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 ...
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, ...
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 ...
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 ...
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 ...
(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...
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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...
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.. ...
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 ...
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 ...
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 ...