endoscopic ultrasound: This test involves inserting an endoscope (a thin, flexible tube with a small ultrasound probe) into the bile ducts through the mouth or stomach to obtain images and samples of the bile ducts.
5. Biopsy: A biopsy may be performed during an endoscopic ultrasound or during surgery to remove the tumor. The sample is then examined under a microscope for cancer cells.

Treatment:

The treatment of bile duct neoplasms depends on several factors, including the type and stage of the cancer, the patient's overall health, and the patient's preferences. The following are some common treatment options for bile duct neoplasms:

1. Surgery: Surgery may be performed to remove the tumor or a portion of the bile duct. This may involve a Whipple procedure (a surgical procedure to remove the head of the pancreas, the gallbladder, and a portion of the bile duct), a bile duct resection, or a liver transplant.
2. Chemotherapy: Chemotherapy may be used before or after surgery to shrink the tumor and kill any remaining cancer cells.
3. Radiation therapy: Radiation therapy may be used to destroy cancer cells that cannot be removed by surgery or to relieve symptoms such as pain or blockage of the bile duct.
4. Stent placement: A stent may be placed in the bile duct to help keep it open and improve blood flow to the liver.
5. Ablation therapy: Ablation therapy may be used to destroy cancer cells by freezing or heating them with a probe inserted through an endoscope.
6. Targeted therapy: Targeted therapy may be used to treat certain types of bile duct cancer, such as cholangiocarcinoma, by targeting specific molecules that promote the growth and spread of the cancer cells.
7. Clinical trials: Clinical trials are research studies that evaluate new treatments for bile duct neoplasms. These may be an option for patients who have not responded to other treatments or who have advanced cancer.

The term "extrahepatic" refers to the fact that the obstruction occurs outside of the liver, as opposed to intrahepatic cholestasis, which occurs within the liver. Extrahepatic cholestasis can be caused by a variety of factors, including gallstones, pancreatitis, and cancer.

Treatment for extrahepatic cholestasis typically involves addressing the underlying cause of the obstruction. In some cases, this may involve surgery to remove the blockage or other procedures such as stent placement or biliary bypass surgery. Medications such as bile salts and ursodeoxycholic acid may also be used to help improve liver function and reduce symptoms.

In summary, extrahepatic cholestasis is a type of bile duct obstruction that occurs outside of the liver, leading to bile buildup in the bloodstream and potentially causing a range of symptoms. Treatment typically involves addressing the underlying cause of the obstruction.

Examples of bile duct diseases include:

1. Primary sclerosing cholangitis (PSC): An inflammatory condition that damages the bile ducts, leading to scarring and narrowing of the ducts.
2. Cholangiocarcinoma: A type of cancer that originates in the bile ducts.
3. Gallstones: Small, pebble-like deposits that form in the gallbladder or bile ducts and can cause blockages and inflammation.
4. Bile duct injuries: Damage to the bile ducts during surgery or other medical procedures.
5. Biliary atresia: A congenital condition where the bile ducts are blocked or absent, leading to jaundice and other symptoms in infants.

Treatment for bile duct diseases depends on the underlying cause and can include medications, endoscopic procedures, surgery, and in some cases, liver transplantation.

There are several types of cholestasis, including:

1. Obstructive cholestasis: This occurs when there is a blockage in the bile ducts, preventing bile from flowing freely from the liver.
2. Metabolic cholestasis: This is caused by a problem with the metabolism of bile acids in the liver.
3. Inflammatory cholestasis: This occurs when there is inflammation in the liver, which can cause scarring and impair bile flow.
4. Idiopathic cholestasis: This type of cholestasis has no identifiable cause.

Treatment for cholestasis depends on the underlying cause, but may include medications to improve bile flow, dissolve gallstones, or reduce inflammation. In severe cases, a liver transplant may be necessary. Early diagnosis and treatment can help to manage symptoms and prevent complications of cholestasis.

Examples:

1. Gallstones: Small, pebble-like deposits that form in the gallbladder or bile ducts and can cause blockages and inflammation.
2. Cholangitis: An infection of the bile ducts that can cause fever, chills, and abdominal pain.
3. Bile duct cancer: A type of cancer that affects the cells lining the bile ducts.
4. Stricture: A narrowing of the bile duct that can cause obstruction and block the flow of bile.
5. Cysts: Fluid-filled sacs that can form in the bile ducts and cause symptoms such as abdominal pain and jaundice.

Prevalence: Adenomas account for approximately 10% to 20% of all primary liver tumors.

Risk Factors: Risk factors for developing adenoma include age (>60 years old), cirrhosis, and a family history of hepatocellular carcinoma or polycystic liver disease.

Pathology: Adenomas are typically slow-growing and may not cause symptoms in the early stages. They can grow large enough to obstruct bile flow and cause abdominal pain, jaundice, and pruritus.

Diagnosis: Adenomas are diagnosed via imaging studies such as ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI). Endoscopic ultrasound may also be used to evaluate the tumor and assess for invasive features.

Treatment: Surgical resection is the primary treatment for adenomas. In some cases, liver transplantation may be considered if the tumor is large or multiple and surgical resection is not feasible. Ablation therapies such as radiofrequency ablation or chemoembolization may also be used to control symptoms and slow tumor growth.

Prognosis: The prognosis for patients with adenoma is generally good, with a 5-year survival rate of approximately 90%. However, the risk of malignant transformation (cancer) is present, particularly in cases where there are multiple adenomas or invasive features.

In conclusion, adenoma of the bile ducts is a benign tumor that can occur within the liver. While the prognosis is generally good, early detection and treatment are important to prevent complications and minimize the risk of malignant transformation.

Gallstones can be made of cholesterol, bilirubin, or other substances found in bile. They can cause a variety of symptoms, including:

* Abdominal pain (often in the upper right abdomen)
* Nausea and vomiting
* Fever
* Yellowing of the skin and eyes (jaundice)
* Tea-colored urine
* Pale or clay-colored stools

Gallstones can be classified into several types based on their composition, size, and location. The most common types are:

* Cholesterol gallstones: These are the most common type of gallstone and are usually yellow or green in color. They are made of cholesterol and other substances found in bile.
* Pigment gallstones: These stones are made of bilirubin, a yellow pigment found in bile. They are often smaller than cholesterol gallstones and may be more difficult to detect.
* Mixed gallstones: These stones are a combination of cholesterol and pigment gallstones.

Gallstones can cause a variety of complications, including:

* Gallbladder inflammation (cholecystitis)
* Infection of the bile ducts (choledochalitis)
* Pancreatitis (inflammation of the pancreas)
* Blockage of the common bile duct, which can cause jaundice and infection.

Treatment for gallstones usually involves surgery to remove the gallbladder, although in some cases, medications may be used to dissolve small stones. In severe cases, emergency surgery may be necessary to treat complications such as inflammation or infection.

The exact cause of cholangiocarcinoma is not known, but there are several risk factors that have been linked to the development of the disease. These include:

1. Chronic inflammation of the bile ducts (cholangitis)
2. Infection with certain viruses, such as hepatitis B and C
3. Genetic conditions, such as inherited syndromes that affect the liver and bile ducts
4. Exposure to certain chemicals, such as thorium dioxide
5. Obesity and metabolic disorders

The symptoms of cholangiocarcinoma can vary depending on the location and size of the tumor. Common symptoms include:

1. Jaundice (yellowing of the skin and eyes)
2. Itching all over the body
3. Fatigue
4. Loss of appetite
5. Abdominal pain and swelling
6. Weight loss
7. Nausea and vomiting

If cholangiocarcinoma is suspected, a doctor may perform several tests to confirm the diagnosis. These may include:

1. Imaging tests, such as CT scans, MRI scans, or PET scans
2. Blood tests to check for certain liver enzymes and bilirubin levels
3. Endoscopic ultrasound to examine the bile ducts
4. Biopsy to collect a sample of tissue from the suspected tumor

Treatment for cholangiocarcinoma depends on the stage and location of the cancer, as well as the patient's overall health. Surgery is often the first line of treatment, and may involve removing the tumor and a portion of the bile ducts. In more advanced cases, chemotherapy or radiation therapy may be used to shrink the tumor before surgery or to relieve symptoms.

It's important for patients with cholangiocarcinoma to work closely with their healthcare team to develop a personalized treatment plan and to monitor their condition regularly. With prompt and appropriate treatment, some patients with cholangiocarcinoma may experience long-term survival and a good quality of life.

Types of Cholangitis:
There are two types of cholangitis:

1. Acute cholangitis: This type of cholangitis occurs suddenly and is usually caused by a blockage in the bile ducts, such as a gallstone or a tumor.
2. Chronic cholangitis: This type of cholangitis develops gradually over time and can be caused by recurring inflammation or scarring of the bile ducts.

Causes and Risk Factors:
The most common cause of cholangitis is a blockage in the bile ducts, which allows bacteria to grow and multiply, leading to infection. Other causes include:

* Gallstones
* Tumors
* Pancreatitis (inflammation of the pancreas)
* Trauma to the abdomen
* Inflammatory bowel disease
* HIV/AIDS
* Cancer

Symptoms:
The symptoms of cholangitis can vary depending on the severity of the infection, but may include:

* Fever
* Chills
* Abdominal pain
* Yellowing of the skin and eyes (jaundice)
* Dark urine
* Pale stools
* Nausea and vomiting

Diagnosis:
Cholangitis is diagnosed through a combination of imaging tests, such as CT scans or endoscopic ultrasound, and laboratory tests to determine the presence of infection. A liver biopsy may also be performed to confirm the diagnosis.

Treatment:
The treatment of cholangitis depends on the cause and severity of the infection, but may include:

* Antibiotics to treat bacterial or fungal infections
* Supportive care, such as fluids and nutrition, to manage symptoms
* Surgical drainage of the bile ducts to relieve blockages
* Endoscopic therapy, such as stent placement or laser lithotripsy, to remove gallstones or other obstructions
* Liver transplantation in severe cases

Prognosis:
The prognosis for cholangitis depends on the severity of the infection and the underlying cause. If treated promptly and effectively, the prognosis is generally good. However, if left untreated or if there are complications, the prognosis can be poor.

Prevention:
Preventing cholangitis involves managing any underlying conditions that may increase the risk of infection, such as gallstones or liver disease. Other preventive measures include:

* Practicing good hygiene, such as washing hands regularly
* Avoiding sharing of needles or other drug paraphernalia
* Avoiding close contact with people who are sick
* Getting vaccinated against infections that can cause cholangitis
* Managing any underlying medical conditions, such as diabetes or liver disease

Complications:
Cholangitis can lead to several complications, including:

* Bile duct damage, which can lead to bile leaking into the abdomen and causing an infection called peritonitis
* Spread of the infection to other parts of the body, such as the bloodstream or lungs
* Sepsis, a severe and life-threatening reaction to the infection
* Organ failure, particularly liver and kidney failure
* Death

It is important to seek medical attention promptly if you experience any symptoms of cholangitis, as early treatment can help prevent complications and improve outcomes.

The exact cause of Biliary Atresia is unknown, but it is thought to be related to genetic mutations or environmental factors during fetal development. Symptoms include jaundice (yellowing of the skin and eyes), poor feeding, and a large liver size. If left untreated, Biliary Atresia can lead to long-term complications such as liver cirrhosis, liver failure, and an increased risk of liver cancer.

Treatment for Biliary Atresia usually involves a surgical procedure called the Kasai procedure, where the damaged bile ducts are removed and replaced with a section of the small intestine. In some cases, a liver transplant may be necessary if the disease is advanced or if there are complications such as liver cirrhosis.

Overall, Biliary Atresia is a rare and complex condition that requires early diagnosis and treatment to prevent long-term complications and improve outcomes for affected individuals.

Cholelithiasis is a common condition that affects millions of people worldwide. It can occur at any age but is more common in adults over 40 years old. Women are more likely to develop cholelithiasis than men, especially during pregnancy or after childbirth.

The symptoms of cholelithiasis can vary depending on the size and location of the gallstones. Some people may not experience any symptoms at all, while others may have:

* Abdominal pain, especially in the upper right side of the abdomen
* Nausea and vomiting
* Fever
* Shaking or chills
* Loss of appetite
* Yellowing of the skin and eyes (jaundice)

If left untreated, cholelithiasis can lead to complications such as inflammation of the gallbladder (cholangitis), infection of the bile ducts (biliary sepsis), or blockage of the common bile duct. These complications can be life-threatening and require immediate medical attention.

The diagnosis of cholelithiasis is usually made through a combination of imaging tests such as ultrasound, CT scan, or MRI, and blood tests to check for signs of inflammation and liver function. Treatment options for cholelithiasis include:

* Watchful waiting: If the gallstones are small and not causing any symptoms, doctors may recommend monitoring the condition without immediate treatment.
* Medications: Oral medications such as bile salts or ursodiol can dissolve small gallstones and relieve symptoms.
* Laparoscopic cholecystectomy: A minimally invasive surgical procedure to remove the gallbladder through small incisions.
* Open cholecystectomy: An open surgery to remove the gallbladder, usually performed when the gallstones are large or there are other complications.

It is important to seek medical attention if you experience any symptoms of cholelithiasis, as early diagnosis and treatment can help prevent complications and improve outcomes.

There are several types of biliary tract diseases, including:

1. Gallstones: Small, pebble-like deposits that form in the gallbladder and can cause pain and blockages.
2. Cholangitis: An infection of the bile ducts that can cause fever, chills, and abdominal pain.
3. Biliary cirrhosis: Scarring of the liver and bile ducts that can lead to liver failure.
4. Pancreatitis: Inflammation of the pancreas that can cause abdominal pain and digestive problems.
5. Cancer of the biliary tract: Cancer that affects the liver, gallbladder, or bile ducts.

Biliary tract diseases can be caused by a variety of factors, including genetics, obesity, alcohol consumption, and certain medications. Diagnosis is typically made through a combination of imaging tests, such as CT scans and endoscopic ultrasound, and laboratory tests, such as blood tests and liver function tests.

Treatment for biliary tract diseases depends on the underlying cause and severity of the condition. In some cases, treatment may involve medications to dissolve gallstones or treat infections. In more severe cases, surgery may be necessary to remove the gallbladder or repair damaged bile ducts.

Prevention is key in avoiding biliary tract diseases, and this includes maintaining a healthy diet and lifestyle, managing risk factors such as obesity and alcohol consumption, and getting regular medical check-ups. Early detection and treatment of biliary tract diseases can help to improve outcomes and reduce the risk of complications.

Biliary tract neoplasms refer to abnormal growths or tumors that occur in the biliary tract, which includes the liver, gallbladder, and bile ducts. These tumors can be benign (non-cancerous) or malignant (cancerous).

There are several types of biliary tract neoplasms, including:

1. Cholangiocarcinoma: This is a rare type of cancer that originates in the cells lining the bile ducts. It can occur in the liver or outside the liver.
2. Gallbladder cancer: This type of cancer occurs in the gallbladder and is relatively rare.
3. Hepatocellular carcinoma (HCC): This is the most common type of primary liver cancer, which means it originates in the liver rather than spreading from another part of the body.
4. Bile duct cancer: This type of cancer occurs in the bile ducts that carry bile from the liver and gallbladder to the small intestine.

Biliary tract neoplasms can cause a variety of symptoms, including abdominal pain, jaundice (yellowing of the skin and eyes), weight loss, fatigue, and itching. These symptoms can be non-specific and may resemble those of other conditions, making diagnosis challenging.

Diagnosis of biliary tract neoplasms usually involves a combination of imaging tests such as ultrasound, CT scans, MRI, and PET scans, as well as biopsies to confirm the presence of cancer cells. Treatment options for biliary tract neoplasms depend on the type, size, location, and stage of the tumor, and may include surgery, chemotherapy, radiation therapy, or a combination of these.

The term choledocholithiasis is derived from the Greek words "chole" meaning bile, "dochos" meaning duct, and "-iasis" meaning condition or disease. It is used to describe a specific type of gallstone that forms within the common bile duct, rather than in the gallbladder or liver.

Choledocholithiasis can be caused by a variety of factors, including genetic predisposition, inflammation of the bile ducts (cholangitis), and blockages within the ducts. Treatment options for choledocholithiasis include endoscopic therapy, surgery, and medications to dissolve the gallstones.

In summary, choledocholithiasis is a condition characterized by the presence of gallstones in the common bile duct, which can cause a range of symptoms and may require medical intervention to treat.

The exact cause of choledochal cysts is not well understood, but they are believed to result from developmental abnormalities during fetal life. In some cases, there may be associated genetic mutations or other congenital anomalies. The diagnosis of a choledochal cyst is typically made using imaging studies such as ultrasound, CT scan, or MRI, and the cyst may be removed surgically if it causes symptoms or if it becomes infected.

There are several types of choledochal cysts, including:

1. Type I: This is the most common type, where the cyst is located near the liver and has a distinctive "dome-shaped" appearance.
2. Type II: This type is located near the pancreas and has a more irregular shape.
3. Type III: This type is located near the gallbladder and has a small opening into the bile duct.
4. Type IV: This type is located further down the bile duct and has no opening into the duct.

Choledochal cysts are relatively rare, occurring in approximately 1 in 250,000 to 1 in 500,000 live births. They can be associated with other congenital anomalies such as polycystic kidney disease, Turner syndrome, and Down syndrome. The surgical removal of a choledochal cyst is typically curative, but long-term follow-up is often necessary to monitor for potential complications such as bile duct stricture or cancer.

Types of Gallbladder Neoplasms:

1. Adenoma: A benign tumor that grows in the gallbladder wall and can become malignant over time if left untreated.
2. Cholangiocarcinoma: A rare and aggressive malignant tumor that arises in the gallbladder or bile ducts.
3. Gallbladder cancer: A general term used to describe any type of cancer that develops in the gallbladder, including adenocarcinoma, squamous cell carcinoma, and other rare types.

Causes and Risk Factors:

1. Genetics: A family history of gallbladder disease or certain genetic conditions can increase the risk of developing gallbladder neoplasms.
2. Chronic inflammation: Long-standing inflammation in the gallbladder, such as that caused by gallstones or chronic bile duct obstruction, can increase the risk of developing cancer.
3. Obesity: Being overweight or obese may increase the risk of developing gallbladder neoplasms.
4. Age: The risk of developing gallbladder neoplasms increases with age, with most cases occurring in people over the age of 50.

Symptoms and Diagnosis:

1. Abdominal pain: Pain in the upper right abdomen is a common symptom of gallbladder neoplasms.
2. Jaundice: Yellowing of the skin and eyes can occur if the cancer blocks the bile ducts.
3. Weight loss: Unexplained weight loss can be a symptom of some types of gallbladder neoplasms.
4. Fatigue: Feeling tired or weak can be a symptom of some types of gallbladder neoplasms.

Diagnosis is typically made through a combination of imaging tests such as CT scans, MRI scans, and PET scans, and a biopsy to confirm the presence of cancer cells.

Treatment:

1. Surgery: Surgery is the primary treatment for gallbladder neoplasms. The type of surgery depends on the stage and location of the cancer.
2. Chemotherapy: Chemotherapy may be used in combination with surgery to treat advanced or aggressive cancers.
3. Radiation therapy: Radiation therapy may be used in combination with surgery to treat advanced or aggressive cancers.
4. Watchful waiting: For early-stage cancers, a wait-and-watch approach may be taken, where the patient is monitored regularly with imaging tests to see if the cancer progresses.

Prognosis:
The prognosis for gallbladder neoplasms depends on the stage and location of the cancer at the time of diagnosis. In general, the earlier the cancer is detected and treated, the better the prognosis. For early-stage cancers, the 5-year survival rate is high, while for advanced cancers, the prognosis is poor.

Complications:

1. Bile duct injury: During surgery, there is a risk of damaging the bile ducts, which can lead to complications such as bile leakage or bleeding.
2. Infection: There is a risk of infection after surgery, which can be serious and may require hospitalization.
3. Pancreatitis: Gallbladder cancer can cause inflammation of the pancreas, leading to pancreatitis.
4. Jaundice: Cancer of the gallbladder can block the bile ducts, leading to jaundice and other complications.
5. Spread of cancer: Gallbladder cancer can spread to other parts of the body, such as the liver or lymph nodes, which can reduce the chances of a cure.

The symptoms of Klatskin's tumor can vary depending on the location and size of the tumor, but may include abdominal pain, weight loss, fatigue, and diabetes. The tumor is often diagnosed by imaging studies such as CT or MRI scans, and a biopsy may be performed to confirm the diagnosis.

Treatment for Klatskin's tumor typically involves surgery to remove the affected portion of the pancreas, followed by chemotherapy or radiation therapy to destroy any remaining cancer cells. The prognosis for this type of cancer is generally poor, with a five-year survival rate of less than 5%.

Klatskin's tumor is named after the American surgeon and pancreatic cancer researcher, Leo Klatskin. It is also sometimes referred to as Klatskin's neuroendocrine carcinoma or islet cell carcinoma of the pancreas.

Liver neoplasms, also known as liver tumors or hepatic tumors, are abnormal growths of tissue in the liver. These growths can be benign (non-cancerous) or malignant (cancerous). Malignant liver tumors can be primary, meaning they originate in the liver, or metastatic, meaning they spread to the liver from another part of the body.

There are several types of liver neoplasms, including:

1. Hepatocellular carcinoma (HCC): This is the most common type of primary liver cancer and arises from the main cells of the liver (hepatocytes). HCC is often associated with cirrhosis and can be caused by viral hepatitis or alcohol abuse.
2. Cholangiocarcinoma: This type of cancer arises from the cells lining the bile ducts within the liver (cholangiocytes). Cholangiocarcinoma is rare and often diagnosed at an advanced stage.
3. Hemangiosarcoma: This is a rare type of cancer that originates in the blood vessels of the liver. It is most commonly seen in dogs but can also occur in humans.
4. Fibromas: These are benign tumors that arise from the connective tissue of the liver (fibrocytes). Fibromas are usually small and do not spread to other parts of the body.
5. Adenomas: These are benign tumors that arise from the glandular cells of the liver (hepatocytes). Adenomas are usually small and do not spread to other parts of the body.

The symptoms of liver neoplasms vary depending on their size, location, and whether they are benign or malignant. Common symptoms include abdominal pain, fatigue, weight loss, and jaundice (yellowing of the skin and eyes). Diagnosis is typically made through a combination of imaging tests such as CT scans, MRI scans, and ultrasound, and a biopsy to confirm the presence of cancer cells.

Treatment options for liver neoplasms depend on the type, size, location, and stage of the tumor, as well as the patient's overall health. Surgery may be an option for some patients with small, localized tumors, while others may require chemotherapy or radiation therapy to shrink the tumor before surgery can be performed. In some cases, liver transplantation may be necessary.

Prognosis for liver neoplasms varies depending on the type and stage of the cancer. In general, early detection and treatment improve the prognosis, while advanced-stage disease is associated with a poorer prognosis.

Jaundice is typically diagnosed through physical examination and laboratory tests such as blood tests to measure bilirubin levels. Treatment depends on the underlying cause, but may include medications to reduce bilirubin production or increase its excretion, or surgery to remove blockages in the bile ducts.

Here are some of the synonyms for Jaundice:

1. Yellow fever
2. Yellow jaundice
3. Hepatitis
4. Gallstones
5. Cholestasis
6. Obstruction of the bile ducts
7. Biliary tract disease
8. Hemochromatosis
9. Sickle cell anemia
10. Crigler-Najjar syndrome

Here are some of the antonyms for Jaundice:

1. Pinkness
2. Normal skin color
3. Healthy liver function
4. Bilirubin levels within normal range
5. No signs of liver disease or obstruction of bile ducts.

The condition is often caused by gallstones or other blockages that prevent the normal flow of bile from the liver to the small intestine. Over time, the scarring can lead to the formation of cirrhosis, which is characterized by the replacement of healthy liver tissue with scar tissue.

Symptoms of liver cirrhosis, biliary may include:

* Jaundice (yellowing of the skin and eyes)
* Itching
* Fatigue
* Abdominal pain
* Dark urine
* Pale stools

The diagnosis of liver cirrhosis, biliary is typically made through a combination of physical examination, medical history, and diagnostic tests such as ultrasound, CT scans, and blood tests.

Treatment for liver cirrhosis, biliary depends on the underlying cause of the condition. In some cases, surgery may be necessary to remove gallstones or repair damaged bile ducts. Medications such as antioxidants and anti-inflammatory drugs may also be prescribed to help manage symptoms and slow the progression of the disease. In severe cases, a liver transplant may be necessary.

Prognosis for liver cirrhosis, biliary is generally poor, as the condition can lead to complications such as liver failure, infection, and cancer. However, with early diagnosis and appropriate treatment, it is possible to manage the symptoms and slow the progression of the disease.

The most common types of biliary fistulas are:

1. Bile duct-enteric fistula: This type of fistula connects the bile ducts to the small intestine.
2. Bile duct-skin fistula: This type of fistula connects the bile ducts to the skin, which can lead to a bile leak and infection.
3. Bile duct-liver fistula: This type of fistula connects the bile ducts to the liver, which can cause bleeding and infection.

Symptoms of biliary fistula may include:

* Jaundice (yellowing of the skin and whites of the eyes)
* Pale or clay-colored stools
* Dark urine
* Fatigue
* Loss of appetite
* Weight loss

Diagnosis of biliary fistula is typically made through a combination of imaging tests such as endoscopy, CT scan, and MRI. Treatment options for biliary fistula include:

1. Endoscopic therapy: This may involve the use of an endoscope to repair or close off the fistula.
2. Surgery: In some cases, surgery may be necessary to repair or remove the damaged bile ducts.
3. Stent placement: A stent may be placed in the bile ducts to help keep them open and allow for proper drainage.

It is important to seek medical attention if you experience any symptoms of biliary fistula, as it can lead to serious complications such as infection or bleeding.

The exact cause of sclerosing cholangitis is not known, but it is believed to be an autoimmune condition, meaning that the body's immune system mistakenly attacks healthy bile duct cells, leading to inflammation and scarring.

Symptoms of sclerosing cholangitis can include:

* Jaundice (yellowing of the skin and eyes)
* Itching all over the body
* Fatigue
* Loss of appetite
* Nausea and vomiting
* Abdominal pain
* Weight loss

If sclerosing cholangitis is not treated, it can lead to complications such as:

* Bile duct cancer
* Intestinal obstruction
* Sepsis (a potentially life-threatening infection of the bloodstream)

Treatment for sclerosing cholangitis typically involves a combination of medications and surgery. Medications used to treat the condition include:

* Ursodeoxycholic acid (UDCA), which helps to dissolve bile stones and reduce inflammation
* Antibiotics, which help to prevent or treat infections
* Immunosuppressive drugs, which help to suppress the immune system and prevent further damage to the bile ducts

Surgery may be necessary to remove damaged or blocked bile ducts. In some cases, a liver transplant may be required if the condition is severe and there is significant liver damage.

There are many different types of liver diseases, including:

1. Alcoholic liver disease (ALD): A condition caused by excessive alcohol consumption that can lead to inflammation, scarring, and cirrhosis.
2. Viral hepatitis: Hepatitis A, B, and C are viral infections that can cause inflammation and damage to the liver.
3. Non-alcoholic fatty liver disease (NAFLD): A condition where there is an accumulation of fat in the liver, which can lead to inflammation and scarring.
4. Cirrhosis: A condition where the liver becomes scarred and cannot function properly.
5. Hemochromatosis: A genetic disorder that causes the body to absorb too much iron, which can damage the liver and other organs.
6. Wilson's disease: A rare genetic disorder that causes copper to accumulate in the liver and brain, leading to damage and scarring.
7. Liver cancer (hepatocellular carcinoma): Cancer that develops in the liver, often as a result of cirrhosis or viral hepatitis.

Symptoms of liver disease can include fatigue, loss of appetite, nausea, abdominal pain, dark urine, pale stools, and swelling in the legs. Treatment options for liver disease depend on the underlying cause and may include lifestyle changes, medication, or surgery. In severe cases, a liver transplant may be necessary.

Prevention of liver disease includes maintaining a healthy diet and lifestyle, avoiding excessive alcohol consumption, getting vaccinated against hepatitis A and B, and managing underlying medical conditions such as obesity and diabetes. Early detection and treatment of liver disease can help to prevent long-term damage and improve outcomes for patients.

Note: Portal hypertension is a common complication of liver disease, especially cirrhosis. It is characterized by elevated pressure within the portal vein system, which can lead to splanchnic vasodilation, increased blood flow, and edema in the splanchnic organ.

Symptoms: Symptoms of portal hypertension may include ascites (fluid accumulation in the abdomen), encephalopathy (mental confusion or disorientation), gastrointestinal bleeding, and jaundice (yellowing of the skin and eyes).

Diagnosis: The diagnosis of portal hypertension is based on a combination of clinical findings, laboratory tests, and imaging studies. Laboratory tests may include liver function tests, blood counts, and coagulation studies. Imaging studies may include ultrasonography, computed tomography (CT), or magnetic resonance imaging (MRI).

Treatment: Treatment of portal hypertension depends on the underlying cause and may include medications to control symptoms, such as beta blockers to reduce portal pressure, antibiotics to treat infection, and nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain. In severe cases, surgery or shunt procedures may be necessary.

Prognosis: The prognosis for patients with portal hypertension is generally poor, as it is often associated with advanced liver disease. The 5-year survival rate for patients with cirrhosis and portal hypertension is approximately 50%.

There are several causes of pancreatitis, including:

1. Gallstones: These can block the pancreatic duct, causing inflammation.
2. Alcohol consumption: Heavy alcohol use can damage the pancreas and lead to inflammation.
3. High triglycerides: Elevated levels of triglycerides in the blood can cause pancreatitis.
4. Infections: Viral or bacterial infections can infect the pancreas and cause inflammation.
5. Genetic factors: Some people may be more susceptible to pancreatitis due to inherited genetic mutations.
6. Pancreatic trauma: Physical injury to the pancreas can cause inflammation.
7. Certain medications: Some medications, such as certain antibiotics and chemotherapy drugs, can cause pancreatitis as a side effect.

Symptoms of pancreatitis may include:

1. Abdominal pain
2. Nausea and vomiting
3. Fever
4. Diarrhea or bloating
5. Weight loss
6. Loss of appetite

Treatment for pancreatitis depends on the underlying cause and the severity of the condition. In some cases, hospitalization may be necessary to manage symptoms and address any complications. Treatment options may include:

1. Pain management: Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids may be used to manage abdominal pain.
2. Fluid replacement: Intravenous fluids may be given to replace lost fluids and electrolytes.
3. Antibiotics: If the pancreatitis is caused by an infection, antibiotics may be prescribed to treat the infection.
4. Nutritional support: Patients with pancreatitis may require nutritional support to ensure they are getting enough calories and nutrients.
5. Pancreatic enzyme replacement therapy: In some cases, pancreatic enzyme replacement therapy may be necessary to help the body digest food.
6. Surgery: In severe cases of pancreatitis, surgery may be necessary to remove damaged tissue or repair damaged blood vessels.

It is important to seek medical attention if you experience persistent abdominal pain or other symptoms of pancreatitis, as early treatment can help prevent complications and improve outcomes.

Learn More:

Bile Reflux | Symptoms, Causes, Treatments | American ...
https://www.gi.org/topics/bile-reflux/

Symptoms of lithiasis may include pain in the affected area, nausea and vomiting, fever, and changes in urination patterns. Treatment for lithiasis depends on the location and size of the stone, and may involve medications to help break down the stone or surgery to remove it.

Prevention strategies for lithiasis include staying hydrated to maintain adequate fluid intake, limiting dietary oxalate intake in cases of calcium oxalate stones, and avoiding foods high in animal protein and salt in cases of uric acid stones. In some cases, medications such as allopurinol or potassium citrate may be prescribed to help prevent stone formation.

In summary, lithiasis is the formation of stones or calculi within the body, typically in the urinary tract or biliary system, and can be caused by a variety of factors. Treatment and prevention strategies vary depending on the location and type of stone, but may include medications to break down the stone or surgery to remove it.

Cholecystitis can be acute or chronic. Acute cholecystitis occurs when the gallbladder becomes inflamed suddenly, usually due to a blockage in the bile ducts. This can cause symptoms such as abdominal pain, nausea, vomiting, and fever. Chronic cholecystitis is a long-standing inflammation of the gallbladder that can lead to scarring and thickening of the gallbladder wall.

The causes of cholecystitis include:

1. Gallstones: The most common cause of cholecystitis is the presence of gallstones in the gallbladder. These stones can block the bile ducts and cause inflammation.
2. Infection: Bacterial infection can spread to the gallbladder from other parts of the body, causing cholecystitis.
3. Pancreatitis: Inflammation of the pancreas can spread to the gallbladder and cause cholecystitis.
4. Incomplete emptying of the gallbladder: If the gallbladder does not empty properly, bile can become stagnant and cause inflammation.
5. Genetic factors: Some people may be more susceptible to developing cholecystitis due to genetic factors.

Symptoms of cholecystitis may include:

1. Abdominal pain, especially in the upper right side of the abdomen
2. Nausea and vomiting
3. Fever
4. Loss of appetite
5. Jaundice (yellowing of the skin and eyes)
6. Tea-colored urine
7. Pale or clay-colored stools

If you suspect that you or someone else may have cholecystitis, it is important to seek medical attention immediately. A healthcare provider can diagnose cholecystitis based on a physical examination, medical history, and results of diagnostic tests such as an ultrasound or CT scan. Treatment for cholecystitis usually involves antibiotics to clear up any infection, and in severe cases, surgery to remove the gallbladder may be necessary.

The condition can be caused by a variety of factors, including excessive alcohol consumption, viral hepatitis, non-alcoholic fatty liver disease, and certain medications. It can also be a complication of other diseases such as hemochromatosis and Wilson's disease.

The symptoms of liver cirrhosis can vary depending on the severity of the disease, but may include fatigue, loss of appetite, nausea, abdominal swelling, and pain in the upper right side of the abdomen. As the disease progresses, it can lead to complications such as esophageal varices, ascites, and liver failure, which can be life-threatening.

There is no cure for liver cirrhosis, but treatment options are available to manage the symptoms and slow the progression of the disease. These may include medications to control swelling and pain, dietary changes, and in severe cases, liver transplantation. In some cases, a liver transplant may be necessary if the disease has caused significant damage and there is no other option to save the patient's life.

In conclusion, liver cirrhosis is a serious and potentially life-threatening condition that can cause significant damage to the liver and lead to complications such as liver failure. It is important for individuals to be aware of the risk factors and symptoms of the disease in order to seek medical attention if they suspect they may have liver cirrhosis. With proper treatment and management, it is possible to slow the progression of the disease and improve the patient's quality of life.

There are many different causes of pathological dilatation, including:

1. Infection: Infections like tuberculosis or abscesses can cause inflammation and swelling in affected tissues, leading to dilatation.
2. Inflammation: Inflammatory conditions like rheumatoid arthritis or Crohn's disease can cause dilatation of blood vessels and organs.
3. Heart disease: Conditions like heart failure or coronary artery disease can lead to dilatation of the heart chambers or vessels.
4. Liver or spleen disease: Dilatation of the liver or spleen can occur due to conditions like cirrhosis or splenomegaly.
5. Neoplasms: Tumors can cause dilatation of affected structures, such as blood vessels or organs.

Pathological dilatation can lead to a range of symptoms depending on the location and severity of the condition. These may include:

1. Swelling or distension of the affected structure
2. Pain or discomfort in the affected area
3. Difficulty breathing or swallowing (in the case of dilatation in the throat or airways)
4. Fatigue or weakness
5. Pale or clammy skin
6. Rapid heart rate or palpitations
7. Shortness of breath (dyspnea)

Diagnosis of pathological dilatation typically involves a combination of physical examination, imaging studies like X-rays or CT scans, and laboratory tests to identify the underlying cause. Treatment depends on the specific condition and may include medications, surgery, or other interventions to address the underlying cause and relieve symptoms.

1. Adverse drug reactions (ADRs): These are side effects caused by medications, such as allergic reactions, liver damage, or other systemic problems. ADRs can be a significant cause of iatrogenic disease and can result from taking the wrong medication, taking too much medication, or taking medication for too long.
2. Infections acquired during medical procedures: Patients who undergo invasive medical procedures, such as surgeries or insertion of catheters, are at risk of developing infections. These infections can be caused by bacteria, viruses, or other microorganisms that enter the body through the surgical site or the catheter.
3. Surgical complications: Complications from surgery can range from minor issues, such as bruising and swelling, to more serious problems, such as infection, organ damage, or nerve injury. These complications can be caused by errors during the procedure, poor post-operative care, or other factors.
4. Medication overuse or underuse: Medications that are prescribed inappropriately or in excess can cause iatrogenic disease. For example, taking too much medication can lead to adverse drug reactions, while taking too little medication may not effectively treat the underlying condition.
5. Medical imaging complications: Medical imaging procedures, such as X-rays and CT scans, can sometimes cause iatrogenic disease. For example, excessive radiation exposure from these procedures can increase the risk of cancer.
6. Psychiatric iatrogenesis: This refers to harm caused by psychiatric treatment, such as medication side effects or inappropriate use of electroconvulsive therapy (ECT).
7. Overdiagnosis: Overdiagnosis occurs when a condition is diagnosed that would not have caused symptoms or required treatment during the person's lifetime. This can lead to unnecessary testing, treatment, and other iatrogenic harms.
8. Unnecessary surgery: Surgical procedures that are not necessary can cause harm and increase healthcare costs.
9. Inappropriate referrals: Referring patients for unnecessary tests or procedures can lead to iatrogenic disease and increased healthcare costs.
10. Healthcare provider burnout: Burnout among healthcare providers can lead to errors, adverse events, and other forms of iatrogenic disease.

It is important to note that these are just a few examples of iatrogenic disease, and there may be other factors that contribute to this phenomenon as well. Additionally, while many of the factors listed above are unintentional, some may be due to negligence or other forms of misconduct. In all cases, it is important for healthcare providers to take steps to prevent iatrogenic disease and promote high-quality, patient-centered care.

There are several risk factors for developing HCC, including:

* Cirrhosis, which can be caused by heavy alcohol consumption, viral hepatitis (such as hepatitis B and C), or fatty liver disease
* Family history of liver disease
* Chronic obstructive pulmonary disease (COPD)
* Diabetes
* Obesity

HCC can be challenging to diagnose, as the symptoms are non-specific and can be similar to those of other conditions. However, some common symptoms of HCC include:

* Yellowing of the skin and eyes (jaundice)
* Fatigue
* Loss of appetite
* Abdominal pain or discomfort
* Weight loss

If HCC is suspected, a doctor may perform several tests to confirm the diagnosis, including:

* Imaging tests, such as ultrasound, CT scan, or MRI, to look for tumors in the liver
* Blood tests to check for liver function and detect certain substances that are produced by the liver
* Biopsy, which involves removing a small sample of tissue from the liver to examine under a microscope

Once HCC is diagnosed, treatment options will depend on several factors, including the stage and location of the cancer, the patient's overall health, and their personal preferences. Treatment options may include:

* Surgery to remove the tumor or parts of the liver
* Ablation, which involves destroying the cancer cells using heat or cold
* Chemoembolization, which involves injecting chemotherapy drugs into the hepatic artery to reach the cancer cells
* Targeted therapy, which uses drugs or other substances to target specific molecules that are involved in the growth and spread of the cancer

Overall, the prognosis for HCC is poor, with a 5-year survival rate of approximately 20%. However, early detection and treatment can improve outcomes. It is important for individuals at high risk for HCC to be monitored regularly by a healthcare provider, and to seek medical attention if they experience any symptoms.

1. Infection: Bacterial or viral infections can develop after surgery, potentially leading to sepsis or organ failure.
2. Adhesions: Scar tissue can form during the healing process, which can cause bowel obstruction, chronic pain, or other complications.
3. Wound complications: Incisional hernias, wound dehiscence (separation of the wound edges), and wound infections can occur.
4. Respiratory problems: Pneumonia, respiratory failure, and atelectasis (collapsed lung) can develop after surgery, particularly in older adults or those with pre-existing respiratory conditions.
5. Cardiovascular complications: Myocardial infarction (heart attack), cardiac arrhythmias, and cardiac failure can occur after surgery, especially in high-risk patients.
6. Renal (kidney) problems: Acute kidney injury or chronic kidney disease can develop postoperatively, particularly in patients with pre-existing renal impairment.
7. Neurological complications: Stroke, seizures, and neuropraxia (nerve damage) can occur after surgery, especially in patients with pre-existing neurological conditions.
8. Pulmonary embolism: Blood clots can form in the legs or lungs after surgery, potentially causing pulmonary embolism.
9. Anesthesia-related complications: Respiratory and cardiac complications can occur during anesthesia, including respiratory and cardiac arrest.
10. delayed healing: Wound healing may be delayed or impaired after surgery, particularly in patients with pre-existing medical conditions.

It is important for patients to be aware of these potential complications and to discuss any concerns with their surgeon and healthcare team before undergoing surgery.

Some examples of pathologic constrictions include:

1. Stenosis: A narrowing or constriction of a blood vessel or other tubular structure, often caused by the buildup of plaque or scar tissue.
2. Asthma: A condition characterized by inflammation and constriction of the airways, which can make breathing difficult.
3. Esophageal stricture: A narrowing of the esophagus that can cause difficulty swallowing.
4. Gastric ring constriction: A narrowing of the stomach caused by a band of tissue that forms in the upper part of the stomach.
5. Anal fissure: A tear in the lining of the anus that can cause pain and difficulty passing stools.

Pathologic constrictions can be caused by a variety of factors, including inflammation, infection, injury, or genetic disorders. They can be diagnosed through imaging tests such as X-rays, CT scans, or endoscopies, and may require surgical treatment to relieve symptoms and improve function.

The term "experimental" refers to the fact that this type of cirrhosis is typically induced in animals through the use of certain chemicals, toxins, or viruses, rather than occurring naturally in humans. The goal of studying experimental liver cirrhosis is to gain a better understanding of the underlying mechanisms and to develop new treatments for this condition.

Some examples of how experimental liver cirrhosis may be induced include:

* Administering certain chemicals or toxins, such as carbon tetrachloride or thioacetamide, to animals in order to damage the liver and trigger the formation of nodules and fibrosis.
* Infecting animals with viruses that can cause liver damage and inflammation, such as hepatitis B or C virus.
* Using genetic models to study the role of specific genes in the development of liver cirrhosis.

Experimental liver cirrhosis is often studied in laboratory animals, such as mice, rats, and pigs, using a range of techniques including histology, biochemistry, and molecular biology. The studies may focus on various aspects of the disease, such as the mechanisms of inflammation and fibrosis, the role of specific cell types or signaling pathways, and the efficacy of potential therapeutic agents.

Some common examples of intraoperative complications include:

1. Bleeding: Excessive bleeding during surgery can lead to hypovolemia (low blood volume), anemia (low red blood cell count), and even death.
2. Infection: Surgical wounds can become infected, leading to sepsis or bacteremia (bacterial infection of the bloodstream).
3. Nerve damage: Surgery can sometimes result in nerve damage, leading to numbness, weakness, or paralysis.
4. Organ injury: Injury to organs such as the liver, lung, or bowel can occur during surgery, leading to complications such as bleeding, infection, or organ failure.
5. Anesthesia-related complications: Problems with anesthesia can include respiratory or cardiac depression, allergic reactions, or awareness during anesthesia (a rare but potentially devastating complication).
6. Hypotension: Low blood pressure during surgery can lead to inadequate perfusion of vital organs and tissues, resulting in organ damage or death.
7. Thromboembolism: Blood clots can form during surgery and travel to other parts of the body, causing complications such as stroke, pulmonary embolism, or deep vein thrombosis.
8. Postoperative respiratory failure: Respiratory complications can occur after surgery, leading to respiratory failure, pneumonia, or acute respiratory distress syndrome (ARDS).
9. Wound dehiscence: The incision site can separate or come open after surgery, leading to infection, fluid accumulation, or hernia.
10. Seroma: A collection of serous fluid that can develop at the surgical site, which can become infected and cause complications.
11. Nerve damage: Injury to nerves during surgery can result in numbness, weakness, or paralysis, sometimes permanently.
12. Urinary retention or incontinence: Surgery can damage the bladder or urinary sphincter, leading to urinary retention or incontinence.
13. Hematoma: A collection of blood that can develop at the surgical site, which can become infected and cause complications.
14. Pneumonia: Inflammation of the lungs after surgery can be caused by bacteria, viruses, or fungi and can lead to serious complications.
15. Sepsis: A systemic inflammatory response to infection that can occur after surgery, leading to organ dysfunction and death if not treated promptly.

It is important to note that these are potential complications, and not all patients will experience them. Additionally, many of these complications are rare, and the vast majority of surgeries are successful with minimal or no complications. However, it is important for patients to be aware of the potential risks before undergoing surgery so they can make an informed decision about their care.

Exocrine disorders affect the pancreas' ability to produce digestive enzymes, leading to symptoms such as abdominal pain, diarrhea, and malnutrition. The most common exocrine disorder is chronic pancreatitis, which is inflammation of the pancreas that can lead to permanent damage and scarring. Other exocrine disorders include acute pancreatitis, pancreatic insufficiency, and pancreatic cancer.

Endocrine disorders affect the pancreas' ability to produce hormones, leading to symptoms such as diabetes, hypoglycemia, and Cushing's syndrome. The most common endocrine disorder is diabetes mellitus, which is caused by a deficiency of insulin production or insulin resistance. Other endocrine disorders include hyperglycemia, hypoglycemia, and pancreatic polypeptide-secreting tumors.

Pancreatic diseases can be caused by a variety of factors, including genetics, lifestyle choices, and certain medical conditions. Treatment options for pancreatic diseases vary depending on the underlying cause and severity of the condition, and may include medications, surgery, or lifestyle changes. Early diagnosis and treatment are critical for improving outcomes in patients with pancreatic diseases.

Some of the most common types of pancreatic diseases include:

1. Diabetes mellitus: a group of metabolic disorders characterized by high blood sugar levels.
2. Chronic pancreatitis: inflammation of the pancreas that can lead to permanent damage and scarring.
3. Acute pancreatitis: sudden and severe inflammation of the pancreas, often caused by gallstones or excessive alcohol consumption.
4. Pancreatic cancer: a malignancy that can arise in the pancreas and spread to other parts of the body.
5. Pancreatic neuroendocrine tumors (PNETs): tumors that arise in the hormone-producing cells of the pancreas and can produce excessive amounts of hormones, leading to a variety of symptoms.
6. Pancreatic polypeptide-secreting tumors: rare tumors that produce excessive amounts of pancreatic polypeptide, leading to hypoglycemia and other symptoms.
7. Glucagonoma: a rare tumor that produces excessive amounts of glucagon, leading to high blood sugar levels and other symptoms.
8. Insulinoma: a rare tumor that produces excessive amounts of insulin, leading to low blood sugar levels and other symptoms.
9. Multiple endocrine neoplasia (MEN) type 1: an inherited disorder characterized by multiple endocrine tumors, including those in the pancreas.
10. Familial pancreatico-ductal adenocarcinoma (FPDA): an inherited disorder characterized by a high risk of developing pancreatic cancer.

These are just some of the possible causes of pancreatic disease, and there may be others not listed here. It is important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.

Note: The above definition is intended to provide a general understanding of the term 'Cystadenoma' and should not be considered as medical advice or diagnosis. If you have any concerns about your health, please consult a qualified medical professional for proper evaluation and care.

Neonatal jaundice can be caused by a variety of factors, including:

* Immaturity of the liver and biliary system, which can lead to an inability to process bilirubin properly
* Infection or sepsis
* Breastfeeding difficulties or poor milk intake
* Blood type incompatibility between the baby and mother
* Genetic disorders such as Crigler-Najjar syndrome
* Other medical conditions such as hypothyroidism or anemia

Symptoms of neonatal jaundice may include:

* Yellowing of the skin and whites of the eyes
* Dark-colored urine
* Pale or clay-colored stools
* Lack of appetite or poor feeding
* Lethargy or irritability

Treatment for neonatal jaundice may include:

* Phototherapy, which involves exposure to blue light to help break down bilirubin in the blood
* Exchange transfusion, which involves replacing some of the baby's blood with fresh blood to lower bilirubin levels
* Medication to stimulate bowel movements and increase the elimination of bilirubin
* Intravenous fluids to prevent dehydration

In some cases, neonatal jaundice may be a sign of a more serious underlying condition, such as a liver or gallbladder disorder. It is important for parents to seek medical attention if they notice any signs of jaundice in their newborn baby, particularly if the baby is feeding poorly or appears lethargic or irritable.

There are several types of hepatitis, including:

1. Hepatitis A: This type is caused by the hepatitis A virus (HAV) and is usually transmitted through contaminated food or water or through close contact with someone who has the infection.
2. Hepatitis B: This type is caused by the hepatitis B virus (HBV) and can be spread through sexual contact, sharing of needles, or mother-to-child transmission during childbirth.
3. Hepatitis C: This type is caused by the hepatitis C virus (HCV) and is primarily spread through blood-to-blood contact, such as sharing of needles or receiving a tainted blood transfusion.
4. Alcoholic hepatitis: This type is caused by excessive alcohol consumption and can lead to inflammation and scarring in the liver.
5. Drug-induced hepatitis: This type is caused by certain medications, such as antidepressants, anti-seizure drugs, or chemotherapy agents.
6. Autoimmune hepatitis: This type is caused by an abnormal immune response and can lead to inflammation in the liver.

Symptoms of hepatitis may include fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, pale stools, and yellowing of the skin (jaundice). In severe cases, it can lead to liver failure or even death.

Diagnosis of hepatitis is typically made through a combination of physical examination, laboratory tests such as blood tests and imaging studies like ultrasound or CT scans. Treatment options vary depending on the cause and severity of the condition, but may include medications to manage symptoms, antiviral therapy, or in severe cases, liver transplantation. Prevention measures for hepatitis include vaccination against certain types of the disease, practicing safe sex, avoiding sharing needles or other drug paraphernalia, and following proper hygiene practices.

In conclusion, hepatitis is a serious condition that affects millions of people worldwide. It is important to be aware of the different types of hepatitis and their causes in order to prevent and manage this condition effectively. By taking appropriate measures such as getting vaccinated and practicing safe sex, individuals can reduce their risk of contracting hepatitis. In severe cases, early diagnosis and treatment can help to minimize damage to the liver and improve outcomes for patients.

Here are some additional details about each of the gallbladder diseases mentioned in the definition:

* Gallstone disease: This is the most common gallbladder disease and occurs when small stones form in the gallbladder. The stones can be made of cholesterol, bilirubin, or other substances. They can cause pain, inflammation, and infection if left untreated.
* Cholecystitis: This is inflammation of the gallbladder that can occur when gallstones block the ducts and cause bile to build up. Symptoms can include abdominal pain, fever, and chills. If left untreated, cholecystitis can lead to more serious complications such as gangrene or perforation of the gallbladder.
* Choledocholithiasis: This is the presence of stones in the bile ducts that carry bile from the liver and gallbladder to the small intestine. These stones can cause blockages and lead to inflammation, infection, and damage to the liver and pancreas.
* Pancreatitis: This is inflammation of the pancreas that can occur when the pancreatic ducts become blocked by gallstones or other substances. Symptoms can include abdominal pain, nausea, vomiting, and fever. If left untreated, pancreatitis can lead to serious complications such as infection, organ failure, and death.
* Gallbladder cancer: This is a rare but aggressive type of cancer that occurs in the gallbladder. Symptoms can include abdominal pain, jaundice, and weight loss. If left untreated, gallbladder cancer can spread to other parts of the body and lead to death.

Overall, these gallbladder diseases can have a significant impact on quality of life and can be fatal if left untreated. It is important to seek medical attention if symptoms persist or worsen over time.

Pancreatic adenocarcinoma is the most common type of malignant pancreatic neoplasm and accounts for approximately 85% of all pancreatic cancers. It originates in the glandular tissue of the pancreas and has a poor prognosis, with a five-year survival rate of less than 10%.

Pancreatic neuroendocrine tumors (PNETs) are less common but more treatable than pancreatic adenocarcinoma. These tumors originate in the hormone-producing cells of the pancreas and can produce excess hormones that cause a variety of symptoms, such as diabetes or high blood sugar. PNETs are classified into two main types: functional and non-functional. Functional PNETs produce excess hormones and are more aggressive than non-functional tumors.

Other rare types of pancreatic neoplasms include acinar cell carcinoma, ampullary cancer, and oncocytic pancreatic neuroendocrine tumors. These tumors are less common than pancreatic adenocarcinoma and PNETs but can be equally aggressive and difficult to treat.

The symptoms of pancreatic neoplasms vary depending on the type and location of the tumor, but they often include abdominal pain, weight loss, jaundice, and fatigue. Diagnosis is typically made through a combination of imaging tests such as CT scans, endoscopic ultrasound, and biopsy. Treatment options for pancreatic neoplasms depend on the type and stage of the tumor but may include surgery, chemotherapy, radiation therapy, or a combination of these.

Prognosis for patients with pancreatic neoplasms is generally poor, especially for those with advanced stages of disease. However, early detection and treatment can improve survival rates. Research into the causes and mechanisms of pancreatic neoplasms is ongoing, with a focus on developing new and more effective treatments for these devastating diseases.




Calculi are typically classified into three types based on their composition:

1. Calcium oxalate calculi: These are the most common type of calculus and are often found in the kidneys and urinary tract. They are more likely to occur in people with a history of kidney stones or other conditions that affect calcium metabolism.
2. Magnesium ammonium phosphate calculi: These calculi are less common and typically form in the kidneys or bladder. They are often associated with chronic kidney disease or other underlying medical conditions.
3. Uric acid calculi: These calculi are rare and often form in the joints, but can also occur in the urinary tract. They are more common in people with gout or other conditions that affect uric acid metabolism.

Calculi can cause a range of symptoms depending on their size and location, including:

* Pain in the abdomen, flank, or back
* Blood in the urine (hematuria)
* Frequent urination or difficulty urinating
* Cloudy or strong-smelling urine
* Fever or chills
* Nausea and vomiting

If calculi are small and do not cause any symptoms, they may not require treatment. However, if they grow large enough to block the flow of urine or cause pain, treatment may be necessary. Treatment options for calculi include:

1. Medications: Drugs such as alpha-blockers and potassium citrate can help to dissolve calculi and reduce symptoms.
2. Shock wave lithotripsy: This is a non-invasive procedure that uses high-energy shock waves to break up calculi into smaller pieces that can be passed more easily.
3. Endoscopic surgery: A small, flexible tube with a camera and specialized tools can be inserted through the ureter or bladder to remove calculi.
4. Open surgery: In some cases, open surgery may be necessary to remove large or complex calculi.

Prevention is key in avoiding calculi. Here are some tips for preventing calculi:

1. Drink plenty of water: Adequate hydration helps to dilute uric acid and other substances in the urine, reducing the risk of calculi formation.
2. Limit alcohol intake: Alcohol can increase levels of uric acid in the blood, which can contribute to calculi formation.
3. Maintain a healthy diet: Eating a balanced diet that is low in purines and high in fruits and vegetables can help to reduce the risk of calculi.
4. Manage underlying conditions: Conditions such as gout, hyperparathyroidism, and kidney disease can increase the risk of calculi. Managing these conditions with medication and lifestyle changes can help to reduce the risk of calculi.
5. Avoid certain medications: Certain medications, such as some antibiotics and diuretics, can increase the risk of calculi formation.
6. Monitor urine output: If you have a medical condition that affects your urinary tract, such as a blockage or an obstruction, it is important to monitor your urine output to ensure that your kidneys are functioning properly.
7. Avoid prolonged bed rest: Prolonged bed rest can increase the risk of calculi formation by slowing down urine flow and allowing minerals to accumulate in the urinary tract.
8. Stay active: Regular exercise can help to improve circulation and maintain a healthy weight, which can reduce the risk of calculi formation.
9. Avoid smoking: Smoking can increase the risk of calculi formation by reducing blood flow to the kidneys and increasing the amount of oxalate in the urine.
10. Consider medications: In some cases, medications such as allopurinol or potassium citrate may be prescribed to help prevent calculi formation. These medications can help to reduce the levels of uric acid or calcium oxalate in the urine.
It is important to note that not all kidney stones are the same, and the underlying cause may vary depending on the type of stone. For example, if you have a history of gout, you may be more likely to develop uric acid stones. In this case, medications such as allopurinol or probenecid may be prescribed to help reduce the levels of uric acid in your blood and prevent calculi formation.


Human infection by Clonorchis sinensis is a significant public health problem in many parts of the world, particularly in Asia where the parasite is most prevalent. The disease is often found in areas where sanitation and hygiene are poor, and where fish consumption is a major part of the diet. In endemic areas, clonorchiasis can be a major cause of morbidity and mortality, particularly among individuals who consume raw or undercooked fish on a regular basis.

Preventive measures against clonorchiasis include proper cooking of fish, avoiding consumption of raw or undercooked fish, and avoiding contact with contaminated water. In areas where the parasite is common, public health campaigns may be implemented to raise awareness about the risks of eating raw or undercooked fish and to promote proper cooking methods. In addition, efforts to improve sanitation and hygiene can help reduce the risk of infection.

In conclusion, Clonorchiasis is a serious disease caused by the liver fluke, Clonorchis sinensis, which is found in freshwater fish. Proper cooking of fish, avoiding consumption of raw or undercooked fish, and avoiding contact with contaminated water are important preventive measures against clonorchiasis. Public health campaigns and efforts to improve sanitation and hygiene can also help reduce the risk of infection and manage symptoms of the disease.

Sources:

1. World Health Organization. (2019). Clonorchiasis. Retrieved from

2. Centers for Disease Control and Prevention. (2020). Parasites - Clonorchis sinensis. Retrieved from

3. Naja, H. J., & Ragi, M. A. (2016). Clonorchiasis: An overview of the disease and its current treatment options. Journal of Clinical and Experimental Hepatology, 8(4), 349-357.

4. Xu, J., & Zhang, Y. (2016). Clonorchiasis: A review of the current situation in China. Parasites & Vectors, 9(1), 385.

The disease is caused by mutations in the DNA of genes that are involved in the development and maintenance of the liver and bile ducts. It is usually diagnosed in children or young adults, and treatment options may include surgery to remove cysts, antibiotics to treat infections, and medication to manage symptoms such as pain and itching.

The disease is named after the Italian physician, Angelo Caroli, who first described it in 1892. It is also known as Caroli's disease or congenital hepatic fibrosis.

Adenocarcinoma is a term used to describe a variety of different types of cancer that arise in glandular tissue, including:

1. Colorectal adenocarcinoma (cancer of the colon or rectum)
2. Breast adenocarcinoma (cancer of the breast)
3. Prostate adenocarcinoma (cancer of the prostate gland)
4. Pancreatic adenocarcinoma (cancer of the pancreas)
5. Lung adenocarcinoma (cancer of the lung)
6. Thyroid adenocarcinoma (cancer of the thyroid gland)
7. Skin adenocarcinoma (cancer of the skin)

The symptoms of adenocarcinoma depend on the location of the cancer and can include:

1. Blood in the stool or urine
2. Abdominal pain or discomfort
3. Changes in bowel habits
4. Unusual vaginal bleeding (in the case of endometrial adenocarcinoma)
5. A lump or thickening in the breast or elsewhere
6. Weight loss
7. Fatigue
8. Coughing up blood (in the case of lung adenocarcinoma)

The diagnosis of adenocarcinoma is typically made through a combination of imaging tests, such as CT scans, MRI scans, and PET scans, and a biopsy, which involves removing a sample of tissue from the affected area and examining it under a microscope for cancer cells.

Treatment options for adenocarcinoma depend on the location of the cancer and can include:

1. Surgery to remove the tumor
2. Chemotherapy, which involves using drugs to kill cancer cells
3. Radiation therapy, which involves using high-energy X-rays or other particles to kill cancer cells
4. Targeted therapy, which involves using drugs that target specific molecules on cancer cells to kill them
5. Immunotherapy, which involves using drugs that stimulate the immune system to fight cancer cells.

The prognosis for adenocarcinoma is generally good if the cancer is detected and treated early, but it can be more challenging to treat if the cancer has spread to other parts of the body.

The term "papillary" refers to the fact that the cancer cells grow in a finger-like shape, with each cell forming a small papilla (bump) on the surface of the tumor. APC is often slow-growing and may not cause any symptoms in its early stages.

APC is generally considered to be less aggressive than other types of cancer, such as ductal carcinoma in situ (DCIS) or invasive breast cancer. However, it can still spread to other parts of the body if left untreated. Treatment options for APC may include surgery, radiation therapy, and/or hormone therapy, depending on the location and stage of the cancer.

It's worth noting that APC is sometimes referred to as "papillary adenocarcinoma" or simply "papillary cancer." However, these terms are often used interchangeably with "adenocarcinoma, papillary" in medical literature and clinical practice.

Cystadenocarcinoma can occur in various parts of the body, but it is most common in the ovary and breast. In the ovary, it is the most common type of ovarian cancer and accounts for about 70% of all ovarian cancers. In the breast, it is a rare type of breast cancer, accounting for less than 5% of all breast cancers.

The symptoms of cystadenocarcinoma can vary depending on the location of the tumor, but they may include:

* Abnormal vaginal bleeding or discharge
* Pelvic pain or discomfort
* Abdominal swelling or bloating
* Painful urination
* Weakness and fatigue

Cystadenocarcinoma is diagnosed through a combination of imaging tests, such as ultrasound, CT scan, or MRI, and biopsy. Treatment options may include surgery, chemotherapy, and/or radiation therapy, depending on the stage and location of the cancer.

The prognosis for cystadenocarcinoma depends on the stage of the cancer at the time of diagnosis. In general, early detection and treatment improve the chances of a successful outcome. However, cystadenocarcinoma can be an aggressive cancer, and the 5-year survival rate is lower for advanced stages of the disease.

In summary, cystadenocarcinoma is a type of cancer that arises from glandular cells in various parts of the body, but most commonly in the ovary and breast. It can cause a range of symptoms and is diagnosed through imaging tests and biopsy. Treatment options include surgery, chemotherapy, and/or radiation therapy, and the prognosis depends on the stage of the cancer at the time of diagnosis.

There are many different types of cysts that can occur in the body, including:

1. Sebaceous cysts: These are small, usually painless cysts that form in the skin, particularly on the face, neck, or torso. They are filled with a thick, cheesy material and can become inflamed or infected.
2. Ovarian cysts: These are fluid-filled sacs that form on the ovaries. They are common in women of childbearing age and can cause pelvic pain, bloating, and other symptoms.
3. Kidney cysts: These are fluid-filled sacs that form in the kidneys. They are usually benign but can cause problems if they become large or infected.
4. Dermoid cysts: These are small, usually painless cysts that form in the skin or organs. They are filled with skin cells, hair follicles, and other tissue and can become inflamed or infected.
5. Pilar cysts: These are small, usually painless cysts that form on the scalp. They are filled with a thick, cheesy material and can become inflamed or infected.
6. Epidermoid cysts: These are small, usually painless cysts that form just under the skin. They are filled with a thick, cheesy material and can become inflamed or infected.
7. Mucous cysts: These are small, usually painless cysts that form on the fingers or toes. They are filled with a clear, sticky fluid and can become inflamed or infected.
8. Baker's cyst: This is a fluid-filled cyst that forms behind the knee. It can cause swelling and pain in the knee and is more common in women than men.
9. Tarlov cysts: These are small, fluid-filled cysts that form in the spine. They can cause back pain and other symptoms, such as sciatica.
10. ganglion cysts: These are noncancerous lumps that form on the joints or tendons. They are filled with a thick, clear fluid and can cause pain, swelling, and limited mobility.

It's important to note that this is not an exhaustive list and there may be other types of cysts that are not included here. If you suspect that you have a cyst, it's always best to consult with a healthcare professional for proper diagnosis and treatment.

Symptoms of LDO may include:

* Redness and swelling of the eyelid
* Discharge from the eye
* Pain in the eye or eyelid
* Blurred vision
* Eye movements that are abnormal

If left untreated, LDO can lead to complications such as:

* Infection of the lacrimal duct
* Abscess formation
* Inflammation of the eyelid
* Dry eye

Treatment for LDO usually involves antibiotics or anti-inflammatory medications to clear the blockage and reduce swelling. In severe cases, surgery may be necessary to remove the obstruction.

Prevention is key in avoiding LDO, and this can be done by:

* Keeping the eyes and eyelids clean
* Avoiding rubbing or touching the eyes
* Using protective eyewear when needed
* Getting regular eye exams to detect any issues early on.

1) They share similarities with humans: Many animal species share similar biological and physiological characteristics with humans, making them useful for studying human diseases. For example, mice and rats are often used to study diseases such as diabetes, heart disease, and cancer because they have similar metabolic and cardiovascular systems to humans.

2) They can be genetically manipulated: Animal disease models can be genetically engineered to develop specific diseases or to model human genetic disorders. This allows researchers to study the progression of the disease and test potential treatments in a controlled environment.

3) They can be used to test drugs and therapies: Before new drugs or therapies are tested in humans, they are often first tested in animal models of disease. This allows researchers to assess the safety and efficacy of the treatment before moving on to human clinical trials.

4) They can provide insights into disease mechanisms: Studying disease models in animals can provide valuable insights into the underlying mechanisms of a particular disease. This information can then be used to develop new treatments or improve existing ones.

5) Reduces the need for human testing: Using animal disease models reduces the need for human testing, which can be time-consuming, expensive, and ethically challenging. However, it is important to note that animal models are not perfect substitutes for human subjects, and results obtained from animal studies may not always translate to humans.

6) They can be used to study infectious diseases: Animal disease models can be used to study infectious diseases such as HIV, TB, and malaria. These models allow researchers to understand how the disease is transmitted, how it progresses, and how it responds to treatment.

7) They can be used to study complex diseases: Animal disease models can be used to study complex diseases such as cancer, diabetes, and heart disease. These models allow researchers to understand the underlying mechanisms of the disease and test potential treatments.

8) They are cost-effective: Animal disease models are often less expensive than human clinical trials, making them a cost-effective way to conduct research.

9) They can be used to study drug delivery: Animal disease models can be used to study drug delivery and pharmacokinetics, which is important for developing new drugs and drug delivery systems.

10) They can be used to study aging: Animal disease models can be used to study the aging process and age-related diseases such as Alzheimer's and Parkinson's. This allows researchers to understand how aging contributes to disease and develop potential treatments.

Portal hypertension can be caused by several conditions, such as cirrhosis (scarring of the liver), liver cancer, and congenital heart disease. When the portal vein is blocked or narrowed, blood flow through the veins in the esophagus and stomach increases, leading to enlargement of these vessels and an increased risk of bleeding.

Esophageal varices are the most common type of variceal bleeding and account for about 75% of all cases. Gastric varices are less common and usually occur in conjunction with esophageal varices.

Symptoms of esophageal and gastric varices may include:

* Vomiting blood or passing black stools
* Weakness, dizziness, or fainting due to blood loss
* Chest pain or discomfort
* Difficulty swallowing

Treatment for esophageal and gastric varices usually involves endoscopy, which is a procedure in which a flexible tube with a camera and light on the end is inserted through the mouth to visualize the inside of the esophagus and stomach. During endoscopy, the physician may use medications to shrink the varices or apply heat to seal off the bleeding vessels. In some cases, surgery may be necessary to repair or remove the varices.

Prevention of esophageal and gastric varices involves managing the underlying cause of portal hypertension, such as cirrhosis or liver cancer. This can include medications to reduce portal pressure, lifestyle changes to improve liver function, and in some cases, surgery to remove the affected liver tissue.

In summary, esophageal and gastric varices are enlarged veins in the lower esophagus and stomach that can develop in people with portal hypertension due to cirrhosis or liver cancer. These varices can cause bleeding, which can be life-threatening if not treated promptly. Treatment usually involves endoscopy and may involve medications, heat therapy, or surgery to seal off the bleeding vessels. Prevention involves managing the underlying cause of portal hypertension.

The sphincter of Oddi is a ring-like muscle that controls the opening and closing of the common bile duct into the small intestine. Sphincter of Oddi dysfunction refers to problems with the functioning of this muscle, which can lead to a range of symptoms including abdominal pain, nausea, vomiting, and jaundice (yellowing of the skin and eyes).

There are several possible causes of sphincter of Oddi dysfunction, including:

1. Gallstones: Gallstones can block the common bile duct and cause inflammation and scarring of the sphincter, leading to dysfunction.
2. Inflammatory conditions: Conditions such as pancreatitis and cholangitis can cause inflammation and damage to the sphincter muscle.
3. Cancer: Bile duct cancer or pancreatic cancer can infiltrate and damage the sphincter muscle, leading to dysfunction.
4. Injury: Trauma to the abdomen or surgical damage to the bile ducts can cause dysfunction of the sphincter.
5. Neurological disorders: Certain neurological conditions such as Parkinson's disease, multiple sclerosis, and peripheral neuropathy can affect the nerves that control the sphincter muscle, leading to dysfunction.

The symptoms of sphincter of Oddi dysfunction can vary depending on the underlying cause and the severity of the dysfunction. They may include:

* Abdominal pain, often in the right upper quadrant or middle of the abdomen
* Nausea and vomiting
* Jaundice (yellowing of the skin and eyes)
* Fatigue
* Loss of appetite
* Weight loss
* Pale or clay-colored stools
* Dark urine

If you are experiencing any of these symptoms, it is important to seek medical attention as soon as possible. A healthcare professional can perform a series of tests to diagnose the underlying cause of the dysfunction and develop an appropriate treatment plan. These tests may include:

1. Endoscopy: A thin, flexible tube with a camera and light on the end is inserted through the mouth and into the bile ducts to visualize the sphincter and surrounding tissues.
2. Imaging tests: Such as X-rays, CT scans, or MRI scans to evaluate the structure of the bile ducts and liver.
3. Blood tests: To check for signs of liver damage or pancreas inflammation.
4. ERCP (endoscopic retrograde cholangiopancreatography): A procedure in which a flexible tube with a camera and a special tool is inserted through the mouth and into the bile ducts to diagnose and treat problems.
5. Sphincterotomy: A procedure in which the surgeon makes a small incision in the sphincter muscle to relieve pressure and allow normal flow of bile.
6. Stent placement: A small tube is placed inside the bile duct to keep it open and improve flow.
7. Biliary bypass surgery: A procedure in which the surgeon reroutes the bile flow around the blocked bile duct.
8. Liver transplantation: In severe cases of bile duct injuries, a liver transplant may be necessary.

It is important to note that the treatment plan will depend on the underlying cause of the dysfunction and the severity of the condition. A healthcare professional will be able to determine the best course of treatment based on individual circumstances.

Inflammation of the gallbladder that develops rapidly and usually as a result of obstruction of the cystic duct by a gallstone or rarely by tumors, parasites, or external pressure. Symptoms include right upper quadrant abdominal pain, fever, nausea, vomiting, and Murphy's sign (tenderness over the gallbladder). Treatment is with antibiotics, analgesics, and supportive care; surgical intervention may be required in severe cases or if there are complications. See: biliary colic; cholelithiasis; cholangitis.

Some common examples of duodenal diseases include:

1. Peptic ulcers: These are open sores that develop in the lining of the duodenum and can be caused by infection with Helicobacter pylori bacteria or the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
2. Duodenal cancer: This is a rare type of cancer that develops in the lining of the duodenum. It can be treated with surgery, chemotherapy, and radiation therapy.
3. Inflammatory bowel disease (IBD): This is a chronic condition that causes inflammation in the digestive tract, including the duodenum. Symptoms of IBD include abdominal pain, diarrhea, and weight loss.
4. Duodenal webs or rings: These are congenital abnormalities that can cause blockages or narrowing in the duodenum.
5. Pancreatitis: This is inflammation of the pancreas, which can spread to the duodenum and cause damage to the lining of the duodenum.
6. Gastrointestinal hormone deficiency: This is a condition where the body does not produce enough gastrointestinal hormones, which can lead to symptoms such as diarrhea, abdominal pain, and weight loss.
7. Duodenal polyps: These are growths that develop in the lining of the duodenum and can be benign or cancerous.
8. Duodenal obstruction: This is a blockage that develops in the duodenum and can be caused by a variety of factors, including tumors, adhesions, and inflammation.

Duodenal diseases can be diagnosed through a range of tests, including:

1. Endoscopy: This is a procedure where a flexible tube with a camera and light on the end is inserted into the duodenum to visualize the inside of the duodenum and collect tissue samples.
2. Biopsy: This is a procedure where a small sample of tissue is removed from the duodenum and examined under a microscope for signs of disease.
3. CT scan or MRI: These are imaging tests that use X-rays or magnetic fields to produce detailed images of the duodenum and surrounding tissues.
4. Blood tests: These can be used to check for signs of infection, inflammation, or other conditions affecting the duodenum.
5. Stool tests: These can be used to check for signs of infection or inflammation in the duodenum.

Treatment for duodenal diseases will depend on the specific condition and its cause, but may include:

1. Medications: Such as antibiotics, anti-inflammatory drugs, and acid-suppressing medications to manage symptoms and reduce inflammation.
2. Lifestyle changes: Such as avoiding trigger foods, eating smaller meals, and managing stress.
3. Endoscopy: To remove any blockages or abnormal growths in the duodenum.
4. Surgery: In some cases, surgery may be necessary to repair damaged tissue or remove affected tissue.
5. Nutritional support: To ensure that the patient is getting enough nutrients and electrolytes.

It's important to note that a proper diagnosis from a medical professional is essential for effective treatment of duodenal diseases.

The digestive system neoplasms are a group of abnormal growths or tumors that occur in the organs and tissues of the gastrointestinal (GI) tract. These neoplasms can be benign or malignant, and their impact on the body can range from minimal to life-threatening.

Types:

There are several types of digestive system neoplasms, including:

1. Colorectal cancer: A malignant tumor that develops in the colon or rectum.
2. Gastric cancer: A malignant tumor that develops in the stomach.
3. Pancreatic cancer: A malignant tumor that develops in the pancreas.
4. Small intestine cancer: A rare type of cancer that develops in the small intestine.
5. Esophageal cancer: A malignant tumor that develops in the esophagus.
6. Liver cancer (hepatocellular carcinoma): A malignant tumor that develops in the liver.
7. Anal canal cancer: A rare type of cancer that develops in the anus.
8. Gallbladder cancer: A rare type of cancer that develops in the gallbladder.

Causes and risk factors:

The exact cause of digestive system neoplasms is not always known, but certain risk factors can increase the likelihood of developing these conditions. These include:

1. Age: The risk of developing digestive system neoplasms increases with age.
2. Family history: Having a family history of these conditions can increase the risk.
3. Inflammatory bowel disease: People with inflammatory bowel disease, such as ulcerative colitis or Crohn's disease, are at higher risk of developing colorectal cancer.
4. Diets high in fat and low in fiber: A diet high in fat and low in fiber may increase the risk of developing colon cancer.
5. Smoking: Smoking can increase the risk of developing several types of digestive system neoplasms, including colorectal cancer and pancreatic cancer.
6. Alcohol consumption: Heavy alcohol consumption may increase the risk of developing liver cancer.
7. Obesity: Being overweight or obese may increase the risk of developing several types of digestive system neoplasms, including colorectal cancer and pancreatic cancer.
8. Infection with certain viruses: Some viruses, such as human papillomavirus (HPV) and hepatitis B and C, can increase the risk of developing certain types of digestive system neoplasms.

Symptoms and diagnosis:

The symptoms of digestive system neoplasms vary depending on the location and size of the tumor. Some common symptoms include:

1. Blood in the stool or vomit
2. Abdominal pain or discomfort
3. Weight loss
4. Fatigue
5. Loss of appetite
6. Jaundice (yellowing of the skin and eyes)

If a patient experiences any of these symptoms, they should see a healthcare provider for further evaluation. A diagnosis of digestive system neoplasms is typically made through a combination of imaging tests such as CT scans, MRI scans, endoscopy, and biopsy. Treatment options:

The treatment of digestive system neoplasms depends on the type, size, location, and stage of the tumor. Some common treatment options include:

1. Surgery: Surgery is often the first line of treatment for many types of digestive system neoplasms. The goal of surgery is to remove the tumor and any affected tissue.
2. Chemotherapy: Chemotherapy is a type of cancer treatment that uses drugs to kill cancer cells. It may be used before or after surgery, or as a palliative therapy to relieve symptoms.
3. Radiation therapy: Radiation therapy uses high-energy rays to kill cancer cells. It may be used alone or in combination with other treatments.
4. Targeted therapy: Targeted therapy is a type of cancer treatment that targets specific molecules involved in the growth and spread of cancer cells. Examples of targeted therapies used to treat digestive system neoplasms include bevacizumab, which targets vascular endothelial growth factor (VEGF) and aflibercept, which targets vascular endothelial growth factor receptor 2 (VEGFR2).
5. Immunotherapy: Immunotherapy is a type of cancer treatment that uses the body's immune system to fight cancer cells. Examples of immunotherapies used to treat digestive system neoplasms include pembrolizumab, which targets programmed death-1 (PD-1) and nivolumab, which targets PD-1 and CTLA-4.
6. Stenting or embolization: These procedures involve placing a small tube or particles into the blood vessels to block the flow of blood to the tumor, which can cause it to shrink or stop growing.
7. Palliative care: Palliative care is a type of treatment that focuses on relieving symptoms and improving quality of life for people with advanced cancer. It may include medications, radiation therapy, or other interventions to manage pain, bleeding, or other complications.
8. Clinical trials: These are research studies that involve testing new treatments or combinations of treatments to see if they are effective and safe. Participating in a clinical trial may give patients access to innovative therapies that are not yet widely available.

It's important to note that the specific treatment plan for digestive system neoplasms will depend on the type, location, size, and stage of the cancer, as well as other individual factors such as the patient's age, overall health, and preferences. Patients should discuss their treatment options with their healthcare provider to determine the best course of action for their specific situation.

The exact cause of cryoglobulinemia is not known, but it is believed to be related to an autoimmune disorder or a viral infection. Treatment options for the condition include medications to reduce inflammation and improve blood flow, as well as plasmapheresis, a process that removes abnormal proteins from the blood. In some cases, a bone marrow transplant may be recommended.

Cryoglobulinemia is a rare disease, and it can be difficult to diagnose, as the symptoms are similar to those of other conditions such as rheumatoid arthritis or lupus. However, if cryoglobulinemia is suspected, a doctor may perform a range of tests to confirm the diagnosis, including blood tests to look for the presence of cryoglobulins and imaging studies to examine the blood vessels.

Overall, cryoglobulinemia is a rare and complex condition that can have a significant impact on a person's quality of life. While there is no cure for the disease, with proper treatment, many people with cryoglobulinemia are able to manage their symptoms and lead active lives.

There are several types of cholecystolithiasis:

* Pigmented stones (made from bilirubin)
* Cholesterol stones (made from cholesterol and other substances in the bile)
* Mixed stones (a combination of pigmented and cholesterol stones)

Symptoms:

* Abdominal pain (especially after meals)
* Nausea and vomiting
* Diarrhea
* Fever
* Yellowing of the skin and whites of the eyes (jaundice)

Causes:

* Genetics
* Obesity
* Rapid weight loss
* High cholesterol levels
* Low HDL (good) cholesterol levels
* High triglycerides
* Diabetes

Diagnosis is made through a combination of physical examination, medical history, and imaging tests such as ultrasound, CT or MRI scans. Treatment options include medication to dissolve small stones, surgery to remove the gallbladder (cholecystectomy) or laparoscopic cholecystectomy (removal of the gallbladder through small incisions).

Prevention includes maintaining a healthy weight, eating a balanced diet, and managing underlying medical conditions such as diabetes and high cholesterol. It is important to seek medical attention if symptoms persist or worsen over time.

Symptoms of fascioliasis can vary depending on the severity of the infection and may include:

1. Abdominal pain
2. Diarrhea
3. Vomiting
4. Fatigue
5. Weight loss
6. Anemia
7. Elevated liver enzymes
8. Inflammation of the liver, bile ducts, or pancreas

If left untreated, fascioliasis can lead to serious complications such as:

1. Cholangiohepatitis (inflammation of the bile ducts and liver)
2. Hepatic cysts or cirrhosis (scarring of the liver)
3. Biliary obstruction or pancreatitis (inflammation of the pancreas)

Diagnosis of fascioliasis typically involves a combination of physical examination, medical history, and laboratory tests such as:

1. Blood tests to detect antibodies against the parasite
2. Detection of the parasite in stool or bile samples
3. Imaging studies such as ultrasound or CT scans to visualize the liver and bile ducts

Treatment of fascioliasis usually involves the use of antiparasitic drugs, such as triclabendazole or nitazoxanide, to eliminate the parasite from the body. Supportive care may also be provided to manage symptoms and prevent complications.

Prevention of fascioliasis primarily involves measures to avoid ingesting contaminated food or water, such as:

1. Avoiding consumption of raw or undercooked meat, particularly pork or lamb
2. Properly cooking and storing food
3. Avoiding consumption of untreated water
4. Using proper sanitation and hygiene practices
5. Avoiding contact with contaminated soil or water

In areas where fascioliasis is common, it is important to be aware of the risk and take appropriate precautions to prevent infection. Early detection and treatment can help prevent complications and improve outcomes for patients with fascioliasis.

The symptoms of opisthorchiasis can vary depending on the severity of the infection and the location of the parasites within the liver and bile ducts. Some common symptoms include:

* Abdominal pain
* Fatigue
* Loss of appetite
* Jaundice (yellowing of the skin and eyes)
* Itching all over the body
* Dark urine
* Pale stools

If left untreated, opisthorchiasis can lead to complications such as liver cirrhosis, liver cancer, and cholangitis (inflammation of the bile ducts).

The diagnosis of opisthorchiasis is based on a combination of clinical findings, laboratory tests, and imaging studies. Laboratory tests may include blood tests to detect antibodies against the parasite and/or eggs in the stool. Imaging studies such as ultrasonography or computed tomography (CT) scans may be used to visualize the parasites within the liver and bile ducts.

Treatment of opisthorchiasis usually involves the use of antiparasitic drugs, such as praziquantel or albendazole, to kill the parasites. Surgery may be required in cases where the parasites have caused significant damage to the liver or bile ducts.

Prevention of opisthorchiasis involves avoiding the consumption of raw or undercooked fish, as well as avoiding contact with contaminated water. In areas where the infection is common, it is also important to practice good hygiene and to thoroughly cook all food before consumption.

A persistent inflammation of the pancreas that can last for months or even years, leading to chronic pain, digestive problems, and other complications.

Pancreatitis is a condition where the pancreas becomes inflamed, which can be caused by various factors such as gallstones, alcohol consumption, certain medications, and genetics. Chronic pancreatitis is a type of pancreatitis that persists over time, leading to ongoing symptoms and complications.

The symptoms of chronic pancreatitis can vary but may include abdominal pain, nausea, vomiting, diarrhea, weight loss, and fatigue. The condition can also lead to complications such as infection, bleeding, and narrowing or blockage of the pancreatic ducts.

Chronic pancreatitis is diagnosed through a combination of medical history, physical examination, laboratory tests, and imaging studies. Treatment options for chronic pancreatitis may include medications to manage pain and inflammation, lifestyle changes such as avoiding alcohol and fatty foods, and in some cases, surgery to remove the damaged pancreatic tissue.

The prognosis for chronic pancreatitis varies depending on the underlying cause of the condition and the severity of the inflammation. In some cases, the condition can be managed with medication and lifestyle changes, while in others, surgery may be necessary to remove the damaged pancreatic tissue.

Preventing chronic pancreatitis is not always possible, but avoiding risk factors such as alcohol consumption and certain medications can help reduce the likelihood of developing the condition. Early diagnosis and treatment can also improve outcomes for individuals with chronic pancreatitis.

Symptoms of duodenal neoplasms can vary depending on the location and size of the tumor, but may include abdominal pain, weight loss, nausea, vomiting, and abdominal distension. Diagnosis is typically made through a combination of endoscopy, imaging studies such as CT scans or MRI, and biopsy. Treatment options for duodenal neoplasms depend on the type and stage of the tumor, but may include surgery, chemotherapy, and/or radiation therapy.

Duodenal Neoplasms are relatively rare, accounting for only about 1-2% of all gastrointestinal cancers. However, they can be aggressive and difficult to treat if not detected early. The prognosis for duodenal neoplasms is generally poor, with a 5-year survival rate of approximately 20-30%.

The term "adenomyoma" is derived from the Greek words "adene," meaning gland, and "omyoma," meaning tumor. This refers to the fact that these tumors are made up of glandular tissue, which is responsible for the production of mucus and other fluids in the body.

Adenomyomas are typically slow-growing and may not cause any symptoms in their early stages. However, they can eventually become large enough to cause abdominal pain, heavy menstrual bleeding, and other problems. If left untreated, adenomyomas can become cancerous over time, so it is important to seek medical attention if you suspect you may have one.

Treatment options for adenomyoma include hysterectomy (removal of the uterus), endometrial ablation (destruction of the uterine lining), and medications to shrink the tumor. In some cases, a minimally invasive procedure called a laparoscopy may be used to remove the tumor.

In summary, adenomyoma is a type of benign tumor that develops in the muscular layer of the uterus and can cause abdominal pain, heavy menstrual bleeding, and other symptoms. It is important to seek medical attention if you suspect you may have an adenomyoma to prevent it from becoming cancerous over time.

A parasitic infection caused by the larvae of the tapeworm Echinococcus granulosus, which primarily affects the liver. The adult worms live in the small intestine of dogs and other canines, and their eggs are shed in the feces. Humans become infected when they ingest the eggs, which then hatch and form cysts in various organs, including the liver.

Symptoms may include abdominal pain, nausea, vomiting, and weight loss. If untreated, the cysts can continue to grow and cause further damage to the liver and other organs. Treatment typically involves surgical removal of the cysts, followed by antiparasitic medication to kill any remaining adult worms.

Preventive measures include avoiding contact with dog feces and proper disposal of infected animal waste. In areas where the disease is common, control programs may involve mass treatment of dogs and other canines to reduce the risk of transmission to humans.

There are several possible causes of hyperbilirubinemia, including:

1. Hemolytic anemia: This is a condition where red blood cells are broken down faster than they can be replaced, leading to an accumulation of bilirubin in the blood.
2. Liver dysfunction: The liver plays a crucial role in processing and eliminating bilirubin from the body. If the liver is not functioning properly, bilirubin levels can become elevated.
3. Sepsis: This is a systemic infection that can cause inflammation throughout the body, including the liver, which can disrupt the normal processing of bilirubin.
4. Neonatal jaundice: This is a condition that affects newborn babies and is caused by an immature liver that is unable to process bilirubin quickly enough.

Symptoms of hyperbilirubinemia can include yellowing of the skin and whites of the eyes (jaundice), dark urine, pale or clay-colored stools, and fatigue. In severe cases, hyperbilirubinemia can lead to kernicterus, a condition that can cause brain damage and hearing loss.

Diagnosis of hyperbilirubinemia is typically made through blood tests that measure the level of bilirubin in the blood. Treatment depends on the underlying cause of the condition and may include blood transfusions, liver function tests, and phototherapy (exposure to light) to help break down bilirubin. In severe cases, hospitalization may be necessary to monitor and treat the condition.

Villous adenomas are characterized by a villous surface, which is covered with finger-like projections called villi. These villi have a large surface area, allowing for increased absorption of nutrients and secretion of hormones and other substances.

Villous adenomas are typically less than 1 cm in size and are often found incidentally during diagnostic procedures such as colonoscopy or barium enema. They are usually asymptomatic, but may cause bleeding or obstruction if they become large enough.

The risk of malignant transformation for villous adenomas is low, ranging from 0-15%. However, the presence of multiple villous adenomas, a larger size, and certain histological features such as dysplasia or an irregular border may increase the risk of malignancy.

Treatment of villous adenomas usually involves polypectomy, which is the removal of the polyp using endoscopy or surgery. Follow-up colonoscopies are often recommended to monitor for any recurrences or new polyps. In some cases, patients with multiple or large villous adenomas may be considered for prophylactic colectomy, which is the preventive removal of the colon to reduce the risk of colorectal cancer.

In summary, villous adenomas are precancerous growths in the colon that have a low risk of malignant transformation but can cause bleeding or obstruction if left untreated. They are typically found incidentally during diagnostic procedures and are treated with polypectomy or prophylactic colectomy.

The definition of DILI has been revised several times over the years, but the most recent definition was published in 2013 by the International Consortium for DILI Research (ICDCR). According to this definition, DILI is defined as:

"A clinically significant alteration in liver function that is caused by a medication or other exogenous substance, and is not related to underlying liver disease. The alteration may be biochemical, morphological, or both, and may be acute or chronic."

The ICDCR definition includes several key features of DILI, including:

1. Clinically significant alteration in liver function: This means that the liver damage must be severe enough to cause symptoms or signs of liver dysfunction, such as jaundice, nausea, vomiting, or abdominal pain.
2. Caused by a medication or other exogenous substance: DILI is triggered by exposure to certain drugs or substances that are not related to underlying liver disease.
3. Not related to underlying liver disease: This means that the liver damage must not be caused by an underlying condition such as hepatitis B or C, alcoholic liver disease, or other genetic or metabolic disorders.
4. May be acute or chronic: DILI can occur as a sudden and severe injury (acute DILI) or as a slower and more insidious process (chronic DILI).

The ICDCR definition provides a standardized way of defining and diagnosing DILI, which is important for clinicians and researchers to better understand the cause of liver damage in patients who are taking medications. It also helps to identify the drugs or substances that are most likely to cause liver injury and to develop strategies for preventing or treating DILI.

Recurrence can also refer to the re-emergence of symptoms in a previously treated condition, such as a chronic pain condition that returns after a period of remission.

In medical research, recurrence is often studied to understand the underlying causes of disease progression and to develop new treatments and interventions to prevent or delay its return.

There are several causes of liver failure, including:

1. Alcohol-related liver disease: Prolonged and excessive alcohol consumption can damage liver cells, leading to inflammation, scarring, and eventually liver failure.
2. Viral hepatitis: Hepatitis A, B, and C are viral infections that can cause inflammation and damage to the liver, leading to liver failure.
3. Non-alcoholic fatty liver disease (NAFLD): A condition where there is an accumulation of fat in the liver, leading to inflammation and scarring.
4. Drug-induced liver injury: Certain medications can cause liver damage and failure, especially when taken in high doses or for extended periods.
5. Genetic disorders: Certain inherited conditions, such as hemochromatosis and Wilson's disease, can cause liver damage and failure.
6. Acute liver failure: This is a sudden and severe loss of liver function, often caused by medication overdose or other toxins.
7. Chronic liver failure: A gradual decline in liver function over time, often caused by cirrhosis or NAFLD.

Symptoms of liver failure can include:

1. Jaundice (yellowing of the skin and eyes)
2. Fatigue
3. Loss of appetite
4. Nausea and vomiting
5. Abdominal pain
6. Confusion and altered mental state
7. Easy bruising and bleeding

Diagnosis of liver failure is typically made through a combination of physical examination, medical history, and laboratory tests, such as blood tests to check for liver enzymes and bilirubin levels. Imaging tests, such as ultrasound and CT scans, may also be used to evaluate the liver.

Treatment of liver failure depends on the underlying cause and severity of the condition. In some cases, a liver transplant may be necessary. Other treatments may include medications to manage symptoms, such as nausea and pain, and supportive care to maintain nutrition and hydration. In severe cases, hospitalization may be required to monitor and treat complications.

Prevention of liver failure is important, and this can be achieved by:

1. Avoiding alcohol or drinking in moderation
2. Maintaining a healthy weight and diet
3. Managing underlying medical conditions, such as diabetes and high blood pressure
4. Avoiding exposure to toxins, such as certain medications and environmental chemicals
5. Getting vaccinated against hepatitis A and B
6. Practicing safe sex to prevent the spread of hepatitis B and C.

The severity of GIH can vary widely, ranging from mild to life-threatening. Mild cases may resolve on their own or with minimal treatment, while severe cases may require urgent medical attention and aggressive intervention.

Gastrointestinal Hemorrhage Symptoms:

* Vomiting blood or passing black tarry stools
* Hematemesis (vomiting blood)
* Melena (passing black, tarry stools)
* Rectal bleeding
* Abdominal pain
* Fever
* Weakness and dizziness

Gastrointestinal Hemorrhage Causes:

* Peptic ulcers
* Gastroesophageal reflux disease (GERD)
* Inflammatory bowel disease (IBD)
* Diverticulosis and diverticulitis
* Cancer of the stomach, small intestine, or large intestine
* Vascular malformations

Gastrointestinal Hemorrhage Diagnosis:

* Physical examination
* Medical history
* Laboratory tests (such as complete blood count and coagulation studies)
* Endoscopy (to visualize the inside of the gastrointestinal tract)
* Imaging studies (such as X-rays, CT scans, or MRI)

Gastrointestinal Hemorrhage Treatment:

* Medications to control bleeding and reduce acid production in the stomach
* Endoscopy to locate and treat the site of bleeding
* Surgery to repair damaged blood vessels or remove a bleeding tumor
* Blood transfusions to replace lost blood

Gastrointestinal Hemorrhage Prevention:

* Avoiding alcohol and spicy foods
* Taking medications as directed to control acid reflux and other gastrointestinal conditions
* Maintaining a healthy diet and lifestyle
* Reducing stress
* Avoiding smoking and excessive caffeine consumption.

Causes of Colic:

1. Gas and bloating: Gas and bloating are common causes of colic. This can occur when gas builds up in the digestive tract or when the body has difficulty processing certain types of food.
2. Constipation: Constipation can cause colic, as hard stool can put pressure on the intestines and lead to pain.
3. Diarrhea: Diarrhea can also cause colic, as loose stool can irritate the intestines and lead to pain.
4. Eating certain foods: Some foods, such as dairy or gluten, can be difficult for the body to digest and may cause colic.
5. Medical conditions: Certain medical conditions, such as IBS, GERD, or IBD, can cause colic.

Symptoms of Colic:

1. Abdominal pain or discomfort: This is the most common symptom of colic and can be described as crampy, gnawing, or sharp.
2. Gas and bloating: Patients with colic may experience gas and bloating, which can lead to discomfort and abdominal distension.
3. Diarrhea or constipation: Depending on the underlying cause of colic, patients may experience diarrhea or constipation.
4. Nausea and vomiting: Some patients with colic may experience nausea and vomiting.
5. Abdominal tenderness: The abdomen may be tender to the touch, especially in the lower right quadrant of the abdomen.

Treatment for Colic:

1. Dietary changes: Patients with colic may benefit from making dietary changes such as avoiding trigger foods, eating smaller meals, and increasing fiber intake.
2. Probiotics: Probiotics can help to regulate the gut microbiome and reduce symptoms of colic.
3. Antispasmodics: Antispasmodics, such as dicyclomine, can help to reduce abdominal pain and cramping associated with colic.
4. Simethicone: Simethicone is an antigas medication that can help to reduce bloating and discomfort associated with colic.
5. Antidepressants: Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), have been shown to be effective in reducing symptoms of colic in some patients.
6. Psychological support: Colic can be stressful and emotionally challenging for both patients and their caregivers. Psychological support and counseling may be beneficial in managing the emotional impact of colic.

It is important to note that while these treatments may help to reduce symptoms of colic, there is no cure for this condition. In most cases, colic will resolve on its own within a few months. However, if you suspect that your baby has colic, it is important to consult with your healthcare provider to rule out any other underlying medical conditions and develop an appropriate treatment plan.

The burden of chronic diseases is significant, with over 70% of deaths worldwide attributed to them, according to the World Health Organization (WHO). In addition to the physical and emotional toll they take on individuals and their families, chronic diseases also pose a significant economic burden, accounting for a large proportion of healthcare expenditure.

In this article, we will explore the definition and impact of chronic diseases, as well as strategies for managing and living with them. We will also discuss the importance of early detection and prevention, as well as the role of healthcare providers in addressing the needs of individuals with chronic diseases.

What is a Chronic Disease?

A chronic disease is a condition that lasts for an extended period of time, often affecting daily life and activities. Unlike acute diseases, which have a specific beginning and end, chronic diseases are long-term and persistent. Examples of chronic diseases include:

1. Diabetes
2. Heart disease
3. Arthritis
4. Asthma
5. Cancer
6. Chronic obstructive pulmonary disease (COPD)
7. Chronic kidney disease (CKD)
8. Hypertension
9. Osteoporosis
10. Stroke

Impact of Chronic Diseases

The burden of chronic diseases is significant, with over 70% of deaths worldwide attributed to them, according to the WHO. In addition to the physical and emotional toll they take on individuals and their families, chronic diseases also pose a significant economic burden, accounting for a large proportion of healthcare expenditure.

Chronic diseases can also have a significant impact on an individual's quality of life, limiting their ability to participate in activities they enjoy and affecting their relationships with family and friends. Moreover, the financial burden of chronic diseases can lead to poverty and reduce economic productivity, thus having a broader societal impact.

Addressing Chronic Diseases

Given the significant burden of chronic diseases, it is essential that we address them effectively. This requires a multi-faceted approach that includes:

1. Lifestyle modifications: Encouraging healthy behaviors such as regular physical activity, a balanced diet, and smoking cessation can help prevent and manage chronic diseases.
2. Early detection and diagnosis: Identifying risk factors and detecting diseases early can help prevent or delay their progression.
3. Medication management: Effective medication management is crucial for controlling symptoms and slowing disease progression.
4. Multi-disciplinary care: Collaboration between healthcare providers, patients, and families is essential for managing chronic diseases.
5. Health promotion and disease prevention: Educating individuals about the risks of chronic diseases and promoting healthy behaviors can help prevent their onset.
6. Addressing social determinants of health: Social determinants such as poverty, education, and employment can have a significant impact on health outcomes. Addressing these factors is essential for reducing health disparities and improving overall health.
7. Investing in healthcare infrastructure: Investing in healthcare infrastructure, technology, and research is necessary to improve disease detection, diagnosis, and treatment.
8. Encouraging policy change: Policy changes can help create supportive environments for healthy behaviors and reduce the burden of chronic diseases.
9. Increasing public awareness: Raising public awareness about the risks and consequences of chronic diseases can help individuals make informed decisions about their health.
10. Providing support for caregivers: Chronic diseases can have a significant impact on family members and caregivers, so providing them with support is essential for improving overall health outcomes.

Conclusion

Chronic diseases are a major public health burden that affect millions of people worldwide. Addressing these diseases requires a multi-faceted approach that includes lifestyle changes, addressing social determinants of health, investing in healthcare infrastructure, encouraging policy change, increasing public awareness, and providing support for caregivers. By taking a comprehensive approach to chronic disease prevention and management, we can improve the health and well-being of individuals and communities worldwide.

There are different types of hyperplasia, depending on the location and cause of the condition. Some examples include:

1. Benign hyperplasia: This type of hyperplasia is non-cancerous and does not spread to other parts of the body. It can occur in various tissues and organs, such as the uterus (fibroids), breast tissue (fibrocystic changes), or prostate gland (benign prostatic hyperplasia).
2. Malignant hyperplasia: This type of hyperplasia is cancerous and can invade nearby tissues and organs, leading to serious health problems. Examples include skin cancer, breast cancer, and colon cancer.
3. Hyperplastic polyps: These are abnormal growths that occur in the gastrointestinal tract and can be precancerous.
4. Adenomatous hyperplasia: This type of hyperplasia is characterized by an increase in the number of glandular cells in a specific organ, such as the colon or breast. It can be a precursor to cancer.

The symptoms of hyperplasia depend on the location and severity of the condition. In general, they may include:

* Enlargement or swelling of the affected tissue or organ
* Pain or discomfort in the affected area
* Abnormal bleeding or discharge
* Changes in bowel or bladder habits
* Unexplained weight loss or gain

Hyperplasia is diagnosed through a combination of physical examination, imaging tests such as ultrasound or MRI, and biopsy. Treatment options depend on the underlying cause and severity of the condition, and may include medication, surgery, or other interventions.

Carcinoid tumors are usually found in the appendix, small intestine, rectum, or other parts of the gastrointestinal tract. They can also occur in the lungs, pancreas, or other organs. These tumors tend to grow slowly and often do not cause any symptoms until they have grown quite large.

Carcinoid tumors are diagnosed through a combination of imaging tests such as CT scans, MRI scans, and endoscopies, along with a biopsy to confirm the presence of cancer cells. Treatment for carcinoid tumors depends on the location, size, and stage of the tumor, as well as the patient's overall health. Treatment options may include surgery, chemotherapy, radiation therapy, or a combination of these.

Some of the symptoms that may be associated with carcinoid tumors include:

* Flushing (redness and warmth of the skin)
* Wheezing
* Shortness of breath
* Abdominal pain
* Diarrhea
* Weight loss

Carcinoid tumors are relatively rare, accounting for only about 1% to 5% of all cancer cases. However, they tend to be more common in certain parts of the world, such as North America and Europe. The exact cause of carcinoid tumors is not known, but they are thought to be linked to genetic mutations that occur during fetal development.

Overall, while carcinoid tumors are rare and can be challenging to diagnose and treat, advances in medical technology and cancer research have improved the outlook for patients with these types of tumors. With early detection and appropriate treatment, many people with carcinoid tumors can achieve long-term survival and a good quality of life.

1. Gallstones: Gallstones can block the flow of bile from the liver to the small intestine, causing bile to back up into the bloodstream and leading to hemobilia.
2. Pancreatitis: Inflammation of the pancreas (pancreatitis) can cause bleeding in the bile ducts, leading to hemobilia.
3. Cancer: Bile duct cancer or other types of cancer that have spread to the bile ducts can cause hemobilia.
4. Trauma: Injury to the bile ducts, such as from a car accident or fall, can cause bleeding and lead to hemobilia.
5. Vasculitis: Inflammation of the blood vessels (vasculitis) can cause bleeding in the bile ducts and lead to hemobilia.

Hemobilia is a potentially life-threatening condition that requires prompt medical attention, especially if it is caused by a serious underlying condition such as gallstones or cancer. Treatment options for hemobilia will depend on the underlying cause and may include surgery, medication, or endoscopy.

Hepatitis, chronic is a type of liver disease that is characterized by inflammation and damage to the liver, which can lead to scarring, cirrhosis, and potentially liver failure. It is caused by a variety of factors, including viral infections (such as hepatitis B and C), alcohol consumption, and autoimmune disorders.

Chronic hepatitis can be challenging to diagnose, as its symptoms are often nonspecific and may resemble those of other conditions. However, some common signs and symptoms include:

* Fatigue
* Loss of appetite
* Nausea and vomiting
* Abdominal pain
* Yellowing of the skin and eyes (jaundice)
* Dark urine
* Pale stools

If left untreated, chronic hepatitis can lead to serious complications, such as liver failure, liver cancer, and esophageal varices. Treatment options for chronic hepatitis depend on the underlying cause and may include medications, lifestyle changes, and in severe cases, liver transplantation.

Preventing Chronic Hepatitis:

While some forms of chronic hepatitis are incurable, there are steps you can take to prevent the development of this condition or slow its progression. These include:

* Avoiding alcohol or drinking in moderation
* Maintaining a healthy diet and lifestyle
* Getting vaccinated against hepatitis A and B
* Practicing safe sex to avoid sexually transmitted infections (STIs)
* Avoiding sharing needles or other drug-injecting equipment
* Seeking medical attention if you suspect you have been exposed to hepatitis

Managing Chronic Hepatitis:

If you have chronic hepatitis, managing the condition is crucial to prevent complications and improve quality of life. This may involve:

* Medications to treat the underlying cause of the hepatitis (e.g., antiviral drugs for hepatitis B or C)
* Lifestyle changes, such as avoiding alcohol and maintaining a healthy diet
* Regular monitoring of liver function and viral load
* In some cases, liver transplantation

Living with Chronic Hepatitis:

Living with chronic hepatitis can be challenging, but there are resources available to help you cope. These may include:

* Support groups for people with hepatitis and their families
* Counseling to address emotional and mental health concerns
* Educational resources to help you understand the condition and its management
* Legal assistance to navigate insurance and disability benefits

Conclusion:

Chronic hepatitis is a complex and multifactorial condition that can have serious consequences if left untreated. However, with early diagnosis, appropriate treatment, and lifestyle changes, it is possible to manage the condition and improve quality of life. By understanding the causes, symptoms, diagnosis, and management of chronic hepatitis, you can take an active role in your healthcare and make informed decisions about your care.

There are several types of PCS, including:

1. Bouveret's syndrome: This is a severe form of PCS that occurs within the first few days after cholecystectomy, characterized by intense abdominal pain, fever, and distension of the small intestine.
2. Mirizzi's syndrome: This type of PCS develops when the cystic duct remnant is obstructed, causing bile to accumulate in the gallbladder bed and leak into surrounding tissues, leading to inflammation and infection.
3. Acute pancreatitis: This condition occurs when the pancreatic duct becomes blocked or obstructed, causing pancreatic enzymes to build up and cause inflammation in the pancreas and surrounding tissues.
4. Chronic pancreatitis: This is a long-term form of PCS that can develop after cholecystectomy, characterized by persistent inflammation and damage to the pancreas, leading to abdominal pain, diarrhea, and weight loss.
5. Biliary-pancreatic dyskinesia: This is a chronic form of PCS that occurs when the sphincter of Oddi, which regulates the flow of bile and pancreatic juice into the small intestine, becomes dysfunctional, leading to abdominal pain, diarrhea, and malabsorption.

The symptoms of PCS can be severe and debilitating, affecting quality of life and requiring ongoing medical management. Treatment options for PCS include medications to manage symptoms, endoscopic therapy to clear obstructions, and in some cases, further surgical intervention.

It is essential to seek medical attention if you experience persistent or severe abdominal pain, as early diagnosis and treatment can help alleviate symptoms and prevent complications. A healthcare professional will perform a thorough physical examination and order imaging tests such as CT scans or endoscopy to confirm the diagnosis of PCS. Treatment will depend on the underlying cause of the condition, but may include medications to manage pain, inflammation, and infection, as well as lifestyle modifications to ensure proper digestion and nutrition.

Example sentences:

1. The patient was diagnosed with a hamartoma on his skin, which was causing a painful lump on his arm.
2. The doctor recommended removing the hamartoma from the patient's pancreas to alleviate her symptoms of abdominal pain and nausea.
3. After undergoing surgery to remove the hamartoma, the patient experienced significant improvement in their quality of life.

Examples of 'Diverticulum' in sentence:

1. The patient was diagnosed with a diverticulum in her colon, which was causing abdominal pain and changes in bowel habits.
2. The doctor recommended that the patient avoid fatty foods and drink plenty of fluids to help manage her diverticulum.
3. The diverticulum was successfully treated with antibiotics, but the patient had to make some lifestyle changes to prevent future complications.

The primary features of Alagille syndrome include:

1. Liver problems: The liver is enlarged and may have nodules or cysts. This can lead to liver failure and the need for transplantation.
2. Heart defects: About 75% of individuals with Alagille syndrome have heart defects, such as ventricular septal defect (VSD) or atrial septal defect (ASD).
3. Intestinal involvement: The intestines may be narrowed or blocked, leading to abdominal pain, vomiting, and constipation.
4. Kidney problems: Alagille syndrome can cause kidney disease, including cysts and inflammation.
5. Feeding and growth difficulties: Children with Alagille syndrome may have difficulty gaining weight and growing at a normal rate due to malabsorption of nutrients.
6. Distinctive facial features: Individuals with Alagille syndrome may have distinctive facial features, such as a small head, narrow eyes, and a prominent forehead.
7. Skeletal abnormalities: Some individuals with Alagille syndrome may have skeletal abnormalities, such as short stature or clubfoot.
8. Neurological problems: Alagille syndrome can cause neurological symptoms, such as seizures, developmental delay, and learning disabilities.

There is no cure for Alagille syndrome, but treatment is focused on managing the individual symptoms. Liver transplantation may be necessary in some cases. With proper management, many individuals with Alagille syndrome can lead active and fulfilling lives.

Neoplastic metastasis can occur in any type of cancer but are more common in solid tumors such as carcinomas (breast, lung, colon). It is important for cancer diagnosis and prognosis because metastasis indicates that the cancer has spread beyond its original site and may be more difficult to treat.

Metastases can appear at any distant location but commonly found sites include the liver, lungs, bones, brain, and lymph nodes. The presence of metastases indicates a higher stage of cancer which is associated with lower survival rates compared to localized cancer.

Examples of acute diseases include:

1. Common cold and flu
2. Pneumonia and bronchitis
3. Appendicitis and other abdominal emergencies
4. Heart attacks and strokes
5. Asthma attacks and allergic reactions
6. Skin infections and cellulitis
7. Urinary tract infections
8. Sinusitis and meningitis
9. Gastroenteritis and food poisoning
10. Sprains, strains, and fractures.

Acute diseases can be treated effectively with antibiotics, medications, or other therapies. However, if left untreated, they can lead to chronic conditions or complications that may require long-term care. Therefore, it is important to seek medical attention promptly if symptoms persist or worsen over time.

This definition of 'Neoplasm Recurrence, Local' is from the Healthcare Professionals edition of the Merriam-Webster Medical Dictionary, copyright © 2007 by Merriam-Webster, Inc.

Examples of autoimmune diseases include:

1. Rheumatoid arthritis (RA): A condition where the immune system attacks the joints, leading to inflammation, pain, and joint damage.
2. Lupus: A condition where the immune system attacks various body parts, including the skin, joints, and organs.
3. Hashimoto's thyroiditis: A condition where the immune system attacks the thyroid gland, leading to hypothyroidism.
4. Multiple sclerosis (MS): A condition where the immune system attacks the protective covering of nerve fibers in the central nervous system, leading to communication problems between the brain and the rest of the body.
5. Type 1 diabetes: A condition where the immune system attacks the insulin-producing cells in the pancreas, leading to high blood sugar levels.
6. Guillain-Barré syndrome: A condition where the immune system attacks the nerves, leading to muscle weakness and paralysis.
7. Psoriasis: A condition where the immune system attacks the skin, leading to red, scaly patches.
8. Crohn's disease and ulcerative colitis: Conditions where the immune system attacks the digestive tract, leading to inflammation and damage to the gut.
9. Sjögren's syndrome: A condition where the immune system attacks the glands that produce tears and saliva, leading to dry eyes and mouth.
10. Vasculitis: A condition where the immune system attacks the blood vessels, leading to inflammation and damage to the blood vessels.

The symptoms of autoimmune diseases vary depending on the specific disease and the organs or tissues affected. Common symptoms include fatigue, fever, joint pain, skin rashes, and swollen lymph nodes. Treatment for autoimmune diseases typically involves medication to suppress the immune system and reduce inflammation, as well as lifestyle changes such as dietary changes and stress management techniques.

There are several subtypes of carcinoma, including:

1. Adenocarcinoma: This type of carcinoma originates in glandular cells, which produce fluids or mucus. Examples include breast cancer, prostate cancer, and colon cancer.
2. Squamous cell carcinoma: This type of carcinoma originates in squamous cells, which are found on the surface layers of skin and mucous membranes. Examples include head and neck cancers, cervical cancer, and anal cancer.
3. Basal cell carcinoma: This type of carcinoma originates in the deepest layer of skin, called the basal layer. It is the most common type of skin cancer and tends to grow slowly.
4. Neuroendocrine carcinoma: This type of carcinoma originates in cells that produce hormones and neurotransmitters. Examples include lung cancer, pancreatic cancer, and thyroid cancer.
5. Small cell carcinoma: This type of carcinoma is a highly aggressive form of lung cancer that spreads quickly to other parts of the body.

The signs and symptoms of carcinoma depend on the location and stage of the cancer. Some common symptoms include:

* A lump or mass
* Pain
* Skin changes, such as a new mole or a change in the color or texture of the skin
* Changes in bowel or bladder habits
* Abnormal bleeding

The diagnosis of carcinoma typically involves a combination of imaging tests, such as X-rays, CT scans, MRI scans, and PET scans, and a biopsy, which involves removing a small sample of tissue for examination under a microscope. Treatment options for carcinoma depend on the location and stage of the cancer and may include surgery, radiation therapy, chemotherapy, or a combination of these.

In conclusion, carcinoma is a type of cancer that originates in epithelial cells and can occur in various parts of the body. Early detection and treatment are important for improving outcomes.

References:

1. American Cancer Society. (2022). Carcinoma. Retrieved from
2. Mayo Clinic. (2022). Carcinoma. Retrieved from
3. MedlinePlus. (2022). Carcinoma. Retrieved from

Patient information on extrahepatic bile duct tumors, from the National Cancer Institute. Cancer.Net: Bile Duct Cancer ... Cholangiocarcinoma, also known as bile duct cancer, is a type of cancer that forms in the bile ducts. Symptoms of ... those occurring in the ducts outside the liver are extrahepatic, and tumors occurring at the site where the bile ducts exit the ... Henson DE, Albores-Saavedra J, Corle D (September 1992). "Carcinoma of the extrahepatic bile ducts. Histologic types, stage of ...
Carriaga, M. T.; Henson, D. E. (1995-01-01). "Liver, gallbladder, extrahepatic bile ducts, and pancreas". Cancer. 75 (1 Suppl ... The bile duct if involved also needs to be removed. However, with gallbladder cancer's extremely poor prognosis, most patients ... The cancer commonly spreads to the liver, bile duct, stomach, and duodenum. A better understanding of the biology of biliary ... Congenital abnormalities of the bile duct such as choledochal cyst Early diagnosis is not generally possible. People at high ...
Bhatnagar, V; Kumar, Arun; Gupta, AK (2005). "Choledochal cyst associated with extrahepatic bile duct atresia". Journal of ... Type II: Atresia of the common hepatic duct. Type III: Atresia involves the most proximal part of the bile ducts (>95% of all ... There are three main types of extra-hepatic biliary atresia:[citation needed] Type I: Atresia is restricted to the common bile ... The aflatoxin damaged liver cells and bile duct cells are removed by neutrophil elastase and by involvement of immune system ...
Secondary extra-hepatic disorders involve organs excluding the liver. When a tumour develops at the pancreas head or bile duct ... the common bile duct is compressed, opposing bile flow, eventually leading to hyperbilirubinemia. Gallbladder carcinoma ... Gallstones are more common in pregnant women due to elevated hormones and cholesterol levels, which block the bile duct and ... to finally enter bile capillaries. From there, conjugated bilirubin is secreted into the small intestine with bile where a ...
"Etiological Causes of Intrahepatic and Extrahepatic Bile Duct Dilatation" (PDF). International Journal of New Technology and ...
Multiple dilatations involving only the extrahepatic bile ducts. Type V: Cystic dilatation of intrahepatic biliary ducts ... Choledochal cysts (a.k.a. bile duct cyst) are congenital conditions involving cystic dilatation of bile ducts. They are ... inflammation within the bile ducts caused by the spread of bacteria from the intestine into the bile ducts). Inflammation of ... Cholecystectomy with cystic duct ligation near the common bile duct is curative. Choledochal cysts are treated by surgical ...
... and inflammation of intrahepatic or extrahepatic bile ducts, leading to reduced bile flow or formation (i.e., cholestasis). The ... involving bile duct injury), or vanishing bile duct syndrome (loss of intrahepatic bile ducts).: 17 Bland cholestasis occurs ... Bile canaliculi dynamics refers to the contractile motion of bile canaliculi (ducts) required for bile flow. Cholestasis can ... which in turn joins the cystic duct from the gall bladder, to give the common bile duct. This duct then enters the duodenum at ...
Mani H, Climent F, Colomo L, Pittaluga S, Raffeld M, Jaffe ES (September 2010). "Gall bladder and extrahepatic bile duct ... Histologically, this disorder is associated with atrophy of the columnar epithelium in salivary gland ducts as well as the ...
It results from a slow, progressive destruction of the small bile ducts of the liver, causing bile and other toxins to build up ... People with PBC may also sometimes have the findings of an associated extrahepatic autoimmune disorder such as thyroid disease ... It results from a slow, progressive destruction of the small bile ducts of the liver, with the intralobular ducts and the ... small duct PSC, adult idiopathic ductopenia. Stage 1 - portal stage: Normal-sized triads, portal inflammation, subtle bile duct ...
... gall-bladder and bile-ducts by Humphry Davy Rolleston v t e (Articles with short description, Short description matches ... which is a late-stage complication of extra-hepatic cholestasis. (Eponym known from historical literature). Gombault-Philippe ...
A complete blood test can help distinguish intrinsic liver disease from extrahepatic bile-duct obstruction. An ultrasound of ... Meacock, L M; Sellars, M E; Sidhu, P S (2010-07-01). "Evaluation of gallbladder and biliary duct disease using microbubble ... In primary biliary cirrhosis ursodeoxycholic acid helps the bloodstream remove bile which may increase survival in some ... the liver can reliably detect a dilated biliary-duct system, it can also detect the characteristics of a cirrhotic liver. ...
Anatomy figure: 38:06-08 at Human Anatomy Online, SUNY Downstate Medical Center - "The gallbladder and extrahepatic bile ducts ... This conduction of bile is the main function of the common bile duct. The hormone cholecystokinin, when stimulated by a fatty ... The common bile duct, sometimes abbreviated as CBD, is a duct in the gastrointestinal tract of organisms that have a ... It is formed by the confluence of the common hepatic duct and cystic duct and terminates by uniting with pancreatic duct, ...
"The gallbladder and extrahepatic bile ducts." Anatomy photo:38:14-0106 at the SUNY Downstate Medical Center - "Stomach, Spleen ... Bile can flow in both directions between the gallbladder and the common bile duct and the hepatic duct. In this way, bile is ... Accessory bile duct Digestive system diagram showing the cystic duct The gall-bladder and bile ducts laid open. The portal vein ... The cystic duct is the short duct that joins the gallbladder to the common hepatic duct. It usually lies next to the cystic ...
... but become columnar and mucus secreting in larger bile ducts approaching the porta hepatis and the extrahepatic ducts. Research ... where they merge to form bile ducts. Within the liver, these ducts are termed intrahepatic bile ducts, and once they exit the ... The cystic duct from the gallbladder joins with the common hepatic duct to form the common bile duct. The biliary system and ... or is temporarily stored in the gallbladder via the cystic duct. The common bile duct and the pancreatic duct enter the second ...
However, primary gastrinomas can also occur in the liver or extrahepatic bile ducts, commonly with metastasis to the local ... earlier-confluence of the cystic and common bile duct), Inferior-junction of the second and third portion of duodenum, and ...
... the rise in conjugated bilirubin is less than the complete common bile duct obstruction due to malignant causes. In Dubin- ... In parenchymal liver disease and incomplete extrahepatic obstruction, ... For example, hepatitis A has increased ALP due to cholestasis (impaired bile formation or bile flow obstruction) and would have ... Alkaline phosphatase (ALP) is an enzyme in the cells lining the biliary ducts of the liver. It can also be found on the mucosal ...
It is also expressed in epithelium of the small intestine and large intestine for uptake and in small amounts in the bile duct ... Both CYP3A4 and CYP3A5 are expressed in liver and intestine, with CYP3A5 being the predominant form expressed in extrahepatic ... intercalated ducts of the pancreas, chief cells of the parathyroid and the corpus luteum of the ovary (at protein level). The ...
... secreting in larger bile ducts approaching the porta hepatis and the extrahepatic ducts. They contribute to hepatocyte survival ... Cholangiocytes are the epithelial cells of the bile duct. They are cuboidal epithelium in the small interlobular bile ducts, ... In contrast, hepatocytes secrete bile through bile-acid dependent bile flow, which is coupled to canalicular secretion of bile ... Cholangiocytes act through bile-acid independent bile flow, which is driven by the active transport of electrolytes. ...
2007). "Expression of GalNAc-T3 and its relationships with clinicopathological factors in 61 extrahepatic bile duct carcinomas ...
... and can also be used to determine or rule out the presence of intermittent obstruction of the bile ducts or recurrent biliary ... maybe due to extrahepatic (outside the liver) causes. Oral cholecystography can have better sensitivity and specificity in ...
MeSH A03.159.183.079 - extrahepatic bile ducts MeSH A03.159.183.079.300 - common bile duct MeSH A03.159.183.079.300.950 - ... common hepatic duct MeSH A03.159.183.158 - intrahepatic bile ducts MeSH A03.159.183.158.125 - bile canaliculi MeSH A03.556. ... salivary ducts MeSH A03.556.500.760.650 - minor salivary glands MeSH A03.556.500.760.687 - sublingual gland MeSH A03.556. ... bile canaliculi MeSH A03.734.414.065 - glucagon-secreting cells MeSH A03.734.414.131 - insulin-secreting cells MeSH A03.734. ...
... of upper limb Muscular system of lower limb Mouth Fauces Pharynx Digestive canal Liver Gallbladder Extrahepatic bile ducts ...
... common bile duct neoplasms MeSH C06.130.320.120 - bile duct neoplasms MeSH C06.130.320.120.280 - common bile duct neoplasms ... extrahepatic MeSH C06.130.120.135.250 - cholestasis, intrahepatic MeSH C06.130.120.135.250.125 - alagille syndrome MeSH C06.130 ... MeSH C06.130.120.120 - bile duct neoplasms MeSH C06.130.120.120.280 - common bile duct neoplasms MeSH C06.130.120.123 - biliary ... bile duct neoplasms MeSH C06.301.120.250.250 - common bile duct neoplasms MeSH C06.301.120.401 - gallbladder neoplasms MeSH ...
... gastrointestinal Colon cancer Extrahepatic bile duct cancer Gallbladder cancer Gastric (stomach) cancer Gastrointestinal ...
Intrahepatic bile duct atresia (Alagille syndrome) (ALGS2 MIM:610205 and ALGS1 MIM:118450) Extrahepatic bile duct atresia ... Vanishing bile duct syndrome is a loose collection of diseases which leads to the injury to hepatic bile ducts and eventual ... Rossini, M. S.; Lorand-Metze, I; Oliveira, G. B.; Souza, C. A. (2000). "Vanishing bile duct syndrome in Hodgkin's disease: Case ... Uptodate:Hepatic ductopenia and vanishing bile duct syndrome (Articles needing additional medical references from March 2022, ...
malignant neoplasm of the gallbladder malignant neoplasm of other parts of biliary tract extrahepatic bile duct ampulla of ...
... of liver malignant neoplasm of the gallbladder malignant neoplasm of other parts of biliary tract extrahepatic bile duct ... Malignant neoplasm of liver and intrahepatic bile ducts. The most frequent forms are metastatic malignant neoplasm of liver) ... bile duct) spasm of sphincter of Oddi biliary cyst biliary atresia ICD-10 codes K70-K77: Liver Diseases [1] (Diseases of liver ...
155 Malignant neoplasm of liver and intrahepatic bile ducts 156 Malignant neoplasm of gallbladder and extrahepatic bile ducts ... 237 Neoplasm of uncertain behavior of endocrine glands and nervous system 237.0 Pituitary gland and craniopharyngeal duct ...
The free metacercariae penetrate the intestinal mucosa and enter the bile ducts. Migration into the bile ducts takes 1-2 days. ... Traits that raise suspicion for the infection include intra- and extrahepatic dilatation and structures with intraductal ... In humans, it infects the common bile duct and gall bladder, feeding on bile. It was discovered by British physician James ... bile duct obstruction, and even liver cirrhosis, cholangiocarcinoma, and hepatic carcinoma. As a major causative agent of bile ...
Bile duct abnormalities (cholangitis, ductal injury, ductular reaction) can be seen and should prompt evaluation for primary ... cholangitis but people with primary sclerosing cholangitis have stricturing and dilatation of intra/extra-hepatic ducts while ... Verdonk RC, Lozano MF, van den Berg AP, Gouw AS (September 2016). "Bile ductal injury and ductular reaction are frequent ...
... and bile duct proliferation/hyperplasia. Aspergillus flavus is a fungus of the family Trichocomaceae with a worldwide ... 53(3): 275-9. Larsson P, Busk L, Tjälve H (1994). "Hepatic and extrahepatic bioactivation and GSH conjugation of aflatoxin B1 ...
In case of hyperbilirubinemia due to intrahepatic or extrahepatic bile ducts blockage, e.g. gallstone, the name is given as ... and be excreted into bile canaliculi by way of C-MOAT and MRP2 as normal human bile along with a little amount of unconjugated ... Note that biliary duct blockage can also lead to conjugated hyperbilirubinemia but the pathophysiology is that backflow of ... That means up to 96%-99% of bilirubin in the bile are conjugated. Normally, there is just a little conjugated bilirubin escapes ...
In purified form, it has been used to treat or prevent several diseases of the liver or bile ducts. It is available as a ... Kotb MA (July 2008). "Review of historical cohort: ursodeoxycholic acid in extrahepatic biliary atresia". Journal of Pediatric ... primary bile acids can be metabolized into secondary bile acids by intestinal bacteria. Primary and secondary bile acids help ... UDCA has also been in effective in non-alcoholic fatty liver disease, in liver bile duct-paucity syndromes. It is ...
Discrete localized enlargements of normal structures (ureters, blood vessels, intrahepatic or extrahepatic biliary ducts, ... Bile acids, at high levels in the colons of humans eating a high fat diet, also cause DNA damage and contribute to colon cancer ... a secondary bile acid". Arch. Toxicol. 85 (8): 863-71. doi:10.1007/s00204-011-0648-7. PMC 3149672. PMID 21267546. Katsurano M, ...
... promote growth of the Wolffian duct and degeneration of the Müllerian duct respectively. This period affects the femininization ... are biologically important and can be formed both in the liver and in extrahepatic tissues. Approximately 5 to 7% of ... of testosterone and its hepatic metabolites are released from the liver into circulation and excreted in the urine and bile. ...
They tend to be friable concretions of various shapes and sizes within the biliary tree, and their associated bile is often ... Digby, Kenelm (1930). "Common‐duct stones of liver origin". The British Journal of Surgery. 17 (68): 578. doi:10.1002/bjs. ... Traits that raise suspicion for the infection include intra- and extra- hepatic dilatation and strictures with intraductal ... In humans, the majority of bilirubin is excreted in the bile as bilirubin glucuronide.[citation needed] Hepatolithiasis is ...
The constitution of bile-bile salts and immunoglobulin secreted by the epithelium of the bile duct also has a protective role. ... Oddsdóttir M, Hunter JG (2005). "Gallbladder and the extrahepatic biliary system (chapter 31)". In Brunicardi FC, Anderson DK, ... Those with an indwelling stent in the bile duct (see below) may not develop jaundice. Bile duct obstruction, which is usually ... Ultrasound may show dilation of the bile duct and identifies 38% of bile duct stones; it is relatively poor at identifying ...
... common bile duct - comorbidity - compassionate use trial - complementary and alternative medicine - complete blood count (CBC ... extrahepatic - extrapleural pneumonectomy false-negative test result - false-positive test result - familial adenomatous ... bile duct - biliary - bilirubin - binding agent - bioavailable - biochanin A - biochemical reactions - biological response ... intrahepatic bile ducts - intrahepatic infusion - intralesional - intraluminal intubation and dilation - Intramuscular ...
Many of the patients with extrahepatic bile duct carcinoma (EHBDC) show a poor outcome. We have reported that MUC4 is a novel ... MUC4 is a novel prognostic factor of extrahepatic bile duct carcinoma.. MUC4 is a novel prognostic factor of extrahepatic bile ...
... common hepatic duct stenosis in 2 cases, common bile duct obstruction in 1 case, and intrahepatic bile ducts dilation without a ... Unlike previous reports describing biliary damage of both intrahepatic and extrahepatic ducts, a case series of extrahepatic ... Aggressive research for extrahepatic biliary sclerosis is advised, since an early nonsurgical treatment of extrahepatic biliary ... Extrahepatic biliary stenoses after hepatic arterial infusion (HAI) of floxuridine (FUdR) for liver metastases from colorectal ...
Extrahepatic bile duct. Complications of OLTX can be mechanical or nonmechanical. Not surprisingly, postoperative mechanical ... With LDLTXs, anastomosed bile ducts are necessarily smaller, representing a greater technical challenge. End-to-end bile duct ... The choices for mechanical revision of a bile duct stricture include PTC, ERCP, and repeat operation. Ischemic bile duct ... extensive extravasation of bile from ischemic ducts. This type of bile duct injury is caused by either severe hepatic artery ...
Histological typing of tumours of the gallbladder and extrahepatic bile ducts / J. Albores-Saavedra, D. E. Henson, and L. H. ... Details for: Histological typing of tumours of the gallbladder and extrahepatic bile ducts / ...
Abdominal Injuries / surgery ; Bile Ducts, Extrahepatic / injuries ; Bile Ducts, Extrahepatic / surgery ; Duodenum / injuries ... Duodeno-pancreatic and extrahepatic biliary tree injuries are rare in both adult and pediatric trauma patients, and due to ... However, for moderate and severe extrahepatic biliary and severe duodeno-pancreatic injuries, immediate operative intervention ... Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines. World Journal of Emergency Surgery, 14 (1). p. ...
38 patients were eligible for analysis, of which eight had perihilar bile duct cancer and 30 had distal bile duct cancer. ... CH-EUS is useful for T-staging of extra hepatic bile duct cancer, especially in terms of invasion beyond the biliary wall into ... The capacity of these modalities for T-staging of extrahepatic bile duct cancer was evaluated by assessing invasion beyond the ... This single-center, retrospective study included consecutive patients with extrahepatic bile duct cancer who underwent surgical ...
The patient had congenital absence of the common bile duct that appears to have been replaced by the cystic duct, which opened ... The right and left hepatic ducts drained into the posterior wall of the gallbladder by a short common hepatic duct. ... Intraoperative assessment of the biliary ducts should be performed prior to excision of the gallbladder in order to allow ... was used as a vital flap to reconstruct a tubular bridge across the defect in the biliary ducts, while retaining a functional ...
Cholestasis is any condition in which the flow of bile from the liver is slowed or blocked. ... Extrahepatic cholestasis occurs outside the liver. It can be caused by:. * Bile duct tumors ... Fogel EL, Sherman S. Diseases of the gallbladder and bile ducts. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ... Stents can be placed to open areas of the common bile duct that are narrowed or blocked by cancers. ...
... and bile duct specimens from children undergoing hepatic portoenterostomy for biliary atresia. With these unique and well ... defining clinical risks for developing extra-hepatic complications; refining the natural history of cholestatic liver disease; ... and 340 biliary atresia bile duct specimens. Scientific research strategy should advance our understanding or fill a knowledge ... and a clinical trial under a CRADA to test the efficacy and safety of Intestinal Bile Acid Transport Inhibitor LUM001 in the ...
Bile Ducts, Extrahepatic/metabolism*; Bile Ducts, Extrahepatic/pathology*; Biliary Atresia/etiology*; Biliary Atresia/ ... Abstract: Biliary atresia is a neonatal liver disease with extrahepatic bile duct obstruction and progressive liver fibrosis. ... Title: Extrahepatic cholangiocyte obstruction is mediated by decreased glutathione, Wnt and Notch signaling pathways in a toxic ...
Extrahepatic cholangiocarcinoma and bile duct tumors 11. Sarcomatoid carcinoma of lung 12. Bronchoalveolar carcinoma lung (a.k. ...
Cancer of the Bile Ducts of the Burden of Digestive Diseases in the United States. ... For this report, intrahepatic and extrahepatic bile duct cancers were combined (see Appendix 1 for ICD-9 and ICD-10 codes). ... In 2004, 22 percent of bile duct cancer was coded intrahepatic and 45 percent extrahepatic; nearly all the remainder did not ... Table 3. Bile Duct Cancer: Number and Age-Adjusted Rates of Deaths and Years of Potential Life Lost (to Age 75) by Age, Race, ...
Carcinoid of the extra-hepatic bile duct: a case report with long-term follow-up and review of literature.. Gusani NJ; Marsh JW ... Carcinoma of the extrahepatic bile duct: mode of spread and its prognostic implications.. Yamaguchi K; Chijiiwa K; Saiki S; ... Carcinoma of extrahepatic bile ducts and gallbladder metastatic to the ovary: a report of 16 cases.. Khunamornpong S; Lerwill ... Neuroendocrine differentiation in extrahepatic bile duct carcinomas and its prognostic significance.. Hong SM; Kim MJ; Pi DY; ...
... intrahepatic bile ducts; 5) pancreas; 6) trachea, bronchus, and lung; 7) ovary; 8) brain; 9) tumors of the hemopoietic/ ... cancer of the gallbladder and extrahepatic ducts. These increased risks were not limited to cancers only but were also observed ...
... whether the bile duct is dilated, the degree of dilation, and the invasion of the adjacent tissue and lymph node metastasis, ... Gallbladder carcinoma, mainly adenocarcinoma, is a common malignant tumor in the extrahepatic biliary system [1]. In China, the ... The main reasons were as follows: firstly, there is a certain amount of bile mud and viscous bile deposited in the gallbladder ...
Anatomic variations are frequent in this region; however, it has rarely been reported that the extrahepatic bile duct is ... Multislice CT angiography showed that the arterial ring of the common hepatic artery around the common bile duct (CBD) ... In such cases dissection of the proper hepatic artery from the common hepatic duct is the treatment of choice.Conclusions:If ... Escherichia coli was identified from bile. Dissection of the hepatoduodenal ligament confirmed that the proper hepatic artery ...
A liver biopsy showed intrahepatic cholestasis and injury to small bile ducts, with reduction in the number of ducts. Despite ... Imaging of the liver showed no evidence of extrahepatic obstruction. Five days after stopping terbinafine, prednisone was ... A liver biopsy showed evidence of injury to bile ducts and ductopenia, which was clearly severe enough to cause prolonged ... Follow up is important, as terbinafine hepatotoxicity has been linked to cases of chronic cholestasis and vanishing bile duct ...
It contains bile but no stones. There is no evidence of dilatation or obstruction of the extrahepatic biliary ducts. ...
Learn about bile duct cancer and gallbladder cancer ... Extrahepatic bile duct cancer is a rare disease in which cancer ... Bile duct cancer is also called cholangiocarcinoma. Cholangiocarcinoma is a group of cancers that begin in the bile ducts, ... Cholangiocarcinomas, or bile duct cancers, are rare and affect about 8,000 Americans every year. Bile duct cancers are ... The bile ducts are thin tube-like vessels that carry bile from the liver to the gallbladder and small intestine. ...
Duplication normally occurs due to extrahepatic bile duct evagination during the fifth and sixth weeks of gestation. These ... 2 a bile duct was observed that originated in the right anterior hepatic sector that received the cystic duct and drained into ... which means that they arise from a primordium separated from the bile duct and have separate cystic ducts. Type 3, proposed by ... In type 2, however, some authors recommend an open approach due to the increased risk of injury to the main bile duct and the ...
Bile Duct Obstruction, Extrahepatic Biliary Stasis, Extrahepatic Extrahepatic Cholestasis NLM Classification #. WI 753. ... Bile Ducts (1966-1979). Biliary Tract Diseases (1966-1979). Cholestasis (1966-1979). specific extrahepatic bile duct (1966-1979 ... coord IM with specific bile duct (IM) or specific precoord bile duct dis (IM). Scope Note. Impairment of bile flow in the large ... Cholestasis, Extrahepatic Preferred Concept UI. M0002480. Scope Note. Impairment of bile flow in the large BILE DUCTS by ...
... a bile duct may be located by frequent aspiration for bile or mucus into syringe filled with normal saline. As much bile as ... cholangiography is recommended for carefully selected patients for the differential diagnosis of jaundice due to extrahepatic ... from 10 mL to 15 mL of a 25 percent to 50 percent solution is injected or instilled into the cystic duct or common bile duct, ... If a duct is not located after three or four attempts, the procedure should be abandoned. Inability to enter a duct strongly ...
Bile Ducts A03.159.183.079 Bile Ducts, Extrahepatic A03.159.183.079.300 Common Bile Duct A03.159.183.079.300.950 Ampulla of ... Hepatic Duct, Common A03.159.183.158 Bile Ducts, Intrahepatic A03.159.183.158.125 Bile Canaliculi A03.159.439 Gallbladder ... Bile Ducts, Intrahepatic A03.620.150.125 Bile Canaliculi A03.620.575 Round Ligament of Liver A03.734 Pancreas A03.734.414 ... Vitelline Duct A16.935 Wolffian Ducts A16.950 Zygote A17 Integumentary System A17.100 Animal Scales A17.360 Hair A17.360.148 ...
  • Cholestasis is any condition in which the flow of bile from the liver is slowed or blocked. (medlineplus.gov)
  • Extrahepatic cholestasis occurs outside the liver. (medlineplus.gov)
  • Extrahepatic cholestasis is reflected in elevated levels of conjugated (ie, direct) bilirubin, alkaline phosphatase, and gamma-glutamyltransferase (GGT). (medscape.com)
  • Jaundice, the condition with yellowish staining of the skin and mucous membranes, that is due to impaired BILE flow in the BILIARY TRACT, such as INTRAHEPATIC CHOLESTASIS, or EXTRAHEPATIC CHOLESTASIS. (lookformedical.com)
  • The liver was of normal size and had a smooth surface with no focal lesions, but showed dilated intra-hepatic radicals suggestive of obstruction of the biliry ducts. (clinmedjournals.org)
  • 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)
  • Extrahepatic cholangiocyte obstruction is mediated by decreased glutathione, Wnt and Notch signaling pathways in a toxic model of biliary atresia. (nih.gov)
  • Biliary atresia is a neonatal liver disease with extrahepatic bile duct obstruction and progressive liver fibrosis. (nih.gov)
  • 3. Malignant carcinoid tumor of the cystic duct: a rare cause of bile duct obstruction. (nih.gov)
  • Background: Many different benign and malignant diseases can cause obstruction of the extrahepatic biliary duct. (medscimonit.com)
  • Vascular malformations should be considered as a possible cause of extrahepatic biliary obstruction. (medscimonit.com)
  • Tumours causing distal malignant biliary obstruction may The studies that have been conducted have consistently arise in the head of the pancreas, duodenum, ampulla or distal shown that plastic stents have a higher occlusion rate and common bile duct. (who.int)
  • Impairment of bile flow in the large BILE DUCTS by mechanical obstruction or stricture due to benign or malignant processes. (nih.gov)
  • Bile duct cancer is also called cholangiocarcinoma. (aacr.org)
  • Cholangiocarcinoma is a group of cancers that begin in the bile ducts, which are the tubes that connect liver and gallbladder to small intestine. (aacr.org)
  • Cholangiocarcinoma is a group of cancers that begin in the bile ducts. (medlineplus.gov)
  • cholangiocarcinoma begins in the small bile ducts within the liver. (medlineplus.gov)
  • Perihilar cholangiocarcinoma (also known as a Klatskin tumor) begins in an area called the hilum, where the right and left major bile ducts join and leave the liver. (medlineplus.gov)
  • The three types of cholangiocarcinoma do not usually cause any symptoms in their early stages, and this cancer is usually not diagnosed until it has already spread beyond the bile ducts to other tissues. (medlineplus.gov)
  • In most cases of cholangiocarcinoma, these genetic changes are acquired during a person's lifetime and are present only in the bile duct cells that give rise to the tumor. (medlineplus.gov)
  • In Southeast Asia, infection with parasitic worms that live in the human bile ducts greatly increase the risk of developing cholangiocarcinoma. (medlineplus.gov)
  • We are very pleased with the Orphan Drug designation and are advancing our preparations for a Phase IIa study to evaluate the safety and efficacy of Yeliva in patients suffering from unresectable, intrahepatic and extrahepatic cholangiocarcinoma, which we plan to initiate in the third quarter of this year. (pharmaceutical-technology.com)
  • Every year, about 8,000 people are diagnosed with intrahepatic and extrahepatic bile duct cancers in the US and recent studies showed an increased incidence of cholangiocarcinoma. (pharmaceutical-technology.com)
  • In the third quarter of this year, the company is planning to initiate a Phase IIa clinical study with Yeliva in patients with advanced, unresectable, intrahepatic and extrahepatic cholangiocarcinoma. (pharmaceutical-technology.com)
  • In fact, a team of scientists recently published a report in the journal Cancer Causes Control, in which they linked asbestos exposure to cholangiocarcinoma , which is also known as bile duct cancer. (kazanlaw.com)
  • The Cholangiocarcinoma Foundation describes the liver as an organ with many functions , including the production of bile, which is a fluid that helps the liver filter out wastes while aiding the digestive system in the breakdown of fat in the food we eat. (kazanlaw.com)
  • Stents can be placed to open areas of the common bile duct that are narrowed or blocked by cancers. (medlineplus.gov)
  • The etiology of most bile duct cancers remains undetermined. (medscape.com)
  • For this report, intrahepatic and extrahepatic bile duct cancers were combined (see Appendix 1 for ICD-9 and ICD-10 codes). (nih.gov)
  • Cholangiocarcinomas, or bile duct cancers, are rare and affect about 8,000 Americans every year. (aacr.org)
  • Bile duct cancers are associated with poor outcomes for patients both at early and advanced stages of the disease. (aacr.org)
  • There's good news about treatment for cancers of the biliary tract, which includes the gallbladder and bile duct. (aacr.org)
  • Duodeno-pancreatic and extrahepatic biliary tree injuries are rare in both adult and pediatric trauma patients, and due to their anatomical location, associated injuries are very common. (mef.hr)
  • However, for moderate and severe extrahepatic biliary and severe duodeno-pancreatic injuries, immediate operative intervention is preferred as associated injuries are frequent and commonly present with hemodynamic instability or peritonitis. (mef.hr)
  • The aim of this paper is to present the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) duodenal, pancreatic, and extrahepatic biliary tree trauma management guidelines. (mef.hr)
  • 5. Percutaneous intervention for pancreatic duct. (duke.edu)
  • prior to draining into the duodenum the cbd is joined by the pancreatic duct. (iolishoes.com)
  • a smaller accessory pancreatic duct and sphincter is usually present (but rarely visible) from the dorsal pancreatic embryologic rotation. (iolishoes.com)
  • Perihilar tumors, also called Klatskin tumors (after Klatskin's description of them in 1965[6] ), occur at the bifurcation of right and left hepatic ducts. (medscape.com)
  • 7] Distal extrahepatic tumors are located from the upper border of the pancreas to the ampulla. (medscape.com)
  • 2. Carcinoid tumors and small-cell carcinomas of the gallbladder and extrahepatic bile ducts: a comparative study based on 221 cases from the Surveillance, Epidemiology, and End Results Program. (nih.gov)
  • 4. Carcinoid tumors of the extrahepatic bile ducts: a study of seven cases. (nih.gov)
  • 5. Endocrine tumors of the extrahepatic bile ducts. (nih.gov)
  • 6. Carcinoid tumors of the extrahepatic bile duct. (nih.gov)
  • 7. Bile duct carcinoid tumors: an uncommon disease but with a good prognosis? (nih.gov)
  • Conventional ultrasound can make accurate judgments on the morphological changes of gallbladder cancer, such as whether the size, location, and shape are regular, whether the bile duct is dilated, the degree of dilation, and the invasion of the adjacent tissue and lymph node metastasis, and it is recognized as the first choice to diagnose malignant tumors of the biliary system. (hindawi.com)
  • 9. Non-functioning well-differentiated neuroendocrine tumor of the extrahepatic bile duct: an unusual suspect? (nih.gov)
  • MUC4 is a novel prognostic factor of extrahepatic bile duct carcinoma. (nih.gov)
  • Many of the patients with extrahepatic bile duct carcinoma (EHBDC) show a poor outcome. (nih.gov)
  • 1. Well-differentiated neuroendocrine carcinoma (malignant carcinoid) of the extrahepatic biliary tract: report of two cases and literature review. (nih.gov)
  • 11. Carcinoma of the extrahepatic bile duct: mode of spread and its prognostic implications. (nih.gov)
  • 12. Carcinoma of extrahepatic bile ducts and gallbladder metastatic to the ovary: a report of 16 cases. (nih.gov)
  • 14. Clinicopathological analysis of cystic duct carcinoma. (nih.gov)
  • 15. Lack of CD44 variant 6 expression in advanced extrahepatic bile duct/ampullary carcinoma. (nih.gov)
  • Gallbladder carcinoma, mainly adenocarcinoma, is a common malignant tumor in the extrahepatic biliary system [ 1 ]. (hindawi.com)
  • Phase II Study of combination of Trametinib (MEK inhibitor) and Hydroxychloroquine (HCQ) (autophagy inhibitor) in Patients with KRAS Mutation Refractory Bile Tract Carcinoma (BTC). (nih.gov)
  • To see if using a combination of trametinib and hydroxychloroquine (HCQ) increases the period of time it takes for a person s bile tract carcinoma (BTC) to get worse. (nih.gov)
  • 38 patients were eligible for analysis , of which eight had perihilar bile duct cancer and 30 had distal bile duct cancer . (bvsalud.org)
  • The remaining cases are classified as distal cholangiocarcinomas, which begin in bile ducts outside the liver. (medlineplus.gov)
  • The patient had congenital absence of the common bile duct that appears to have been replaced by the cystic duct, which opened directly into the duodenum. (clinmedjournals.org)
  • Intraoperatively the gallbladder wall (with uncompromised nerve and blood supply) was used as a vital flap to reconstruct a tubular bridge across the defect in the biliary ducts, while retaining a functional sphincter of Oddi at the end of the original cystic duct. (clinmedjournals.org)
  • The most common anomalies are found in the cystic duct termination and in the intrahepatic ducts from the eight hepatic segments [ 3 ]. (clinmedjournals.org)
  • Exploration revealed absence of the typical CBD, and that the cystic duct opened in the duodenum, replacing the typical CBD. (clinmedjournals.org)
  • The cystic duct patency was assessed through its full length to the duodenum. (clinmedjournals.org)
  • The gallbladder wall was fashioned to form a flap while retaining its continuity with the cystic duct and arterial and neural supply. (clinmedjournals.org)
  • the common bile duct (cbd) is formed by the junction of the cystic duct with the chd. (iolishoes.com)
  • also to avoid mistaking the rhd for the cystic duct. (iolishoes.com)
  • a less common, but important variation, is for the right hepatic duct to join the cystic duct rather than merge with the lhd. (iolishoes.com)
  • 13. Carcinoid of the extra-hepatic bile duct: a case report with long-term follow-up and review of literature. (nih.gov)
  • The bile ducts are thin tube-like vessels that carry bile from the liver to the gallbladder and small intestine. (aacr.org)
  • They carry bile, which is a fluid that helps the body digest fats that are in food. (medlineplus.gov)
  • These tubes carry bile through the liver. (nih.gov)
  • Intraoperative assessment of the biliary ducts should be performed prior to excision of the gallbladder in order to allow repair of any anomalies in the duct system using the gallbladder wall while maintaining its cystic arterial supply. (clinmedjournals.org)
  • The surgical procedure performed, using the gallbladder wall to reconstruct a bridge across the defect in the extrahepatic biliary tract is described. (clinmedjournals.org)
  • good colour / power / doppler capabilities when assessing vessels versus ducts or vascularity of the gallbladder wall. (iolishoes.com)
  • 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)
  • Cholangiocarcinomas arise from the intrahepatic or extrahepatic biliary epithelium. (medscape.com)
  • Cholangiocarcinomas tend to grow slowly and to infiltrate the walls of the ducts, dissecting along tissue planes. (medscape.com)
  • the biliary tree descends from the canaliculi at the hepatocytes, gradually enlarging and merging to the right and left hepatic ducts. (iolishoes.com)
  • The capacity of these modalities for T-staging of extrahepatic bile duct cancer was evaluated by assessing invasion beyond the biliary wall into the surrounding tissue , gallbladder , liver , pancreas , duodenum , portal vein system ( portal vein and/or superior mesenteric vein ), inferior vena cava , and hepatic arteries (proper hepatic artery , right. (bvsalud.org)
  • Ultrasound may demonstrate biliary duct dilatation and larger hilar lesions. (medscape.com)
  • extrahepatic junction ultrasound image. (iolishoes.com)
  • ultrasound image- a common variant is the common bile duct coursing below the hepatic artery. (iolishoes.com)
  • assess the pancreas and visualise the common bile duct (cbd) in the head of pancreas. (iolishoes.com)
  • 10. Neuroendocrine differentiation in extrahepatic bile duct carcinomas and its prognostic significance. (nih.gov)
  • These include a bile duct disease called primary sclerosing cholangitis , bile duct stones or cysts, and exposure to certain chemical toxins used in manufacturing. (medlineplus.gov)
  • Multislice CT angiography showed that the arterial ring of the common hepatic artery around the common bile duct (CBD) originated from the superior mesenteric artery. (medscimonit.com)
  • In such cases dissection of the proper hepatic artery from the common hepatic duct is the treatment of choice. (medscimonit.com)
  • however, it has rarely been reported that the extrahepatic bile duct is compressed by the arterial vessels. (medscimonit.com)
  • Unlike previous reports describing biliary damage of both intrahepatic and extrahepatic ducts, a case series of extrahepatic biliary stenosis after hepatic arterial infusion with floxuridine is herein described. (nih.gov)
  • Fogel EL, Sherman S. Diseases of the gallbladder and bile ducts. (medlineplus.gov)
  • a common anatomic variation is to have an extrahepatic junction of the right/left hepatic ducts. (iolishoes.com)
  • Unexpected anomalies of the extrahepatic biliary ducts were found intraoperatively during open cholecystectomy in a 49-year-old male, with calcular obstructive jaundice. (clinmedjournals.org)
  • Symptoms of both gallbladder and bile duct cancer include yellowing of the skin and/or the whites of the eyes (jaundice), abdominal pain, and fever. (aacr.org)
  • during cholecystectomy surgery, the common duct is cannulated to image for duct calculi which may be missed. (iolishoes.com)
  • Bile duct cancer is cancer of the slender tubes of the biliary tract. (nih.gov)
  • It collects and stores bile - a fluid made by the liver to aid with digestion of fats. (aacr.org)
  • The right and left hepatic ducts drained into the posterior wall of the gallbladder by a short common hepatic duct. (clinmedjournals.org)
  • However, absence of the typical common bile duct (CBD) is considered to be very rare [ 1 , 4 ] and was not reported among biliary variations in a magnetic resonance cholangiographic study [ 3 ]. (clinmedjournals.org)
  • In the current case, a transversely positioned gallbladder, short common hepatic duct draining the left and right hepatic ducts opening in the posterior wall of the gallbladder, and an absence of the CBD are reported. (clinmedjournals.org)
  • Further exploration showed that the injured duct was a short common hepatic duct formed from a right and left hepatic ducts, and opened into the posterior wall of the gallbladder near its fundus. (clinmedjournals.org)
  • Stones in the common bile duct can often be removed. (medlineplus.gov)
  • these 2 merge at porta hepatis to form the common hepatic duct(chd). (iolishoes.com)
  • Utility of contrast-enhanced harmonic endoscopic ultrasonography for T-staging of patients with extrahepatic bile duct cancer. (bvsalud.org)
  • Incidence increased modestly between 1979 and 2004 (about 22 percent), all of which could be accounted for by an increase in the incidence of intrahepatic bile duct cancer. (nih.gov)
  • Death rates for bile duct cancer rose 39 percent between 1979 and 2004 (Figure 3). (nih.gov)
  • This single-center, retrospective study included consecutive patients with extrahepatic bile duct cancer who underwent surgical resection after preoperative EUS, CH-EUS, and contrast-enhanced CT (CE-CT) examinations between June 2014 and August 2017. (bvsalud.org)
  • Symptoms often result when bile ducts become blocked by the tumor. (medlineplus.gov)
  • The disease is characterized by progressive inflammation, fibrosis, and structuring of the intrahepatic and extrahepatic bile ducts. (medpagetoday.com)
  • Further development of the hepatic bud into the ventral mesentery and septum transversum leads to the formation of the endoderm-derived liver cells and the cells lining the biliary system, while the mesoderm of the septum transversum provides the supporting walls of the biliary ducts [ 2 ]. (clinmedjournals.org)
  • Gallbladder cancer and bile duct cancer are relatively rare forms of cancer. (aacr.org)
  • Extrahepatic bile duct cancer is a rare disease in which cancer cells form in the ducts that are outside the liver. (aacr.org)
  • The larva's primary target organ is the liver, where it proliferates slowly, but the larva also spreads into extrahepatic structures and even metastasizes to distant organs. (cdc.gov)