Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.
Liver disease caused by infections with parasitic tapeworms of the genus ECHINOCOCCUS, such as Echinococcus granulosus or Echinococcus multilocularis. Ingested Echinococcus ova burrow into the intestinal mucosa. The larval migration to the liver via the PORTAL VEIN leads to watery vesicles (HYDATID CYST).
Surgical formation of an opening (stoma) into the COMMON BILE DUCT for drainage or for direct communication with a site in the small intestine, primarily the DUODENUM or JEJUNUM.
Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body.
Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.
Surgical removal of the GALLBLADDER.
An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.
An emulsifying agent produced in the LIVER and secreted into the DUODENUM. Its composition includes BILE ACIDS AND SALTS; CHOLESTEROL; and ELECTROLYTES. It aids DIGESTION of fats in the duodenum.
Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure.
An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).
An abnormal passage or communication leading from an internal organ to the surface of the body.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
An abnormal passage or communication between a bronchus and another part of the body.
An abnormal passage between two or more BLOOD VESSELS, between ARTERIES; VEINS; or between an artery and a vein.
An abnormal anatomical passage connecting the RECTUM to the outside, with an orifice at the site of drainage.
Abnormal passage communicating with the STOMACH.
An abnormal passage in any part of the URINARY TRACT between itself or with other organs.
Abnormal passage communicating with the ESOPHAGUS. The most common type is TRACHEOESOPHAGEAL FISTULA between the esophagus and the TRACHEA.
Abnormal passage communicating with the PANCREAS.
An abnormal anatomical passage between the RECTUM and the VAGINA.
An abnormal anatomical passage between the URINARY BLADDER and the VAGINA.
An abnormal passage communicating between any component of the respiratory tract or between any part of the respiratory system and surrounding organs.
An abnormal anatomical passage that connects the VAGINA to other organs, such as the bladder (VESICOVAGINAL FISTULA) or the rectum (RECTOVAGINAL FISTULA).
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Abnormal passage between the ESOPHAGUS and the TRACHEA, acquired or congenital, often associated with ESOPHAGEAL ATRESIA.
A condition caused by the lack of intestinal PERISTALSIS or INTESTINAL MOTILITY without any mechanical obstruction. This interference of the flow of INTESTINAL CONTENTS often leads to INTESTINAL OBSTRUCTION. Ileus may be classified into postoperative, inflammatory, metabolic, neurogenic, and drug-induced.
Blocking of a blood vessel by air bubbles that enter the circulatory system, usually after TRAUMA; surgical procedures, or changes in atmospheric pressure.
Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.
Predominantly extrahepatic bile duct which is formed by the junction of the right and left hepatic ducts, which are predominantly intrahepatic, and, in turn, joins the cystic duct to form the common bile duct.
A condition characterized by the presence of multiple gas-filled cysts in the intestinal wall, the submucosa and/or subserosa of the INTESTINE. The majority of the cysts are found in the JEJUNUM and the ILEUM.
The study of the origin, structure, development, growth, function, genetics, and reproduction of plants.
A genus of the plant family Liliaceae (sometimes classified as Alliaceae) in the order Liliales. Many produce pungent, often bacteriostatic and physiologically active compounds and are used as VEGETABLES; CONDIMENTS; and medicament, the latter in traditional medicine.
A system of categories to which morbid entries are assigned according to established criteria. Included is the entire range of conditions in a manageable number of categories, grouped to facilitate mortality reporting. It is produced by the World Health Organization (From ICD-10, p1). The Clinical Modifications, produced by the UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES, are larger extensions used for morbidity and general epidemiological purposes, primarily in the U.S.
An acquired or spontaneous abnormality in which there is communication between CAVERNOUS SINUS, a venous structure, and the CAROTID ARTERIES. It is often associated with HEAD TRAUMA, specifically basilar skull fractures (SKULL FRACTURE, BASILAR). Clinical signs often include VISION DISORDERS and INTRACRANIAL HYPERTENSION.
Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)
A condition in which total serum protein level is below the normal range. Hypoproteinemia can be caused by protein malabsorption in the gastrointestinal tract, EDEMA, or PROTEINURIA.
Prolonged shortening of the muscle or other soft tissue around a joint, preventing movement of the joint.
Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.
An imbalanced nutritional status resulted from insufficient intake of nutrients to meet normal physiological requirement.
The state of being free from intrusion or disturbance in one's private life or affairs. (Random House Unabridged Dictionary, 2d ed, 1993)
The privacy of information and its protection against unauthorized disclosure.
Protective measures against unauthorized access to or interference with computer operating systems, telecommunications, or data structures, especially the modification, deletion, destruction, or release of data in computers. It includes methods of forestalling interference by computer viruses or so-called computer hackers aiming to compromise stored data.
Voluntary authorization, by a patient or research subject, with full comprehension of the risks involved, for diagnostic or investigative procedures, and for medical and surgical treatment.
The protection of genetic information about an individual, family, or population group, from unauthorized disclosure.
A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.
A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.
Individuals referred to for expert or professional advice or services.
A subspecialty of internal medicine concerned with the study of the physiology and diseases of the digestive system and related structures (esophagus, liver, gallbladder, and pancreas).
A plant genus of the family ORCHIDACEAE that is the source of the familiar flavoring used in foods and medicines (FLAVORING AGENTS).
A plant genus of the family Paeoniaceae, order Dilleniales, subclass Dilleniidae, class Magnoliopsida. These perennial herbs are up to 2 m (6') tall. Leaves are alternate and are divided into three lobes, each lobe being further divided into three smaller lobes. The large flowers are symmetrical, bisexual, have 5 sepals, 5 petals (sometimes 10), and many stamens.
Individuals responsible for various duties pertaining to the medical office routine.
Time period from 1901 through 2000 of the common era.
The transference of a part of or an entire liver from one human or animal to another.

Chronic cough due to bronchobiliary fistula. (1/165)

Bronchobiliary fistula is a rare cause of chronic cough. Here we describe a 70-year-old woman complaining of chronic cough and copious dark-yellow watery sputum. The presence of air in the biliary tract in the lower cuts of a computerized tomography scan of the chest and positive bile in the sputum led to the suspicion of bronchobiliary fistula. The diagnosis was confirmed by percutaneous transhepatic cholangiography. Drainage of the intrahepatic biliary tract resulted in complete resolution of her symptoms.  (+info)

Roux-en-Y hepaticojejunostomy: a reappraisal of its indications and results. (2/165)

A critical evaluation is made of 131 patients submitted to choledocho or hepaticojejunostomy. The main indications for hepaticojejunostomy were iatrogenic strictures of CBD (60 patients), and choledocholithiasis with markedly dilated duct (41 patients). The overall mortality rate was 4% representing principally renal hepatic failure, bile peritonitis and bleeding. The complications following hepaticojejunostomy included only in one case biliary fistula which required reoperation. The long-term results of 80 patients available for a followup study were as follows: 63 patients (78.7%) were symptom-free at 2-13 years followup; 8 patients had brief episodes of cholangitis which responded to antibiotic and corticosteroid treatment; 9 patients required reoperation for stricture of anastomosis. These overall results are a strong argument for hepaticojejunostomy which, compared with choledochoduodenostomy, avoids the hazards of the so-called sump syndrome and of the reflux of enteric contents in the CBD. An increased incidence of peptic ulcer disease in the patients submitted to hepaticojejunostomy was not observed. In very high strictures and in reinterventions anastomosis between left hepatic duct and Roux-en-Y jejunal limb was carried out. The results achieved with this technique, which was performed in 26 patients, were about the same following hepaticojejunostomy.  (+info)

Genetic factors at the enterocyte level account for variations in intestinal cholesterol absorption efficiency among inbred strains of mice. (3/165)

Interindividual and interstrain variations in cholesterol absorption efficiency occur in humans and animals. We investigated physiological biliary and small intestinal factors that might determine variations in cholesterol absorption efficiency among inbred mouse strains. We found that there were significant differences in cholesterol absorption efficiency measured by plasma, fecal, and lymphatic methods: <25% in AKR/J, C3H/J, and A/J strains; 25-30% in SJL/J, DBA/2J, BALB/cJ, SWR/J, and SM/J strains; and 31-40% in C57L/J, C57BL/6J, FVB/J, and 129/SvJ strains. In (AKRxC57L)F1 mice, the cholesterol absorption efficiency (31 +/- 6%) mimicked that of the C57L parent (37 +/- 5%) and was significantly higher than in AKR mice (24 +/- 4%). Although biliary bile salt compositions and small intestinal transit times were similar, C57L mice displayed significantly greater bile salt secretion rates and pool sizes than AKR mice. In examining lymphatic cholesterol transport in the setting of a chronic biliary fistula, C57L mice displayed significantly higher cholesterol absorption rates compared with AKR mice. Because biliary and intestinal transit factors were accounted for, we conclude that genetic variations at the enterocyte level determine differences in murine cholesterol absorption efficiency, with high cholesterol absorption likely to be a dominant trait. This study provides baseline information for identifying candidate genes that regulate intestinal cholesterol absorption at the cellular level.  (+info)

Biliary-bronchial fistula demonstrated by endoscopic retrograde cholangiography. (4/165)

Endoscopic retrograde cholangiography is valuable in the evaluation of biliary tract disorders. A 50-year-old Italian woman developed biloptysis 1 year after cholecystectomy because of intrabiliary rupture of a hydatid cyst with secondary infection, which resulted in intrathoracic rupture and communication with the bronchial tree. Endoscopic retrograde cholangiography showed the cause and pathway of the fistulous tract by outlining the biliary tree, abscess cavity and communication with the right upper lobe bronchus. This technique appears to be well suited to the investigation of patients with biliary-bronchial fistula.  (+info)

External biliary fistula. (5/165)

External biliary fistulas, once common, are now rare: before the present report of 4 cases only 27 cases have been reported in the English literature since 1900. Review of the records of four patients with external biliary fistula confirmed its occurrence in patients over 50 years of age and the variable site for operning of the fistulous tract. Cholecystectomy provided successful treatment in three of the four patients but the fourth was too ill to undergo an operation; in general, definitive treatment is cholecystectomy, together with excision of the fistulous tract if this takes a direct path through the abdominal wall from the gallbladder, or curettage if the course is devious.  (+info)

Percutaneous evacuation (PEVAC) of multivesicular echinococcal cysts with or without cystobiliary fistulas which contain non-drainable material: first results of a modified PAIR method. (6/165)

BACKGROUND: Surgery is the treatment of choice in echinococcal cysts with cystobiliary fistulas. PAIR (puncture, aspiration, injection, and reaspiration of scolecidals) is contraindicated in these cases. AIM: To evaluate a modified PAIR method for percutaneous treatment of multivesicular echinococcal cysts with or without cystobiliary fistulas which contain non-drainable material. PATIENTS: Twelve patients were treated: 10 patients with multivesicular cysts which contained non-drainable material and were complicated by spontaneous intrabiliary rupture, secondary cystobiliary fistulas, cyst infection, or obstructed portal or hepatic veins; and two patients with large univesicular cysts and a ruptured laminated membrane, one obstructing the portal and hepatic veins and one a suspected cystobiliary fistula. METHODS: The methods used, termed PEVAC (percutaneous evacuation of cyst content), involved the following steps: ultrasound guided cyst puncture and aspiration of cyst fluid to release intracystic pressure and thereby to avoid leakage; insertion of a large bore catheter; aspiration and evacuation of daughter cysts and endocyst by injection and reaspiration of isotonic saline; cystography; injection of scolecidals only if no cystobiliary fistula was present; external drainage of cystobiliary fistulas combined with endoprosthesis or sphincterotomy; catheter removal after complete cyst collapse and closure of the cystobiliary fistula. RESULTS: In all 12 patients initial cyst size was 13.1 (6-20) cm (mean (range)). At follow up 17.9 (4-30) months after PEVAC, seven cysts had disappeared and five cysts had decreased to 2.4 (1-4) cm (p=0.002). In eight patients with multivesicular cysts, a cystobiliary fistula, and infection, cyst size was 12.5 (6-20) cm, catheter time 72.3 (28-128) days, and hospital stay 38.1 (20-55) days. At 17.3 (4-28) months of follow up, six cysts had disappeared and in two cysts residual size was 1 and 2.9 cm, respectively (p=0.012). In four patients without a cystobiliary fistula, cyst size was 14.4 (12.7-16) cm, catheter time 8.8 (3-13) days, and hospital stay 11.5 (8-14) days. At 19.3 (9-30) months of follow up, one cyst had disappeared and three cysts were 85 (69-94)% smaller (2.2 (1-4) cm) (p=0.068). CONCLUSION: PEVAC is a safe and effective method for percutaneous treatment of multivesicular echinococcal cysts with or without cystobiliary fistulas which contain non-drainable material.  (+info)

Regulation of hepatic connexins in cholestasis: possible involvement of Kupffer cells and inflammatory mediators. (7/165)

Hepatocyte gap junction proteins, connexins (Cxs) 26 and 32, are downregulated during obstructive cholestasis (OC) and lipopolysaccharide hepatocellular cholestasis (LPS-HC). We investigated rat hepatic Cxs during ethynylestradiol hepatocellular cholestasis (EE-HC) and choledochocaval fistula (CCF) and compared them with OC and LPS-HC. Levels (immunoblotting) and cellular distribution (immunofluorescence) of Cx26, -32, and -43, as well as macrophage infiltration, were studied in livers of rats under each condition. Cx26 and -32 were reduced in LPS-HC, OC, and CCF. However, in EE-HC, Cx26 did not change and Cx32 was increased. Prominent inflammation occurred in LPS-HC, OC, and CCF, which was associated with increased levels of Cx43 in LPS-HC and OC but not CCF. No inflammation nor changes in Cx43 levels occurred during EE-HC. In cultured hepatocytes, dye coupling was reduced by tumor necrosis factor-alpha and interleukins-1beta and -6, whereas reduction induced by LPS required coculture with Kupffer cells. Thus hepatocyte gap junctions are downregulated in forms of cholestasis associated with inflammation, and reduced intercellular communication might be induced in part by proinflammatory mediators.  (+info)

Sirolimus/cyclosporine/tacrolimus interactions on bile flow and biliary excretion of immunosuppressants in a subchronic bile fistula rat model. (8/165)

The new immunosuppressive agent sirolimus generally is combined in transplant patients with cyclosporine and tacrolimus which both exhibit cholestatic effects. Nothing is known about possible cholestatic effects of these combinations which might be important for biliary excretion of endogenous compounds as well as of immunosuppressants. Rats were daily treated with sirolimus (1 mg kg(-1) p.o.), cyclosporine (10 mg kg(-1) i.p.), tacrolimus (1 mg kg(-1) i.p.), or a combination of sirolimus with cyclosporine or tacrolimus. After 14 days a bile fistula was installed to investigate the effects of the immunosuppressants and their combinations on bile flow and on biliary excretion of bile salts, cholesterol, and immunosuppressants. Cyclosporine as well as tacrolimus reduced bile flow (-22%; -18%), biliary excretion of bile salts (-15%;-36%) and cholesterol (-15%; -47%). Sirolimus decreased bile flow by 10%, but had no effect on cholesterol or bile salt excretion. Combination of sirolimus/cyclosporine decreased bile flow and biliary bile salt excretion to the same extent as cyclosporine alone, but led to a 2 fold increase of biliary cholesterol excretion. Combination of sirolimus/tacrolimus reduced bile flow only by 7.5% and did not change biliary bile salt and cholesterol excretion. Sirolimus enhanced blood concentrations of cyclosporine (+40%) and tacrolimus (+57%). Sirolimus blood concentration was increased by cyclosporine (+400%), but was not affected by tacrolimus. We conclude that a combination of sirolimus/tacrolimus could be the better alternative to the cotreatment of sirolimus/cyclosporine in cholestatic patients and in those facing difficulties in reaching therapeutic ranges of sirolimus blood concentration.  (+info)

The presence of a renal bile fistula with escape of all bile into the urinary tract seriously impairs the capacity of an anemic dog to form new hemoglobin on standard diets. These bile fistula dogs will produce about one-half as much hemoglobin in anemia on standard diets as during earlier control periods without a bile fistula. Iron given by mouth to an anemic bile fistula dog will effect the production of about one-half the amount of new hemoglobin as in control periods. Iron given by vein to an anemic bile fistula dog will approximate the theoretical 100 per cent return of new hemoglobin. Obviously absorption is a very important factor in the utilization of iron by these dogs. The reaction to liver feeding is much like the reaction to iron feeding but we have no proof of inadequate protein digestion and absorption in these bile fistula dogs. In fact the uniform body weight and normal clinical state over periods of years speak for adequate absorption of protein digestion products. Evidence ...
Bronchobiliary fistula (BBF) is a rare complication after transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma. We present a case of BBF that developed 5 months after 11 TACE procedures in a 78-year-old male patient with a 3-month history of a persistent cough and yellowish sputum. BBF was found between the bronchus and the right intrahepatic bile duct (B7) by magnetic resonance cholangiopancreatography. On the initial endoscopic retrograde cholangiopancreatography (ERCP), we failed to approach to the BBF due to severe hilar obstruction. Percutaneous transhepatic biliary drainage (PTBD) was performed, and 30-50 mL of bile was drained daily. But the BBF was not resolved until 2 months after PTBD. The patient was treated by placement of a plastic stent to the BBF site during the second ERCP. BBF was resolved 7 days after ERCP on the PTBD tubogram. The patient remained asymptomatic after the stent placement, and there was no recurrence at the 2-month follow-up ERCP ...
Dr Sarfaraz J Baig is a GI, Laparoscopic and Bariatric Surgeon based out of Belle Vue Hospital, Kolkata.. His qualifications are MBBS MS FRCS FIAGES. He is a surgical gastroenterologist whose work includes management of diseases (stones, tumors, infections, etc) arising in the stomach, gallbladder, liver, pancreas, colon and the anorectum. His advanced skill with laparoscopic techniques enables him to do most of this with minimal access translating into increased comfort for the patient. He is frequently exposed to managing complex GI cases referred by his colleagues.. He is one of the pioneers of bariatric surgery in the country.. He is an active member of ASI, IASG, IAGES, AMASI, IASO, OSSI and IFSO.. He has organized many single theme conferences on important topics related to GI surgery.. He has authored three monographs; on biliary surgery, liver surgery and bariatric nutrition.. He has publications on gallbladder mucosa, acute pancreatitis, bronchobiliary fistula, colorectal cancer, ...
Successful Resection of Hepatocellular Carcinoma with Bronchobiliary Fistula Caused by Repeated Transcatheter Arterial Embolizations : Report of a Case (2007 ...
Internal biliary fistulas may arise from peptic ulceration, operative trauma or, most commonly, as a result of biliary disease with associated calculi. Of the l
The diethanolamine salt of the mono (α,p-dimethylbenzyl) ester of d-camphoric acid (Gallogen) augmented diet-induced hypercholesterolemia and hyperlipemia in the rat, while depressing liver cholesterol and total lipid concentrations. Diethanolamine had virtually identical effects. Gallogen, given orally to rats with biliary fistulas had a slight hydrocholeretic effect, but did not influence biliary excretion of cholesterol, cholic acid, or chenodeoxycholic acid.. ...
The development of endoscopic ultrasound (EUS) in the early 1980s overcame some of the limitations of transabdominal ultrasound for imaging the gastrointestinal tract wall and retroperitoneum. One of the advantages of EUS is the ability to apply the
Both acute and chronic cholecystitis share a set of potential complications. Gallbladder perforation or rupture usually results in a local abdominal abscess as the omentum limits spread of the gallbladder luminal contents. In some cases severe rupture can yield diffuse peritonitis. Cholangitis may result as static bile is prone to infection. Cholecystoenteric fistulas can form between the gallbladder and the adjacent GI tract, usually the duodenum. In some cases, gallstones can migrate into the alimentary tract which may result in bowel obstruction, termed Gallstone Ileus ...
A closed-suction drain always Su hagra be placed in the vicinity of the repair to allow adequate drainage of an eventual biliary fistula. Transfer completely to a volumetric flask and dilute to 100.
The liver has a wide variety of functions, and the main functions are removal of harmful substances from blood and to produce bile to assist in digestion of food.
Clinical and sonographic management pf viable hydatid liver cysts - di A. Giorgio, G. de Stefano, A. De Sarno, G. Liorre, U. Scognamiglio, S. Iaquinta, A.Mariniello, V. Giorgio, M. de Stefano e A. Perrotta -- Visualizza Full Text ...
Learn more about KYZENs IONOX products, semi-aqueous & solvent cleaning chemistries for electronic assembly and advanced packaging.
We report a case of cholecysto-colonic fistula in a female patient, due to bile duct lithiasis. Cholelithiasis is the most common cause of fistula (in more than 90% of the cases) [1]. Cholelithiasis could cause either repeated episodes of acute cholecystitis/cholangitis or asymptomatic chronic calculous cholecystitis [1]. The chronological events that lead to the fistula include gallbladder inflammation, adhesions between intestines and gallbladder, mechanical erosion by gallstones and gangrenous changes of both the gallbladder and the adjacent colon wall.. Enterobiliary fistulae most commonly result from calculus cholecystitis, but can also occur occasionally following carcinoma of the gallbladder where the necrotic tumour perforates into the adjacent duodenum or colon, or both [2]. Due to its proximity, the duodenum is the most common site of intestines involved.. Biliary ileus is defined as a mechanical intestinal obstruction due to a gallstone lodging in the intestinal lumen. The usual means ...
Can patients with type 3 cysts be treated safely with percutaneous drainage? Faced with serious complications such as bile duct obstruction, cholangitis, rupture of cyst content into the biliary tree, sepsis due to cyst infection, and obstruction of portal and hepatic veins, we modified the PAIR procedure in these patients. After puncture and aspiration, the cyst content is evacuated via a 8-18 F catheter by frequent injection and reaspiration of small amounts of isotonic saline (20-40 ml) using a 60 ml syringe. The daughter cysts readily rupture when aspirated into the catheter. Puncture of each single daughter cyst is not necessary. We avoid injection of alcohol into the mother cyst because of the high occurrence of a cystobiliary fistula. Six of the 10 patients with type 3 cysts that we treated in this way had a cystobiliary fistula. In three the fistula was present before percutaneous aspiration was initiated. In the other three patients the fistula became apparent only after the procedure ...
Looking for online definition of Mirizzi in the Medical Dictionary? Mirizzi explanation free. What is Mirizzi? Meaning of Mirizzi medical term. What does Mirizzi mean?
Getting rid of huge gallstones made use of to need surgery. Not anymore.. With the SpyGlass Direct Visualization System, gallstone elimination takes less than a hr and also needs no incisions. SpyGlass is a little versatile tube with a light and also a video camera at the end. The brand-new innovation has the ability to get in tiny locations such as bile ducts that bigger extents can not.. In the procedure, Ed Schafer, M.D., and also Give Hutchins, M.D., gastroenterologists at UNMC and also its health center companion, The Nebraska Medical Center, put the endoscope down the patients throat.. When appropriately positioned in the bile air duct, the medical professionals make use of an approach called lithotripsy- stepping on a pedal to send out acoustic waves with a little cord, wiping out the gallstone that was lodged in a bile duct. The pieces of the gallstone can after that be gotten rid of endoscopically.. Before SpyGlass, sometimes surgical treatment would be the only choice, Dr. Schafer ...
The main treatment modality for Bouverets syndrome is surgery, especially when percutaneous or endoscopic approaches are not an option or have failed [53]. The most common surgical options for extracting the stone are enterolithotomy and gastrotomy [16, 54]. Small bowel obstruction should be managed by enterolithotomy with longitudinal antimesenteric incision. A transverse closure of the enterolithotomy site is recommended to avoid stenosis [27, 28]. Resection is required for parts of the small bowel that have become irreversibly damaged [54, 55]. Surgical removal of the stone can be carried out with or without a simultaneous (one stage procedure) or subsequent cholecystectomy and fistula repair (two stage procedure) [15-17, 27, 28]. Cholecystectomy is indicated for retained gallstones in the gallbladder to prevent recurrence and complications [10, 54]. Laparoscopic techniques should be considered for surgical treatment whenever possible to minimize the physiological trauma. However, higher ...
Saied Froghi, Mr1, Andy Williams, Dr1, Tammy Lo, Miss2, Catherine King, Dr1, Jonathan Van Dellan, Mr1, Simon Monkhouse, Mr1. 1East Surrey Hospital, 2Bedford Hospital NHS Trust. Management of gallstone ileus has historically been through open incisions. However, with the advance of laparoscopic techniques the trend is more skewed towards minimally invasive approach. Here we describe a case of gallstone ileus that was managed totally laparoscopically with good patient outcomes. A seventy-seven years old lady presented with small bowel obstruction secondary to a large gallstone, detected on CT scan. Patient underwent a totally laparoscopic approach with minimal number of port insertion to retrieve the stone. Post operatively patient did not have any complications. In our video we describe an eight step approach to laparoscopic management of gallstone ileus. The technique allows for rapidly locating the stone and safely removing it with minimal contamination. The technique is safe and aims to ...
(a, b) Endoscopic retrograde cholangiography; (c) duodenoscopy; (d) fluoroscopy. ERC revealed strictures (arrows), 4 cm in length, in the lower-middle bile du
The purpose of this study was to determine the efficacy of CT to predict the development of bile leaks in hepatic trauma. This HIPAA-compliant retrospective study was IRB approved and consent was waived. All patients who sustained hepatic trauma between January 1, 2006, and January 31, 2012, and who underwent CT and hepatobiliary scans during the same hospital admission were included. One hundred and thirty-two patients met the inclusion criteria. Comparison between the presence of biliary injury relative to American Association for the Surgery of Trauma (AAST) hepatic injury grade and mean distance of the hepatic laceration to the inferior vena cava (IVC) was made ...
Bouveret syndrome can refer to: Bouveret-Hoffmann syndrome, or paroxysmal tachycardia Bouverets syndrome, or gastric outlet obstruction due to a ...
Most cases of blunt hepatic trauma are treated nowadays non-operatively. This type of conservative treatment has resulted in increased complication rate. Delayed complications occur in cases that didnt require surgical intervention during the first 24 hours. The most common late complication is hemorrhage. We report a case of two weeks delayed hemorrhage after blunt hepatic trauma in an adult. We describe the diagnostic procedures, the surgical treatment and review the relevant literature.
I found out in June of this year I had a very large gallstone. I found this out after a year of stomach troubles and severe attacks. I was referred to a surgeon for a consult on having it removed. The ...
I was recently, removal of the gland in the search for cancer in my lymph system, and also the Mir station and CT scans found a number of cysts in the liver, the surgeon said not to worry, it will maintain control over them once in the TC. What are liver cysts? ...
Liver cysts are fluid-filled crevices or sacs in the liver. The majority of hepatic (liver) cysts are unremarkable and never produce symptoms, however in...
1997-2006 Healthboard.com. Healthboard.com is a purely informational website, and should not be used as a substitute for professional legal, medical or technical advice. ...
TY - JOUR. T1 - Exposure to 17α-ethynylestradiol causes dose and temporally dependent changes in intersex, females and vitellogenin production in the Sydney rock oyster. AU - Andrew, M. N.. AU - OConnor, W. A.. AU - Dunstan, R. H.. AU - MacFarlane, G. R.. PY - 2010/11. Y1 - 2010/11. N2 - Although mounting evidence suggests exposure to estrogenic contaminants increases vitellogenin production in molluscs, demonstration of dose-response relationships and knowledge of the temporal nature of the vitellogenin response with continual exposure is currently lacking for biomarker utility. To address this knowledge gap, adult Sydney rock oysters, Saccostrea glomerata, were exposed to a range of environmentally relevant concentrations of 17α-ethynylestradiol (EE2) (0, 6.25, 12.5, 25 or 50 ng/l) in seawater under laboratory conditions. Vitellogenin induction and gonadal development was assessed following 4, 21 and 49 days exposure to EE2. Vitellogenin was found to increase in a dose dependent manner with ...
TY - JOUR. T1 - Pseudocholelithiasis in an elderly man with calcified hydatid cysts. AU - Mackowiak, Philip A.. AU - Lockwood, Ted E.. AU - Jones, Stephen R.. AU - Thal, Erwin R.. AU - Smith, James W.. PY - 1976/5/10. Y1 - 1976/5/10. N2 - A 69 year old man with intrabiliary rupture of a calcified echinococcal cyst mimicking acute cholelithiasis is discussed. This case is of interest because the correct diagnosis was not recognized preoperatively despite the fact that certain aspects of the illness were classic features of this complication of hydatid disease. Although this is a common complication of hydatid disease, which is well recognized in other countries, only seven cases have been reported in the American literature. Treatment of our patient included successful use of a Roux-en-Y drainage procedure which, to the best of our knowledge, has not previously been employed in treating this disease.. AB - A 69 year old man with intrabiliary rupture of a calcified echinococcal cyst mimicking ...
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.. ...
A 48 year old man presents with worsening pain in the upper abdomen for 1 week, in a background of yellowish discoloration of the eyes and intermittent dark urine for 2 months. Close questioning reveals no history of similar episodes in the past, or of other medical or surgical diseases. However, he confesses that he postponed seeking medical attention until now, as he was scared that he might have a serious illness. He has never smoked, and only drinks socially. There is no history of sexual promiscuity, blood transfusions, or intravenous drug abuse. A complete blood count is only significant for a leukocytosis of 11,000/mm3. A renal profile is within normal parameters, as are serum amylase and lipase levels ...
Article Experimental paradigm for in‐laboratory proxy aquatic studies under conditions of static, non-flow‐through chemical exposures. Endocrine‐disrupting chemicals (EDCs) such as 17α‐ethynylestradiol, 17β‐estradiol, estrone, and para‐nonylphenol ha...
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Liver cysts are rare, bubble-like defects in the liver tissue. They are usually non-cancerous and require no treatment, unless they are large.
In small low anal fistulas, first excise the fistula tract followed by application of Kshara and wait for 2 minutes. Later neutralize with Lemon juice and pack with Yastimadhu Taila. It is helpful for quick healing and avoids recurrence of fistula tract.. In high level fistulas, excision of fistulous tract was done partially followed by application of Kshara. Later Kshara Sutra is applied in remaining fistulous tract at anal sphincteric area. The excised fistulous tract heals completely with help of Kshara and remaining fistulous tract was cut by Kshara Sutra ligation. So that patient can be cured at less time and pain.. In this technique, after excision of fistulous tract and applying Kshara, leads to debridement of the fibrous tissue and at the same time remaining wound will be healed by its Scraping and Healing property of Kshara. In the mean time the Kshara sutra ligation at sphincteric area of fistulous tract leads to cutting and debridement and drainage of fistulous tract at the same time ...
TY - JOUR. T1 - Hepatic trauma. T2 - Contemporary management. AU - Trunkey, Donald. PY - 2004/4. Y1 - 2004/4. N2 - In the introduction, I posed several questions that were issues/controversies. The answers will probably be interpreted as equally controversial. I do not believe there is strong evidence that the incidence of liver injuries has increased. Diagnostic modalities have contributed to this seeming increase, as well as population increases and the concentration of severe liver injuries in trauma centers, now present in 35 states. I believe there are more blunt injuries now, relative to penetrating injuries. The peak of penetrating injuries occurred in the 1970s and 1980s and lasted almost 2 decades. I believe some authors are overly enthusiastic for nonoperative management. I am particularly critical of authors who do not include all components of the surgical armamentarium into their treatment of severe liver injuries. I also believe that the complications following nonoperative ...
Definition of calcific pancreatitis. Provided by Stedmans medical dictionary and Drugs.com. Includes medical terms and definitions.
Stellate Cell Activation in Tropical Calcific Pancreatitis Compared to Alcoholic Pancreatitis, Adenocarcinoma of Pancreas and Normal Pancreas, Johny Cyriac
hey wouls anyone know how to code this: pt had subsequent fistulization between the prostate and urethra with subsequent Fournier and fistula to his g
Complications of laparoscopic unroofing of simple liver cysts are uncommon. Trocar-site infection is a rare occurrence. Unexpected leakage of bile from the cut edges of the cyst can lead to a subhepat... more
Precise location of lesions in the ductal system, identified as CSx for the Stensen's duct divisions and CWx for the Wharton's duct divisions (where CS1 and CW1 correspond to the main Stensen's and Wharton's ducts respectively ...
I saw my doctor on Tuesday (five days post-op). I was asked to read the eye chart and I could barely read anything more than the first two or three lines. (This was strange because I could see fairly well but it was not manifesting on the eye chart). My doctor then examined my eyes and said my left eye was still looking a bit rough but he removed my bandage lenses and I went home. Although I had read that your vision gets worse after the removal of the lenses, I didnt notice much of a change. I did have that slightly scratchy feeling others have written about ...
Results The authors identified 14 variants in CTRC, of which non-synonymous variants were detected in 71/584 CP patients (12.2%) and 22/598 controls (3.7%; OR 3.62, 95% CI 2.21 to 5.93; p=6.2×10−8). Rather than the commonly reported p.K247_R254del variant in Caucasians, p.V235I was the most common mutation in Indian CP patients (28/575 (4.9%); OR 7.60, 95% CI 2.52 to 25.71; p=1.01×10−5). Another pathogenic variant, p.A73T was identified in 3.1% (18/584) patients compared with 0.3% (2/598) in controls (OR=9.48, 95% CI 2.19 to 41.03, p=2.5×10−4). The authors also observed significant association for the synonymous variant c.180C,T (p.(=)) with CP (OR 2.71, 95% CI 1.79 to 4.12, p=5.3×10−7). Two novel nonsense mutations, p.G242AfsX9 and p.W113X were also identified exclusively in CP patients. No interaction between CTRC variants and p.N34S SPINK1 or p.L26V CTSB mutations was observed.. ...
Liver cyst treatment. How to treat a cyst.. Liver cyst. The disease of the liver cyst is quite common and requires a careful approach to the choice of treatment. Drug therapy and treatment of folk remedies (далее…). ...
Laparoscopy for Liver Cysts | Laparoscopy for Liver Cysts | Dr Ashish Sachan I Best Gastro And Cancer Surgeon in Delhi I 7428617074
A liver cyst is a form of liver damage which is a type of sack created by cells that fill with liquid. Their size can vary from millimeters (simple
Background The optimal treatment of nonparasitic liver cysts is still a topic of debate. Only symptomatic cysts are being considered as requiring treatment. Aim of this study is to evaluate our...
Cannabis Oil - Natural remedies using cannabis oil are improving every day with amazing results. To request the latest Protocol for Liver Cysts please visit www.CannabisOilResearch.com.. ...
OBJECTIVE: In this study, we examined the mutational spectrum of K-ras in cases of gallbladder and gallbladder carcinoma with an anomalous junction of the pancreaticobiliary duct (AJPBD). METHODS: We examined 35 gallbladders with AJPBD (20 with hyperplasia, 15 with carcinoma) and 38 gallbladders without AJPBD (lour normal gallbladders, four with hyperplasia, six with adenoma, 24 with carcinoma). Polymerase chain reaction single-strand conformation polymorphism (PCR-SSCP) and direct sequencing were performed to detect mutations in codon 12 or 13 of K-ras. RESULTS: In the eases with AJPBD, the prevalences of K-ras imitation were 15% (3/20) in hyperplasia, 60% (6/10) in stage I carcinoma, and 100% (5/5) in stage II-IV carcinoma. In the eases without AJPBD, the prevalences of K-ras mutation were 0% (0/4) in normal gallbladder, 0% (0/4) in hyperplasia, 17% (1/6) in adenoma, 7% (1/16) in stage I carcinoma, and 38% (3/8) in stage II-IV carcinoma. Prevalences of K-ras mutation in hyperplasia and ...
Blood flow between the aorta and atrium is a rare but complex pathological condition, also known as aorto-atrial fistula (AAF). The exact incidence of this condition is unknown, as are the major precipitating factors and best treatment options. We carried out a systematic review of the available case report literature reporting AAF. We systematically reviewed literature on AAF formation and closure. Separate Medline (PubMed), EMBASE, and Cochrane database queries were performed. The following MESH headings were used: atrium, ventricle, fistula, cardiac, shunts, aortic, aorto-atrial tunnels and coronary cameral fistula. All papers were considered for analysis irrespective of their quality, or the journal in which they were published. Fistula formation from the ascending aorta to the atria occurred more often in the right atrium compared to the left. Endocarditis was the major cause of AAF formation, whilst congenital causes were responsible for nearly 12%. In a number of cases fistula formation ...
1. Clean operation with or without use of prosthetic implant (hepatectomy, hydatid cyst liver without biliary communication, splenectomy, porto-systemic shunt operation). Recommendation: Inj Cefazolin 1 g i.v. or Cefuroxime 1.5 g i.v.. 2a. Clean contaminated operation (cholecystectomy laparoscopic and open, gastrojejunostomy, gastrectomy, jejunal resection anastomosis, distal pancreatectomy, pseudocyst gastrostomy, pseudocyst jejunostomy, low risk perforated peptic ulcer). Recommendation: Inj Cefazolin 1 g i.v. or Cefuroxime 1.5 g i.v. (evidence for prophylactic antibiotic in low risk laparoscopic cholecystectomy is thin). 2b. Clean contaminated operation (operation where upper aerodigestive tract is open, including oesophageal operations or gastric outlet obstruction). Recommendation: Inj Cefazolin 1 g i.v. + Inj Metronidazole 500 mg i.v.. 3. Contaminated operation (colectomy, obstructed biliary tract, choledocholithiasis) Recommendation: Inj Cefazolin 1 g i.v. or Cefuroxime 1.5 g i.v. + Inj ...
Objective: To investigate the usefulness and effectiveness of multi-slice spiral computerized tomographic fistulography (MSCTF) in the diagnosis and treatment of congenital fistula of neck. Methods: Thirty-four patients with thyroglossal fistulasor branchial cleft fistulas who were initial treated from July 2008 to August 2015 in Fujian Provincial Hospital were retrospectively analyses. Thirteen males and 21 females patients aging from 3 to 46 years old with a median age of 37 were included. There were thyroglossal fistula in 6 cases, the first branchialcleft fistula in 9 cases, the second branchialcleft fistula in 3 cases, the third branchialcleft fistula in 9 cases, and the fourth branchialcleft fistula in 7 cases ...
Endocrine disrupting chemicals (EDCs) are synthetic and natural compounds that, when absorbed by an organism, can change the function of the endocrine system (Stuart, 2006). Researchers all over the world are studying the potentially harmful effects of these chemicals, particularly those effects on fish and amphibians. These effects include, reproductive, neurological, and immunologic dysfunction, among others (Harding et al. 2006).Research in our lab has focused on the reproductive effects of EDCs in aquatic habitats. Fish and amphibians are exposed to EDCs through their environment. To our knowledge, the concentrations of three specific EDCs-- atrazine, 17 α ethynylestradiol, and 17 β estradiol--have not been determined for the Pike River in Kenosha, WI. We hypothesize that surface waters in Lake Michigan will have higher levels of 17α ethynylestradiol and 17β estradiol. In agricultural areas, we hypothesize that atrazine will be detected in higher concentrations. Finally, we hypothesize ...
A pancreatic fistula market that is post-operative is often external and drains out a considerable amount of fluid after a surgical procedure. Treatment for pancreatic fistula market has been undergoing a lot of research and development since the past decade.
Benign liver cysts - Liver cysts - UK Transplant Center | UK HealthCare. We provides LiverActive Liver Detox formula contains several natural ingredients to help maintain a healthy liver. Listen to your liver and dont ignore the warning signs.
Chinnery, G E et al. Endoscopic management of bile leaks after laparoscopic cholecystectomy. S. Afr. j. surg., 2013, vol.51, no.4, p.116-121. ISSN 0038- ...
Ive been feeling not so well for about a year. A lot of stomach pain, cant really pinpoint any foods that cause the pain as one day it is ok to eat something that may have bothered me before. I have ...
Common problems are biliary fistula, gastric stasis and infections; they are more common after removal of the right lobe of the ... Biliary complications include biliary stenosis, biliary leak, and ischemic cholangiopathy. The risk of ischemic cholangiopathy ... After blood flow is restored to the new liver, the biliary (bile duct) anastomosis is constructed, either to the recipient's ...
"Successful treatment of postoperative external biliary fistula by selective nasobiliary drainage". HPB Surgery. 6 (2): 115-20, ...
Biliary fistula is also a possible complication, albeit one more amenable to nonsurgical management. Pulmonary complications ... Anatomic resections are generally preferred because of the smaller risk of bleeding and biliary fistula; however, non-anatomic ... International Hepato-Pancreatico-Biliary Association (IHPBA) Terminology for Liver Resections Oncolex, the cancer encyclopedia ...
... or spontaneous biliary-enteric fistula. In a healthy individual with normal anatomy, there is no air within the biliary tree. ... ReMine WH (1973). "Biliary-enteric fistulas: natural history and mangement". Adv Surg. 7: 69-94. PMID 4591256. Sherman SC, Tran ... Marshall SF, Polk RC (1958). "Spontaneous internal biliary fistulas". Surg Clin North Am. 38 (3): 679-91. doi:10.1016/s0039- ... When this finding is present, it may be secondary to: Recent surgical or endoscopic biliary procedure (e.g. ERCP, biliary ...
It can also diagnose gallbladder diseases, e.g. bile leaks of biliary fistulas. In cholescintigraphy, the injected radioactive ... Scintigraphy of the biliary system is called cholescintigraphy and is done to diagnose obstruction of the bile ducts by a ...
Pneumobilia means air in the biliary tract. It is due to the transfer of air from bowel through the fistula into the biliary ... Due to the fistula formation between the small intestine and gallbladder, large stones can lodge in the small bowel, leading to ...
... who removed the stones from a spontaneously occurring biliary fistula. Stough Hobbs in 1867 performed the first recorded ... The risk of biliary injury is more during laparoscopic cholecystectomy than during open cholecystectomy. Biliary injury may ... Biliary injury (bile duct injury) is the traumatic damage of the bile ducts. It is most commonly an iatrogenic complication of ... Ideally biliary injury should be managed at a center with facilities and expertise in endoscopy, radiology and surgery. Biloma ...
... digestive system fistula MeSH C23.300.575.185.150 - biliary fistula MeSH C23.300.575.185.250 - esophageal fistula MeSH C23.300. ... oral fistula MeSH C23.300.575.500.275 - dental fistula MeSH C23.300.575.500.550 - oroantral fistula MeSH C23.300.575.500.775 - ... gastric fistula MeSH C23.300.575.185.550 - intestinal fistula MeSH C23.300.575.185.550.600 - rectal fistula MeSH C23.300. ... salivary gland fistula MeSH C23.300.575.687 - respiratory tract fistula MeSH C23.300.575.687.225 - bronchial fistula MeSH ...
Examples are arteriovenous fistulae or aneurysms (with or without thrombosis), biliary fistulae or aneurysms, sclerosing ... Discrete localized enlargements of normal structures (ureters, blood vessels, intrahepatic or extrahepatic biliary ducts, ...
... of gallbladder (K83.3) Fistula of bile duct Biliary fistula: connecting the bile ducts to the skin surface, often ... Fistula of appendix (K60) Anal and rectal fissures and fistulas (K60.3) Anal fistula (K60.5) Anorectal fistula (fecal fistula, ... A fistula (plural: fistulas or fistulae /-li, -laɪ/; from Latin fistula, "tube, pipe") is an abnormal connection between two ... H04.6) Lacrimal fistula (H05.81) Carotid cavernous fistula (H70.1) Mastoid fistula Craniosinus fistula: between the ...
... fistula of biliary tract spasm of sphincter of Oddi biliary cyst biliary atresia GBD 2013 Mortality and Causes of Death, ... fistula cholesterolosis biliary dyskinesia K83: other diseases of the biliary tract: cholangitis (including ascending ... Biliary diseases include gallbladder disease and biliary tract diseases. In 2013 they resulted in 106,000 deaths up from 81,000 ... malignant neoplasm of the gallbladder malignant neoplasm of other parts of biliary tract extrahepatic bile duct ampulla of ...
Damage to a bile duct may result in a leak, which may eventually become a biliary fistula. A biliary fistula often occurs in be ... A biliary fistula is a type of fistula in which bile flows along an abnormal connection from the bile ducts into nearby hollow ... Types of biliary fistula include: bilioenteric fistula: abnormal connection to small bowel, usually duodenum. thoracobiliary ... "Internal biliary fistula due to cholelithiasis: a single-centre experience". World Journal of Gastroenterology. 13 (34): 4606- ...
... fistula of biliary tract (bile duct) spasm of sphincter of Oddi biliary cyst biliary atresia ICD-10 codes K70-K77: Liver ... fistula cholesterolosis biliary dyskinesia ICD-10 code K83: other diseases of the biliary tract: cholangitis (including ... Hepato-biliary diseases include liver diseases and biliary diseases. Their study is known as hepatology. Acute hepatitis A ... primary biliary cirrhosis) phlebitis of the portal vein granulomatous hepatitis berylliosis sarcoidosis nonalcoholic ...
... is a medical condition of bleeding into the biliary tree. Haemobilia occurs when there is a fistula between a vessel ... Surgery is indicated when TAE has failed or sepsis present in biliary tree or drainage has failed. Francis Glisson (1993). From ... of the splanchnic circulation and the intrahepatic or extrahepatic biliary system. It can present as acute upper ...
Biliary fistula. *Haemobilia. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. *Sphincter of Oddi dysfunction ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
The neck tapers and connects to the biliary tract via the cystic duct, which then joins the common hepatic duct to form the ... The gallbladder is a hollow part of the biliary tract that sits just beneath the liver, with the gallbladder body resting in a ... which will go on to become the biliary tree. Just below this is a second outpouching, known as the cystic diverticulum, that ... Biliary fistula. *Haemobilia. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. *Sphincter of Oddi dysfunction ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
Biliary fistula. *Haemobilia. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. *Sphincter of Oddi dysfunction ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
Biliary fistula. *Haemobilia. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. *Sphincter of Oddi dysfunction ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
Biliary dyskinesia is a disease with the abnormal release of bile from the gallbladder leading to chronic biliary colic. ... Postcholecystectomy syndrome (cholesterosis, hydrops, perforation, fistula). *Xanthogranulomatous cholecystitis is a rare form ... This pain is described as biliary colic pain. Other common symptoms with gallbladder disease and biliary colic are nausea and ... mechanical obstruction of the biliary tract is the major factor leading to bacterial degradation and precipitation of biliary ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
Biliary fistula. *Haemobilia. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. *Sphincter of Oddi dysfunction ...
... and fistula formation are also possible occurrences. Rarely, an enterolith may form. Infection of a diverticulum often occurs ... Other biliary tree. *Cholangitis *Primary sclerosing cholangitis. *Secondary sclerosing cholangitis. *Ascending. *Cholestasis/ ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
胆管瘘(英语:Biliary fistula). *胆道出血(英语:Haemobilia) ... 其他胆道系统(英语:biliary tree). *胆管炎(英语:Cholangitis) *原发性硬化性 ... 原发
Biliary fistula · Haemobilia · பித்தப்பைக்கல்s/பித்தப்பைக்கல். பொதுப் பித்தக்கான் (பித்தப்பைக்கல், Biliary dyskinesia) · ... other biliary tree. Cholangitis (PSC, Secondary sclerosing cholangitis, Ascending) · Cholestasis/Mirizzi's syndrome · ... கணைய அழற்சி (Acute, Chronic, Hereditary) · Pancreatic pseudocyst · Exocrine pancreatic insufficiency · Pancreatic fistula ...
He helped establish the biliary atresia program at CHOP when Japanese surgeon Morio Kasai came to work with him in the 1970s. ... was diagnosed with Down syndrome as well as esophageal atresia with tracheoesophageal fistula. Six days later, after court ... having been denied surgical treatment to correct his esophageal atresia and tracheoesophageal fistula. Baby Doe, as he would be ...
A tracheoesophageal fistula is a congenital defect in which the trachea and esophagus are abnormally connected (a fistula). ... Congenital fistulas are often treated by surgical repair.[10] In adults, fistulas may occur because of erosion into the trachea ... Such fistulas may be detected before a baby is born because of excess amniotic fluid; after birth, they are often associated ...
... and an esophageal fistula - an abnormal connection between the esophagus and the trachea.[28] Both of these conditions usually ... "esophageal atresia, tracheo-esophageal fistula, and the VACTERL association: review of genetics and epidemiology". Journal of ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
Biliary stents provide bile drainage from the gallbladder, pancreas, and bile ducts to the duodenum in conditions such as ... Stent grafts are also used to treat stenoses in vascular grafts and fistulas used for hemodialysis. ... There is a wide variety of stents used for different purposes, from expandable coronary, vascular and biliary stents, to simple ... Endoscopic image of a biliary stent seen protruding from the ampulla of Vater at the time of duodenoscopy ...
K80-K87) Disorders of gallbladder, biliary tract and pancreas[మార్చు]. *(K80) Cholelithiasis *(K80.0) Calculus of gallbladder ... K60) Fissure and fistula of anal and rectal regions *(K60.0) Acute anal fissure ... K87) Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
Cholangitis (PSC, Secondary sclerosing cholangitis, Ascending) · Cholestasis/Mirizzi's syndrome · Biliary fistula · Haemobilia ...
Biliary fistula. *Haemobilia. *Gallstones/Cholelithiasis. *Common bile duct *Choledocholithiasis. *Biliary dyskinesia. * ...
a b c d e f g h i j k l m Friedman L.S. (2015). Liver, Biliary Tract, & Pancreas Disorders. In Papadakis M.A., McPhee S.J., ... Fistula formation and gallstone ileusEdit. The inflammation of cholecystitis can lead to adhesions between the gallbladder and ... have biliary colic each year.[5] If untreated, about 20% of people with biliary colic develop acute cholecystitis.[5] Once the ... "Journal of Hepato-Biliary-Pancreatic Surgery. 14 (1): 15-26. doi:10.1007/s00534-006-1152-y. ISSN 0944-1166. PMC 2784509. PMID ...
The obstruction may be acute or chronic after years of uncontrolled disease leads to the formation of strictures and fistulas ... Other biliary tree. *Cholangitis *Primary sclerosing cholangitis. *Secondary sclerosing cholangitis. *Ascending. *Cholestasis/ ...
Damage to a bile duct may result in a leak, which may eventually become a biliary fistula. A biliary fistula often occurs in be ... A biliary fistula is a type of fistula in which bile flows along an abnormal connection from the bile ducts into nearby hollow ... Types of biliary fistula include: bilioenteric fistula: abnormal connection to small bowel, usually duodenum. thoracobiliary ... "Internal biliary fistula due to cholelithiasis: a single-centre experience". World Journal of Gastroenterology. 13 (34): 4606- ...
... hepatic vein-biliary fistulas, hepatic artery to portal vein fistulas, and hepatic hematomas. Biliary venous fistulas may ... Biliary venous fistula: an unusual complication of fine-needle aspiration biopsy of the liver. J Vasc Interv Radiol. 1995;6(6): ... Biliary-hepatic vein fistula in a living donor liver candidate. By Hoylan Fernandez, MD, MPH; Peter TW Kim, MD; Robert ... Biliary-hepatic vein fistula. DISCUSSION. A number of case reports and case series have demonstrated the clinical consequences ...
Barium x-ray study of the colon was diagnostic for an internal biliary fistula.Case ReportA widow, aged 73, was admitted to the ... The onset of fistula formation was characterized by a period of upper abdominal pain, fever, prostration, and diarrhea. ... had a history of multiple attacks of acute cholecystitis for many years and apparently developed the cholecystocolic fistula a ... AbstractRECENTLY we had occasion to make the preoperative diagnosis of cholecystocolic fistula and demonstrate this ...
f Cysto-biliary Fistula in a Septic Patient with Cystic Echinococcosis * Dennis Tappe1,*, Wolfgang Scheppach1, August Stich1 ... Cysto-biliary Fistula in a Septic Patient with Cystic Echinococcosis. The American Journal of Tropical Medicine and Hygiene 79 ...
The cause of this finding was a biliary-enteric fistula. ... Biliary-enteric fistula: pneumobilia. Case contributed by Dr ... The cause of this finding was a biliary-enteric fistula. ...
April 2019 Systemic-to-Pulmonary Artery Fistula as a Late Complication of Biliary Surgery ... Systemic-to-Pulmonary Artery Fistula as a Late Complication of Biliary Surgery ...
Bronchobiliary fistula (BBF) is an abnormal communication between the biliary tract and the bronchial tree. Is an infrequent ... It occurs more frequently in female patients older than 65 years and often for a biliary-enteric fistula. The pathognomonic ... Biliary-enteric Fistula, A Rare Complication of Peptic Ulcer Disease in Children. ... Late onset of biliopleural fistula following percutaneous transhepatic biliary drainage: a case report. ...
Keywords: Biliary fistula, ERCP, Biliary stents.. Postoperatif Safra Fist llerinin Endoskopik Tedavisi. ??kr olak1, B nyamin G ... Endoscopic Treatment of Postoperative Biliary Fistulas. ??kr olak1, B nyamin G rbulak1, Ali Fuat Kaan G k2, Ekrem akar1, Hasan ... BACKGROUND: The bile fistula is one of the most common complication of liver and biliary tract surgery. ERCP is used for ... Treatment of postoperative biliary fistulas, which can be diagnosed and treated with ERCP, saves the patients for morbidity, ...
Percutaneous transhepatic biliary drainage for bile leaks and fistulas. S. L. Kaufman, S. Kadir, S. E. Mitchell, R. Chang, M. L ... Percutaneous transhepatic biliary drainage for bile leaks and fistulas. / Kaufman, S. L.; Kadir, S.; Mitchell, S. E.; Chang, R ... Percutaneous transhepatic biliary drainage for bile leaks and fistulas. American Journal of Roentgenology. 1985 Jan 1;144(5): ... title = "Percutaneous transhepatic biliary drainage for bile leaks and fistulas",. abstract = "Percutaneous transhepatic ...
title = "Endoscopic Management of Biliary Fistulas with Small Caliber Stents",. abstract = "Biliary fistulas have in the past ... Endoscopic Management of Biliary Fistulas with Small Caliber Stents. Together they form a unique fingerprint. * Biliary ... Endoscopic Management of Biliary Fistulas with Small Caliber Stents. / Hoffman, Brenda J.; Cunningham, John T.; Marsh, William ... Endoscopic Management of Biliary Fistulas with Small Caliber Stents. The American Journal of Gastroenterology. 1990 Jun;85(6): ...
... internal fistula) or the abdominal wall (external fistula).… Biliary Fistula: Read more about Symptoms, Diagnosis, Treatment, ... A biliary fistula is an abnormal connection that exists between the gall bladder and other parts of the biliary tree, the ... A biliary fistula is an abnormal connection that exists between the gall bladder and other parts of the biliary tree, the ... A biliary fistula is suspected in people who have had a history of cholelithiasis, peptic ulcer disease, Crohns disease, ...
Biliary-shunt fistula following transjugular intrahepatic portosystemic shunt placement. S. Mallery, M. L. Freeman, C. J. Peine ... Biliary-shunt fistula following transjugular intrahepatic portosystemic shunt placement. / Mallery, S.; Freeman, M. L.; Peine, ... The prevalence of biliary-vascular fistula after placement of TIPS is unknown. It may be a previously unsuspected source of ... The prevalence of biliary-vascular fistula after placement of TIPS is unknown. It may be a previously unsuspected source of ...
K82.3) Fistula of gallbladder. *(K83.3) Fistula of bile duct *Biliary fistula: connecting the bile ducts to the skin surface, ... K60) Anal and rectal fissures and fistulas *(K60.3) Anal fistula. *(K60.5) Anorectal fistula (fecal fistula, fistula-in-ano): ... N64.0) Fistula of nipple. *(N82) Fistulae involving female genital tract / Obstetric fistula *(N82.0) Vesicovaginal fistula: ... The Latin word fistula (plural fistulas or fistulae /-li, -laɪ/) literally means tube or pipe. ...
Biliary fistula. Biliary fistulae generally arise after hepatic resection from the segmental ducts of the surface of the ... The subsequent formation of biliary fistulae may be due to bile duct injury or distal bile duct obstruction. Biliary fistulae ... or jejuno-ileal fistulae and EN is provided for fistulae of the oesophagus, distal ileum, and colon. However, if fistula output ... Endoscopic management of biliary fistula). Rev Gastroenterol Mex1997;62:29-33. ...
Cysto-biliary Fistula in a Septic Patient with Cystic Echinococcosis Dennis Tappe, Wolfgang Scheppach and August Stich ...
Complication of Amebic Liver Abscess: Biliary Fistula / 고신대학교의과대학학술지 Han-Wook CHUNG; Song-Ee PARK; Hyun-Jeong PARK; Jae-Cheol ... Abscess , Bile , Bile Ducts, Intrahepatic , Biliary Fistula , Drainage , Follow-Up Studies , Humans , Liver , Liver Abscess , ... Biliary Fistula / Abscess / Liver Clinical aspect: Prognosis Language: Korean Journal: Kosin Medical Journal Year: 2015 Type: ... Liver abscess-biliary communication was found at follow-up imaging study. He was treated successfully with medical therapy and ...
Howdieshell, T. R. ; Purvis, J. ; Bates, W. B. ; Teeslink, C. R. / Biloma and biliary fistula following hepatorraphy for liver ... Howdieshell, T. R., Purvis, J., Bates, W. B., & Teeslink, C. R. (1995). Biloma and biliary fistula following hepatorraphy for ... Biloma and biliary fistula following hepatorraphy for liver trauma: Incidence, natural history, and management. American ... Biloma and biliary fistula following hepatorraphy for liver trauma : Incidence, natural history, and management. / Howdieshell ...
Endoscopic Treatment of Biliary Fistulas After Complex Liver Resection. Farhat, Said; Bourrier, Anne; Gaudric, Marianne; More ... Use of Lanreotide for the Treatment of Gastrointestinal Fistulae. Clive, Kevin; Hardin, Mark; White, Chris; More ... Use of Lanreotide for the Treatment of Gastrointestinal Fistulae. Wind, Philippe; Douard, Richard; Blumberg, Joelle; More ... The development of oncologic hepatic surgery is likely to increase the frequency of postoperative biliary leaks. Endoscopic ...
Biliary Fistula † 1 0/3 (0.00%) 1/5 (20.00%) Nervous system disorders ...
... is the second most common cholecystoenteric fistula and is often discovered intraoperatively, resulting in a challenging ... A case of pyloric stenosis caused by biliary calculi and a double biliary-duodenal and biliary-colonic fistula. Rev Esp Enferm ... Spontaneous internal biliary fistula; a case of cholecystocolic fistula. Cleve Clin Q. 1951;18:184-9.PubMedGoogle Scholar ... Aznar Reig A. Spontaneous disappearance of a large biliary calculus. Biliary-colic fistula. Rev Esp Enferm Apar Dig. 1973;41: ...
Biliary Tract and Pancreas - 5th Edition. Print Book & E-Book. ISBN 9781437714548, 9781455746064 ... Subsection B Biliary Stricture and Fistula 40 Biliary Atresia 41 Primary Sclerosing Cholangitis 42A Benign Biliary Strictures. ... 42B Biliary Fistulae. Subsection C Biliary Infection and Infestation 43 Cholangitis 44 Recurrent Pyogenic Cholangitis 45 ... 102 Injuries to the Liver and Biliary Tract 103 Pancreatic and Duodenal Injuries 104 Aneurysm and Arteriovenous Fistula of the ...
Thick Mucus Alters the Effectiveness of Biliary Drainage,

Biliary Assoc 2011; 25:651-7. *Barnardo A, Fotiadis N, ... Cholangitis Due to Pancreaticobiliary Fistula and Intraductal Papillary Mucinous Neoplasm: ... and a fully covered biliary metallic stent was inserted for fistula coverage and biliary drainage in 4 patients [4, 5, 6, 7, 8 ... showed that several biliary drainage procedures are probably necessary to treat biliary obstruction associated with PB fistula ...

After a diagnosis of biliary fistula, its most important to assess the adequacy of bile drainage to determine a controlled ... Hemobilia is one of the most common cause of upper gastrointestinal bleeding from the biliary ducts into the gastrointestinal ... and biliary drainage. We report here a case of massive hemobilia in a 60-year-old man who underwent an urgent open ... but remains the greatest source of post-operative biliary injuries. Laparoscopic approach has been recently preferred because ...
Percutaneous transhepatic biliary drainage (PTBD) was performed, and 30-50 mL of bile was drained daily. But the BBF was not ... Endoscopic Management of Bronchobiliary Fistula after Multiple Transcatheter Arterial Chem Endoscopic Management of ... Bronchobiliary fistula (BBF) is a rare complication after transcatheter arterial chemoembolization (TACE) for hepatocellular ... Fistula , Follow-Up Studies , Humans , Male , Plastics , Recurrence , Sputum , Stents ...
Background The Pringle maneuver (PM) interrupts the blood flow through the hepatic artery and portal vein to help control bleeding. This study analyzes the effects of the intermittent Pringle maneuver...
Biliary fi stulae, 279. Gallstone ileus, 280. Bile peritonitis, 280. Association between cholecystectomy and colorectal cancer ... This brand-new edition, now named Sherlocks Diseases of the Liver and Biliary System, after the late Professor Dame Sheila ... Over the past 56 years, thousands of physicians have depended on Diseases of the Liver and Biliary System. Its didactic and ... Sherlocks Diseases of the Liver and Biliary System, 12th Edition. James S. Dooley (Editor), Anna Lok (Editor), Andrew K. ...
biliary duct fistula. *biliary dyskinesia. *biliary tract cancer. *biliary tract disease. *biliary tract surgery ...
Closure Of Biliary Fistula. *Closure Of Diaphragmatic Fistula. *Closure Of External Fistula Of Trachea ...
Biliary Fistula. Abnormal passage in any organ of the biliary tract or between biliary organs and other organs. ... Endoscopic Biliary Drainage in Malignant High Grade Biliary Stricture. Biliary drainage is the mainstay of the palliative ... Endoscopic ultrasound-guided biliary drainage is an alternative to percutaneous biliary drainage in cases of malignant biliary ... Endoscopic biliary drainage is difficult in patients with biliary obstruction combined with gastric outlet stricture (GOS). ...
  • De Santis M, Alborino S. Hemobilia due to a portobiliary fistula as a complication of a fine-needle liver biopsy. (appliedradiology.com)
  • RECENTLY we had occasion to make the preoperative diagnosis of cholecystocolic fistula and demonstrate this complication of gallbladder disease at operation. (mdedge.com)
  • It can occur as a complication following biliary trauma (such as cholelithiasis), as an iatrogenic effect or as a result of a penetrating injury. (wikipedia.org)
  • Introduction A bronchobiliary fistula (BBF) following liver directed therapy (resection/ablation) is a rare complication in which an abnormal communication between the biliary tract and bronchial tree is formed. (readbyqxmd.com)
  • BACKGROUND: The bile fistula is one of the most common complication of liver and biliary tract surgery. (tjtes.org)
  • The majority of fistulae develop as a complication of abdominal surgery or trauma, Crohn's disease, intra-abdominal abscess, malignant disease, and radiotherapy. (bmj.com)
  • No patient required further operative intervention and all fistulas closed spontaneously without complication. (elsevier.com)
  • Bronchobiliary fistula (BBF) is a rare complication after transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma . (bvsalud.org)
  • Cholecystocolonic fistula (CCF) is a late complication of long-lasting gallstone disease and is found in roughly 1 in every 1,000 cholecystectomies. (springer.com)
  • 1. Biliary duct injury are a relatively frequent complication of hepatobiliary surgery, most comonly laparoscopic cholecystecomy. (bioportfolio.com)
  • Biliary fistulas because of the cystobiliary communication is the most frequent and undesirable postoperative complication of hepatic hydatid surgery. (medsci.org)
  • A case of choledochoduodenal fistula as a delayed complication after biliary metallic stent placement in distal cholangiocarcinoma]. (uptodate.com)
  • Pericardiobiliary fistula is a rare but serious complication of penetrating trauma to the thorax and only one case has been reported.In the review of the literature, a single case of iatrogenic percardiobiliary fistula formation after emergent sub xiphoid approach pericardial drain placement was found. (appliedradiology.com)
  • Thoracobiliary fistula has been reported as a complication of infective or obstructive biliary process. (appliedradiology.com)
  • Cholecystoenteric fistula is a rare complication of cholelithiasis, it´s a spontaneous track with bile flow between an inflamed gallbladder and one or more adjacent structures (3). (sages.org)
  • Interestingly, one third of the patients are absent of prior symptoms of biliary colic and up to 50% have no history of gallbladder disease. (symptoma.com)
  • Using Medline, we matched the terms "fistula" and "gallstone ileus" with differently composed terms containing "gallbladder" or "biliary" or "cholecysto-" or "cholecystic" and "colon" or "colo-" or "colic" or "colonic. (springer.com)
  • During laparoscopy a thick-walled contracted gallbladder stuck firmly to adjoining viscera in a patient with long history of gallstone disease should alert the surgeon of the presence of a fistula (4). (sages.org)
  • We observed multiple adherences to duodenum, a scleroatrophic gallbladder, with a cholecystoduodenal fistula. (sages.org)
  • The following clinical spotlight review regarding the intraoperative cholangiogram is intended for physicians who manage and treat gallbladder/biliary pathology and perform laparoscopic cholecystectomy. (sages.org)
  • 1. Anatomy and Physiology of the Biliary Tree and Gallbladder. (wiley.com)
  • Diagnostic and Therapeutic Approaches for the Biliary Tree and Gallbladder. (wiley.com)
  • 5. Endoscopic Diagnosis and Treatment of Disorders of the Biliary Tree and Gallbladder. (wiley.com)
  • BBF has been reported to occur in patients with congenital conditions, complications of trauma, hepatic abscesses and biliary tract obstruction (surgical as well as non-surgical). (readbyqxmd.com)
  • From our study we conclude that surgical correction of biliary fistulas is not required, that sphincterotomy is not mandatory for stent placement or fistula management in patients without distal obstruction, and that a single, small caliber stent alone may he effective. (elsevier.com)
  • This, in turn, is dependent on the likely etiology of the fistula, the presence of biliary tree obstruction/ erosion and the coexistence of a bilioenteric fistula. (symptoma.com)
  • A computed tomography (CT) scan may help in locating the level of biliary tree obstruction. (symptoma.com)
  • A CT scan may help to rule out the presence of intestinal obstruction due to biliary stones and/or hepatic neoplasms . (symptoma.com)
  • Nevertheless, preliminary data from initial trials suggest that somatostatin-14 and its analogue octreotide considerably improve the conservative treatment of gastrointestinal fistulae in the absence of distal obstruction. (bmj.com)
  • Endoscopic treatment for patients with gastric outlet stricture and biliary obstruction in the absence of endoscopic ultrasound: a retrospective study. (bioportfolio.com)
  • Endoscopic biliary drainage is difficult in patients with biliary obstruction combined with gastric outlet stricture (GOS). (bioportfolio.com)
  • Endoscopic ultrasound-guided biliary drainage is an alternative to percutaneous biliary drainage in cases of malignant biliary obstruction and failure of classic endoscopic drainage by endoscopic r. (bioportfolio.com)
  • Endoscopic-radiologic rendezvous for biliary obstruction management. (bioportfolio.com)
  • Biliary obstruction of different origin is a common clinical problem, with significant impact on the patients quality of life and poses a permanent risk of cholangitis. (bioportfolio.com)
  • 2.5 cm, passes through a biliary-enteric fistula and becomes impacted in the intestine, causing a bowel obstruction. (springer.com)
  • Biliary drainage in patients with malignant biliary obstruction relieves jaundice and prevents the development of cholangitis or hepatic failure from biliary obstruction. (uptodate.com)
  • We herein report a case of duodeno-biliary perforation-communication in patient with distal cholangiocarcinoma who presented with duodenal ulcer and obstruction, occurring 4 years later from the metallic biliary stent insertion. (uptodate.com)
  • It is unclear what the determining factor is for the development of tamponade, some degree of biliary obstruction may be a contributing factor. (appliedradiology.com)
  • Patients with gallstone complications such as biliary-gastrointestinal fistula, biliary obstruction, cholangitis, cholecystitis, pancreatitis or frequent biliary colic. (mims.com)
  • Dommergues JP, Valayer J, Vedrenne J, Alagille D. Portal vein injury and biliary fistula: Complications of a liver needle biopsy in an infant. (appliedradiology.com)
  • Biliary strictures represent some of the most frequent complications encountered after orthotopic liver transplantation. (bioportfolio.com)
  • Complications of percutaneous transhepatic biliary interventions. (isciii.es)
  • Duodenal stump fistula (DSF) after gastrectomy has a low incidence but a high morbidity and mortality, and is therefore one of the most aggressive and feared complications of this procedure. (isciii.es)
  • Duodenal stump fistula (DSF) is one of the most aggressive complications after gastrectomy. (isciii.es)
  • Entero-biliary perforation-communication is one of the rare complications of biliary stent. (uptodate.com)
  • and (3) the persistence of endocyst attachment to the pericystium should help avoid, or greatly decrease, post-RTA fistula occurrence and consequent overlapping complications. (redorbit.com)
  • A meta-analysis was conducted in order to provide an up-to-date comparison of pancreatogastrostomy (PG) and pancreatojejunostomy (PJ), after pancreatoduodenectomy (PD), in terms of clinically significant postoperative pancreatic fistula (POPF) and other postoperative complications. (hindawi.com)
  • Although PD is considered a safe operative technique, with 30-day mortality rates in specialized, high volume centers currently estimated below 3% [ 1 , 2 ], complications, such as postoperative pancreatic fistula (POPF), delayed gastric emptying (DGE), and postpancreatoduodenectomy haemorrhage (POPH), increase the overall morbidity to the rate of 45%, despite the application of enhanced recovery approaches after surgery [ 3 ]. (hindawi.com)
  • Biliary Complications During and After Donor Hepatectomy in Living Donor Liver Transplantation Focusing on Characteristics of Biliary Leakage and Treatment for Intraoperative Bile Duct Injury. (amedeo.com)
  • Donors Older Than 75 Years Do Not Influence the Appearance of Biliary Complications After Liver Transplantation. (amedeo.com)
  • A total of 34 patients underwent surgical bypass and permanent 125 I seed implantation (group A), and 32 patients underwent biliary and gastric bypass (group B). The preoperative variables, operative data, postoperative complications and follow-up information were examined. (pubmedcentralcanada.ca)
  • With recent developments in the management of hepatobiliary diseases including liver transplantation, this new edition aids all members of the team by addressing both the biliary indications for and biliary complications of these procedures. (wiley.com)
  • Biliary complications include biliary stenosis, biliary leak, and ischemic cholangiopathy. (wikipedia.org)
  • The patient was treated with temporary biliary stent placement, endoscopic sphincterotomy, and broad- spectrum antibiotics with rapid closure of the fistula and resolution of sepsis. (umn.edu)
  • One patient also required percutaneous transhepatic cholangiography with biliary stent placement due to bile ascites. (elsevier.com)
  • Eventually a large covered biliary metallic stent was positioned to treat recurrent obstructive cholangitis. (imedpub.com)
  • Biliary stent placement is an effective and safe measure for biliary decompression and is preferred than bypass surgery in high risk patients. (uptodate.com)
  • In cases of thoracobilliary fistula, conservative approaches and placement of a biliary stent has been favored. (appliedradiology.com)
  • 4 It is believed that placement of stent facilitates bile drainage into the duodenum by reducing the pressure and negating sphincter of Oddi resistance and reduces the bile duct pressure which possibly promotes healing of the fistula. (appliedradiology.com)
  • The patient was not successfully treated with conservative treatment consisting of intravenous carbapenems, percutaneous transhepatic cholangial drainage, and biliary stent placement by endoscopic retrograde cholangiopancreatography, so a second liver transplantation followed. (nih.gov)
  • A biliary fistula often occurs in be suspected in a person who has recently undergone a surgical procedure. (wikipedia.org)
  • The demographic characteristics of the patients, surgical procedure, localization of bile fistula, classification of bile duct injury and the success of ERCP were evaluated retrospectively. (tjtes.org)
  • In other patients requiring definitive surgical procedures on the biliary tract, initial percutaneous drainage allowed these procedures to be delayed until the patients' clinical condition improved. (elsevier.com)
  • Biliary fistulas have in the past been managed by a variety of methods, including surgical correction or endoscopic sphincterotomy. (elsevier.com)
  • In recent years the clinician has acquired a number of useful additions to the armamentarium of therapeutic choices, both surgical and pharmacological, for the treatment of gastrointestinal fistulae. (bmj.com)
  • When considering the prevalence of fistulae in various conditions and surgical procedures it is important to note that truly representative epidemiological data are currently lacking. (bmj.com)
  • The incidence and aetiology of fistulae are highly dependent on the surgical experience and case load at particular institutions, and on host-patient and disease related cofactors. (bmj.com)
  • We report the case of a 62-year-old Caucasian male, with surgical duodenocephalic pancreatectomy in April 2008 due to an intraductal mucinous-papillary neoplasm of the pancreatic head, who, in October 2008, was admitted because of a cholangitis secondary to a stenosis of biliary anastomosis treated by percutaneous transhepatic dilatation and biliary drainage. (isciii.es)
  • As the development of external biliary fistulas increases the morbidity and the hospitalization period, novel surgical methods to prevent the development of bile fistulas are required in such patients. (medsci.org)
  • In comparison to the previously described case of post traumatic pericardiobiliary fistula, 2 the patient did not undergo surgical intervention for the initial injury prior to fistula formation excluding a possible iatrogenic cause. (appliedradiology.com)
  • Management of pericardiobiliary fistula usually requires surgical intervention. (appliedradiology.com)
  • In non-surgical patients pericardiobiliary fistulas can be managed with image guided percutaneous biliary decompression and pericardiocentesis. (appliedradiology.com)
  • Surgical management of biliary injuries achieve controlled drainage of biliary fistula during the conditions, gender, type of biliary injury (E4E1), and early period and to timely treat the biliary stricture and associated vascular injury. (who.int)
  • The palliative surgical procedures, including splanchnicectomy, biliary bypass and gastric bypass are frequently performed, with a median survival time of 6 months ( 3 , 4 ). (pubmedcentralcanada.ca)
  • Objective Scientific case report on an individual who underwent successful treatment combining vascular-surgical and interventional radiology techniques for a rare right uretero-iliac artery fistula based on personal clinical experience, a selective literature research and a detailed discussion of current recommendations for diagnostic workup and subsequent treatment. (readbyqxmd.com)
  • A number of case reports and case series have demonstrated the clinical consequences of a liver biopsy for the donor, including hepatic vein to portal vein fistulas, hepatic vein-biliary fistulas, hepatic artery to portal vein fistulas, and hepatic hematomas. (appliedradiology.com)
  • This report details a case of a living donor candidate who underwent a percutaneous liver biopsy that resulted in an asymptomatic biliary-hepatic vein fistula, discovered at the time of operation. (appliedradiology.com)
  • Acute biliary-vascular fistula following needle aspiration of the liver. (appliedradiology.com)
  • Weintraub JL, Hawari A, English B, Mobley D. Treatment of a biliary-venous fistula following percutaneous biopsy in a pediatric living related liver transplant patient. (appliedradiology.com)
  • Formation of a fatal arterioportal fistula following needle liver biopsy in a child with a living-related liver transplant: Report of a case. (appliedradiology.com)
  • Hepatic artery-portal vein fistula formation after percutaneous liver biopsy in a living liver donor. (appliedradiology.com)
  • METHODS: Patients who underwent ERCP for bile fistulas following the surgery of the liver and biliary tract between January 2012 and December 2017 were included in this study. (tjtes.org)
  • The hydatid cyst can rupture into the biliary tract, and cyst fluid escapes into the biliary tract with daughter cysts discharged into the common bile duct, causing biliary colic , obstructive jaundice and possibly liver abscess. (symptoma.com)
  • Liver abscess-biliary communication was found at follow-up imaging study. (bvsalud.org)
  • Comprehensive and complete, Blumgart's Surgery of the Liver, Pancreas and Biliary Tract - edited by Dr. William R. Jarnagin and a team of experts- delivers the comprehensive, cutting-edge guidance you need to achieve optimal outcomes in surgery of the liver, biliary tract, and pancreas. (elsevier.com)
  • Over the past 56 years, thousands of physicians have depended on Diseases of the Liver and Biliary System . (wiley.com)
  • This brand-new edition, now named Sherlock's Diseases of the Liver and Biliary System , after the late Professor Dame Sheila Sherlock, continues to provide concise clinical guidance for all those treating patients with hepato-biliary disease. (wiley.com)
  • Endoscopic management of benign biliary strictures after liver transplantation. (bioportfolio.com)
  • Liver cysts, such as these usually remain asymptomatic and untreated for years until they compress their adjacent organs, form fistulas into them or even rupture into the abdomen. (intechopen.com)
  • Biliary fistula after treatment for hydatid disease of the liver: when to intervene. (semanticscholar.org)
  • A 39-year-old man had a biliary fistula and then was found to have multiple liver abscesses through abdominal ultrasound and an abdominal computed tomography scan, and carbapenem-sensitive E. aerogenes infection was confirmed. (nih.gov)
  • There are various forms in which HA may be classified: According to its anatomical location (hemi-liver / segment (s) involvement, depth of the lesion), number of injuries (single or multiple), routes of infection (portal, biliary, contiguous), type of treatment proposed (antimicrobials, guided puncture drainage, surgery) and by the causative agent. (scielo.cl)
  • Liver function tests and ultrasound of major postcholecystectomy biliary injuries managed of the abdomen were done at each visit. (who.int)
  • Isolated Biliary Fistula After Donor Right Hepatectomy and Its Novel Interventional Treatment: Isolated Liver-Punctured Drainage. (amedeo.com)
  • Transition of Spleen Volume Long After Pediatric Living Donor Liver Transplantation for Biliary Atresia. (amedeo.com)
  • Successful Treatment of Stricture of Duct-to-Duct Biliary Anastomosis After Living-Donor Liver Transplantation of the Left Lobe: A Case Report. (amedeo.com)
  • Living-Donor Liver Transplantation With the Use of a Left-Lobe Graft From a Donor With Anomalous Biliary Anatomy in Which B4 Joins the Right Anterior Sectional Duct: A Case Report. (amedeo.com)
  • Duct-to-duct Biliary Reconstruction in Living-donor Liver Transplantation for Primary Sclerosing Cholangitis: Report of a Case. (amedeo.com)
  • Comparison of the Results of Living Donor Liver Transplantation Due to Acute Liver Failure and Biliary Atresia in a Quaternary Center. (amedeo.com)
  • Treatment of large central BMCNs adjacent to vascular and biliary structures may require technically complex liver resections and are best managed in a specialised hepato-pancreatico-biliary unit. (who.int)
  • In complex conditions, the treatment is determined according to the stage of the cyst and the relation of the cyst with biliary ducts or surrounding organs. (intechopen.com)
  • The cyst content is evacuated and cavity evaluated for biliary communications. (hindawi.com)
  • This video shows the management of this choledochal cyst with a Roux-en-Y loop performed under laparoscopic control. (websurg.com)
  • [3] Fistulas are usually caused by injury or surgery, but they can also result from an infection or inflammation. (wikipedia.org)
  • Conservative management of fistulae is based on parenteral nutrition and bowel rest, as well as on control of infection, electrolytic disturbances, and local care of the fistula tract. (bmj.com)
  • Infection of the biliary passages with CLONORCHIS SINENSIS, also called Opisthorchis sinensis. (bioportfolio.com)
  • Intrahepatic pseudoaneurysms usually result from percutaneous biopsy, biliary procedures, or infection. (medscape.com)
  • The biliary pressure relationship has been described in the literature and it is believed that inflammation and possibly infection from preceding trauma may play a role in fistula formation.In our case, the antecedent trauma is most likely the cause of the pericardiobiliary fistula. (appliedradiology.com)
  • We hypothesize that the infection developed as a result of biliary fistula and predisposing immunosuppressive agent therapy. (nih.gov)
  • by watching videos of minimally invasive procedures for recto urethral fistula, biliary atresia, laparoscopic splenectomy, uterine horn, and more. (google.com)
  • Case report Herein we report a case of an eighty-year-old man presented with a main pancreatic duct - intraductal papillary mucinous neoplasm complicated by PB fistula and obstructive cholangitis caused by the impaction of thick mucus protruding from the pancreas into the bile duct. (imedpub.com)
  • Conclusion Pancreaticobiliary fistulas fistula presenting as jaundice and /or cholangitis is a rare condition and is associated with malignancy in half of the patients. (imedpub.com)
  • Herein we report a case of a MPD-IPMN complicated by PB fistula and obstructive cholangitis caused by the impaction of thick mucus protruding from the pancreas into the bile duct. (imedpub.com)
  • Treatment of postoperative biliary fistulas, which can be diagnosed and treated with ERCP, saves the patients for morbidity, mortality and cost of surgery. (tjtes.org)
  • Eleven of the 12 patients had had inadvertent biliary trauma during surgery. (elsevier.com)
  • Patients presenting with clinical features suggestive of a biliary fistula are often diagnosed via surgery , with preoperative confirmation occurring only in 8-17% of all affected cases [4]. (symptoma.com)
  • A three stage strategy is generally employed in the management of gastrointestinal fistulae which can form due to surgery, disease, or trauma. (bmj.com)
  • Under such circumstances resective surgery is a radical treatment that resolves both the symptoms and the cause of PB fistula and should not be delayed. (imedpub.com)
  • Can Occult Cystobiliary Fistulas in Hepatic Hydatid Disease Be Predicted Before Surgery? (medsci.org)
  • Occult cysto-biliary fistulas can only be exposed during surgery when suspected by a surgeon. (medsci.org)
  • Atahan K, Küpeli H, Deniz M, Gür S, Çökmez A, Tarcan E. Can Occult Cystobiliary Fistulas in Hepatic Hydatid Disease Be Predicted Before Surgery? (medsci.org)
  • Return to Native Drainage: Duodenal Biliary Fistula Formation Following Pediatric Hepatobiliary Surgery with Roux-en-Y Reconstruction. (stanford.edu)
  • Surgery has been the mainstay of therapy in patients with gastrointestinal perforations, leakage or fistulas. (readbyqxmd.com)
  • Laparoscopic Treatment of Gastro-Gastric Fistula After RYGB: Technical Points. (bireme.br)
  • PURPOSE: Postoperative abdominal pain after Roux en Y gastric bypass associated with gastro esophageal reflux is difficult to manage. (bireme.br)
  • A gastro-gastric fistula can be the etiology and besides pain and weight regain, it can also be revealed by a dilatation of the excluded stomach and duodenum. (bireme.br)
  • The CT scan with gas expansion and opacification revealed a dilated excluded stomach and duodenum leading to the diagnosis of gastro-gastric fistula. (bireme.br)
  • Biliary-venous fistula complicating transjugular intrahepatic portosystemic shunt presenting with recurrent bacteremia, jaundice, anemia and fever. (appliedradiology.com)
  • It is characterized by fibrosis and hardening of the intrahepatic and extrahepatic biliary ductal systems leading to bile duct strictures, CHOLESTASIS, and eventual BILIARY CIRRHOSIS. (bioportfolio.com)
  • Intrahepatic pseudoaneurysms or arterial fistulas can cause hemobilia, gastrointestinal bleeding, and hemoperitoneum. (medscape.com)
  • Our patient also underwent ERCP, the left intrahepatic bile duct was found to be severed with free leakage of contrast above the bifurcation suggesting biliary leak (Figure 4). (appliedradiology.com)
  • Biliary mucinous cystic neoplasms (BMCNs) are uncommon neoplastic septated intrahepatic cysts which are often incorrectly diagnosed and have the potential for malignant transformation. (who.int)
  • They consist of cystic dilatations of the extrahepatic biliary tree, intrahepatic biliary radicles, or both. (websurg.com)
  • 3,5 The majority of biliary-venous fistulas are not clinically apparent and do not require treatment, but symptomatic patients may require assessment with cholangiography or arteriography with subsequent procedures. (appliedradiology.com)
  • RESULTS: A total of 90 patients, (37 male & 53 female) underwent ERCP with diagnosis of biliary fistula. (tjtes.org)
  • In five of patients, the proximal part of biliary tract was not imaged and complete injury of common bile duct was considered. (tjtes.org)
  • Percutaneous transhepatic cholangiography and biliary drainage were performed in 12 patients with major injuries to the bile ducts manifested by biliary leaks and fistulas. (elsevier.com)
  • In six patients, the biliary leaks sealed with percutaneous drainage. (elsevier.com)
  • Percutaneous biliary drainage is an important adjunct to the management of patients with traumatic extravasation of bile into the peritoneal cavity or biliary-cutaneous fistula. (elsevier.com)
  • From 1984 to 1989, we used endoscopic indwelling biliary stents in seven consecutive patients with and without sphincterotomy and have attained fistula closure in all patients studied. (elsevier.com)
  • In addition, fistulae frequently prolong hospital stay and inflict a considerable psychological burden on patients due to the negative impact on the perception of body image. (bmj.com)
  • Eleven patients (6%) developed either a biloma (1), biliary fistula (2), or both (8 patients). (elsevier.com)
  • up to 39% of the patients show multiple fistula formation [ 1 , 2 , 3 ]. (imedpub.com)
  • Cholecystocolonic fistula (CCF) is the second most common cholecystoenteric fistula and is often discovered intraoperatively, resulting in a challenging situation for the surgeon, who is forced to switch to a complex procedure, often in old, unfit patients. (springer.com)
  • Chronic diarrhea is the key symptom in nonemergency patients, but, in one-fourth of cases, CCF presents with an acute onset, mostly biliary ileus. (springer.com)
  • Biliary drainage is the mainstay of the palliative treatment in patients with inoperable malignant bile duct stricture. (bioportfolio.com)
  • We report on two patients with cholecystocolic fistula presenting with severe diarrhoea. (hkmj.org)
  • Three patients suffered from biliary fistula. (springermedizin.de)
  • Patients managed surgically for definitive management of biliary injuries in the form of RenY HJ were included. (who.int)
  • A total of 24 patients presented with ongoing biliary fistula. (who.int)
  • All the10 patients presented with history of biliary colic. (ispub.com)
  • One case of biliary fistula and one case of wall abscess were observed. (scirp.org)
  • Results: The incidence of XGC was 11.1% with 2 males and 8 females and the mean age of presentation was 43.8 years.Biliary colic was present in all the10 cases and 4 had acute illness. (ispub.com)
  • No patient sustained extrahepatic biliary tract injury. (elsevier.com)
  • Abstract for major biliary injuries is RouxenY Hepaticojejunostomy (RenY HJ). (who.int)
  • In the absence of hemobilia, it is hypothesized that flow through the fistula allowed bilious contamination of the systemic circulation and subsequent inoculation with enteric flora. (umn.edu)
  • Arteriobiliary fistula secondary to hepatic artery pseudoaneurysm has been described as a very uncommon cause of hemobilia. (isciii.es)
  • We aimed to analyze the contribution of ERCP in the diagnosis and treatment of biliary fistulas. (tjtes.org)
  • CONCLUSION: ERCP is an effective method in the diagnosis and treatment of biliary diseases. (tjtes.org)
  • This report describes an unusual case of polymicrobial gram-negative sepsis after placement of TIPS associated with a cholangiographically documented fistulous connection between the biliary tree and shunt. (umn.edu)
  • The prevalence of biliary-vascular fistula after placement of TIPS is unknown. (umn.edu)
  • 2. Saad WE, Davies MG, Darcy MD. Management of bleeding after percutaneous transhepatic cholangiography or transhepatic biliary drain placement. (isciii.es)
  • White, R. I. / Percutaneous transhepatic biliary drainage for bile leaks and fistulas . (elsevier.com)
  • Percutaneous transhepatic biliary drainage (PTBD) was performed, and 30-50 mL of bile was drained daily. (bvsalud.org)
  • Hepatic artery-biliary fistula following percutaneous transhepatic biliary drainage. (isciii.es)
  • Congenital preauricular fistula: A small pit in front of the ear . (wikipedia.org)
  • A biliary fistula is suspected in people who have had a history of cholelithiasis , peptic ulcer disease , Crohn's disease, biliary infections (e.g. hydatid disease ), malignancies of the gastrointestinal (GI) tract or in those who have recently been surgically operated upon. (symptoma.com)
  • The patient had a history of multiple attacks of acute cholecystitis for many years and apparently developed the cholecystocolic fistula a few weeks before its recognition. (mdedge.com)
  • This study compares the effect of endoscopic sphincterotomy and endoscopic papillary balloon dilation in the treatment of acute biliary pancreatitis.Participants with acute biliary pancrea. (bioportfolio.com)
  • Resolution of colonic biliary ileus by interventional endoscopy is reported. (springer.com)
  • Types of biliary fistula include: bilioenteric fistula: abnormal connection to small bowel, usually duodenum. (wikipedia.org)
  • Aerobilia, a frequent sign of a bilioenteric fistula, may be easily observed via US or CT. (symptoma.com)
  • CCF represents from 8 to 26.5% of cholecystoenteric fistulas [ 2 , 3 , 116 ], the second most common fistula after cholecystoduodenal. (springer.com)
  • Cholecystoduodenal fistula accounts for 80% of cholecystoenteric fistulas, and for 0.5-1.9% of biliary diseases (2). (sages.org)
  • Percutaneous procedures on the biliary tree are now considered essential to the management of biliary diseases. (isciii.es)
  • An angiography revealed a pseudoaneurysm in a small arterial branch of the hepatic artery with an artery-biliary fistula (Figs. 2 and 3 ). (isciii.es)
  • A pathognomonic triad consisting of pneumobilia, chronic diarrhea , and vitamin K malabsorption was recently suggested by Savvidou and colleagues (2009) to aid in the diagnosis of cholecystocolonic fistula. (symptoma.com)
  • Chronic inflammatory disease of the BILIARY TRACT. (bioportfolio.com)
  • Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. (bioportfolio.com)
  • Upper gastro intestinal endoscopy found biliary reflux gastritis. (bireme.br)
  • The onset of fistula formation was characterized by a period of upper abdominal pain, fever, prostration, and diarrhea. (mdedge.com)
  • A biliary fistula is an abnormal connection that exists between the gall bladder and other parts of the biliary tree, the digestive tract (internal fistula) or the abdominal wall (external fistula). (symptoma.com)
  • Amongst individuals who do present with symptoms, abdominal pain may be a frequent finding if the fistula tracts are infected. (symptoma.com)
  • In biliary fistula, bile leaks freely into the abdominal or thoracic cavity. (merckmanuals.com)
  • She recently complained of recurrent epigastric abdominal pain and biliary GERD. (bireme.br)
  • However, due to a combination of the seriousness and rarity of the condition and the difficulties inherent in trial design, data from large scale, double blind, randomised, controlled studies investigating the use of pharmacotherapy in the treatment of established gastrointestinal fistulae are lacking. (bmj.com)
  • The formation of a gastrointestinal fistula represents a relatively rare yet serious condition. (bmj.com)
  • The aetiology, epidemiology, and classification of gastrointestinal fistulae are complex. (bmj.com)
  • The diagnosis is difficult and should be suspected in a patient with upper gastrointestinal bleeding, hematemesis, or shock hypovolemic when a trauma or a procedure on the biliary tree was performed. (isciii.es)
  • If occult CBC is found, the opening in the biliary system should be sutured with absorbable material, with or without cystic duct drainage. (medsci.org)
  • If no biliary opening is found, cystic duct drainage may be performed if preoperative factors predict the presence of CBC. (medsci.org)
  • A biliary fistula is a type of fistula in which bile flows along an abnormal connection from the bile ducts into nearby hollow structure. (wikipedia.org)
  • thoracobiliary fistula: abnormal connection to pleural space or bronchus (rare). (wikipedia.org)
  • A fistula is an abnormal connection between two hollow spaces (technically, two epithelialized surfaces), such as blood vessels , intestines , or other hollow organs . (wikipedia.org)
  • Cholecystectomy with a choledocoplasty is the most frequent treatment of primary fistulas, whereas the bile duct drainage or the endoscopic stenting is the best choice in case of minor iatrogenic bile duct injuries. (wikipedia.org)
  • Biliary stenting remains the first line treatment but fails to control symptoms in half of the cases. (imedpub.com)
  • Symptomatic treatment of concomitant biliary ileus (without treating CCF) is a feasible option. (springer.com)
  • Papers reporting cholecystoenteric fistula or gallstone ileus in general were not considered in the paper, unless the peculiar features, diagnostic issues, and treatment of CCF were discussed separately. (springer.com)
  • The purpose of this study is to evaluate application value of the endoscopic cutting technique in the treatment of malignant hilar biliary strictures. (bioportfolio.com)
  • 2 Endoscopic retrograde cholangiography is very useful as the initial procedure to confirm the diagnosis and also for treatment planning as it can accurately delineate the extent of the damage to the biliary system. (appliedradiology.com)
  • For the treatment of primary biliary cirrhosis (PBC). (pdr.net)
  • Biliary fistula, ERCP, Biliary stents. (tjtes.org)
  • Aetna considers the use of pancreatic duct stents medically necessary for the prevention of post-operative pancreatic fistula following pancreaticoduodenectomy. (aetna.com)
  • For biliary fistulas, biliary decompression through endoscopic retrograde cholangiopancreatography (ERCP) is highly successful. (merckmanuals.com)
  • Posteriorly we liberated and resected the fistula, repaired the defect on the duodenum with inverted 3-0 polyglactin 910 sutures and Lembert stitches with silk. (sages.org)