Cholangiography: An imaging test of the BILIARY TRACT in which a contrast dye (RADIOPAQUE MEDIA) is injected into the BILE DUCT and x-ray pictures are taken.Gallstones: Solid crystalline precipitates in the BILIARY TRACT, usually formed in the GALLBLADDER, resulting in the condition of CHOLELITHIASIS. Gallstones, derived from the BILE, consist mainly of calcium, cholesterol, or bilirubin.Cholangiopancreatography, Endoscopic Retrograde: 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.Common Bile Duct: The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.Cholecystectomy: Surgical removal of the GALLBLADDER.Cholangiopancreatography, Magnetic Resonance: Non-invasive diagnostic technique for visualizing the PANCREATIC DUCTS and BILE DUCTS without the use of injected CONTRAST MEDIA or x-ray. MRI scans provide excellent sensitivity for duct dilatation, biliary stricture, and intraductal abnormalities.Biliary Tract Diseases: Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.Cholecystectomy, Laparoscopic: Excision of the gallbladder through an abdominal incision using a laparoscope.Choledocholithiasis: Presence or formation of GALLSTONES in the COMMON BILE DUCT.Cholelithiasis: Presence or formation of GALLSTONES in the BILIARY TRACT, usually in the gallbladder (CHOLECYSTOLITHIASIS) or the common bile duct (CHOLEDOCHOLITHIASIS).Bile Duct Diseases: Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.Intraoperative Care: Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.Bile Ducts: The channels that collect and transport the bile secretion from the BILE CANALICULI, the smallest branch of the BILIARY TRACT in the LIVER, through the bile ductules, the bile ducts out the liver, and to the GALLBLADDER for storage.Hepatic Duct, Common: 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.Cystic Duct: The duct that is connected to the GALLBLADDER and allows the emptying of bile into the COMMON BILE DUCT.Biliary Tract: The BILE DUCTS and the GALLBLADDER.Intraoperative Period: The period during a surgical operation.Cholestasis: Impairment of bile flow due to obstruction in small bile ducts (INTRAHEPATIC CHOLESTASIS) or obstruction in large bile ducts (EXTRAHEPATIC CHOLESTASIS).Cholestasis, Extrahepatic: Impairment of bile flow in the large BILE DUCTS by mechanical obstruction or stricture due to benign or malignant processes.Biliary Fistula: Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.Cholangitis: Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both.Bile Duct Neoplasms: Tumors or cancer of the BILE DUCTS.Cholecystolithiasis: Presence or formation of GALLSTONES in the GALLBLADDER.Bile Ducts, Intrahepatic: Passages within the liver for the conveyance of bile. Includes right and left hepatic ducts even though these may join outside the liver to form the common hepatic duct.Biliary Tract Surgical Procedures: Any surgical procedure performed on the biliary tract.Jaundice, Obstructive: Jaundice, the condition with yellowish staining of the skin and mucous membranes, that is due to impaired BILE flow in the BILIARY TRACT, such as INTRAHEPATIC CHOLESTASIS, or EXTRAHEPATIC CHOLESTASIS.Intraoperative Complications: Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.Common Bile Duct Diseases: Diseases of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.Cholecystography: Radiography of the gallbladder after ingestion of a contrast medium.Cholangitis, Sclerosing: Chronic inflammatory disease of the BILIARY TRACT. It is characterized by fibrosis and hardening of the intrahepatic and extrahepatic biliary ductal systems leading to bile duct strictures, CHOLESTASIS, and eventual BILIARY CIRRHOSIS.Sphincterotomy, Endoscopic: Incision of Oddi's sphincter or Vater's ampulla performed by inserting a sphincterotome through an endoscope (DUODENOSCOPE) often following retrograde cholangiography (CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE). Endoscopic treatment by sphincterotomy is the preferred method of treatment for patients with retained or recurrent bile duct stones post-cholecystectomy, and for poor-surgical-risk patients that have the gallbladder still present.Cholecystitis: Inflammation of the GALLBLADDER; generally caused by impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, or other diseases.Choledochal Cyst: A congenital anatomic malformation of a bile duct, including cystic dilatation of the extrahepatic bile duct or the large intrahepatic bile duct. Classification is based on the site and type of dilatation. Type I is most common.Gallbladder: A storage reservoir for BILE secretion. Gallbladder allows the delivery of bile acids at a high concentration and in a controlled manner, via the CYSTIC DUCT to the DUODENUM, for degradation of dietary lipid.Iodipamide: A water-soluble radiographic contrast media for cholecystography and intravenous cholangiography.Choledochostomy: 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.Cholangiocarcinoma: A malignant tumor arising from the epithelium of the BILE DUCTS.Preoperative Care: Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)Anastomosis, Roux-en-Y: A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.Bile: 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.Anastomotic Leak: Breakdown of the connection and subsequent leakage of effluent (fluids, secretions, air) from a SURGICAL ANASTOMOSIS of the digestive, respiratory, genitourinary, and cardiovascular systems. Most common leakages are from the breakdown of suture lines in gastrointestinal or bowel anastomosis.Sphincterotomy, Transhepatic: Surgery of the smooth muscle sphincter of the hepatopancreatic ampulla to relieve blocked biliary or pancreatic ducts.Postoperative Complications: 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.Liver Transplantation: The transference of a part of or an entire liver from one human or animal to another.Endoscopy, Digestive System: Endoscopic examination, therapy or surgery of the digestive tract.Gallbladder Diseases: Diseases of the GALLBLADDER. They generally involve the impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, neoplasms, or other diseases.Bile Ducts, Extrahepatic: Passages external to the liver for the conveyance of bile. These include the COMMON BILE DUCT and the common hepatic duct (HEPATIC DUCT, COMMON).Bronchial Fistula: An abnormal passage or communication between a bronchus and another part of the body.Endoscopy: Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.Ultrasonography: The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz.Constriction, Pathologic: The condition of an anatomical structure's being constricted beyond normal dimensions.Jaundice: A clinical manifestation of HYPERBILIRUBINEMIA, characterized by the yellowish staining of the SKIN; MUCOUS MEMBRANE; and SCLERA. Clinical jaundice usually is a sign of LIVER dysfunction.Jejunostomy: Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.Pancreatitis: INFLAMMATION of the PANCREAS. Pancreatitis is classified as acute unless there are computed tomographic or endoscopic retrograde cholangiopancreatographic findings of CHRONIC PANCREATITIS (International Symposium on Acute Pancreatitis, Atlanta, 1992). The two most common forms of acute pancreatitis are ALCOHOLIC PANCREATITIS and gallstone pancreatitis.Common Bile Duct Neoplasms: Tumor or cancer of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.Laparoscopy: A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.Contrast Media: Substances used to allow enhanced visualization of tissues.Endosonography: Ultrasonography of internal organs using an ultrasound transducer sometimes mounted on a fiberoptic endoscope. In endosonography the transducer converts electronic signals into acoustic pulses or continuous waves and acts also as a receiver to detect reflected pulses from within the organ. An audiovisual-electronic interface converts the detected or processed echo signals, which pass through the electronics of the instrument, into a form that the technologist can evaluate. The procedure should not be confused with ENDOSCOPY which employs a special instrument called an endoscope. The "endo-" of endosonography refers to the examination of tissue within hollow organs, with reference to the usual ultrasonography procedure which is performed externally or transcutaneously.Gallbladder Neoplasms: Tumors or cancer of the gallbladder.Imino AcidsBilirubin: A bile pigment that is a degradation product of HEME.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Catheterization: Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.Ampulla of Vater: A dilation of the duodenal papilla that is the opening of the juncture of the COMMON BILE DUCT and the MAIN PANCREATIC DUCT, also known as the hepatopancreatic ampulla.Caroli Disease: Congenital cystic dilatation of the intrahepatic bile ducts (BILE DUCTS, INTRAHEPATIC). It consists of 2 types: simple Caroli disease is characterized by bile duct dilatation (ectasia) alone; and complex Caroli disease is characterized by bile duct dilatation with extensive hepatic fibrosis and portal hypertension (HYPERTENSION, PORTAL). Benign renal tubular ectasia is associated with both types of Caroli disease.Monitoring, Intraoperative: The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).Cholagogues and Choleretics: Gastrointestinal agents that stimulate the flow of bile into the duodenum (cholagogues) or stimulate the production of bile by the liver (choleretic).Iatrogenic Disease: Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.Liver Function Tests: Blood tests that are used to evaluate how well a patient's liver is working and also to help diagnose liver conditions.Gadolinium DTPA: A complex of gadolinium with a chelating agent, diethylenetriamine penta-acetic acid (DTPA see PENTETIC ACID), that is given to enhance the image in cranial and spinal MRIs. (From Martindale, The Extra Pharmacopoeia, 30th ed, p706)Cysts: Any fluid-filled closed cavity or sac that is lined by an EPITHELIUM. Cysts can be of normal, abnormal, non-neoplastic, or neoplastic tissues.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Cholestasis, Intrahepatic: Impairment of bile flow due to injury to the HEPATOCYTES; BILE CANALICULI; or the intrahepatic bile ducts (BILE DUCTS, INTRAHEPATIC).Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.

Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study. (1/364)

BACKGROUND: Previous studies suggest that laparoscopic cholecystectomy (LC) is associated with an increased risk of intraoperative injury involving the bile ducts, bowel, and vascular structures compared with open cholecystectomy (OC). Population-based studies are required to estimate the magnitude of the increased risk, to determine whether this is changing over time, and to identify ways by which this might be reduced. METHODS: Suspected cases of intraoperative injury associated with cholecystectomy in Western Australia in the period 1988 to 1994 were identified from routinely collected hospital statistical records and lists of persons undergoing postoperative endoscopic retrograde cholangiopancreatography. The case records of suspect cases were reviewed to confirm the nature and site of injury. Ordinal logistic regression was used to estimate the risk of injury associated with LC compared with OC after adjusting for confounding factors. RESULTS: After the introduction of LC in 1991, the proportion of all cholecystectomy cases with intraoperative injury increased from 0.67% in 1988-90 to 1.33% in 1993-94. Similar relative increases were observed in bile duct injuries, major bile leaks, and other injuries to bowel or vascular structures. Increases in intraoperative injury were observed in both LC and OC. After adjustment for age, gender, hospital type, severity of disease, intraoperative cholangiography, and calendar period, the odds ratio for intraoperative injury in LC compared with OC was 1.79. Operative cholangiography significantly reduced the risk of injury. CONCLUSION: Operative cholangiography has a protective effect for complications of cholecystectomy. Compared with OC, LC carries a nearly twofold higher risk of major bile, vascular, and bowel complications. Further study is required to determine the extent to which potentially preventable factors contribute to this risk.  (+info)

Helical computed tomographic cholangiography versus endosonography for suspected bile duct stones: a prospective blinded study in non-jaundiced patients. (2/364)

BACKGROUND: Helical computed tomography performed after intravenous administration of a cholangiographic contrast material (HCT-cholangiography) may be useful for detecting bile duct stones in non-jaundiced patients. However, this method has never been compared with other non-invasive biliary imaging tests. AIMS: To compare prospectively HCT-cholangiography and endosonography (EUS) in a group of non-jaundiced patients with suspected bile duct stones. METHODS: Fifty two subjects underwent both HCT-cholangiography and EUS. Endoscopic retrograde cholangiography (ERCP), with or without instrumental bile duct exploration, served as a reference method, and was successful in all but two patients. RESULTS: Thirty four patients (68%) were found to have choledocholithiasis at ERCP. The sensitivity for HCT-cholangiography in stone detection was 85%, specificity 88%, and accuracy 86%. For EUS the sensitivity was 91%, specificity 100%, and accuracy 94%. The differences were not significant. No serious complications occurred with either method. CONCLUSIONS: HCT-cholangiography and EUS are safe and comparably accurate methods for detecting bile duct stones in non-jaundiced patients.  (+info)

Cholangiographic features in the diagnosis and management of obstructive icteric type hepatocellular carcinoma. (3/364)

In 11 years and 3 months, 2,037 patients with HCC were seen and 48 patients (2.4%) were diagnosed to have obstructive icteric type HCC. Five patients were terminally ill and were not investigated further. Forty three patients were initially investigated by endoscopic retrograde cholangiography (ERC) or percutaneous transhepatic cholangiogram (PTC) and classified as having obstructive icteric type 1, 2, or 3 HCC based on the cholangiographic findings. The obstruction in type 1 HCC was due to intraluminal tumour casts and/or tumour fragments obstructing the hepatic ductal confluence or common bile duct, while intraluminal blood clots, from haemobilia, filling the biliary tree was the cause in type 2 HCC. The pathology in type 3 HCC was extraluminal obstruction by extensive tumour encasement of the intra-hepatic biliary ductal system and/or extrinsic compression of the hepatic and common bile ducts by tumour(s) and/or malignant lymph nodes. At the initial ERC/PTC, 10 patients (5 resected, 50%) had obstructive icteric type 1 and 23 patients (0 resected) had obstructive icteric type 3 HCC. Of the 10 patients initially classified according to cholangiography to have obstructive icteric type 2 HCC, subsequent investigations revealed that 6 patients had type 1 HCC (4 resectable,67%) and 4 patients had type 3 HCC (0 resectable). The classification of the obstructive icteric type HCC into types 1, 2, and 3, based on the initial cholangiographic appearances has simplified and rationalized our management strategy for this condition.  (+info)

Posterior hepatic duct injury during laparoscopic cholecystectomy finally necessitating hepatic resection: case report. (4/364)

A case of bile duct injury during laparoscopic cholecystectomy finally necessitating right hepatic lobectomy is reported to re-emphasize the importance of preoperative and intraoperative assessment of the biliary tree. A 47-year-old Japanese woman underwent laparoscopic cholecystectomy for cholecystolithiasis. On postoperative day 5, fever and right hypochondralgia developed, and CT revealed fluid collection at the right hypochondrium. Percutaneous drainage was performed, and subsequent fistulography revealed a communication of the cystic cavity with the right posterior bile duct, which suggested injury of the aberrant hepatic duct. Conservative therapy, including the adaptation of fibrin glue, was performed, but closure of the fistula and cavity was not obtainable. Finally, a right hepatic lobectomy was performed four months after cholecystectomy. In this case, endoscopic retrograde cholangiopancreatography was unsuccessful preoperatively, and intraoperative cholangiography was not done. This case report re-emphasizes that the preoperative and intraoperative examination of the biliary tree is mandatory to avoid bile duct injury.  (+info)

Scintigraphic detection of bile leak and follow-up in a post-cholecystectomy patient with recognition of tail sign. (5/364)

Early detection of site and extent of biliary tract disruption can significantly reduce mortality and morbidity in a postoperative biliary leak. We report a case in whom extent and location of post surgical biliary leak was detected with the help of 99mTc BULIDA cholescintigraphy and showed a good correlation with "T" tube cholangiography. Cholescintigraphy was also useful in assessing the follow up of this patient. We conclude that 99mTc BULIDA cholescintigraphy is a non-invasive, safe, simple and sensitive procedure in the detection of the site, extent of the leak and in follow up of the postoperative biliary leak.  (+info)

The importance of intraoperative cholangiography during laparoscopic cholecystectomy. (6/364)

Laparoscopic cholecystectomy (LC) using an electrosurgery energy source was successfully performed in 59 (95%) out of 62 selected patients. The procedures were performed by different surgical teams at Trakya University, Medical Fakulty, in the department of General Surgery and the Karl-Franzens-University School of Medicine, in the department of General Surgery. Cholangiography was routine at Karl Franzens University and selective at Trakya University. Laparoscopic intraoperative cholangiography (IOC) was performed in 48 (81.3%) patients, and open IOC was performed in 3 patients. Two patients had common duct stones; one of which was unsuspected preoperatively. These cases underwent endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic papillotomy (EP). One patient had a choledocal tumor, unsuspected preoperatively. Anatomical anomalies were not identified. Cholangiography could not be performed in one case in which there was no suspected pathology. ERCP was performed on one patient 30 days after being discharged because of acute cholangitis. In this case, residual stones were identified in the choledocus. Four patients underwent open cholecystectomy because of tumor, unidentified cystic duct or common bile duct pathology that could not be visualized on the cholangiogram. Our study suggests that cholangiography performed via the cystic duct before any structures are divided can prevent the most serious complication of laparoscopic cholecystectomy--common duct injury. We recommend that cholangiography be attempted on all patients undergoing LC.  (+info)

Laparoscopic cholecystectomy and appendectomy in situs inversus totalis. (7/364)

Situs inversus totalis is an uncommon anatomic anomaly that complicates diagnosis and management of acute abdominal pain. Expedient diagnosis of common intraperitoneal disease processes such as biliary colic, acute appendicitis and diverticulitis is often delayed as a result of seemingly incongruous physical findings. We present the case of a young woman with prior emergency room visits for complaints of a vague left upper quadrant abdominal pain. An ultrasound performed on her third presentation revealed visceral situs inversus with cholelithiasis and dilated intra- and extrahepatic biliary ducts. Standard laparoscopic cholecystectomy and cholangiography with a mirror-image surgical approach was performed successfully and without complication.  (+info)

Changing strategies in diagnosis and management of hilar cholangiocarcinoma. (8/364)

Hilar cholangiocarcinoma is one of the most difficult tumors to stage and treat. This study aims to evaluate (1) the best diagnostic imaging, (2) the usefulness of preoperative biliary drainage, (3) the resectability rate, and (4) the results of palliative treatments and surgical resection. Seventy-six patients with hilar cholangiocarcinoma with a mean age of 64 +/- 11 years were treated at our institution from 1989 to 1999. Patients were studied preoperatively using ultrasound, computed tomography (CT), and percutaneous cholangiography or magnetic resonance cholangiography. Forty-eight patients (63%) underwent palliative treatment. Twenty-eight patients underwent surgical curative therapy; 20 resections and 8 orthotopic liver transplantations (OLTs). Percutaneous transhepatic cholangiography was performed in 18 of 28 patients (64%), and magnetic resonance cholangiography in 5 patients; both methods were equally effective in establishing tumoral invasion of the biliary ducts. Five patients did not undergo either diagnostic modality. Excluding the patients who underwent OLT, no significant differences were found in surgical mortality (1 v 2 patients) or postoperative morbidity (100% v 66%) for patients with and without preoperative biliary drainage. The postoperative mortality rate was 11% (3 of 28 patients). The overall resectability rate was 37%. Mean survival in the surgical and palliative groups was 35 and 6 months, respectively (P <.0001). Patients who underwent OLT had a better 5-year survival rate than those treated by tumor resection (36% v 21%; P =.02). Combined chemotherapy and radiotherapy apparently did not provide a significant survival benefit. Helical CT and magnetic resonance cholangiography are useful techniques to delineate tumor extent and rule out vascular invasion and lymph node or liver metastases. No clear conclusions regarding preoperative drainage can be drawn from this study. A high resectability rate (37%) is feasible with major hepatectomy.  (+info)

... Asia-Pacific Percutaneous Transhepatic Cholangiography (PTC) Pancreatic and Biliary Stenting Procedures Outlook to - Market research report and industry analysis - 10970877
MRC is emerging as the latest imaging technology to evaluate the biliary tree. This noninvasive method is used to visualize these structures without using a contrast agent. Because the magnetic resonance images can be directly acquired in any plane, 3-dimensional representation of biliary tract anatomy and pathology can be accurately obtained. Patients receive no radiation exposure and unlike other imaging modalities, such as ultrasonography, ERCP, or percutaneous transhepatic cholangiography, MRC does not rely on operator skill. The limitations of MRC include imaging artifact caused by metallic surgical clips and air in the biliary tree. Additionally, MRC does depend on technology that requires a multicoil device for better spatial resolution, which is currently not widely available (1). Should MRC be used in the routine diagnosis of biliary tract disease, and where does it fit in the diagnostic work-up? Although Soto and colleagues should be commended for their efforts, it is difficult to ...
In an age when operative cholangiography has become increasingly popular, it is timely to find a text in which the collaborative efforts of radiologist and surg
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(a, b) Endoscopic retrograde cholangiography; (c) duodenoscopy; (d) fluoroscopy. ERC revealed strictures (arrows), 4 cm in length, in the lower-middle bile du
Malignant hilar tumours are usually unresectable at the time of diagnosis.6 7 Although resection offers the only chance of cure, the five year survival rate after potentially curative resection for hilar cholangiocarcinoma has been reported to be from 0 to 22%,2 16 and the resectability rate from 20 to 30%6 16; there is no indication for surgery in patients with hilar metastases. Hence palliative non-surgical treatment of obstructive jaundice is often the main treatment for most patients at the time of diagnosis, as radical excision of hilar tumours is precluded by the patients general condition, tumour extension into both lobes of the liver, portal vein, or hepatic artery tumour encasement, or distant metastasis.. When communication persists between the right and left hepatic ducts (Bismuths type I), the endoscopic insertion of a single stent is admittedly the best way to ensure drainage, although some type I stricture patients may be candidates for surgical resection or bypass. When the ...
Review procedure precautions and adverse reactions prior to administration. Excretory urography: ,14yrs: 30-60mL IV. Cerebral angiography: Carotid or vertebral angiography: single rapid inj of 6-10mL; Retrograde brachial cerebral angiography: single rapid inj of 35-50mL into the right brachial artery. Peripheral arteriography or venography: a single rapid inj of 20-40mL. Arthrography: Inject into joint. Knee, hip: 5-15mL; Shoulder, ankle: 5-10mL; Other: 1-4mL. Direct cholangiography: Operative: usual dose is 10mL but as much as 25mL may be needed depending upon the caliber of the ducts; Postoperative: injection usually made through an in-place T-tube; dose same as for operative cholangiography; Percutaneous transhepatic choliangiography: 20-40mL is generally sufficient to opacity the entire ductal system. Endoscopic retrograde cholangiopancreatography: inject slowly under fluoroscopic control; usual range: 10-100mL for visualization of common bile duct; 2-10mL for visualization of pancreatic ...
A surgical marker clip and method for enhancing the safe performance of a cholangiography and cholecystectomy is disclosed. The clips are configured to frictionally engage the outer surface of the duct and are retained in place by light clamping force without damaging the duct. Placement of the clips allows a physician to visually isolate the common bile duct from the cystic duct during laparoscopic procedures which reduces bile duct injury typically caused by misidentification or visual misperception of the anatomy during the procedure.
Endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTC) would be performed to confirm the position and length of the biliary malignant. The radiofrequency ablation (RFA) catheter (EMcision, London, United Kingdom) would be placed under fluoroscopic guidance across the biliary stricture. Radiofrequency energy will be delivered to the malignant site. After that,A self expanding metallic stent (SEMS) would be placed to bypass the site of ...
Endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTC) would be performed to confirm the position and length of the biliary malignant. The radiofrequency ablation (RFA) catheter (EMcision, London, United Kingdom) would be placed under fluoroscopic guidance across the biliary stricture. Radiofrequency energy will be delivered to the malignant site. After that,A self expanding metallic stent (SEMS) would be placed to bypass the site of ...
Both endoscopic retrograde cholangiography (ERC) and p ropranolol transhepatic cholangiography (PTC) are invasive procedures with a 2 to 5 risk of complications but offer the opportunity for a therapeutic intervention (see later). 244.
PAJUNK offers Wide- Anlge Laparoscopes and Special Instruments for different application areas. The application areas are for example: the laparoscopic application of ligatures and the Laparoscopic Bipolar Coagulation, Suction and Irrigation, application of the pneumoperitoneum as well as the operative cholangiography. ...
Intraoperative cholangiogram (IOC) can define biliary ductal anatomy. Routine IOC has been proposed previously. However, current surgeon IOC utilization practice patterns and outcomes are unclear. Nat
When you get your gallbladder removed, your doctor might use a type of imaging called an intraoperative cholangiogram. WebMD explains what it is, how it can help, how its done, and what the risks are.
Doctors give unbiased, helpful information on indications, contra-indications, benefits, and complications: Dr. Druy on intravenous cholangiogram: In simplest terms the ct angiogram would be safer than a coronary angiogram, however, they are usually used in different circumstances. The ct angiogram is useful as a screening tool to see if coronary disease is present. A cardiac catheterization is performed when a patient has an acute coronary syndrome or a myocardial infarction to evaluate coronary disease, or even treated.
The increasing incidence of and interest in hepatitis in the last decade is clearly discernible from the constantly rising volume of literature on the subject. In the past several years we have encountered numerous cases of jaundice in various age groups in which the correct diagnosis became apparent after a brief survey, including various laboratory procedures in conjunction with a short period of clinical observation. In several cases, however, the history and the laboratory studies left the clinical picture sufficiently confused as to necessitate more involved diagnostic procedures, such as cholangiography, liver biopsy and even exploratory laparotomy.. These patients presented ...
We investigated the association between the magnetic resonance cholangiography (MRC) results and surgical difficulties and bile duct injuries during laparoscopic cholecystectomy (LC). MRC was performe
Looking for online definition of cholangiograms in the Medical Dictionary? cholangiograms explanation free. What is cholangiograms? Meaning of cholangiograms medical term. What does cholangiograms mean?
Different approaches to the treatment of bile duct injuries. According to the existing literature, endoscopic and/or radiologic management of BDI is feasible, whenever theres a continuity in bile duct and not a complete transection. These approaches can include an endoscopic retrograde cholangiography to drain bile ducts after sphincterotomy or placement of endoprosthesis [1]. Approach by an endoscopic retrograde cholangiography allows biliary stenting or balloon dilatation, considered to be the first-line treatment in some referral centres. Usually the placement of a 7 - 8.5 French single plastic stent is the first step in a series of endoscopic rehabilitation protocol. If a single stent is not effective, placement of multiple stents or a large-diameter stent can be selected [2]. Patients undergoing endoscopic stent treatment has shown a safe and favourable long term outcome, although no consensus has been reached regarding placement of one single stent alone or sequential insertion of ...
Three-dimensional drip infusion CT cholangiography in patients with suspected obstructive biliary disease: a retrospective analysis of feasibility and adverse r
Reviews of a wide variety of topics of recent and current interest in academic and practical gastroenterology. Small-intestinal absorption is considered in terms of histology and physiology with specific attention to water, electrolytes, steatorrhea, and disaccharide malabsorption. Six papers consider drug toxicity with particular reference to the liver. Normal and pathological aspects of gastrin are considered in seven papers and vagotomy, in six. Special topics reviewed in the last five papers are telemetry, gastric freezing for duodenal ulcer, postgastrectomy bone disease, radiology of the colon, and percutaneous transhepatic cholangiography. Indexed. These papers are relatively brief, though highly readable, treatments of ...
HPB Surgery is a peer-reviewed, Open Access journal that offers ready access to important developments in the field of HPB surgery and associated disciplines. We aim to publish fresh experimental and clinical work across the spectrum of HPB disease, while concentrating on those conditions for which surgical treatment - not necessarily an actual operation - is a common option. Thus diabetes mellitus and hepatitis, for example, might belong more appropriately elsewhere, though not if the paper should concern pancreatic transplantation or virally-induced hepatoma.
The lack of excretion may also constitute valuable information. Patients without excretion are likely to have either a total occlusion of the main bile duct/choledochus or severely impaired hepatocyte function. The bilirubin concentration, if not already considerably elevated, is likely to increase in these patients. In this study, the lack of excretion could be explained by the final diagnosis in all patients (Table 3).. The protein-binding characteristics essential for biliary contrast media increase the risk of adverse reactions [11, 15]. In a previously published review of the literature on the frequency of adverse reactions in examinations with short injection time (,10 min), the pooled number of adverse events was three times higher (16% vs. 5%) than after infusion (,30 min) of the same amount of contrast media [11]. The frequency of adverse events of iotroxate (Biliscopin®) at infusion has been reported to be as high as 3.4%, with a pooled frequency of 1.9% (Table 4). It has been ...
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This medical exhibit illustrates a radiographic cholangiogram procedure used to test for gallstones (cholecystitis). It includes an orientation figure as well as two insets depicting the injection of contrast dye into the bile duct.
Update:  Fixed code changed from CTP and More in the series: IoC Containers, Unity and ObjectBuilder2 - The Saga Continues IoC Container, Unity and Breaking Changes Galore After the …
The pressure is on NOCs and IOCs to qualify the most cost-effective technologies that can solve their immediate challenges and enhance production in the near term.
TY - JOUR. T1 - Carcinoma of the extrahepatic bile ducts. AU - Wei, T. C.. AU - Wei, P. L.. AU - Yu, S. C.. AU - Lee, P. H.. AU - Hsu, S. C.. PY - 1995. Y1 - 1995. N2 - Fifty-two patients with carcinoma of the extrahepatic bile ducts were reviewed. There were 28 men and 24 women whose ages ranged from 31 to 78 years, with a mean age of 58 years. Symptoms, signs and laboratory results were primarily the result of bile duct obstruction. The most valuable diagnostic procedures were percutaneous transhepatic cholangiography and endoscopic retrograde cholangiopancreatography. In 28 patients the tumor was located in the upper, 9 in the middle and 12 in the lower common bile duct. In the other three patients the tumor was diffuse. The resectability rate was 21.2% (11/52). Of the remaining patients, 10 (19.2%) had T-tube drainage, 5 (9.6%) had biliary digestive anastomosis, 18 (34.6%) had percutaneous transhepatic biliary drainage and 8 (15.4%) had biopsy only. The histologic diagnosis was sclerosing in ...
TY - JOUR. T1 - Primary sclerosing cholangitis. T2 - Findings on cholangiography and pancreatography. AU - MacCarty, R. L.. AU - LaRusso, N. F.. AU - Wiesner, R. H.. AU - Ludwig, J.. PY - 1983/1/1. Y1 - 1983/1/1. N2 - Cholangiograms of 86 patients with primary sclerosing cholangitis (PSC) were compared with those of 82 patients with primary bile duct carcinoma and 16 with primary biliary cirrhosis. Multifocal strictures involving both intra- and extra-hepatic bile ducts were most common in PSC; they were diffusely distributed, short, and annular, alternating with normal or slightly dilated segments to produce a beaded appearance. Very short, band-like strictures occurred in 18 patients; 9 also had diverticulum-like outpouchings. Fourteen patients had diverticula without band strictures. Both findings appear to be specific for PSC. Inflammatory bowel disease was seen in 57 patients (66%), who could not be distinguished cholangiographically from other PSC patients. Of 40 patients with adequate ...
TY - JOUR. T1 - Functional MR cholangiography of the cystic duct and sphincter of Oddi using gadoxetate disodium. T2 - Is a 30-minute delay long enough?. AU - Corwin, Michael T. AU - Lamba, Ramit. AU - McGahan, John P. PY - 2013/4. Y1 - 2013/4. N2 - Purpose: To determine if excreted contrast is consistently visualized in the gallbladder and duodenum after a 30-minute delay using gadoxetate disodium-enhanced MRI in patients without hepatobiliary disease. Materials and Methods: Twenty-two patients without evidence of liver or biliary disease underwent gadoxetate disodium-enhanced magnetic resonance imaging (MRI) from February 17, 2009 through October 3, 2011. The mean age was 45 years (range 25-72). T1-weighted hepatobiliary phase images at 5, 10, 20, and 30 minutes after contrast injection were reviewed in consensus by two radiologists to determine the delay at which enhancement of the gallbladder and duodenum first occurred. Results: Thirteen of 22 (59.1%) patients demonstrated duodenal filling ...
This study aimed to evaluate the radiologists ability to identify excreted gadoxetate disodium within the gallbladder on CT scan. Thirty three healthy adults underwent imaging of the liver during work-up for potential liver donation. Three patients had undergone prior cholecystectomy and therefore were excluded. Imaging consisted of gadoxetate disodium-enhanced magnetic resonance cholangiography (MRC) and multiphase contrast-enhanced CT scan of the abdomen and pelvis. Two fellowship-trained abdominal imaging radiologists, who were blinded to the MRC images and the contrast agent used during MRC, independently reviewed the CT scans of the 30 patients that were included. The scans were evaluated for the presence or absence of abnormal hyperdensity within the gallbladder. Three patients did not receive intravenous gadoxetate disodium, 4 patients had their MRC after the CT scan, and 1 patient had the CT scans 5 days following the MRC. Twenty two patients had the CT scan within 24 h following the gadoxetate
Autoimmune hepatitis (AIH) may have an atypical serum alkaline phosphatase elevation, antimitochondrial antibodies, histologic features of bile duct injury/loss, or cholangiographic findings of focal biliary strictures and dilations. These manifestations characterize the overlap syndromes. Patients can be classified as having AIH with features of primary biliary cholangitis, primary sclerosing cholangitis, or a cholestatic syndrome. The gold standard of diagnosis is clinical judgment. Histologic evaluation is a major diagnostic component. Treatment is based on algorithms; outcomes vary depending on the predominant disease component. Combination therapy has been the principal recommendation.
Gastroenterology Research and Practice is a peer-reviewed, Open Access journal that provides a forum for researchers and clinicians working in the areas of gastroenterology, hepatology, pancreas and biliary, and related cancers. The journal welcomes submissions on the physiology, pathophysiology, etiology, diagnosis, and therapy of gastrointestinal diseases.
A study in this weeks issue of the British Medical Journal investigates the effect of intended intraoperative cholangiography and early detection of bile duct injury on survival after cholecystectomy.. ...
Chair: B. Fernando Santos, MD Faculty: Peter Muscarella, MD and Ezra Teitelbaum, MD Laparoscopic cholangiography & fluoroscopic-guided techniques by Dr. Santos-1:46 Choledocholithiasis: The hidden trap-3:25 Surg Endosc 2016 JAMA Surg 2014 Transcystic fluoro-guided "basket-in-catheter"-26:27 Surg Endosc 2016 Laparoscopic transcystic video-guided CBDE by Dr. Teitelbaum-35:48 How can we increase utilization of LCBDE?-54:51 JAMA Surg 2016 Laparoscopic […] ...
Chair: B. Fernando Santos, MD Faculty: Peter Muscarella, MD and Ezra Teitelbaum, MD Laparoscopic cholangiography & fluoroscopic-guided techniques by Dr. Santos-1:46 Choledocholithiasis: The hidden trap-3:25 Surg Endosc 2016 JAMA Surg 2014 Transcystic fluoro-guided "basket-in-catheter"-26:27 Surg Endosc 2016 Laparoscopic transcystic video-guided CBDE by Dr. Teitelbaum-35:48 How can we increase utilization of LCBDE?-54:51 JAMA Surg 2016 Laparoscopic […] ...
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From November 1994 to March 1996, 150 patients treated by laparoscopic cholecystectomy were included in a prospective study, in order to compare intraoperative cholangiography and laparoscopic ultrasound. The biliary tree was successively explored by the two methods in the systematic detection of common bile duct stones. The feasibility of laparoscopic ultrasound was 100 per cent. Cholangiography was performed in only 125 cases (83 per cent). The duration of the laparoscopic ultrasound exam was significantly shorter (11.6 vs 17.6 minutes, p = 0.0001). In this study, common bile duct stones were found in 14 cases (9 per cent). The detection rates with laparoscopic ultrasound and intraoperative cholangiography were similar. For laparoscopic ultrasound, sensitivity was 80 per cent and specificity was 99 per cent, versus 78 per cent and 97 per cent for cholangiography, respectively. The combination of the 2 examinations had a 100 per cent sensitivity and specificity. Laparoscopic ultrasound failed to
TY - JOUR. T1 - Scrape biopsy of malignant biliary stricture through percutaneous transhepatic biliary drainage tracts. AU - Yip, C. K Y. AU - Leung, Joseph. AU - Chan, M. K M. AU - Metreweli, C.. PY - 1989. Y1 - 1989. N2 - We describe a new technique for scrape biopsy of bile-duct strictures that can be done at the same time as percutaneous transhepatic biliary drainage.. AB - We describe a new technique for scrape biopsy of bile-duct strictures that can be done at the same time as percutaneous transhepatic biliary drainage.. UR - http://www.scopus.com/inward/record.url?scp=0024507320&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0024507320&partnerID=8YFLogxK. M3 - Article. C2 - 2644776. AN - SCOPUS:0024507320. VL - 152. SP - 529. EP - 530. JO - American Journal of Roentgenology. JF - American Journal of Roentgenology. SN - 0361-803X. IS - 3. ER - ...
Primary sclerosing cholangitis presenting as a localized stricture affecting a segment of the extrahepatic biliary tree is rarely found. We describe the case of a 39 year old woman with obstructive jaundice, in whom this diagnosis was proven by endoscopic retrograde cholangiography. An endoprosthesis was endoscopically introduced through the stenotic area which led to a dramatic improvement enabling a successful liver transplantation after 2 years.. ...
Primary sclerosing cholangitis in a 16-year-old male. Severe narrowing of both right and left hepatic ducts without opacification of intrahepatic ducts. A guidewire is introduced into both hepatic ducts. A tapered hydrophilic balloon is fully inflated. Cholangiogram obtained immediately after dilatation shows visualization of irregular areas of stenosis and ectasia of intrahepatic ducts ...
Mark Garcia, chief of Interventional Radiology at Christiana Care Health System in Newark, Delaware, is the first physician in the USA to treat a patients biliary stricture with the new Supera Veritas system. "The Superas high radial strength is uniquely suited for treating biliary strictures. Because of its characteristics, I have deployed a number of Supera stents over the past year. This new delivery system worked flawlessly. The driving mechanism was smooth and very responsive. The post-procedure images revealed optimal stent placement with excellent cholangiographic results and patency. I am very pleased with the result.". "We are thrilled to get positive feedback on the initial deployment of the Supera Veritas system in the USA," said Christopher M Owens, president and CEO of IDEV. "The US experience mirrors that of our customers in Europe and Canada, where the Supera Veritas system has been in use for the past year. The stents radial strength and flexibility combine to produce ...
Following day to help you prevent gallbladder disorders will sustaining a healthy for you. My moms friend referred me to considered as lipotropic supplement. Routine cholangiography leads to intraoperative colitis, people with laparoscopic cholecystectomy. Youre only 600 mg of vitamin C to boost their organ, so these were 2-3 maybe 4 people around me - I totally disagree with what is gallstones on left side the waste material gallbladder specialist doctor in chennai regurgitating in breaking down the gas will require another important supplementing with anti-diarrhea for 2 hours! Our Gallstone. Of course, although, the body such as gall bladder removal surgery go through this incisions hurt and buy a gallon of apple juice and olive oil - it is stored in the past 2 years, has research revealed that it is another organs. When this occurs, it is pregnant or morbidly obese are typically composed of cholesterol or bilirubin in bile duct. Issues related symptoms of pregnancyandfinding ways to flush ...
In the period of the study we observed 68 patients with CBD stones, 37 were older than 65 years: 15 (40.5%) males and 22 (59.5%) female, with a mean age of 76.45 years (range 65 -93). Twelve (32.4%) patients were treated by LC and intraoperative clearance of the CBD by the RV. ERCP was performed in 22 (59.5%) patients: 8(21.6%) previous cholecistectomized and 14(63.6%) who still had their gallbladder, but with high anaesthetic risk. In one patient the RV technique failed and laparoscopic choledocotomy was performed and a T-tube left in situ, but after 3 week trans-Kher cholangiography showed residual stones, so the patient was submitted to ERCP. In other two cases only LC was performed because the papilla of Vater was difficult to approach. The length of hospital stay was on average 7 days. Postoperative complications occurred in 7(20%) patients: one patient developed post-ERCP pancreatitis, two patients post-ERCP increasing of sieric amylase and lipase, three patients with early stones ...
you ever heard of about chronic kidney disease what to just diagnosed with bladder cancer expect: After an bile stones symptoms juvenile arthritis overnight fast, one must consult a doctor if you already dont. Unfortunately, most people get infections can affect anybody, but consuming as I lose my appetite when I tell you. Routine cholangiography might b caused by a sedentary, unhealthy kinds of berries, papaya, pears, about chronic kidney disease etc. If you expect from gallbladder certainly dont want to be a hard run. In rare cases, it is the likelihood that one may experienced as a grain of diet post gallbladder surgery zones sand to larger than a pea-sized mass. You should aim to drink plenty of clean water and Home Health services care. By day two, I think that a liver or the rib cage on the upper liver ailments of the respiratory system right shoulder blades. However, certain conditions that one may experience referred to the small incision in the unhealthy kinds of berries, mango, ...
New global carbon mitigation collaboration will compensate the carbon emissions of the IOC. Initiative is in line with Olympic Agenda 2020 and an important element of the IOCs Sustainable Strategy. The International Olympic Committee (IOC) and The Dow Chemical Company, a Worldwide Olympic Partner, today announced that Dow has become the Official Carbon Partner of the IOC.
The S.M.A.R.T. CONTROL® Transhepatic Biliary Stent offers two deployment mechanisms for both rapid delivery and true placement accuracy.
Representatives of the NHL, NHLPA, IOC and IIHF will meet today in N.Y. in hopes of making progress on the thorny issue of who will pay the multimillion-dollar costs of insuring the leagues players at the 14 Sochi Games. No deal is expected today, but the meeting could be an important step because
Indias return to the Olympic fold switches on a multi-million-dollar pipeline of funds and stokes the giant nations sporting ambitions.
Many readers will be aware that Sports Shorts has been tracking the development of esports over the last 18 months, particularly its journey towards possib
Find here the list of all documents published on this website. This section contains the major reports, studies, publications and information regarding the Olympic Movement.
The course in April (IOC75) was one of the best scientific events I have ever had the pleasure to attend... never have I learned so much in such a short time! - I learned a tremendous amount at the workshop [...]. After attending the workshop, I feel like I have the tools to really expand our repertoire of techniques and investigations, and Im very excited to get going full-blast! - Josh ...
Objective To study the effects of complete laparoscopic common bile duct exploration on elderly patients with complicated hepatolithiasis and their inflammatory stress response index and immune function.Methods 64 cases of the elderly patients( over 60 years old) diagnosed with complicated hepatolithiasis in our hospital were selected and randomly divided into two groups. 32 cases of patients treated with complete laparoscopic common bile duct exploration was enrolled in the laparoscopic group,and the other 32 cases treated with traditional open surgery were classified as the open group. The curative effects of the two groups were compared. Results The operation time,intra-operative blood loss,postoperative anal exhaust time,hospital stays and medical costs in the laparoscopic group were shorter or less than those in the open group( P 0. 05). The levels of total bilirubin,direct bilirubin and indirect bilirubin of two groups one month after the operation were significantly decreased( P 0. 05),and the
Conray is indicated for use in excretory urography, cerebral angiography, peripheral arteriography, venography, arthrography, direct cholangiography, endoscopic retrograde cholangiopancreatography, contrast enhancement of computed tomographic brain images, cranial computerized angiotomography, intravenous digital subtraction angiography and arterial digital subtraction angiography. Conray may also be used for enhancement of computed tomographic scans performed for detection and evaluation of lesions in the liver, pancreas, kidneys, abdominal aorta, mediastinum, abdominal cavity and retroperitoneal space ...
Nonoperative extraction of retained common duct stones.: Nonoperative extraction of retained common duct stones was successful in 17 patients during the past tw
A lot of fluids while adhering to the bladder has been successful in passing gallbladder is a digestive diseases. Millions of people who have had their gallbladder and the second day. Conventional surgery can go for a speedy recovery time is greatly reduced. The day of the endoscopic retrograde cholangiography leads to Resentment, gallbladder disease. Constant use of Kid Clear capsule is recommended as the gallbladder, and find relief. Every precaution will be done at the hospital room and I did for Astonishing X-Men #48. After that your body, it is dealing with the pain ear liver failure treatment yeast infection in men ringing and dizziness by adopting natural remedies for gallbladder. Women are at lower risk of gallstones after gallbladder removal diet nestea form in the backyard, to prevent future. Of course I didnt run to the early symptoms of liver malfunction gallbladder to become hard and crystalline stones formed and then try to know how we can naturally dissolve and pass your stool ...
Being held at the Horizon Centre, Torbay Hospital and the BOWA UK Head Office, Bremridge, Devon this 2 day course is intended for Upper GI Trainees StR6-8 / Post CCT / Consultants.. ...
The liver holds about 1 pint (13%) of the bodys blood supply at any given moment. The liver has 2 main parts (lobes). Both of these are made up of 8 segments that consist of a thousand small lobes (lobules). These lobules are connected to small tubes (ducts) that connect with larger ducts from the common hepatic duct. The common hepatic duct transports the bile produced by the liver cells to the gallbladder and the first part of the small intestine (duodenum). It does this through the common bile duct. Bile is a clear green or yellow fluid that helps break down the food you eat. ...
A balloon catheter including a pumping mechanism for inflating the balloon, an actuator and control wire for deflecting a distal tip of the catheter and a luer connection for passing a guidewire through the catheter. The balloon can be inflated with a push button which can be locked when depressed so as to inflate the balloon. The balloon is deflated by rotating the push button so that a return spring expands an air bladder and returns the push button to a non-inflating position. The control wire is manipulated by a pivotal lever or a slidable ring. The ring can include a projection which extends through a slot in the housing or the ring can include a circumferentially extending surface which can be finger actuated at any position around the catheter tube.
Duodenal filling defects may be caused by a wide variety of duodenal pathology which may be divided by their location and pathological process. Extrinsic gallbladder impression common bile duct impression gas-filled diverticulum Intrinsic N...
To expand its business in Bangladesh, IOC is looking to utilise global energy giant Totals LPG terminal in Chittagong to supply cooking gas to the north-eastern part of India.
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BACKGROUND: Overlap syndrome is a term used for overlapping features of autoimmune hepatitis and primary sclerosing cholangitis or primary biliary cirrhosis and for autoimmune cholangitis. We describe a high prevalence of small duct primary sclerosing cholangitis among patients with overlapping autoimmune hepatitis and primary sclerosing cholangitis. METHODS: We sought to retrieve all patients with overlap syndrome between primary sclerosing cholangitis and autoimmune hepatitis in six university hospitals in Sweden. The revised autoimmune hepatitis scoring system proposed by the International Autoimmune Hepatitis Group was used to establish the diagnosis autoimmune hepatitis. Endoscopic retrograde cholangiography and/or magnetic resonance cholangiography were used to separate the primary sclerosing cholangitis cases diagnosed through liver biopsy into small and large primary sclerosing cholangitis. A histological diagnosis compatible with both autoimmune hepatitis and primary sclerosing ...
BACKGROUND AND AIM This thesis includes two studies conducted in a paediatric and two studies conducted in an adult primary sclerosing cholangitis (PSC) population. The common denominator was endoscopic retrograde cholangiography (ERC) with brush cytology that was performed in all patients. The aims were to: i) identify the possible environmental risk factors (Study I) and report the long-term outcome (Study II) of paediatric-onset PSC, ii) compare ERC and magnetic resonance imaging with cholangiopancreatography (MRI-MRCP) in the evaluation of disease activity and severity of patients with PSC (Study III) and evaluate the role of ERC with brush cytology as screening for cholangiocarcinoma (CC) in patients with PSC (Study IV). MATERIAL AND METHODS PSC was diagnosed, followed-up (or both) in Helsinki University Hospital (HUH). Study I: 71 patients with a new diagnosis of paediatric-onset (age , 16 years) PSC, autoimmune hepatitis (AIH) or PSC-AIH (togheter autoimmune liver diseases or AILD) ...
TY - JOUR. T1 - Considerable Risk of Restenosis after Endoscopic Treatment for Hepaticojejunostomy Stricture after Living-Donor Liver Transplantation. AU - Kamei, Hideya. AU - Imai, H.. AU - Onishi, Y.. AU - Ishihara, M.. AU - Nakamura, M.. AU - Kawashima, H.. AU - Ishigami, M.. AU - Ito, A.. AU - Ohmiya, N.. AU - Hirooka, Y.. AU - Goto, H.. AU - Ogura, Y.. PY - 2015/10. Y1 - 2015/10. N2 - Background There are few reports on the short- and long-term follow-up of endoscopic retrograde cholangiography (ERC) in adult patients with hepaticojejunostomy (HJS) stricture after living-donor liver transplantation (LDLT). Methods Nine LDLT recipients underwent ERC with the use of double-balloon endoscopy (DBE) for HJS stricture at Nagoya University Hospital. We assessed the rate of reaching biliary anastomosis, procedure success rate, procedure duration, complications, improvement in liver function test results, and biliary anastomosis patency. Results In total, 19 ERC procedures with the use of DBE were ...
What is laparoscopic bile duct exploration? This is a procedure to remove stones from the bile duct that runs from the liver to the duodenum and is connected to the gallbladder. The procedure is usua...
Association, Biliary Cirrhosis, Cirrhosis, Primary Biliary Cirrhosis, Disease, Patients, Stents, Endoscopic Retrograde Cholangiopancreatography, Stent, and Surgery
Kasai classification is used to describe the three main anatomical types of biliary atresia. Classification type I: obliteration of common bile duct (patent cystic and common hepatic duct) type II IIa: obliteration of common hepatic duct (pat...
Measurements of radiation dose to the hand were conducted using TLD ring badges for individual interventional radiology cases. Results from over 30 examinations (including transhepatic cholangiograms and biliary and nephrostomy procedures) conducted
In cases where a bile duct blockage is suspected or has been confirmed by blood work and ultrasounds, a veterinarian may recommend that the dog receive a choledochotomy, which is an exploratory surgery where an incision is made into the bile duct. - Wag! (formerly Vetary)
发现 biliary system - 37911-51590 Stent 设备 For Sale或者 Wanted 从世界最大的医疗设备市场。 DOTmed.com有其中一种最大的选择新,半新和再磨光 biliary system - 37911-51590 Stent 设备在市场上。
发现 biliary system - 37912-61890 Stent 设备 For Sale或者 Wanted 从世界最大的医疗设备市场。 DOTmed.com有其中一种最大的选择新,半新和再磨光 biliary system - 37912-61890 Stent 设备在市场上。
J Small Anim Pract. 2011 Jan;52(1):32-7 Choledochotomy and primary repair of extrahepatic biliary duct rupture in seven dogs and two cats. Baker SG, Mayhew PD, Mehler SJ. Abstract OBJECTIVE: To report clinical findings and outcome in dogs and cats undergoing choledochotomy or primary repair of extrahepatic biliary duct rupture. METHODS: Retrospective study of dogs (n=7)…
Many cells within aberrant ducts are epithelial, transgene-expressing, and have high levels of NF-κB activation. 6 week old virgin IKMV and control littermate
Volume 1" (2011).. rand.org/content/dam/rand/pubs/monographs/2011/RAND_MG1171.1.pdf. Table 4.3 (page 43) shows that in the 2001 SAR the USAF IOC was to be June 2011, and the 2009 SAR placed that date at March 2013. By May 2013 the USAF predicting an IOC by December 2016. This of course is, we are to believe, "on schedule.". Table 4.9 on page 56 shows just how badly production was slipped between the 2001 plan and 2011, causing at that time production to not end in 2027 as planned in 2001. Rather production was to extend into 2034 in the 2009 scheme. If we all play pretend that may be "on schedule." If we pretend hard enough it might actually end in 2034. Try to wish real hard, it may save Tinkerbell.. Once again the program is NOT on schedule, it is on a schedule contrived by use of an imaginary start date, one selected to fit the claim being made. Further slippages will be met, as they have in the past, by newly invented start dates. 2001? It never happened, the world was created in 2013. Or ...
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3) Timea Komlodi: Measurement of H2O2 production rate with the O2k-FluoRespirometer and Amplex UltraRed(R) fluorescence. Dependence of ROS production on oxygen concentration ...
The cystic duct connects the top of the gallbladders neck to the common hepatic duct. It then joins the common bile duct, which meets pancreatic duct before it empties into the duodenum. In the average adult, the cystic duct measures four centimeters in length. The gallbladder stores bile produced in
Masukkan alamat surel Anda untuk berlangganan blog ini dan menerima pemberitahuan tulisan-tulisan baru melalui email.. Bergabunglah dengan 110 pengikut lainnya. ...
On December 7/06 I had an open cholecysectomy, because of extensive adhesions from previous emergency surgery to remove a ruptured spleen. I was told that my bile duct, gall bladder and liver were all gummed up together with scar tissue. During the process of separating the gallbladder and cystic duct my common bile duct was severed (not nicked, but cut in half). The surgeon quickly reattached it somewhere on my duodenum. I was plagued with upper right quadrant radiating to the middle back pain on and off until I was hospitalized5 months later, because there was a bile duct stricure and bile was backup up into my liver, to the point where I could not eat anything. A cholangiogram was performed and a tube was inserted through the ducts in my liver to all bile to flow properly. After 3+ weeks it was removed and I was advised that I might get sick again, or I might not, but if I got the same pain, accompanied by fever to go back to the hospital for pain meds and antibiotics. Jump ahead to Dec. ...
SA, SARJI and LEE, WS (2005) Autoimmune hepatitis/primary sclerosing cholangitis overlap syndrome in a child: diagnostic usefulness of magnetic resonance cholangiopancreatography. J Paediatr Child Health, 41 (4). pp. 225-227. ...
ISLAMABAD - Pakistani sports officials are meeting with International Olympic Committee in Geneva on Monday hoping to prevent a possible ban from the London Games.The IOC is meeting with representativ...
If an Intra-Operative Consult (IOC) is required, submit the specimen fresh. For more information, see Intra-Operative Consult Request.. If an IOC is not required, submit the specimen in 10% Formalin (NBF) in an appropriate sized plastic container. There should be 10 times the volume of fixative to the volume of tissue and the fixative must cover the specimen. Label the container according to CLS requirements. Containers must be securely tightened to eliminate leakage ...
Hofer, Ernesto; Zamora, Marita Rodrigues Navas; Lopes, Antonio Emery; Moura, Ana Maria Camelo de; Araújo, Heliani Lins de; Leite, Joana D`Arc Didier; Leite, Maria Domênica Didier; Silva Filho, Sebastião Januário da ...
Endoscopic retrograde laser lithotripsy of common bile duct stones is a new technique which can be carried out through the endoscope without anaesthesia using ordinary endoscopic equipment. In the method described here a flashlamp pulsed Neodymium YAG laser (wave length 1064 nm) was used. Light energy was transmitted along a highly flexible quartz fibre with a diameter of 0.2 mm. This new technique was used in nine patients with concrements in the common bile duct, which could not be removed with the established endoscopic techniques. In eight of the nine the concrements (maximum diameter 4.7 x 3.1 cm) could be fragmented and in six the fragments could be extracted from the common bile duct. The total energy required was 80-300 J; complications were not observed.. ...
Common bile duct stones complicate cholelithiasis in 10 to 15 percent of cases. Most authorities believe ductal stones should be removed because of possible complications, including cholangitis and acute pancreatitis. The ability to predict the presence or absence of bile duct stones would be helpful in the management of these patients. Because of new diagnostic and therapeutic approaches, such as endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasonography and laparoscopic surgery, Prat and associates conducted a study to identify predictors of common bile duct stones in patients with biliary symptoms.. The 880 patients in the prospective study had been referred for endoscopic ultrasonography for the evaluation of common bile duct stones. This procedure is considered the gold standard for the diagnosis of common bile duct stones. The prevalence of choledocholithiasis in the study population was 18.8 percent (166 of 880 patients). In patients under age 70, the prevalence of ...
Hepatobiliary diseases are common in IBD patients. Primary sclerosing cholangitis, a chronic cholestatic disorder characterized by inflammation and fibrosis of the intrahepatic and extrahepatic bile ducts, is the most common. Other associated abnormalities include hepatomegaly (related to steatosis), cholelithiasis (altered bile salt resorption related to ileal disease), hepatic abscesses (portal bacteremia from bowel inflammation), and portal thrombosis (prothrombotic effects of inflammation.. Primary sclerosing cholangitis is more frequent in males and patients with ulcerative colitis. Symptoms of primary sclerosis cholangitis are fatigue, pruritus, jaundice, and abdominal discomfort but it is not rare that the isolate finding of abnormalities in liver biochemical markers. Biopsy or cholangiography is often necessary for the diagnosis.. Anti-colonic mucosa auto-antibodies can cross react with biliary epithelium has been identified[. Colonic epithelial protein and the human tropomyosin isoform ...
Differentiating malignant from benign bile duct strictures is a conundrum, since no diagnostic test is highly sensitive for diagnosing cancer. While ERC
Cystic Duct - Directs bile from the Liver to either the Duodenum (during digestion) or to the Common Bile Duct to be deposited in the gallbladder Hepatic Ducts - Joins with the Cystic Duct to form the Common Bile Duct ...
The patient usually green, bladder surgery leakage or they are needed to convert the cholesterol, it is due to a week are diagnosed with bowel and colon cancer? Make sure you a removing house siding huge, diagonal scar just below these instructions from having more children takepleasure in symptoms of xray overexposure boasting about opting for the colon. I would ever want to lie on your side until you try diet therapy, have a spouse, relative, or worse, like injuring the first of many surgical methods. Bile breaks down fats you eat" might have the gallbladder is a long period, and somewhat void of emotions are felt, a chemicals that your gallstones blocking the fats that are greasy foodsVomitingSevere infections along with the hepatic and intrahepatic ducts. Apart from helping in breaking down the bile ducts to ensure a safe herbal remedies to pass gallstones if you really bad and pain remained in the United States. Take a look at them in a hospital! A camera and surgical method. What is ...
オレイン酸モノエタノールアミンおよび二酸化炭素のフォームを用いた肝切除術前経皮経肝門脈塞栓術の臨床的検 ...
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A change of culture is needed at the International Olympic Committee (IOC) to make decision-making more inclusive, an association representing 85,000 athletes around the world said on Tuesday, following the postponement of the Tokyo Olympics to 2021.
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Scott Laboratories provides state-of-the-art Fermentation and Cellar products in conjunction with superior technical knowledge and support. We offer high quality, innovative solutions from respected international manufacturers including Anchor, Bioseutica, Institut Oenologique de Champagne, and Lallemand; in addition to a range of proprietary products developed to meet the specific needs of North American winemakers ...
These are moments frozen in time, controversies from the past that linger today, raising questions of fairness and the nature of the Olympic spirit. Three times, the International Olympic Committee's executive board has been asked to rewrite the past for the benefit some say justice of American...
The International Olympic Committee, self-appointed guardian of a movement empowered to promote health, peace and equality through sport, showed again it rules with the condescension of a feudal
Intravenous cholangiography. Esophagogastroduodenoscopy for examination of the stomach, duodenum and the area major duodenal ...
"Transjugular approach to liver biopsy and transhepatic cholangiography". N. Engl. J. Med. 289 (5): 227-31. doi:10.1056/ ...
Currently, the preferred option for diagnostic cholangiography, given its non-invasive yet highly accurate nature, is magnetic ... cholangiography demonstrating biliary strictures or irregularity consistent with PSC; and, liver biopsy consistent with PSC (if ... live-mouse cholangiography". Lab Invest. 93 (6): 733-43. doi:10.1038/labinvest.2013.52. PMC 3875307 . PMID 23588707. Tabibian ...
If needed, IV cholecystography and cholangiography may be done.[citation needed] Current medical practice prefers ultrasound ...
"Intraoperative Cholangiography and Risk of Common Bile Duct Injury During Cholecystectomy". Lead Article, JAMA 2003;289:1639- ...
Zidi S, Prat F, Le Guen O, Rondeau Y, Pelletier G (2000). "Performance characteristics of magnetic resonance cholangiography in ... As an alternative to ERCP, percutaneous transhepatic cholangiography (PTC) may be utilized. Magnetic resonance ...
Cholangiography: Imaging the bile ducts within the liver to look for areas of blockage. Biopsy: Taking of a tissue sample from ...
Cholangiography is performed if there is a percutaneous access or if ERCP is undertaken. Most bleeding from instrumentation are ...
ERCP and percutaneous or intraoperative cholangiography. A cholescintigraphy scan is a nuclear imaging procedure used to assess ...
... a type of angioplasty Percutaneous transhepatic cholangiography. ...
... preoperative evaluation of biliary anatomy in right-lobe living donors with mangafodipir trisodium-enhanced MR cholangiography ...
This can additionally be performed as part of a percutaneous transhepatic cholangiography, then a form of interventional ...
... percutaneous transhepatic cholangiography (PTC) may be utilized. Magnetic resonance cholangiopancreatography (MRCP) is a non- ... "Performance characteristics of magnetic resonance cholangiography in the staging of malignant hilar strictures". Gut. 46 (1): ...
However, cholangiography is the best, and final, approach to show the enlarged bile ducts as a result of Caroli disease. The ...
... the title of Docent in Radiology in 1967 after successfully defending his thesis on percutaneous transhepatic cholangiography. ...
Percutaneous transhepatic cholangiography Adler DG, Baron TH, Davila RE, Egan J, Hirota WK, Leighton JA, Qureshi W, Rajan E, ... Use of a single-balloon enteroscope compared with variable-stiffness colonoscopes for endoscopic retrograde cholangiography in ...
Transhepatic pancreato-cholangiography(TPC) Transjugular intrahepatic portosystemic shunt(TIPSS) Liver transplant and pancreas ...
Detection of Choledocholithiasis with MR Cholangiography: Comparison of Three-Dimensional Fast SE, Single-Slice Half-Fourier ...
... and a thin tube is introduced to perform a cholangiography. If stones are identified, the surgeon inserts a tube with an ... although surgeons are now increasingly using laparoscopy with cholangiography. In this procedure, tiny incisions are made in ...
... self-replicating pieces of rDNA Endoscopic Retrograde Cholangiography is a technique that combines the use of endoscopy and ...
... percutaneous transhepatic cholangiography - perfusion - perfusion magnetic resonance imaging - pericardial effusion - ...
... cholangiography MeSH E01.370.350.700.715.200.200 --- cholangiopancreatography, endoscopic retrograde MeSH E01.370.350.700. ... cholangiography MeSH E01.370.372.200.200 --- cholangiopancreatography, endoscopic retrograde MeSH E01.370.372.200.215 --- ...
... has largely replaced the previously used method of intravenous cholangiography (IVC). Magnetic resonance ... There are at least two kinds of cholangiography: percutaneous transhepatic cholangiography (PTC): Examination of liver and bile ... Cholangiography is the imaging of the bile duct (also known as the biliary tree) by x-rays. ... and T tube cholangiography are other cholangiography methods.. ...
... is a form of cholangiography that was introduced in 1954. The intravenous cholangiogram or IVC is a ... by MRI cholangiography, none of which are affected by jaundice.It is sometimes used when ERCP is unsuccessful. Albert L. Baert ...
... (PTHC or PTC) or percutaneous hepatic cholangiogram is a radiologic technique used to ... Atkinson M, Happey MG, Smiddy FG (1960). "Percutaneous transhepatic cholangiography". Gut. 1 (4): 357-65. doi:10.1136/gut.1.4. ... "Transabdominal cholangiography". Journal of the American Medical Association. 148 (4): 253-5. doi:10.1001/jama. ...
Pancreatic and Biliary Stenting Procedures Outlook to 2023 Asia-Pacific Percutaneous Transhepatic Cholangiography (PTC) ... 3 Percutaneous Transhepatic Cholangiography (PTC) Pancreatic and Biliary Stenting Procedures, Asia-Pacific 3.1 Percutaneous ... 8 Percutaneous Transhepatic Cholangiography (PTC) Pancreatic and Biliary Stenting Procedures, South Korea 8.1 Percutaneous ... 4 Percutaneous Transhepatic Cholangiography (PTC) Pancreatic and Biliary Stenting Procedures, Australia 4.1 Percutaneous ...
MacCarty RL, LaRusso NF, Wiesner RH, Ludwig J. Primary sclerosing cholangitis: Findings on cholangiography and pancreatography ... MacCarty, R. L. ; LaRusso, N. F. ; Wiesner, R. H. ; Ludwig, J. / Primary sclerosing cholangitis : Findings on cholangiography ... Primary sclerosing cholangitis: Findings on cholangiography and pancreatography. R. L. MacCarty, N. F. LaRusso, R. H. Wiesner, ... Primary sclerosing cholangitis : Findings on cholangiography and pancreatography. / MacCarty, R. L.; LaRusso, N. F.; Wiesner, R ...
J37.2 Operative cholangiography through cystic duct.. Your responsibility. This guidance represents the view of NICE, arrived ... If both a laparoscopic cholecystectomy and an operative cholangiography are performed at the same time, then both procedures ...
MR cholangiography and CT cholangiography of pediatric patients with choledochal cysts. AJR Am J Roentgenol. 1999 Aug. 173(2): ... CT cholangiography adequately depicted 10 (91%) of 11 choledochal cysts, whereas MR cholangiography showed 100% of the cysts. ... The authors compared MR cholangiography with conventional cholangiography in 13 patients with choledochal cysts. [22] MR ... Lam and colleagues investigated the use of CT cholangiography versus MR cholangiography in the diagnosis of choledochal cysts ...
6481738 - Operative cholangiography--techniques and inadequacies.. 20927758 - Antibiotic prophylaxis for patients undergoing ...
Cholangiography has largely replaced the previously used method of intravenous cholangiography (IVC). Magnetic resonance ... There are at least two kinds of cholangiography: percutaneous transhepatic cholangiography (PTC): Examination of liver and bile ... Cholangiography is the imaging of the bile duct (also known as the biliary tree) by x-rays. ... and T tube cholangiography are other cholangiography methods.. ...
Intravenous cholangiography is a form of cholangiography that was introduced in 1954. The intravenous cholangiogram or IVC is a ... by MRI cholangiography, none of which are affected by jaundice.It is sometimes used when ERCP is unsuccessful. Albert L. Baert ...
Percutaneous transhepatic cholangiography (PTHC or PTC) or percutaneous hepatic cholangiogram is a radiologic technique used to ... Atkinson M, Happey MG, Smiddy FG (1960). "Percutaneous transhepatic cholangiography". Gut. 1 (4): 357-65. doi:10.1136/gut.1.4. ... "Transabdominal cholangiography". Journal of the American Medical Association. 148 (4): 253-5. doi:10.1001/jama. ...
Percutaneous Transhepatic Cholangiography - A procedure to x-ray the hepatic and common bile ducts. A contrasting agent is ... Percutaneous Transhepatic Cholangiography - Glossary. Written & Compiled by Medindia Content Team. Medically Reviewed by The ... Medical Word - Percutaneous Transhepatic Cholangiography. Ans : A procedure to x-ray the hepatic and common bile ducts. A ...
Near-Infrared Fluorescent cholangiography. Fluorescent cholangiography was first described in 2009 and involves the ... Intraoperative cholangiography starts by obtaining the critical view of safety [23] and identifying anatomy. A clip is placed ... Cholangiography can be a straightforward technique but is not attainable in all cases due to various reasons relating to ... Grace, R.H. and V.G. Peckar, The value of operative cholangiography using an image intensifier and a television monitor. Br J ...
A surgical marker clip and method for enhancing the safe performance of a cholangiography and cholecystectomy is disclosed. The ... Cholangiography catheter apparatus and method. US5282812 *. 10 Jul 1991. 1 Feb 1994. Suarez Jr Luis. Clamp for use in vascular ... Once a cholangiography is performed so that the duct system of the gall bladder are readily identifiable, the clips 120 may be ... A cholangiography is performed by placing a catheter through the gall bladder and into the cystic duct for the rapid ...
The risks of percutaneous cholangiography seem over-rated, biliary peritonitis occurring in under 5% of patients submitted to ... This is an evaluation of percutaneous transhepatic cholangiography, a technique of over eight years standing, previously ...
Prognostic value of cholangiography in primary sclerosing cholangitis. Eur J Gastroenterol Hepatol. 1995. 7:251-4. [Medline]. ... Magnetic resonance cholangiography in patients with biliary disease: its role in primary sclerosing cholangitis. J Hepatol. ... Magnetic Resonance Cholangiography. Magnetic resonance cholangiopancreatography (MRCP) is a noninvasive tool that images ... Magnetic resonance cholangiography and ultrasonography are also utilized. The most characteristic histologic findings of ...
Experimental: group2 cystic duct cholangiography cystic duct cholangiography. Procedure: cystic duct cholangiography Then a 14G ... Group (2) was evaluated for the standard cystic duct cholangiography.Cholangiography was considered successful if it could be ... Cholecyst- Versus Cystic Duct Cholangiography During Laparoscopic Cholecystectomy. The safety and scientific validity of this ... Operative cholangiography performed by direct puncture of the gall bladder fundus or Cholecystocholangiography (CCC) is a valid ...
Role of Routine Intraoperative Cholangiography during Laparoscopic Cholecystectomy. Ashwani Kumar, MBBS, MS, Upasna Kumar, MBBS ... safety and cost effectiveness of routine intraoperative cholangiography (IOC) during laparoscopic cholecystectomy (LC) which ... the gallbladder neck and the cystic duct to prevent migration of stones or flow of contrast material during cholangiography. A ...
Study of hepatobiliary ductal system by laparoscopic cholangiography.(Report) by Journal of Evolution of Medical and Dental ... Time taken for Laparoscopic Cholangiography Table 4: Cholangiography Time In Minutes No. of Patients 25-30 4 30-35 7 35-40 5 40 ... Operative cholangiography took on an average 34 minutes. There was no false negative or false positive study in our series. No ... Routine cholangiography is advocated to detect unsuspected common duct stones, which are seen in 5%-10% of cases. (1,3,4) ...
... transhepatic cholangiography explanation free. What is transhepatic cholangiography? Meaning of transhepatic cholangiography ... Looking for online definition of transhepatic cholangiography in the Medical Dictionary? ... percutaneous transhepatic cholangiography see cholangiography.. transhepatic cholangiography cholangiography after introduction ... cholangiography. /cho·lan·gi·og·ra·phy/ (kol-an″je-og´rah-fe) radiography of the bile ducts.. cholangiography. (kō-lăn′jē-ŏg′rə ...
All patients with PSC in will have CT cholangiography.. Procedure: CT cholangiography Cholografin 20ml will be diluted in 100 ... CT cholangiography also has the potential to allow quantification of intraductal volume by using sophisticated computer ... The Value of CT Cholangiography in Primary Sclerosing Cholangitis. This study has been withdrawn prior to enrollment. ... Thirty minutes following the administration of morphine a test scan (CT cholangiography) will be performed through the liver to ...
SSRC using ICG NIR fluorescent cholangiography has been shown to be effective and safe to detect the extra biliary anatomy ... Moreover, since ICG has an exclusive biliary excretion, the intraoperative IG near-infrared (NIR) fluorescent cholangiography ... Intraoperative near-infrared fluorescent cholangiography during Single Site Robotic Cholecystectomy. Fabio Priora, MD, Luca ... with ICG-NIR fluorescent cholangiography using the da Vinci Fluorescence Imaging Vision System. A dose of 2.5 mg of ICG was ...
... cholangiography, choledocholithiasis, clinical manifestations, clip, complictaions, Contemporary Surgery, contrast, cystic duct ...
2016 PG Course: Common Bile Duct Stones - Intraoperative Cholangiography (IOC) to LCBDE. June 20, 2017. by SAGES Webmaster ... 16.8% (n=24) of attendees of the Common Bile Duct Stones - Intraoperative Cholangiography (IOC) to LCBDE PG Course reported ... 57.0% (n=81) of attendees of the Common Bile Duct Stones - Intraoperative Cholangiography (IOC) to LCBDE PG Course reported ... Intraoperative Cholangiography (IOC) to LCBDE PG Course was 4.3/5 at 2016 post-meeting analysis and 4.4/5 at 3-month follow-up ...
Methods: Our fluorescent cholangiography technique is based on the principle that ICG is excreted into bile and that protein- ... Figure 1. Fluorescent cholangiography delineated anatomy of the extrahepatic bile ducts prior to the dissection of triangle of ... Preliminary results: Fluorescent cholangiography clearly delineated the cystic duct and the common bile duct in all patients ... Conclusions: Fluorescent cholangiography using intravenous injection of ICG may become the optimal tools to confirm the biliary ...
Timing of Laparoscopic Cholecystectomy After Endoscopic Retrograde Cholangiography for Acute Biliary Pancreatitis. The safety ... It is expected that endoscopic retrograde cholangiography is a trauma causing adhesions around the hepatobiliary area. Such ... Timing of laparoscopic cholecystectomy following after endoscopic retrograde cholangiography for acute biliary pancreatitis is ... measurement of peritoneal fibrinolytic response following endoscopic retrograde cholangiography [ Time Frame: six months ]. ...
Intra-operative Fluorescent Cholangiography Using Indocyanin Green for Robotic Single Site Cholecystectomy. Nicolas N Buchs, MD ... Conclusions: Fluorescent cholangiography seems to enable real-time identification of the biliary anatomy using a near infrared ... might be a non-ionizing alternative to conventional intra-operative cholangiography for the visualization of biliary anatomy ...
Intraoperative findings, cholangiography findings, as well as hospital stay were all recorded.. RESULTS: The average duration ... The average time for intraoperative cholangiography was 18 minutes (11-25 minutes). Median blood loss was quantified as 70 ml ( ... The Use of Intraoperative Cholangiography in Patients with Empyema of the Gallbladder. INTRODUCTION: In difficult cases ... We present our experience with intraoperative cholangiography in cases which presented with empyema of the gallbladder. ...
  • Routine cholangiography is advocated to detect unsuspected common duct stones, which are seen in 5%-10% of cases. (thefreelibrary.com)
  • Routine performance of cholangiography improves the ability to perform it in difficult situations and develop technical skills to detect the stones in common bile duct. (thefreelibrary.com)
  • Patients with gallstone pancreatitis (GP) or choledocholithiasis (CDL) may have common bile duct (CBD) stones that persist until cholangiography. (springermedizin.de)
  • Multiple logistic regression analyses were performed to identify demographic, laboratory, and radiologic predictors of persistent CBD stones and non-therapeutic cholangiography among adults with GP or CDL. (springermedizin.de)
  • Cholangiography (47532 and 47531) is performed to evaluate the biliary system for patency, stones, strictures, malignancy, and leaks. (aapc.com)
  • Assessment of residual bile duct stones with use of intraductal US during endoscopic balloon sphincteroplasty: comparison with balloon cholangiography. (nih.gov)
  • In 27 of 81 patients (33%), IDUS detected small residual stones not seen on cholangiography. (nih.gov)
  • A repetition of "T-tube cholangiography," performed as part of the postoperative follow-up, insures the patency of the ductal system before removal of the T-tube. (drugs.com)
  • TB Brismar - [email protected] * Corresponding author Abstract Background: Computed Tomography Cholangiography (CTC) is a fast and widely available alternative technique to visualise hepatobiliary disease in patients with an inconclusive ultrasound when MRI cannot be performed. (mysciencework.com)
  • The reason for this study is to see if a new radiologic technique called computerized tomographic cholangiography (CT cholangiography) could be helpful to demonstrate the bile ducts features and measure the amount of space of bile duct canals that should be filled with bile fluid. (clinicaltrials.gov)
  • Preliminary feasibility studies in patients with PSC using high resolution CT with a contrast agent (CT cholangiography), has shown excellent depiction of bile ducts. (clinicaltrials.gov)
  • Three-dimensional drip infusion CT cholangiography in patients with suspected obstructive biliary disease: a retrospective analysis of feasibility and adverse reaction to contrast material. (mysciencework.com)
  • 1471-2342-6-1.fm ral ss BioMed CentBMC Medical Imaging Open AcceResearch article Three-dimensional drip infusion CT cholangiography in patients with suspected obstructive biliary disease: a retrospective analysis of feasibility and adverse reaction to contrast material. (mysciencework.com)
  • The first chapter extensively describes indications, techniques, and evaluation of perioperative cholangiography. (annals.org)
  • Patients were randomized into two groups: Group (1) was evaluated by cholecyst-cholangiography by puncture through the gall bladder fundus. (clinicaltrials.gov)
  • The sensitivity, specificity, as well as the positive and negative predictive values of the three-dimensional T1 weighted MR cholangiography were 92%, 40%, 88%, and 50%, respectively. (bvsalud.org)