Bile Ducts
Bile Ducts, Intrahepatic
Common Bile Duct
Bile
Bile Duct Diseases
Bile Ducts, Extrahepatic
Cholestasis, Intrahepatic
Bile Acids and Salts
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.
Cholestasis
Common Bile Duct Diseases
Portasystemic Shunt, Transjugular Intrahepatic
A type of surgical portasystemic shunt to reduce portal hypertension with associated complications of esophageal varices and ascites. It is performed percutaneously through the jugular vein and involves the creation of an intrahepatic shunt between the hepatic vein and portal vein. The channel is maintained by a metallic stent. The procedure can be performed in patients who have failed sclerotherapy and is an additional option to the surgical techniques of portocaval, mesocaval, and splenorenal shunts. It takes one to three hours to perform. (JAMA 1995;273(23):1824-30)
Cholangiography
Gallstones
Cholangiopancreatography, Endoscopic Retrograde
Hepatic Duct, Common
Pancreatic Ducts
Cholestasis, Extrahepatic
Common Bile Duct Neoplasms
Liver
Cystic Duct
Cholelithiasis
Cholangitis
Jaundice, Obstructive
Thoracic Duct
Biliary Tract Diseases
Cholecystectomy, Laparoscopic
Gallbladder
Sphincterotomy, Endoscopic
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.
Bile Canaliculi
Cholangiopancreatography, Magnetic Resonance
Liver Cirrhosis, Biliary
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.
Salivary Ducts
Hepatic Artery
Biliary Atresia
Hypertension, Portal
Biliary Fistula
Lithiasis
Biliary Tract Neoplasms
Choledochal Cyst
Ursodeoxycholic Acid
Bile Pigments
Ampulla of Vater
1-Naphthylisothiocyanate
Cholagogues and Choleretics
Jaundice
Liver Cirrhosis
Wolffian Ducts
Choledochostomy
Cholangitis, Sclerosing
Taurocholic Acid
Sphincter of Oddi
Klatskin's Tumor
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)
Liver Transplantation
Mullerian Ducts
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.
Bile Reflux
Pancreatitis
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.
Jejunostomy
Cysts
Carcinoma, Hepatocellular
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.
Hepatocytes
Caroli Disease
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.
Dilatation, Pathologic
Liver Function Tests
Portal System
Portasystemic Shunt, Surgical
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.
Cholic Acid
Liver Cirrhosis, Experimental
Clonorchiasis
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)
Cholic Acids
Chenodeoxycholic Acid
Lithocholic Acid
Treatment Outcome
Anastomosis, Roux-en-Y
Kidney Tubules, Collecting
Lithotripsy
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.
Immunohistochemistry
Postoperative Complications
Retrospective Studies
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.
Endoscopy
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.
Endoscopes
Tomography, X-Ray Computed
Anastomosis, Surgical
Gallbladder Diseases
Constriction, Pathologic
Cholecystitis
Budd-Chiari Syndrome
Calculi
Technetium Tc 99m Disofenin
Deoxycholic Acid
Intraoperative Complications
Iatrogenic Disease
Catheterization
Sphincterotomy, Transhepatic
Cystadenoma
Portography
Pancreaticoduodenectomy
Duodenum
Taurodeoxycholic Acid
Taurochenodeoxycholic Acid
Pancreas
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.
Esophageal and Gastric Varices
Biopsy
Rats, Sprague-Dawley
Disease Models, Animal
Enterohepatic Circulation
Alanine Transaminase
P-Glycoproteins
A subfamily of transmembrane proteins from the superfamily of ATP-BINDING CASSETTE TRANSPORTERS that are closely related in sequence to P-GLYCOPROTEIN. When overexpressed, they function as ATP-dependent efflux pumps able to extrude lipophilic drugs, especially ANTINEOPLASTIC AGENTS, from cells causing multidrug resistance (DRUG RESISTANCE, MULTIPLE). Although P-Glycoproteins share functional similarities to MULTIDRUG RESISTANCE-ASSOCIATED PROTEINS they are two distinct subclasses of ATP-BINDING CASSETTE TRANSPORTERS, and have little sequence homology.
Organic Anion Transporters, Sodium-Dependent
Fascioliasis
Cholesterol
Epithelium
Keratin-7
Stents
Clonorchis sinensis
Vitelline Duct
alpha-Fetoproteins
Glycocholic Acid
Endosonography
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.
Adenocarcinoma, Papillary
Technetium Tc 99m Lidofenin
Cholecystostomy
Liver Failure
Severe inability of the LIVER to perform its normal metabolic functions, as evidenced by severe JAUNDICE and abnormal serum levels of AMMONIA; BILIRUBIN; ALKALINE PHOSPHATASE; ASPARTATE AMINOTRANSFERASE; LACTATE DEHYDROGENASES; and albumin/globulin ratio. (Blakiston's Gould Medical Dictionary, 4th ed)
Epithelial Cells
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.
Secretin
Cystadenocarcinoma
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)
Lacrimal Duct Obstruction
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)
Endolymphatic Duct
Pancreatic Neoplasms
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).
Follow-Up Studies
Alagille Syndrome
A multisystem disorder that is characterized by aplasia of intrahepatic bile ducts (BILE DUCTS, INTRAHEPATIC), and malformations in the cardiovascular system, the eyes, the vertebral column, and the facies. Major clinical features include JAUNDICE, and congenital heart disease with peripheral PULMONARY STENOSIS. Alagille syndrome may result from heterogeneous gene mutations, including mutations in JAG1 on CHROMOSOME 20 (Type 1) and NOTCH2 on CHROMOSOME 1 (Type 2).
Cholestyramine Resin
Gastrointestinal Hemorrhage
Intraoperative Care
Hepatic Encephalopathy
A syndrome characterized by central nervous system dysfunction in association with LIVER FAILURE, including portal-systemic shunts. Clinical features include lethargy and CONFUSION (frequently progressing to COMA); ASTERIXIS; NYSTAGMUS, PATHOLOGIC; brisk oculovestibular reflexes; decorticate and decerebrate posturing; MUSCLE SPASTICITY; and bilateral extensor plantar reflexes (see REFLEX, BABINSKI). ELECTROENCEPHALOGRAPHY may demonstrate triphasic waves. (From Adams et al., Principles of Neurology, 6th ed, pp1117-20; Plum & Posner, Diagnosis of Stupor and Coma, 3rd ed, p222-5)
Portoenterostomy, Hepatic
Sphincter of Oddi Dysfunction
Reoperation
Cholecystitis, Acute
Prognosis
Liver Cirrhosis, Alcoholic
Rats, Wistar
Jejunum
Fatal Outcome
Hemobilia
Cholesterol 7-alpha-Hydroxylase
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.
Alkaline Phosphatase
Duodenal Diseases
Ultrasonography
gamma-Glutamyltransferase
Hepatocyte Nuclear Factor 6
Liver Abscess
Keratins
A class of fibrous proteins or scleroproteins that represents the principal constituent of EPIDERMIS; HAIR; NAILS; horny tissues, and the organic matrix of tooth ENAMEL. Two major conformational groups have been characterized, alpha-keratin, whose peptide backbone forms a coiled-coil alpha helical structure consisting of TYPE I KERATIN and a TYPE II KERATIN, and beta-keratin, whose backbone forms a zigzag or pleated sheet structure. alpha-Keratins have been classified into at least 20 subtypes. In addition multiple isoforms of subtypes have been found which may be due to GENE DUPLICATION.
Jaundice, Neonatal
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.
RNA, Messenger
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.
Carbon Tetrachloride
Hepatorenal Syndrome
Functional KIDNEY FAILURE in patients with liver disease, usually LIVER CIRRHOSIS or portal hypertension (HYPERTENSION, PORTAL), and in the absence of intrinsic renal disease or kidney abnormality. It is characterized by intense renal vasculature constriction, reduced renal blood flow, OLIGURIA, and sodium retention.
Portacaval Shunt, Surgical
Hepatic Stellate Cells
ATP-Binding Cassette Transporters
Rats, Inbred Strains
Aspartate Aminotransferases
Dogs
Opisthorchis
Lobar decrease in 99mTc-GSA accumulation in hilar cholangiocarcinoma. (1/1066)
Hilar cholangiocarcinoma can obstruct hepatic ducts and involve the portal veins. Both biliary stasis and decrease in portal venous flow are known to reduce 99mTc-diethylenetriamine pentaacetic acid-galactosyl human serum albumin (GSA) accumulation. The specific relationship between these pathological conditions due to hilar cholangiocarcinomas and 99mTc-GSA accumulation has never been clarified. METHODS: Sixteen patients with hilar cholangiocarcinomas who underwent 99mTc-GSA liver scintigraphy were reviewed. The relationship between significant decrease in 99mTc-GSA accumulation and lobar biliary stasis, or decrease in the portal venous flow, was evaluated. Average counts of region of interest placed in both right and left lobes were compared in the same transaxial SPECT section. Count ratios of right and left lobes were calculated. RESULTS: Significant lobar decrease in 99mTc-GSA accumulation was observed in 6 of the 16 patients. Ipsilateral portal venous stenosis or obstruction was seen in all these 6 patients, whereas ipsilateral portal venous stenosis or obstruction was seen in only 1 of the other 10 patients. Symmetric bile duct dilatation was seen in 13 patients, and asymmetric bile duct dilatation was seen in 3. Lobar decrease in 99mTc-GSA accumulation correlated well with decrease in ipsilateral portal venous flow (P < 0.0005). The count ratio was significantly reduced when unilateral portal venous flow decreased (P < 0.05). CONCLUSION: Using 99mTc-GSA liver scintigraphy, we can predict lobar decrease in ipsilateral portal venous flow and monitor hepatic functional lateralities in patients with hilar cholangiocarcinomas. (+info)ANIT-induced disruption of biliary function in rat hepatocyte couplets. (2/1066)
alpha-Naphthylisothiocyanate (ANIT) induces intrahepatic cholestasis in rats, involving damage to biliary epithelial cells; our study aims to investigate whether disruption of biliary function in hepatocytes can contribute to early stages of ANIT-induced intrahepatic cholestasis. Isolated rat hepatocyte couplets were used to investigate biliary function in vitro by canalicular vacuolar accumulation (cVA) of a fluorescent bile acid analogue, cholyl-lysyl-fluorescein (CLF), within the canalicular vacuole between the two cells. After a 2-h exposure to ANIT, there was a concentration-dependent inhibition of cVA (cVA-IC50; 25 microM), but no cytotoxicity (LDH leakage or [ATP] decline) within this ANIT concentration range. There was no loss of cellular [GSH] at low ANIT concentrations, but, at 50 microM ANIT, a small but significant loss of [GSH] had occurred. Diethylmaleate (DEM) partially depleted cellular [GSH], but addition of 10 microM ANIT had no further effect on GSH depletion. Reduction in cVA was seen in DEM-treated cells; addition of ANIT to these cells reduced cVA further, but the magnitude of this further reduction was no greater than that caused by ANIT alone, indicating that glutathione depletion does not enhance the effect of ANIT. F-actin distribution (by phalloidin-FITC staining) showed an increased frequency of morphological change in the canalicular vacuoles but only a small, non-significant (0.05 < p < 0.1) increase in proportion of the F-actin in the region of the pericanalicular web. The results are in accord with a disruption of hepatocyte canalicular secretion within two h in vitro, at low, non-cytotoxic concentrations of ANIT, and the possible involvement of a thiocabamoyl-GSH conjugate of ANIT (GS-ANIT) in this effect. (+info)Lymph node metastasis in intrahepatic cholangiocarcinoma. (3/1066)
BACKGROUND: Lymph node metastasis is a significant prognostic factor in intrahepatic cholangiocarcinoma. This study was aimed at investigating lymph node metastasis in intrahepatic cholangiocarcinoma and to examine whether the extent of metastasis affects outcomes after surgery. METHODS: From 1980 through 1996, 70 patients with intrahepatic cholangiocarcinoma underwent hepatectomy, with a 50% curative resection rate. Lymph node dissection was performed in 51 patients, and the presence of lymph node metastasis was examined microscopically. The metastatic nodes were divided into groups N1, N2 or N3 using the classification proposed by the Liver Cancer Study Group of Japan. RESULTS: Twenty-three patients had lymph node metastasis. Metastasis was to N1 nodes in 10 patients, to N2 nodes in nine patients and to N3 nodes in four patients. Nineteen patients had metastatic nodes in the hepatoduodenal ligament, which was the most common metastatic site regardless of tumor location. The five-year survival rate in patients with lymph node metastasis (0%) was significantly lower (p < 0.0001) than that in patients without lymph node metastasis (51 %); however, five-year survival rates did not differ between patients with metastases to N1, N2 and N3 nodes. CONCLUSIONS: Lymph nodes in the hepatoduodenal ligament may be sentinel nodes for intrahepatic cholangiocarcinoma, and outcomes after surgery for patients with lymph node metastasis are poor regardless of the sites of nodal metastasis. (+info)Promoting effects of 3-chloro-4-(dichloromethyl)-5-hydroxy-2(5H)-furanone on rat glandular stomach carcinogenesis initiated with N-methyl-N'-nitro-N-nitrosoguanidine. (4/1066)
The modifying effects of 3-chloro-4-(dichloromethyl)-5-hydroxy-2(5H)-furanone (MX), a mutagenic by-product in chlorinated water, on the development of glandular stomach cancers were investigated in Wistar rats. A total of 120 males, 6 weeks of age, were divided into six groups. After initiation with 100 ppm N-methyl-N'-nitro-N-nitrosoguanidine (MNNG) solution and 5% NaCl diet for 8 weeks, 30 rats each in groups 1-3 were given MX in the drinking water at concentrations of 30, 10, or 0 ppm for the following 57 weeks. Ten animals each in groups 4-6 were administered the MX without prior carcinogen exposure. There were no statistical significant differences in final body weights between the groups. The incidences and multiplicities of adenocarcinomas in the glandular stomachs were significantly higher (P < 0.05) in the initiated 30 ppm MX group than those in the MNNG/NaCl group. The incidences of atypical hyperplasias in the glandular stomachs were also significantly increased (P < 0.05 or 0.01) by the MX treatments. With their multiplicity, the effects were clearly dose dependent. Interestingly, the 30 ppm MX alone itself induced atypical hyperplasias in the pylorus, although the incidences and severity were low. Moreover, MX showed a tendency to enhance the development of intrahepatic cholangiocellular tumors and thyroid follicular cell tumors in the MNNG-treated animals. The results of the present study thus indicate that MX exerts promoting effects when given during the postinitiation phase of two-stage glandular stomach carcinogenesis in rats. (+info)Acute carbon tetrachloride feeding induces damage of large but not small cholangiocytes from BDL rat liver. (5/1066)
Bile duct damage and/or loss is limited to a range of duct sizes in cholangiopathies. We tested the hypothesis that CCl4 damages only large ducts. CCl4 or mineral oil was given to bile duct-ligated (BDL) rats, and 1, 2, and 7 days later small and large cholangiocytes were purified and evaluated for apoptosis, proliferation, and secretion. In situ, we measured apoptosis by morphometric and TUNEL analysis and the number of small and large ducts by morphometry. Two days after CCl4 administration, we found an increased number of small ducts and reduced number of large ducts. In vitro apoptosis was observed only in large cholangiocytes, and this was accompanied by loss of proliferation and secretion in large cholangiocytes and loss of choleretic effect of secretin. Small cholangiocytes de novo express the secretin receptor gene and secretin-induced cAMP response. Consistent with damage of large ducts, we detected cytochrome P-4502E1 (which CCl4 converts to its radicals) only in large cholangiocytes. CCl4 induces selective apoptosis of large ducts associated with loss of large cholangiocyte proliferation and secretion. (+info)Expression of p73, a novel protein related to the p53 tumour suppressor p53, and apoptosis in cholangiocellular carcinoma of the liver. (6/1066)
p73, the first homologue of the tumour suppressor protein p53, was recently discovered on chromosome 1p36 and has been shown to induce apoptosis in a p53-like manner. The present study was performed with the aim of investigating the expression of p53, its new homologue p73 and the occurrence of apoptosis in cholangiocellular carcinoma. Protein levels of p73 were examined in 41 patients with curatively (R0-) resected cholangiocellular carcinomas with an antiserum, raised against a peptide in the N-terminal domain of p73. The incidence of mutations in the p53 gene was analysed by direct sequencing and also immunohistochemically. Apoptotic cell death was assessed using in-situ end-labelling (ISEL) technique in combination with morphological criteria. The results obtained were correlated with patient survival. Immunostaining of p73 protein was detected in 17/41 carcinomas examined (41%). The immunoreactivity was confined to the cell nucleus. In 15/41 patients (37%), mutations of the p53 gene were observed. Eleven out of these 15 patients stained also positive for p73. In contrast, out of 26 patients without any detectable p53 mutation, only six exhibited p73 immunostaining. We failed to observe a correlation between p73 expression or p53 and apoptosis within a given tumour. Survival analysis including the parameters stage and grade of disease, p73 and p53, and also apoptosis, showed that tumour stage and grade as well as p53 and p73 were significantly related to prognosis. In Cox regression survival analysis, however, only extent of primary tumour and lymph node status had an independent prognostic impact. Our results with a high prevalence of p73 within tumours harbouring mutated p53 gene suggest that p73 could compensate for p53 function. We failed to establish p73 or p53 as independent prognostic factors in cholangiocellular carcinoma of the liver. (+info)Intrahepatic peripheral cholangiocarcinoma: CT features in 18 pathologically proven cases. (7/1066)
OBJECTIVE: To determine the morphological features of 18 pathologically proven intrahepatic peripheral cholangiocarcinoma (IHPCC) cases in computerized tomography (CT) image. METHODS: All 18 patients had CT, using Picker I.Q.T/C and taking pre-contrast continuous 10-mm sections throughout the liver and post-contrast continuous 10-mm sections throughout the focuses. RESULTS: The disease was characterized in CT image by the following: all focuses were found in the periphery of the liver and shown as a lobulated or fused hypodense space-occupying mass; there were one or more divergent or confluent, circular or irregular cystic areas with much lower density, in the majority. All focuses could be enhanced slightly and most revealed a dim edge. Dilated bile ducts around the focus were found frequently; the dilated bile ducts especially seemed to encircle the focus (33.3%, 6/18). This phenomenon were referred to as "encysted sign of dilated bile ducts". CONCLUSIONS: CT scanning should be one of the most important investigative methods for IHPCC due to the disease characteristics identified in CT image, especially "encysted sign of dilated bile ducts" which possesses specificity in diagnosing the disease. (+info)Long-lasting sonographic and histopathological findings in cured clonorchiasis of rabbits. (8/1066)
To ascertain residual sonographic and histopathological findings of clonorchiasis after treatment, the present study evaluated sonographic findings in rabbits which were infected with 500 metacercariae of C. sinensis every 6 months for 18 months after treatment with praziquantel. The sonographic findings were analyzed in terms of intrahepatic bile duct dilatation and periductal echogenicity, and histopathological findings were observed after the last sonographic examination. Compared with the sonographic findings before treatment, dilatation of the intrahepatic bile ducts became mild to some degree in four of the seven cases and increased periductal echogenicity resolved in four of them. The histopathological specimens after 18 months showed that periductal inflammation has almost resolved but moderate dilatation of the intrahepatic ducts and mucosal hyperplasia persisted. The periductal fibrosis minimally resolved. The long-lasting sonographic findings in cured clonorchiasis make sonography less specific. (+info)Expression of matrix proteinases during human intrahepatic bile duct development: A possible role in biliary cell migration<...
Stages of normal and aberrant intrahepatic bile duct development in a mixed hepatoblastoma.
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Repression of Nrf2 enhances antitumor effect of 5-fluorouracil and gemcitabine on cholangiocarcinoma cells. | Sigma-Aldrich
Emergency Ultrasound
Bile Duct Cancer in Dogs - Dog House
Biliary system | Article about biliary system by The Free Dictionary
CGP-41251 The proliferation of CCA cell lines can
Elevated expression of tyrosine kinase DDR2 in primary biliary cirrhosis<...
Primary biliary cirrhosis - Oxford Medicine
Peribiliary glands are key in regeneration of the biliary epithelium after severe ischemic bile duct injury during liver...
List of hepato-biliary diseases
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 ... of liver malignant neoplasm of the gallbladder malignant neoplasm of other parts of biliary tract extrahepatic bile duct ...
Liver cancer
In terms of mortality, the 5-year survival rate for liver and intrahepatic bile duct cancers in the United States is 19.6%. In ... In the United States there were 42,810 new cases of liver and intrahepatic bile duct cancer in 2020, which represents 2.4% of ... "SEER Stat Fact Sheets: Liver and Intrahepatic Bile Duct Cancer". NCI. Archived from the original on 2017-07-28. World Cancer ... "Cancer of the Liver and Intrahepatic Bile Duct - Cancer Stat Facts". SEER. Retrieved 2021-02-23. Wikimedia Commons has media ...
Organomegaly
"Etiological Causes of Intrahepatic and Extrahepatic Bile Duct Dilatation" (PDF). International Journal of New Technology and ...
HES1
"The role of notch signaling in the development of intrahepatic bile ducts". Gastroenterology. 127 (6): 1775-1786. doi:10.1053/j ... When Hes1 expression is low, hepatocytes form normally, but bile ducts are completely absent. This phenotype resembles Alagille ...
Clonorchis sinensis
Liver abscesses may be seen even without dilatation of intrahepatic bile ducts. While normally asymptomatic, most pathological ... The free metacercariae penetrate the intestinal mucosa and enter the bile ducts. Migration into the bile ducts takes 1-2 days. ... 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 ...
Megaloschizont
This species had produced megaloschizonts in the intrahepatic bile ducts and portal veins. The presence of these ...
Abdominal ultrasonography
Liver Liver Liver Liver Liver Liver Liver Liver Liver Liver Liver Liver Liver Liver Gallbladder Gallbladder Bile duct Bile duct ... No intrahepatic biliary ductal dilatation. Portal Vein: Patent main portal vein. Gallbladder: No stones, wall thickening, or ... Common Bile Duct: Nondilated measuring 1.3 mm at the level of the porta hepatis. Pancreas: Visualized portions unremarkable. ... gallbladder or bile duct diseases, or a tumor in the liver. Ultrasonography of liver tumors involves two stages: detection and ...
Irreversible electroporation
Vital and scaffolding structures (like large blood vessels, urethra or intrahepatic bile ducts) are conserved. The electrically ... portal veins and intrahepatic bile ducts were all preserved. In IRE the cell death is mediated by apoptosis. Structures mainly ... June 2020). Hepatic IRE appears to be safe, even when performed near vessels and bile ducts with an overall complication rate ...
JAG1
"Jagged1 in the portal vein mesenchyme regulates intrahepatic bile duct development: insights into Alagille syndrome". ...
Caroli disease
When the intrahepatic bile duct wall has protrusions, it is clearly seen as central dots or a linear streak. Caroli disease is ... bile ducts due to ectasia. Using an ultrasound, tubular dilation of the bile ducts can be seen. On a CT scan, Caroli disease ... He described it as "nonobstructive saccular or fusiform multifocal segmental dilatation of the intrahepatic bile ducts"; ... 2007). "Bile duct cyst type V (Caroli's disease): surgical strategy and results". HPB (Oxford). 9 (4): 281-4. doi:10.1080/ ...
Mucinous cystadenoma
Biliary cystadenoma and cystadenocarcinoma constitute less than 5% of intrahepatic cysts originating from the bile duct. ... Ahmad Z, Uddin N, Memon W, Abdul-Ghafar J, Ahmed A (November 2017). "Intrahepatic biliary cystadenoma mimicking hydatid cyst of ...
Cholangiocarcinoma
Tumors occurring in the bile ducts within the liver are referred to as intrahepatic, those occurring in the ducts outside the ... Cholangiocarcinoma, also known as bile duct cancer, is a type of cancer that forms in the bile ducts. Symptoms of ... American Cancer Society Detailed Guide to Bile Duct Cancer. Patient information on extrahepatic bile duct tumors, from the ... Intrahepatic cholangiocarcinomas (those arising from the bile ducts within the liver) are usually treated with partial ...
Steatorrhea
Obstruction of the bile ducts by gallstones (choledocholithiasis), primary sclerosing cholangitis, liver damage (intrahepatic ... The absence of bile secretion can cause the feces to turn gray or pale. Bile is responsible for the brownish color of feces. ... Possible causes include exocrine pancreatic insufficiency, with poor digestion from lack of lipases, loss of bile salts, which ...
Courvoisier's law
Where formation of stones are not strictly in gallbladder, hence not fibrotic, but in the intrahepatic bile ducts). To ... Double gallstones with one falling and blocking the common bile duct (responsible for jaundice) and one at the cystic duct ( ... The exceptions to the law are stones that dislodge and acutely block the duct distally to the hepatic/cystic duct junction: ... in the case of recurrent pyogenic cholangitis complicated by calcium bilirubinate stone dislodging to the common bile duct ...
Choledochal cysts
... involving saccular or fusiform dilatation of a portion or entire common bile duct (CBD) with normal intrahepatic duct. Type II ... 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 ... Multiple dilatations involving only the extrahepatic bile ducts. Type V: Cystic dilatation of intrahepatic biliary ducts ...
Cholestasis
... 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 ... and inflammation of intrahepatic or extrahepatic bile ducts, leading to reduced bile flow or formation (i.e., cholestasis). The ... which in turn joins the cystic duct from the gall bladder, to give the common bile duct. This duct then enters the duodenum at ...
List of MeSH codes (A03)
... cystic duct MeSH A03.159.183.079.600 - common hepatic duct MeSH A03.159.183.158 - intrahepatic bile ducts MeSH A03.159.183.158. ... MeSH A03.159.183.079 - extrahepatic bile ducts MeSH A03.159.183.079.300 - common bile duct MeSH A03.159.183.079.300.950 - ... 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. ...
Jaundice
... genetic defect resulting in hypoplastic intrahepatic bile ducts) Progressive familial intrahepatic cholestasis Pyknocytosis ( ... is caused by a blockage of bile ducts that transport bile containing conjugated bilirubin out of the liver for excretion. This ... which leads to increased conjugated bilirubin and bile salts there. In complete obstruction of the bile duct, conjugated ... If a bile duct blockage is present, surgery is typically required; otherwise, management is medical. Medical management may ...
Primary sclerosing cholangitis
... is seen due to portal hypertension caused by compression of portal veins by the proximate sclerosed intrahepatic bile ducts, ... The resulting scarring of the bile ducts obstructs the flow of bile, which further perpetuates bile duct and liver injury. ... The bile duct scarring that occurs in PSC narrows the ducts of the biliary tree and impedes the flow of bile to the intestines ... infection within the bile ducts) can be seen due to impaired drainage of the bile ducts, which increases the risk of infection ...
List of MeSH codes (C06)
... common bile duct neoplasms MeSH C06.130.320.120 - bile duct neoplasms MeSH C06.130.320.120.280 - common bile duct neoplasms ... intrahepatic MeSH C06.130.120.135.250.125 - alagille syndrome MeSH C06.130.120.135.250.250 - liver cirrhosis, biliary MeSH ... 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 ...
Gallbladder flush
... but also the so-called intra-hepatic stones from the bile ducts of the liver by this procedure. There are different sets of ...
Wu Mengchao
Anatomical Observation of Normal Human Intrahepatic Bile Duct and Hepatic Artery(《正常人肝内胆管和肝动脉的解剖学观察》)etc., and constructed a ... By this time, he had figured out the layout of hepatic artery, hepatic vein, portal vein and bile duct in livers. He also had a ... theory in 1960 for the first time and published Observation on Intrahepatic Anatomy of Normal People in China(《我国正常人肝内解剖的观察》), ... and established a new anatomical theory based on vascular distributions in livers
Neonatal jaundice
Progressive familial intrahepatic cholestasis, bile duct paucity, Alagille syndrome, alpha 1-antitrypsin deficiency, and other ... Cystic fibrosis Dubin-Johnson syndrome Rotor syndrome Drugs Total parenteral nutrition Idiopathic Biliary atresia or bile duct ...
Primary biliary cholangitis
It results from a slow, progressive destruction of the small bile ducts of the liver, causing bile and other toxins to build up ... with the intralobular ducts and the canals of Hering (intrahepatic ductules) being affected early in the disease. Most people ... small duct PSC, adult idiopathic ductopenia. Stage 1 - portal stage: Normal-sized triads, portal inflammation, subtle bile duct ... In the new system of Nakanuma, the stage of disease is based on fibrosis, bile duct loss, and features of cholestasis, i.e. ...
Index of oncology articles
... intrahepatic - intrahepatic bile ducts - intrahepatic infusion - intralesional - intraluminal intubation and dilation - ... common bile duct - comorbidity - compassionate use trial - complementary and alternative medicine - complete blood count (CBC ... bile duct - biliary - bilirubin - binding agent - bioavailable - biochanin A - biochemical reactions - biological response ... pancreatic duct - pancreatic enzyme - pancreatic juice - pancreatitis - PAP, same as Pap smear - Pap smear - Pap test, same as ...
C22
... a freshwater catfish Malignant neoplasms of liver and intrahepatic bile ducts ICD-10 code Centre Municipal Airport FAA LID This ...
List of ICD-9 codes 140-239: neoplasms
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 ...
Liver
... 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 ... They are cuboidal epithelium in the small interlobular bile ducts, but become columnar and mucus secreting in larger bile ducts ... or is temporarily stored in the gallbladder via the cystic duct. The common bile duct and the pancreatic duct enter the second ...
Hepatoportoenterostomy
In these infants, the bile is not able to drain normally from the small bile ducts within the liver into the larger bile ducts ... the fibrous tissue of the porta hepatis and thus provide direct connection with the intrahepatic ductule system to allow bile ... the area of the liver from which bile should drain) by radical excision of all bile duct tissue up to the liver capsule and ... The rationale for this approach is that minute residual bile duct remnants may be present in ...
Biliary endoscopic sphincterotomy
... duct the sphincterotome is then placed in the pancreatic duct and used to cut the septum between the pancreatic duct and bile ... Extraction of choledocholithiasis and/or intrahepatic stones: choledocholithiasis is the presence of gallstones within the ... common bile duct. They can be either primary (formed within the duct) or secondary (entering the duct from the gallbladder). ... Biliary endoscopic sphincterotomy is a procedure where the sphincter of Oddi and the segment of the common bile duct where it ...
Neoplasm
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 ... "Carcinogenicity of deoxycholate, a secondary bile acid". Arch. Toxicol. 85 (8): 863-71. doi:10.1007/s00204-011-0648-7. PMC ...
Bilirubin glucuronide
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 ...
Liver support system
... association with high serum bile acids, advanced pathology, and bile duct abnormalities". Digestive Diseases and Sciences. 42 ( ... Progressive intrahepatic cholestasis Treatment Schedule: 3 to 5 eight-hour treatment sessions on consecutive days Continuous ... Progressive intrahepatic cholestasis Treatment Schedule: 3 to 5 eight-hour treatment sessions on consecutive days Continuous ... Saich, R; Collins, P; Ala, A; Standish, R; Hodgson, H (May 2005). "Benign recurrent intrahepatic cholestasis with secondary ...
Bile duct
... interlobular bile ducts → intrahepatic bile ducts → left and right hepatic ducts merge to form → common hepatic duct exits ... Drainage in Patients with Nondilated Intrahepatic Bile Ducts Compared with Patients with Dilated Intrahepatic Bile Ducts". ... A bile duct is any of a number of long tube-like structures that carry bile, and is present in most vertebrates. Bile is ... The top half of the common bile duct is associated with the liver, while the bottom half of the common bile duct is associated ...
Progressive familial intrahepatic cholestasis
... including bile plugs and bile infarcts), duct hypoplasia, hepatocellular injury, and Zone 3 fibrosis. Giant cell change and ... The free or "unchaperoned" bile acids in bile of patients with MDR3 deficiency cause a cholangitis. Biochemically, this is of ... the gene that codes for the bile salt export pump, or BSEP. Retention of bile salts within hepatocytes, which are the only cell ... Biochemical markers include a normal GGT for PFIC-1 and -2, with a markedly elevated GGT for PFIC-3. Serum bile acid levels are ...
List of OMIM disorder codes
FREM1 Bile acid malabsorption, primary; 613291; SLC10A2 Bile acid synthesis defect, congenital, 2; 235555; AKR1D1 Bile acid ... DCTN1 Persistent Mullerian duct syndrome, type I; 261550; AMH Persistent Mullerian duct syndrome, type II; 261550; AMHR2 ... benign recurrent intrahepatic; 243300; ATP8B1 Cholestasis, familial intrahepatic, of pregnancy; 147480; ABCB4 Cholestasis, ... progressive familial intrahepatic 2; 601847; ABCB11 Cholestasis, progressive familial intrahepatic 3; 602347; ABCB4 Cholestasis ...
Biliary tract
... intrahepatic bile ductule (in portal tracts / triads) >> interlobular bile ducts >> left and right hepatic ducts These merge to ... The common bile duct, commonly abbreviated CBD, is formed by the union of the cystic duct and common hepatic duct, and it later ... Bile is secreted by the liver into small ducts that join to form the common hepatic duct. Between meals, secreted bile is ... gallbladder and bile ducts, and how they work together to make, store and secrete bile. Bile consists of water, electrolytes, ...
Interventional radiology
... veins and bile ducts. While bile is made in the liver and stored in the gallbladder, the bile eventually passes into the GI ... A transjugular intrahepatic portosystemic shunt (TIPS) is a procedure an interventional radiologist performs to create a shunt ... cystic and common bile ducts. Any condition that prevents the normal flow of bile from the liver, through these bile vessels ... through the bile duct system and into the GI tract, essentially restoring the normal flow of bile. If the patient's GI tract ...
Klatskin tumor
Ultrasonography always detects dilatation of the bile ducts, but more rarely the tumor itself.Magnetic resonance ... and CA 125 are abnormally high in the bloodstreams of patients with intrahepatic cholangiocarcinoma and Klatskin tumor. The ... Tannapfel A, Wittekind C (2004). "[Gallbladder and bile duct carcinoma. Biology and pathology]". Internist (Berlin) (in German ... occurring at the confluence of the right and left hepatic bile ducts. The disease was named after Gerald Klatskin, who in 1965 ...
Bile acid
... a bile acid-sensitive ion channel highly expressed in bile ducts". FASEB J. 26 (10): 4122-30. doi:10.1096/fj.12-207043. PMID ... Pusl T, Beuers U (2007). "Intrahepatic cholestasis of pregnancy". Orphanet J Rare Dis. 2: 26. doi:10.1186/1750-1172-2-26. PMC ... The bile acid pool size is between 4-6 g, which means that bile acids are recycled several times each day. About 95% of bile ... These conjugated bile acids are often referred to as bile salts. The pKa of the unconjugated bile acids are between 5 and 6.5, ...
Cirrhosis
Rarely are diseases of the bile ducts, such as primary sclerosing cholangitis, causes of cirrhosis. Imaging of the bile ducts, ... Sellers CM, Nezami N, Schilsky ML, Kim HS (April 2019). "Transjugular intrahepatic portosystemic shunt as a bridge to liver ... In primary biliary cholangitis, there is fibrosis around the bile duct, the presence of granulomas and pooling of bile. Lastly ... Ursodiol may be useful if the disease is due to blockage of the bile duct. Other medications may be useful for complications ...
Infigratinib
... , sold under the brand name Truseltiq, is an anti-cancer medication used to treat cholangiocarcinoma (bile duct ... an investigational agent for the treatment of FGFR-altered intrahepatic cholangiocarcinoma". Expert Opinion on Investigational ... bile duct cancer) with a fibroblast growth factor receptor 2 (FGFR2) fusion or other rearrangement as detected by an FDA- ...
Ursodeoxycholic acid
In purified form, it has been used to treat or prevent several diseases of the liver or bile ducts. It is available as a ... UDCA has been used for intrahepatic cholestasis of pregnancy. UDCA lessens itching in the mother and may reduce the number of ... 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 ...
Neoplasm
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, ...
Cholestatic pruritus
... carcinoma of the bile duct, cholestasis (also see drug-induced pruritus), and chronic hepatitis C viral infection and other ... Intrahepatic cholestasis of pregnancy List of cutaneous conditions Rapini RP, Bolognia JL, Jorizzo JL (2007). Dermatology: 2- ... which stores the bile), or biliary tract (also known as the biliary tree, the conduit that allows the bile to leave the liver ... the liver conjugates the bile to make it water-soluble and because the bile has already been processed by the liver, when it ...
Recurrent pyogenic cholangitis
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. ... Caroli, J. (1973-01-01). "Diseases of the intrahepatic biliary tree". Clinics in Gastroenterology. 2 (1): 147-161. ISSN 0300- ... In humans, the majority of bilirubin is excreted in the bile as bilirubin glucuronide.[citation needed] Hepatolithiasis is ...
Situs ambiguus
Biliary atresia, or inflammation and destruction of the bile ducts, may lead to jaundice. Vomiting and swelling of the ... Vascular abnormalities: Interrupted inferior vena cava, Bilateral superior or inferior venae cavae Intrahepatic interruption of ... In this surgery, a Y-shaped shunt is used to passage bile from the liver directly to the intestine. If this is unsuccessful, ... A majority of left atrial isomeric patients have defects throughout the biliary tree, which is responsible for bile production ...
Intrahepatic bile ducts
Interlobular bile ducts (between the interlobar ducts and the lobules) - simple columnar epithelium. Intralobular bile ducts ( ... Intrahepatic bile ducts compose the outflow system of exocrine bile product from the liver. They can be divided into: Lobar ... Interlobar ducts (between the main hepatic ducts and the interlobular ducts) - pseudostratified columnar epithelium. ... ducts (right and left hepatic ducts) - stratified columnar epithelium. ...
Accessory bile duct
They are small ducts that distinctly enter the gallbladder bed, or small tributaries of minor intrahepatic radicals of the ... Originating from the hepatic parenchyma the accessory bile duct may enter a large bile duct or the gallbladder at any location ... An accessory bile duct is a conduit that transports bile and is considered to be supernumerary or auxiliary to the biliary tree ... Often diagnosed by HIDA scan, a bile leak from an accessory bile duct post-op can be treated with a temporary biliary stent[ ...
Intrahepatic bile ducts - Wikipedia
Interlobular bile ducts (between the interlobar ducts and the lobules) - simple columnar epithelium. Intralobular bile ducts ( ... Intrahepatic bile ducts compose the outflow system of exocrine bile product from the liver. They can be divided into: Lobar ... Interlobar ducts (between the main hepatic ducts and the interlobular ducts) - pseudostratified columnar epithelium. ... ducts (right and left hepatic ducts) - stratified columnar epithelium. ...
Congenital Absence of the Intrahepatic Bile Ducts | Archives of Disease in Childhood
TACE Combined With Tislelizumab in Patients With Advanced Intrahepatic Cholangiocarcinoma | Clinical Research Trial Listing (...
Intrahepatic Bile Duct Carcinoma , Adenocarcinoma , Malignant Adenoma , TACE Combined With Tislelizumab in Patients With ... Intrahepatic Bile Duct Carcinoma, Adenocarcinoma, Malignant Adenoma, Intrahepatic Cholangiocarcinoma Treatment. TACE, ... Not sure for Participants must have unresectable or metastatic histologically or cytologically confirmed intrahepatic ... Yes for Participants must have unresectable or metastatic histologically or cytologically confirmed intrahepatic ...
Liver and intrahepatic bile duct cancer, United States-2006-2015
... USCS data brief, no 5. Atlanta, GA: Centers for Disease ... Title : Liver and intrahepatic bile duct cancer, United States-2006-2015 Corporate Authors(s) : National Center for Chronic ... In 2015, 32,908 new liver and intrahepatic bile duct cancer cases and 25,760 deaths were reported in the United States. • ...
Crowdfunding To Fight Liver And Intrahepatic Bile Duct in Union City | DonationTo
Start fundraising to fight Liver And Intrahepatic Bile Duct in Union City today. No technical skill required, keep 100% of all ... Fundraising To Fight Liver and Intrahepatic Bile Duct In Union City. How Many People Have Liver and Intrahepatic Bile Duct It ... 2013 it is estimated that 22,720 men will be diagnosed with Liver and Intrahepatic Bile Duct. Liver and Intrahepatic Bile Duct ... 2013 it is estimated that 7,921 women will be diagnosed with Liver and Intrahepatic Bile Duct. Liver and Intrahepatic Bile Duct ...
IMSEAR at SEARO: Amoebic liver abscess communicating with intrahepatic bile duct.
Variations of intrahepatic and proximal extrahepatic bile ducts :: COBISS+
Variations of intrahepatic and proximal extrahepatic bile ducts ... Variations of intrahepatic and proximal extrahepatic bile ducts ... Morda vas bo zanimalo: Variations of intrahepatic and proximal extrahepatic bile ducts ... intrahepatic and extrahepatic bile ducts. The aim of this study was to find biliary variations, especially o na segmental and ... Background/Aims: The modern segmental concept of the liver with a segmental bile duct distribution is of practical importance ...
Comorbidities and Co-Medications Among People With HIV
Bile Duct Diseases | MedlinePlus
... and cancer can result in bile duct problems. Discover the types, causes, symptoms, and treatment of bile duct diseases. ... your gallbladder pushes the bile into tubes called bile ducts. They carry the bile to your small intestine. The bile helps ... Different diseases can block the bile ducts and cause a problem with the flow of bile:. *Gallstones, which can increase ... Progressive familial intrahepatic cholestasis: MedlinePlus Genetics (National Library of Medicine) Clinical Trials ...
Conjugated Hyperbilirubinemia Treatment & Management: Approach Considerations
Table 2 - Rickettsial Infections and Fever, Vientiane, Laos - Volume 12, Number 2-February 2006 - Emerging Infectious Diseases...
Hepatocellular Carcinoma (HCC): Practice Essentials, Anatomy, Pathophysiology
Liver and intrahepatic bile duct cancers are the fifth most common cause of cancer deaths in men in the US, and the seventh ... The common bile duct gives off the cystic duct and becomes the hepatic duct. The hepatic duct then divides into two or three ... For 2022, the American Cancer Society (ACS) estimates that 41,260 new cases of liver cancer (including intrahepatic bile duct ... 27] According to Surveillance, Epidemiology, and End Results (SEER) program data, liver and intrahepatic bile duct cancers ...
United States Cancer Statistics: Incidence Public Information Data
NIOSHTIC-2 Search Results - Full View
Advanced Search Results - Public Health Image Library(PHIL)
Biliary Tract Cancer Staging: TNM Classification for Biliary Tract Cancers
... perihilar bile duct tumors, and distal bile duct tumors. Gallbladder cancer staging Table. ... intrahepatic bile duct tumors, perihilar bile duct tumors, and distal bile duct tumors. [1, 2] ... Intrahepatic bile duct tumor staging. Table. Intrahepatic bile duct tumor staging (Open Table in a new window) ... Perihilar bile duct tumor staging. Table. Perihilar bile duct tumor staging (Open Table in a new window) ...
Characteristics recurrence pattern of cholangiolocellular carcinoma as intrahepatic bile duct tumor growth following curative...
... confirmed the recurrence of CoCC in the intrahepatic bile duct. Although extended right lobectomy with extrahepatic bile duct ... We reported a case of IG-type recurrence in the bile duct, which is an unusual pattern of intrahepatic recurrence, after ... The patient was treated with repeat hepatectomy with bile duct reconstruction. The patient was a 76-year-old man with a history ... Computed tomography revealed a tumor occupying the right hepatic duct (B5-8) to B4 and the junction of the cystic duct. ...
Bile Duct Cancer (Cholangiocarcinoma) Treated at Karmanos
Important information from Karmanos Cancer Institute about bile duct cancer, its causes, risk factors, diagnosis and treatment. ... Intrahepatic bile duct cancer: This type of cancer forms in the bile ducts inside the liver. Only a small number of bile duct ... What is bile duct cancer?. Bile duct cancer is a rare disease in which malignant (cancer) cells form in the bile ducts. Bile ... Intrahepatic bile duct cancers are also called intrahepatic cholangiocarcinomas.. *Extrahepatic bile duct cancer: This type of ...
Publications from the Center for Engineering in Medicine & Surgery
Browse the Tables and Figures - SEER Cancer Statistics Review (CSR) 1975-2017
Cancer Incidence for Smithtown, Suffolk County, 2015-2019
Hepatic Hemangiomas Workup: Laboratory Studies, Imaging Studies, Procedures
Innervation-driven mechanisms of bile duct development | Neuro-biliary talk Project | Fact Sheet | HORIZON | CORDIS | European...
Neurites are present in the liver before bile duct tubulogenesis, and in other organs, innervation can instruct tubulogenesis. ... the signal initiating tubulogenesis of bile ducts therein remains to be identified. ... I will test the hypothesis that intrahepatic innervation initiates biliary tubulogenesis. First, I will apply 3D staining and ... While liver development is well-studied, the signal initiating tubulogenesis of bile ducts therein remains to be identified. ...
This study is looking at derazantinib for bile duct cancer (FIDES-01) | Cancer Research UK
This study is looking at derazantinib for bile duct cancer that cant be removed with surgery and has certain changes in the ... It is open to people with bile duct cancer that started inside of the liver (intrahepatic bile duct cancer) and has spread. ... Research shows that derazantinib might help people with intrahepatic bile duct cancer that has certain changes in the FGFR2 ... There are changes in this gene in many different cancers including intrahepatic bile duct cancer. ...
Peter Baker Kelsey, M.D. | Harvard Catalyst Profiles | Harvard Catalyst
PancreasCholestasisCarcinomaTumorsNeoplasmsMalignantResectionCancersGallHepatocellularCystsCholangitisTumorLiver and intrahepatic bile duct cDilationCancer of thDuodenumAmpullaDistalCystic ductStenosisSmall intestineDilatation of the common bileLymph nodesAutoimmunePseudostratified columnar eNeoplasmBiliary treeRight and left hepatic dCongenitalLesionHepatic bileExtrahepatic bile duct cDisappearance of intrahepaticPancreatic cancerChronicBenignBilirubinGallstonesCholecystitisBlockage in the bileObstruction of the bile ductsPerihilar bile ductGallbladder or bileCommon hepatic ductsDestructionDiagnosed with bile duct cPatientsIncidenceJaundiceEndoscopic
Pancreas9
- The distal region is made up of the common bile duct which passes through the pancreas and ends in the small intestine. (karmanos.org)
- Abnormal bile duct junctures that may allow juices from the pancreas to reflux up into the bile ducts. (roswellpark.org)
- Gastroenterology and Hepatology is the first journal to cover the latest advances in pathology of the gastrointestinal tract, liver, pancreas, and bile ducts, making it an indispensable tool for gastroenterologists, hepatologists, internists and general practitioners. (elsevier.es)
- The most commonly affected organs are: the pancreas, bile duct, major salivary glands, lacrimal glands, retroperitoneum and lymphatic ducts. (elsevier.es)
- Dilatation of extra- and intrahepatic bile ducts and heterogeneity of the head of the pancreas are visible. (biomedcentral.com)
- There was evidence of biliary obstruction at the level of the liver hilum with marked dilatation of the intrahepatic biliary ducts and a hypervascular lesion in the head of the pancreas. (jcadonline.com)
- Two ducts, the main pancreatic duct and a smaller accessory pancreatic duct , run through the body of the pancreas, joining with the common bile duct near a small ballooning called the ampulla of Vater . (iiab.me)
- In this case, the presence of an ampullary mass caused DDI with sub mucosal elongation of the common bile duct and obstructive jaundice in a patient with pancreas divisum. (scholars.direct)
- Due to the presence of Pancreas Divisum, no pancreatic duct was encountered within the ampulla, which was advantageous (Figure 3). (scholars.direct)
Cholestasis9
- Vanishing bile duct syndrome (VBDS) is a rare acquired disorder associated with progressive destruction and disappearance of intrahepatic bile ducts which eventually leads to cholestasis. (scienceopen.com)
- Elevated ALP indicates cholestasis (elevated GGT confirms liver source) and normal bile ducts on ultrasound therefore INTRAHEPATIC CHOLESTASIS. (ucalgary.ca)
- Albireo is developing A4250 to treat progressive familial intrahepatic cholestasis (PFIC), among other conditions. (liverdiseasenews.com)
- ALP levels in plasma will rise in the presence of a large bile duct obstruction, intrahepatic cholestasis, or liver infiltrative disease. (pharmaguddu.com)
- To study the incidence and peculiarities of intrahepatic cholestasis (IHC) syndrome in patients with toxic liver damage in acute and chronic intoxications with pesticides and to substantiate rational methods of diagnosis and treatment. (kiev.ua)
- Chemical substances released during the biotransformation by the liver in the bile often cause the formation of intrahepatic cholestasis (IHC), especially in individuals with individual genetic characteristics of the body[1-6, 8-11]. (kiev.ua)
- Cholestasis in the absence of obstruction is an intra-hepatic process and is caused by impaired bile synthesis or transport in hepatocytes or in the canalicular system (or by combining these mechanisms) [1-8, 32, 36]. (kiev.ua)
- In accordance with this, the following IHC variants are identified: intralobular cholestasis caused by hepatocyte damage (hepatocellular mainly affecting membranes or transport proteins), as well as canaliculi damage (canalicular mainly affecting cholangiocyte membranes or their transport proteins) and extralobular (ductular) caused by damage of intrahepatic bile ducts [4, 6, 8, 32, 36]. (kiev.ua)
- Primary biliary cholangitis) The primary biliary cirrhosis (PBC) is an autoimmune liver disease with progressive destruction of intrahepatic bile ducts, which may lead to the development of cholestasis, cirrhosis and ultimately liver failure. (healthlifemedia.com)
Carcinoma12
- Liver cancer includes two major types: hepatocellular carcinoma (HCC) and intrahepatic bile duct cancer. (oncolink.org)
- The efficacy of adjuvant photodynamic therapy (PDT) using the new photosensitizer, talaporfin sodium (TPS), was assessed in 7 patients with bile duct carcinoma (BDC). (iiarjournals.org)
- As a result of the improvements in early diagnosis, the number of cases with resectable bile duct carcinoma (BDC) has increased and the patients survival has improved in recent years ( 1 - 3 ). (iiarjournals.org)
- Strikingly, patients with the same predisposition or liver damaging risk factors either develop hepatocellular carcinoma or intrahepatic cholangiocellular carcinoma. (news-medical.net)
- Precancerous cells, in whose environment cells died due to necroptosis, led to intrahepatic cholangiocellular carcinoma. (news-medical.net)
- In the treatment of HCC with chemoembolization, it has already been observed that a part of the original liver cancer can turn into a bile duct carcinoma. (news-medical.net)
- METHODS: We identified 275 hepatocellular carcinoma (HCC) cases, 93 intrahepatic bile duct cancers (IHBCs), and 164 non-gallbladder extrahepatic bile duct cancers (NGBCs) among 467,336 EPIC participants (median follow-up 14.9 years). (ox.ac.uk)
- Primary neuroendocrine carcinoma of the liver is a rare tumour, probably arising from scattered neuroendocrine cells of the bile duct. (prelekara.sk)
- Primary liver cancer, the most common histologic types of which are hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (ICC), is the second leading cause of cancer death worldwide. (omicsdi.org)
- After a mean 7.5 mean years of follow-up, 121 hepatocellular carcinoma (HCC), 34 intrahepatic bile duct (IHBC) and 131 gallbladder and biliary tract (GBTC) cases were identified and matched to 2 controls each. (lih.lu)
- 1 Primary liver cancer includes hepatocellular carcinoma (HCC) (75%-85% of primary liver cancers) and intrahepatic cholangiocarcinoma or bile duct cancer (10%-15% of primary liver cancers). (targetedonc.com)
- Cholangiocarcinoma (CCA) is a heterogeneous malignant tumor containing intrahepatic and extrahepatic bile ducts and gallbladder carcinoma. (istinye.edu.tr)
Tumors6
- Tumorigenesis and phenotypic characteristics of mucin-producing bile duct tumors: an immunohistochemical approach. (koreamed.org)
- Tumors or cancer of the BILE DUCTS. (harvard.edu)
- For purposes of staging, satellite nodules , multifocal primary cholangiocarcinomas, and intrahepatic metastases are not distinguished and are considered multiple tumors. (thefreedictionary.com)
- The tumor-node-metastasis (TNM) staging classifications for biliary tract cancers are provided below, including those for biliary tract cancer, intrahepatic bile duct tumors, perihilar bile duct tumors, and distal bile duct tumors. (medscape.com)
- Placement in biliary strictures caused by benign tumors, as the long-term effects of the stent in the bile duct is unknown. (bostonscientific.com)
- RESULTS: Of the 564 patients, 44 (8%) had intrahepatic, 281 (50%) had perihilar, and 239 (42%) had distal tumors. (elsevier.com)
Neoplasms4
- This study is intended to investigate the clinicopathological features of the intraductal papillary neoplasms of the intrahepatic bile duct (IPNB), especially focused on malignant changes. (koreamed.org)
- Bile Duct Neoplasms" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (harvard.edu)
- This graph shows the total number of publications written about "Bile Duct Neoplasms" by people in Harvard Catalyst Profiles by year, and whether "Bile Duct Neoplasms" was a major or minor topic of these publication. (harvard.edu)
- Below are the most recent publications written about "Bile Duct Neoplasms" by people in Profiles. (harvard.edu)
Malignant4
- Bile duct cancer is a rare disease in which malignant (cancer) cells form in the bile ducts. (karmanos.org)
- We describe the clinical cases of four patients with malignant pleural mesothelioma (MPM), diffuse malignant peritoneal mesothelioma (DMPM), intrahepatic cholangiocarcinoma, and breast cancer (BC) who received supportive treatment (ST) according to an IM approach after the failure of standard cancer treatments or the appearance of serious adverse events caused by antiblastic chemotherapy. (frontiersin.org)
- Etiologically, a distinction is made between benign and malignant bile duct stenoses, which require different diagnostic and therapeutic approaches. (olympusprofed.com)
- Cholangiocarcinoma (CCA) is a rare and heterogeneous malignant neoplasm with epithelial cell origin of the biliary duct and histologic and biochemical features of cholangiocyte differentiation. (purvanchaltoday.in)
Resection11
- Comparison of Hepatic Arterial Infusion Pump Chemotherapy vs Resection for Patients With Multifocal Intrahepatic Cholangiocarcinoma. (harvard.edu)
- However, curative resection is often difficult because BDC spreads extensively along the bile duct beyond the lesion noted at the pre-operative diagnosis ( 1 ). (iiarjournals.org)
- In this study, a 32-year-old male patient with Bismuth Type IVa hilar cholangiocarcinoma underwent radical robotic resection of hepatic S4b, S5, and S1 (Taj Mahal hepatectomy) combined with regional lymphadenectomy, hilar bile duct reconstruction, and hepaticojejunostomy by the robotic surgical system. (jove.com)
- The Taj Mahal procedure comprises complete resection of S4b, S5, and S1 combined with regional lymphadenectomy, extrahepatic bile duct resection, hilar bile duct reconstruction, and hepaticojejunostomy 4 . (jove.com)
- Kim JH , Won HJ, Shin YM, Kim PN, Lee SG, Hwang S. Radiofrequency ablation for recurrent intrahepatic cholangiocarcinoma after curative resection. (wjgnet.com)
- Percutaneous Radiofrequency Ablation for Recurrent Intrahepatic Cholangiocarcinoma After Curative Resection: Multivariable Analysis of Factors Predicting Survival Outcomes. (wjgnet.com)
- Participants in this study comprised 220 consecutive patients who underwent intrahepatic cholangiojejunostomy following hepato-biliary resection for biliary malignancies between September 1998 and December 2010. (biomedcentral.com)
- Liver resection with intrahepatic cholangiojejunostomy for biliary malignancies is one of the most demanding surgeries and is associated with a high morbidity rate. (biomedcentral.com)
- The other indications included a biliary leakage at the resection margin after left hemihepatectomy with distal biliary narrowing (n = 1) as well as the implantation of the BMCL stent via a transgastric bile duct access (BPD stent) in the case of stenosis at the hepatic bifurcation area (n = 1, patient request for stent removability). (olympusprofed.com)
- A hepatic bile duct bifurcation resection was performed in the further course of the patient treatment with the stent inserted transgastrally. (olympusprofed.com)
- Patients who undergo liver resection with biliary duct reconstructon. (who.int)
Cancers8
- Only a small number of bile duct cancers are intrahepatic. (karmanos.org)
- Intrahepatic bile duct cancers are also called intrahepatic cholangiocarcinomas. (karmanos.org)
- There are changes in this gene in many different cancers including intrahepatic bile duct cancer. (cancerresearchuk.org)
- No associations were observed with cancers of the intrahepatic and extrahepatic bile ducts. (who.int)
- However, cancers of the bile ducts also occur outside the liver as distal cholangiocarcinomas and Klatskin tumours and are classified under code C24 according to the current classification system. (krebsdaten.de)
- This includes both intrahepatic and extrahepatic (inside and outside the liver) bile duct cancers. (acumenresearchandconsulting.com)
- and liver and intrahepatic bile duct cancers 8.3 per 100,000. (ecofarmingdaily.com)
- In the United States, 28,720 new cancers of the liver and intrahepatic bile duct are expected in 2012, with an estimated 20,550 deaths ( 2 ). (mhmedical.com)
Gall4
- MRCP confirms a number of stones within the gall bladder and common bile duct (at least 4 in the duct), with no intrahepatic duct dilatation. (radiopaedia.org)
- The liver cannot perform any of these functions properly if its bile ducts are clogged with deposits of hardened bile or " gallstones " (made of gall or bile). (naturalnews.com)
- The gall-bladder and bile ducts laid open. (cloudfront.net)
- Originating from the bile ducts which are the tubes that carry bile from the liver to the gall bladder, about ten to twenty per cent of the cases of primary liver cancer fall under this category. (anavara.com)
Hepatocellular2
- Approximately 65 percent of tumours within the liver (ICD-10 C22) develop from liver cells (hepatocellular carcinomas) and about 26 percent from cells of the bile ducts (intrahepatic cholangiocarcinomas). (krebsdaten.de)
- The following figure shows the distribution of hepatocellular carcinomas as well as all tumours of the bile ducts according to sex. (krebsdaten.de)
Cysts4
- Congenital choledochal cysts: new etiological concept based on anomalous relationships of the common bile duct and pancreatic bulb]. (medscape.com)
- Cysts in the bile ducts (cysts block the flow of bile and can cause swollen bile ducts, inflammation, and infection). (karmanos.org)
- obstruction of bile ducts by intrahepatic cysts, rupture of cysts into the bile ducts and subsequent intrinsic obstruction caused by hydatid material, and, the rarest form, extrinsic compression of bile ducts by a hydatid cyst with or without accompnying liver cyst 2 - 5 . (firattipdergisi.com)
- Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. (medscape.com)
Cholangitis10
- Primary sclerosing cholangitis (a progressive disease in which the bile ducts become blocked by inflammation and scarring). (karmanos.org)
- Primary sclerosing cholangitis (PSC) is a fibroinflammatory disease of the bile ducts leading to cirrhosis and hepatic decompensation. (lww.com)
- Primary sclerosing cholangitis (PSC) is a rare inflammatory, fibrotic disease involving intrahepatic and extrahepatic bile ducts ( 1 ). (lww.com)
- Long-term damage to bile ducts that may result from chronic inflammation from stones in the bile duct or primary sclerosing cholangitis, an autoimmune disease that leads to bile duct scarring. (roswellpark.org)
- Also, gallstones and inflammatory conditions of the digestive tract, such as ulcerative colitis or an associated condition called Primary Sclerosing Cholangitis (PSC), increase the risk of bile duct cancer. (siliconinvestor.com)
- Primary biliary cholangitis (PBC) is a chronic liver disease resulting from progressive destruction of the intrahepatic bile ducts in the liver. (liverfoundation.org)
- [5] In this obstructed state, the duct is especially vulnerable to an infection called ascending cholangitis . (cloudfront.net)
- The presence of intrahepatic bile duct ectasia with hepatolithiasis, predominantly affecting left lateral segment and parenchymal atrophy, fits the description of segmental cholangiectasia (i.e., recurrent pyogenic cholangitis ) of the liver. (mayocliniclabs.com)
- 65-year-old female who underwent ERCP for Jaundice, abnormal liver function test, acquired bile duct dilation and Cholangitis like symptoms. (scholars.direct)
- Following placement of the biliary stent, the bile leak improved, but hemobilia and cholangitis developed five days later. (kjpbt.org)
Tumor8
- abdominal CT suggested tumor of intrahepatic bile ducts (cholangiocarcinoma? (cdc.gov)
- Perihilar bile duct cancer is also called a Klatskin tumor or perihilar cholangiocarcinoma. (karmanos.org)
- MICA/B-targeted antibody promotes NK cell-driven tumor immunity in patients with intrahepatic cholangiocarcinoma. (harvard.edu)
- Locally advanced tumor occluding bile duct was relieved by PDT and patency was maintained for 16 months. (iiarjournals.org)
- In recent years, in particular, the number of patients with the highly invasive intrahepatic cholangiocellular carcinomas increased noticeably, although both tumor types show overlaps regarding their risk factors. (news-medical.net)
- Differential diagnosis was obstructive jaundice secondary to common bile duct stone vs. periampullary tumor given the duration and the severity of jaundice clinically. (scirp.org)
- Subsequently, an endoscopic retrograde cholangiopancreatography revealed a tumor within the biliary tree consistent with a Klatskin tumor, an adenocarcinoma located at the bifurcation of the common hepatic duct. (jcadonline.com)
- tumor obstruction of the bile ducts. (wikilectures.eu)
Liver and intrahepatic bile duct c2
- Liver and intrahepatic bile duct cancer. (bristolcancerhelp.org)
- an estimated 24,120 new cases from liver and intrahepatic bile duct cancer in the united states are expected to occur during 2010, resulting in approximately 18,910 deaths. (icbcongress.com)
Dilation7
- CRNM: Dilation of the intra- and extra-hepatic bile duct with images suggesting the presence of calculi from the intra-pancreatic portion to segment IV of the liver. (scielo.br)
- It can also be caused by the intrahepatic bile ducts' dilation or stone formation. (amazonthunder.com)
- Rare deformities of the common bile duct are cystic dilations (4 cm), choledochoceles (cystic dilation of the ampula of Vater (3-8 cm)), and biliary atresia . (cloudfront.net)
- Endoscopic ultrasound (EUS) confirmed a 27x25mm round homogeneous hypoechoic lesion, with well-defined contour, located in the pancreatic head, without upstream biliary or pancreatic duct dilation. (com.pt)
- Magnetic resonance cholangiopancreatography (MRCP) revealed CBD dilation with a maximal diameter of 14 mm and mild dilation of intra-hepatic bile ducts. (com.pt)
- Although there were no intraluminal lesions, the dilation appeared to end abruptly at the junction with main pancreatic duct (Fig. 1). (com.pt)
- A constriction in the bile duct that impairs the outflow of bile and leads to a consecutive dilation of the bile duct is called a bile duct stenosis. (olympusprofed.com)
Cancer of th2
- As a whole, cholangiocarcinoma is an aggressive cancer of the bile ducts. (mdedge.com)
- Saha studied intrahepatic cholangiocarcinoma, a cancer of the bile ducts. (fredhutch.org)
Duodenum11
- As a part of the digestive system, it functions as an exocrine gland secreting pancreatic juice into the duodenum through the pancreatic duct . (iiab.me)
- A blockage in the bile duct prevents bile (bilirubin) from flowing into the duodenum, which aids digestion. (acumenresearchandconsulting.com)
- ERCP is a method which plays the basic role in diagnosis and treatment of fistula between common bile duct and duodenum. (edu.pl)
- The flow of bile from the ampulla of Vater into the duodenum is under the control of the sphincter of Oddi . (cloudfront.net)
- When open, the stored and concentrated bile (now mixed with pancreatic secretions) exits into the duodenum and takes part in digestion . (cloudfront.net)
- Choledochoduodenostomy - a surgical procedure to create a connection between the common bile duct (CBD) and an alternative portion of the duodenum. (cloudfront.net)
- In 2 patients (recurrent stone discharge), the distal end of the stent in the duodenum was clearly obstructed after 3 to 4 months, whereby the bile drainage in these patients was ensured through the openings in the cover in direct front of the insertion portion point to the major papilla (Figure 2). (olympusprofed.com)
- It receives and stores bile, produced by the liver, via the common hepatic duct and releases it via the common bile duct into the duodenum , where the bile helps in the digestion of fats . (iiab.me)
- The metacercariae of excyst in the duodenum, then migrate into hepatic bile ducts where the flukes adult into adult worms [3]. (flora2world.com)
- CT scan and MRI revealed that there is an intussusception, with the elongated common bile duct entering the duodenum to the left of the midline (Figure 2). (scholars.direct)
- The gallbladder is part of a network of structures known collectively as the biliary tree, which drains bile from the liver into the duodenum to facilitate digestion. (cdc.gov)
Ampulla4
- 24] In these patients, a small distal CBD entered the pancreatic duct at 2-3.5 cm from the ampulla of Vater, whereas the normal common channel is 5 mm or less. (medscape.com)
- It is formed by the confluence of the common hepatic duct and cystic duct and terminates by uniting with pancreatic duct , forming the ampulla of Vater . (cloudfront.net)
- The patient underwent Exploratory laparotomy, cholecystectomy, exploration of common bile duct, excision of ampulla of Vater with reimplantation of common bile duct. (scholars.direct)
- Bile duct opening was not noted at this ampulla. (scholars.direct)
Distal3
- The extrahepatic bile duct is made up of the hilum region and the distal region. (karmanos.org)
- Distal bile duct cancer is also called extrahepatic cholangiocarcinoma. (karmanos.org)
- Patients were divided into intrahepatic, perihilar, and distal groups. (elsevier.com)
Cystic duct9
- Cystic duct , 6. (iiab.me)
- At the same time, the cystic duct can be drained through the openings that this stent provides. (olympusprofed.com)
- The gallbladder is shaped like a pear, with its tip opening into the cystic duct . (iiab.me)
- The neck tapers and is continuous with the cystic duct , part of the biliary tree . (iiab.me)
- [2] The gallbladder fossa, against which the fundus and body of the gallbladder lie, is found beneath the junction of hepatic segments IVB and V. [5] The cystic duct unites with the common hepatic duct to become the common bile duct . (iiab.me)
- Lymphatic drainage of the gallbladder follows the cystic node which is located between cystic duct and common hepatic ducts. (iiab.me)
- [2] Rarely, two or even three gallbladders may coexist, either as separate bladders draining into the cystic duct, or sharing a common branch that drains into the cystic duct. (iiab.me)
- The biliary tree also includes the cystic duct, the right and left hepatic ducts, and the common hepatic and common bile ducts, as well as a series of microscopic biliary vessels. (cdc.gov)
- It consists of a rounded fundus, smooth body and tapering neck, which becomes contiguous with the cystic duct and attaches to the porta hepatis. (cdc.gov)
Stenosis2
- The most common indication was therapy-refractory benign bile duct stenosis with recurrent stone discharge (n = 5) or with chronic pancreatitis (n = 4). (olympusprofed.com)
- Chronic bacterial infection of the intrahepatic bile ducts can induce inflammation and scarring, eventually leading to stenosis, proximal cholangiectasia, and hepatolithiasis. (mayocliniclabs.com)
Small intestine6
- They carry the bile to your small intestine. (medlineplus.gov)
- The liver secretes bile into the small intestine via the biliary system, employing the gallbladder as a reservoir. (bionity.com)
- In vertebrates, the gallbladder is a small hollow organ where bile is stored and concentrated before it is released into the small intestine . (iiab.me)
- IBATs mediate the uptake of bile acids from the small intestine to the liver, a process known as enterohepatic circulation. (liverdiseasenews.com)
- The major function of the bile duct is to move a fluid called bile from the liver and gallbladder to the small intestine, where it helps digest the fats in food. (purvanchaltoday.in)
- Bile salts are produced by the liver and are essential for the digestion and absorption of fat in the small intestine. (cdc.gov)
Dilatation of the common bile3
- Cystic dilatation of the common bile duct (CBD), also known as choledochal cyst, is a fairly uncommon anomaly of the biliary tract. (medscape.com)
- Choledochal cyst is a rare congenital dilatation of the common bile duct, often associated with a congenital or acquired dilatation of intra-hepatic ducts. (firattipdergisi.com)
- Case of dilatation of the common bile duct. (medscape.com)
Lymph nodes1
- He has it in his bile duct liver bone in rib and lymph nodes. (nfcr.org)
Autoimmune4
- This autoimmune condition causes bile duct inflammation and scarring that leads to their narrowing and hardening, and gradual liver damage. (roswellpark.org)
- PSC is an autoimmune disease in which the body's immune system attacks the bile ducts and causes scarring. (siliconinvestor.com)
- Primary biliary cirrhosis (PBC) is characterized by the highly selective autoimmune injury of small intrahepatic bile ducts, despite widespread distribution of mitochondrial autoantigens. (elsevier.com)
- A diagnosis of autoimmune pancreatitis was confirmed, the bile duct stent removed, and an appropriate treatment plan was undertaken. (biomedcentral.com)
Pseudostratified columnar e1
- Interlobar ducts (between the main hepatic ducts and the interlobular ducts) - pseudostratified columnar epithelium. (wikipedia.org)
Neoplasm4
- We concluded that intrahepatic IPNB is a rare type of biliary neoplasm which includes a histological spectrum, ranging from benign disease to invasive malignancy. (koreamed.org)
- Intraductal papillary neoplasm of the bile duct associated with Clonorchis sinensis infection. (koreamed.org)
- Intraductal neoplasm of the intrahepatic bile duct: clinicopathological studyof 24 cases. (koreamed.org)
- KRAS mutation and immunohistochemical profile in intraductal papillary neoplasm of the intrahepatic bile ducts. (cdc.gov)
Biliary tree2
- Once the diagnosis of metastatic cholangiocarcinoma was established, palliative stenting of the biliary tree and hepatic ducts were done to alleviate the obstruction. (jcadonline.com)
- Although most PSC involves entire biliary tree without a left segmental propensity, intrahepatic segmental PSC has been reported. (mayocliniclabs.com)
Right and left hepatic d1
- They can be divided into: Lobar ducts (right and left hepatic ducts) - stratified columnar epithelium. (wikipedia.org)
Congenital7
- It is a rare congenital anomaly that is characterized by nonobstructive saccular or fusiform dilatation of the intrahepatic bile ducts and is associated with bile stagnation and hepatolithiasis. (medscape.com)
- This type of cyst occurs as a result of a congenital (born with it) malformation of a bile duct in which a fluid-filled sac forms in the bile duct. (roswellpark.org)
- Congenital bile duct abnormalities. (vejthani.com)
- The choledochal cyst is a congenital disease which is characterized by extrahepatic bile duct dilatation. (firattipdergisi.com)
- These are at birth or congenital abnormalities in your bile duct. (amazonthunder.com)
- Intrahepatic bile duct stones are one of the most common late complications of Roux-en-Y hepaticojejunostomy for congenital biliary dilatation. (healthmag.top)
- Todani T, Narusue M, Watanabe Y, Tabuchi K, Okajima K. Management of congenital choledochal cyst with intrahepatic involvement. (medscape.com)
Lesion2
- A right upper quadrant ultrasound showed an enlarged liver with mild coarse echo texture and dilated intrahepatic bile ducts with a hypoechoic lesion in the right lobe of the liver. (jcadonline.com)
- However, patients with extrahepatic lesions could be included if excision of intrahepatic lesion prolongs theirprognosis. (who.int)
Hepatic bile1
- The hormone cholecystokinin , when stimulated by a fatty meal, promotes bile secretion by increased production of hepatic bile, contraction of the gallbladder, and relaxation of the sphincter of Oddi. (cloudfront.net)
Extrahepatic bile duct c2
- For extrahepatic bile duct cancer, the average age at diagnosis is 72.The number of new cases of bile duct cancer is increasing, mostly due to rising rates of intrahepatic bile duct cancer. (siliconinvestor.com)
- Cancer that originates in sections of the duct outside the liver, then it is known as extrahepatic bile duct cancer. (carehospitals.com)
Disappearance of intrahepatic1
- Vanishing bile duct syndrome (VBDS) refers to a group of disorders characterized by destruction and disappearance of intrahepatic (inside the liver) bile ducts. (health.am)
Pancreatic cancer2
- As co-director of the Hutch's Pancreatic Cancer Program, Kugel hopes to develop effective therapies for pancreatic and bile duct cancer patients who now face a grim prognosis. (fredhutch.org)
- The significant rise in the prevalence of bile duct and pancreatic cancer is the major factor driving the growth of global biliary stent market. (acumenresearchandconsulting.com)
Chronic1
- Primary biliary cirrhosis (PBC) is a chronic cholestatic liver disease characterized by inflammatory destruction of the intrahepatic bile ducts. (elsevier.com)
Benign2
- On top benign von Myenberg complex, below cholangiocarcinoma of intrahepatic bile ducts. (pathologyoutlines.com)
- Biliary hamartomas are rare benign bile duct malformations consisting of multiple collections of localized duct-like structures that are lined by biliary epithelium and embedded in a fibrous stroma. (springeropen.com)
Bilirubin4
- Laboratory examinations revealed elevated CA19-9 (31.48 U/mL) and total bilirubin (145.7 μmol/L). Severe obstruction with partial thickening of the hilar bile duct wall was observed in Magnetic Resonance Cholangiopancreatography (MRCP) ( Figure 1 ) and 3D reconstruction of MRI ( Figure 2 ). (jove.com)
- the liver's ability to synthesize enzymes and proteins, the liver's ability to process bilirubin and secrete bile, and the extent of liver damage. (pharmaguddu.com)
- The liver converts bilirubin into a water-soluble form to be secreted into bile. (pharmaguddu.com)
- A large number of toxic exogenous and endogenous compounds are released from the body with bile (bilirubin, cholesterol, metabolites of medicinal products, xenobiotics, etc. (kiev.ua)
Gallstones3
- Bile duct stones are similar to gallstones, but smaller. (roswellpark.org)
- When gallstones pass into the common bile duct, acute pancreatitis can occur. (howtogetridofstuff.com)
- Bile duct disorders are also caused due to conditions such as gallstones, liver cancer, large intestine, radiation therapy, etc. (acumenresearchandconsulting.com)
Cholecystitis1
- These findings suggest biliary cirrhosis associated with cholelithiasis, bacterial cholecystitis, bile plugs, and/or intrahepatic bile duct rupture with leakage of bile should be considered a top differential for green iguanas presenting with evidence of hepatobiliary disease. (vin.com)
Blockage in the bile1
- These stones, hardened pebble-like deposits of bile or cholesterol, can form in the gallbladder, causing inflammation or a blockage in the bile ducts. (roswellpark.org)
Obstruction of the bile ducts1
- IHC is based on the dysfunction of the mechanisms of bile synthesis, secretion and outflow, which develops in the absence of obstruction of the bile ducts against the background of lesions in any area - from the basolateral membrane of the hepatocyte or cholangiocyte to the terminal sections of the intrahepatic bile ducts [1-3, 10-14]. (kiev.ua)
Perihilar bile duct1
- Borderline of a dilated perihilar bile duct, measuring 8 mm. (cloudfront.net)
Gallbladder or bile2
- Many risk factors for gallbladder cancer are related to inflammation in the gallbladder or bile ducts, or are conditions that cause this inflammation. (roswellpark.org)
- HealthDay)-Most people aren't aware of the signs of gallbladder or bile duct cancer, but the Rutgers Cancer Institute of New Jersey says they should be. (medicalxpress.com)
Common hepatic ducts1
- Results: The types of confluence and their frequency were determined separately for the left, right, right anterior sectorial, right posterior sectorial and common hepatic ducts. (cobiss.net)
Destruction1
- Bile pigments are the end product of the breakdown of hemoglobin during the destruction of old red blood cells. (cdc.gov)
Diagnosed with bile duct c2
- Each year, an estimated 8,000 people in the United States are diagnosed with bile duct cancer. (siliconinvestor.com)
- According to the American Cancer Society, Inc., about 8,000 people in the United States are diagnosed with bile duct cancer each year. (acumenresearchandconsulting.com)
Patients15
- The objective of this study is to evaluate the efficacy and safety of TACE combined with Tislelizumab in patients with advanced intrahepatic cholangiocarcinoma after progression on first-line systemic therapy. (centerwatch.com)
- Therefore, this study aims to evaluate the efficacy and safety of TACE combined with anti-PD-1 antibody in patients in advanced intrahepatic cholangiocarcinoma. (centerwatch.com)
- To evaluate morbimortality rates, evolution and handing of patients with cystic dilatation bile ducts in adults. (scielo.br)
- Diffusion-weighted imaging as an imaging biomarker for assessing survival of patients with intrahepatic mass-forming cholangiocarcinoma. (harvard.edu)
- Futibatinib is indicated for use in adult patients with previously treated, unresectable, locally advanced, or metastatic intrahepatic cholangiocarcinoma harboring fibroblast growth factor receptor 2 (FGFR2) gene fusions or other rearrangements. (mdedge.com)
- Approximately 20% of patients diagnosed with cholangiocarcinoma have the intrahepatic form of the disease. (mdedge.com)
- In most patients the diagnosis can be confirmed by using ultrasound pictures or by injecting a radioactive substance and performing a tomography scan which gives an "image" of the abnormal duct. (firattipdergisi.com)
- Is it safe to administer neoadjuvant chemotherapy to patients undergoing hepatectomy for intrahepatic cholangiocarcinoma? (henryford.com)
- Choi WJ, Ivanics T, Claasen M, Gallinger S, Hansen B, and Sapisochin G. Is it safe to administer neoadjuvant chemotherapy to patients undergoing hepatectomy for intrahepatic cholangiocarcinoma? (henryford.com)
- BACKGROUND: The use of neoadjuvant chemotherapy (NAC) in patients with intrahepatic cholangiocarcinoma (iCCA) is increasing. (henryford.com)
- This study aimed to assess the efficacy and safety of SpyDS-assisted PTCS in patients with surgically altered anatomy, particularly those with a Roux-en-Y reconstruction. (gutnliver.org)
- Thirteen patients (six women, median age 71.4 years [range, 53 to 83 years]) with surgically altered anatomy (four Roux-en-Y choledochojejunostomies, seven Roux-en-Y hepaticojejunostomies, and two Roux-en-Y esophagojejunostomies) who underwent SpyDS-assisted PTCS between January 2019 and August 2020 were included and the data was acquired by retrospectively reviewing electronic medical record. (gutnliver.org)
- Laparoscopic cholecystectomy and common bile duct exploration are safe for older patients. (scienceopen.com)
- OBJECTIVE: To assess long-term survival and prognostic factors in a large series of patients with bile duct cancer. (elsevier.com)
- METHODS: We studied 564 consecutive patients with bile duct cancer operated upon between 1973 and 2004. (elsevier.com)
Incidence5
- The purposes of the present study were, firstly, to evaluate the incidence of anastomotic insufficiency following intrahepatic cholangiojejunostomy and, secondly, to evaluate whether platelet depletion represents a risk factor for anastomotic insufficiency in intrahepatic cholangiojejunostomy. (biomedcentral.com)
- Precise determination of the incidence of, and risk factors for, anastomotic insufficiency after intrahepatic cholangiojejunostomy remains difficult. (biomedcentral.com)
- SUMMARY BACKGROUND DATA: The incidence of bile duct cancer is low but increasing. (elsevier.com)
- There is evidence that demonstrates greater effectiveness of the two-step approach with ERCP and subsequent laparoscopic cholecystectomy over the one-step approach, especially in the rate of bile leak and the incidence of retained stones. (bvsalud.org)
- The one-step approach with bile duct exploration and laparoscopic cholecystectomy at the same time is safe, with a high success rate, low incidence of complications, shorter hospital stay, and lower costs. (bvsalud.org)
Jaundice2
- This can result in a build-up of bile in the liver, resulting in symptoms including jaundice, stomach pain, and nausea. (acumenresearchandconsulting.com)
- Obstruction of the common bile duct and related jaundice has been documented since at least since the time of Erasistratus . (cloudfront.net)
Endoscopic4
- AIP can appear as a common bile duct stricture in an endoscopic retrograde cholangiopancreatography. (biomedcentral.com)
- Placement of a fully covered or partially covered biliary stent across a branch duct or major bifurcation may result in complications due to blockage of flow from the branch duct and prevent endoscopic or transhepatic access for future procedures. (bostonscientific.com)
- Physicians may recommend a procedure-endoscopic retrograde cholangiopancreatography (ERCP)-to remove the stones remaining in the bile duct. (howtogetridofstuff.com)
- Caddy G, Tham T: Symptoms, diagnosis and endoscopic management of common bile duct stones. (edu.pl)