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https://www.readbyqxmd.com/read/27615020/rigler-triad-in-gallstone-ileus
#1
Lorena Brandariz Gil, Tamara Fernández de Miguel, José Perea
Gallstone ileus is an exceptional complication among billiary diseases. It is defined as an intestinal obstruction caused by a gallstone as it passes through a bilio-digestive fistula. This is disease with high morbi-mortality, and whose main contributing factors are the advanced age of the patients, comorbidities and the delayed diagnosis. Most of the times, it is a postoperative diagnosis and a high clinical suspicion is essential for an early diagnosis. In patients with gallstone ileus the abdominal X-ray is frequently nonspecific and to observe a complete Rigler triad is exceptional...
September 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27582267/target-profiling-analyses-of-bile-acids-in-the-evaluation-of-hepatoprotective-effect-of-gentiopicroside-on-anit-induced-cholestatic-liver-injury-in-mice
#2
Xiaowen Tang, Qiaoling Yang, Fan Yang, Junting Gong, Han Han, Li Yang, Zhengtao Wang
ETHNOPHARMACOLOGICAL RELEVANCE: Gentiopicroside (GPS), one of iridoid glucoside representitves, is the most potential active component in Gentiana rigescens Franch. ex Hemsl and Gentiana macrophylla Pall. These two herbs have been used to treat jaundice and other hepatic and billiary diseases in traditional Chinese medicine for thousands of years. AIM OF THE STUDY: This study aimed to investigate the protective effects and mechanisms of GPS on α-naphthylisothiocyanate (ANIT) induced cholestatic liver injury in mice...
August 28, 2016: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/27468093/obeticholic-acid-for-the-treatment-of-primary-biliary-cholangitis
#3
Ahmad H Ali, Keith D Lindor
INTRODUCTION: Primary biliary cholangitis (PBC) is an autoimmune disease of the liver characterized by destruction and inflammation of the intrahepatic bile ducts. The disease affects mainly women. The disease is often discovered through abnormal alkaline phosphatase (ALP) activity, and is confirmed when anti-mitochondrial antibodies (AMA) are present. The etiology of PBC is poorly understood. Cigarette smoking, immune dysregulation, nail polish, urinary tract infections, and low socioeconomic status have been implicated but none have been confirmed...
September 2016: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/27276097/guideline-for-the-management-of-bile-duct-cancers-by-the-brazilian-gastrointestinal-tumor-group
#4
Rachel Riechelmann, Anelisa K Coutinho, Rui F Weschenfelder, Gustavo Andrade DE Paulo, Gustavo Dos Santos Fernandes, Markus Gifoni, Maria de Lourdes Oliveira, Rene Gansl, Roberto Gil, Gustavo Luersen, Lucio Lucas, Marcio Reisner, Fernando Meton Vieira, Marcel Autran Machado, Andre Murad, Alessandro Osvaldt, Miguel Brandão, Elisangela Carvalho, Tulio Souza, Tulio Pfiffer, Gabriel Prolla
The Brazilian Gastrointestinal Tumor Group developed guidelines for the surgical and clinical management of patients with billiary cancers. The multidisciplinary panel was composed of experts in the field of radiology, medical oncology, surgical oncology, radiotherapy, endoscopy and pathology. The panel utilized the most recent literature to develop a series of evidence-based recommendations on different treatment and diagnostic strategies for cholangiocarcinomas and gallbladder cancers.
January 2016: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/27008170/-diagnosis-and-treatment-of-billiary-ileus
#5
O Vyčítal, V Liška, J Geiger, V Třeška
INTRODUCTION: Biliary ileus represents only 14% of mechanical obstructions of the gastrointestinal tract. However, the rate of non-strangulated small bowel obstructions reaches as much as 25% in patients over 65 years of age. Usually, a pressure necrosis is created by a large gallstone that passes through the developed biliodigestive fistula, subsequently obturating the gastrointestinal tract. CASE REPORTS: 35 patients underwent a surgical procedure at the Department of Surgery, Teaching Hospital Pilsen for biliary ileus from January 1, 2000 to January 31, 2015...
February 2016: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/26880892/a-retrospective-research-of-the-characteristic-of-hypertriglyceridemic-pancreatitis-in-beijing-china
#6
Wei-Ping Tai, Xiang-Chun Lin, Hong Liu, Cang-Hai Wang, Jing Wu, Neng-Wei Zhang, Wei Chen
Aim. To investigate the characteristic of hypertriglyceridemic- (HTG-) induced pancreatitis (HTG pancreatitis). Methods. We reviewed 126 cases of HTG pancreatitis and 168 cases of biliary pancreatitis as control. Results. The HTG group mean age was younger than biliary group. The number of females was a little higher than males in both groups. There were 18 cases that were recurrent in HTG group and 11 in billiary group. The mean hospitalization times were 13.7 ± 2.6 and 11.2 ± 2.3 days in two groups. Six patients received apheresis in HTG group...
2016: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/26873087/endoscopic-management-of-post-liver-transplant-billiary-complications-a-prospective-study-from-tertiary-centre-in-india
#7
Piyush Ranjan, Rinkesh Kumar Bansal, N Mehta, S Lalwani, V Kumaran, M K Sachdeva, M Kumar, S Nundy
BACKGROUND: Liver transplantation has become common in India over the last decade and biliary strictures after the procedure cause a significant morbidity. Endoscopic retrograde cholangiopancreatography (ERCP) is a safe and effective treatment modality for post-transplant biliary strictures so we decided to evaluate prospectively the outcomes of endoscopic treatment in post-living donor liver transplantation (LDLT) biliary strictures. METHODS: We studied ten consecutive patients who had developed biliary strictures (out of 312 who had undergone liver transplantation between June 2009 and June 2013) and had been referred to the Department of Gastroenterology for management...
January 2016: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/26158174/laparoscopic-supracolic-pancreaticoduodenectomy-a-novel-technique-for-complete-uncinate-process-resection
#8
Shailesh Puntambekar, Rahul Kenawadekar, Archit Pandit, Akshay Nadkarni, Nasir Ahmad Bhat, Saurabh Joshi, Geetanjali Agarwal Joshi
BACKGROUND: Laparoscopic pancreaticoduodenectomy represents one of the most advanced surgical approaches for periampullary and pancreatic head tumors. This article aims to describe the novel technique for complete resection of the uncinate process from supracolic compartment only and summarizes the results from our institute. METHODOLOGY: Retrospective review of prospectively maintained database was performed for patients who underwent laparoscopic pancreaticoduodenectomy from April 2008 to March 2012 at our institute...
June 2014: Hepato-gastroenterology
https://www.readbyqxmd.com/read/26140103/management-of-liver-transplantation-biliary-stricture-results-from-a-tertiary-hospital
#9
Fernanda Prata Martins, Michel Kahaleh, Angelo P Ferrari
AIM: To review results of endoscopic treatment for anastomotic biliary strictures after orthotopic liver transplantation (OLT) during an 8-year period. METHODS: This is a retrospective review of all endoscopic retrograde cholangiopancreatographys (ERCPs) performed between May 2006 and June 2014 in deceased OLT recipients with anastomotic stricture at a tertiary care hospital. Patients were divided into 2 groups, according to the type of stent used (multiple plastic or covered self-expandable metal stents), which was chose on a case-by-case basis and their characteristics...
June 25, 2015: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/25124568/survival-analysis-of-biliary-tract-cancer-cases-in-turkey
#10
Zeki Akca, Hasan Mutlu, Abdulsamet Erden, Abdullah Buyukcelik, Yasemin Benderli Cihan, Sema Sezgin Goksu, Tuncay Aslan, Emel Yaman Sezer, Ali Inal
BACKGROUND: Because of the relative rarity of biliary tract cancers (BTCs), defining long term survival results is difficult. In the present study, we aimed to evaluate the survival of a series of cases in Turkey. MATERIALS AND METHODS: A totally of 47 patients with billiary tract cancer from Mersin Goverment Hospital, Acibadem Kayseri Hospital and Kayseri Training and Research Hospital were analyzed retrospectively using hospital records between 2006-2012. RESULTS: The median overall survival was 19...
2014: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/25035657/-wrapping-the-gastroduodenal-artery-stump-during-pancreatoduodenectomy-reduced-the-stump-hemorrhage-incidence-after-operation
#11
Chang Xu, Xinwei Yang, Xiangji Luo, Feng Shen, Mengchao Wu, Weifeng Tan, Xiaoqing Jiang
OBJECTIVE: After pancreaticoduodenectomy (PD), the postoperative gastroduodenal artery stump (GDAS) hemorrhage is one of the most serious complications. The purpose of this study is to determine whether wrapping the GDAS during PD could decrease the postoperative GDAS hemorrhage incidence. METHODS: A retrospective review involving 280 patients who underwent PD from 2005 to 2012 was performed. Wrapping the GDAS during PD was defined as "Wrapping the GDAS using the teres hepatis ligamentum during PD"...
June 2014: Chinese Journal of Cancer Research, Chung-kuo Yen Cheng Yen Chiu
https://www.readbyqxmd.com/read/24783121/spontaneous-cholecystocolic-fistula-case-report
#12
Nandkishore Gora, Amit Singh, Sharad Jain, Ummaid Singh Parihar, Shyam Bhutra
Cholecystocolic fistula is a rare billiary-enteric fistula with variable clinical presentation. Despite modern diagnostic tool a high degree of suspicion is required to diagnose it preoperatively. These fistulae are treated by open as well as laparoscopic surgery, with no difference in intraoperative and postoperative complications. We are describing a 50-year-old female patient with the diagnosis of chronic cholecystitis with cholelithiasis, which was investigated with routine lab investigations, and abdominal ultrasonography but none of these gave us any clue to the presence of fistula, were discovered incidentally during an open surgery and were appropriately treated...
March 2014: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/24674106/gastrostomy-tube-dislodgment-acute-pancreatitis
#13
Eran Brauner, Yoram Kluger
Percutaneous gastrostomy is well established root for long term feeding of patients who cannot be fed orally. The risks of percutanous gastrostomy insertion are low. Tube related complications often resolved by placing a Foley catheter or other balloon gastrostomy tube as a temporary solution. Gastrostomy tube related gastric, duodenal and billiary obstruction were reported. Gastrostomy tube related pancreatitis is scarcely described. We described a patient who suffered a pancreatitis related to Foley catheter gastrostomy dislodgment...
2014: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/24557965/determining-the-frequency-and-severity-of-malnutrition-and-correlating-it-with-the-severity-of-liver-cirrhosis
#14
Iftikhar Haider Naqvi, Khalid Mahmood, Sirajus Salekeen, Syed Tehseen Akhter
BACKGROUND/AIMS: Malnutrition is a significant problem in cirrhosis of the liver worldwide. Inadequate data is available on the nutritional status of Pakistani patients. This study aimed to determine the frequency and severity of malnutrition in patients having cirrhosis of the liver and to compare the degree of malnutrition with the severity of liver disease. MATERIALS AND METHODS: Two hundred ninety-eight patients with liver cirrhosis were included in the study...
2013: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/23902892/-experimental-study-of-radiofrequency-ablation-of-liver-in-swine
#15
Xiu-mei Zhang, Xin Wang, Yuan-lian Wan, Guo-wei Chen, Rong-jie Li, Min-hua Chen
OBJECTIVE: To explore the feasibility and efficacy of multiple-radiofrequency ablation (RFA) in swine liver. METHODS: One swine undergone percutaneous and intra-operative RFA for three times in succession (an interval of 5 days) guided by real-time ultrasound. Then 6 ablated lesions formed. The outcome of RFA and the change of tissues adjacent to ablated lesions (billiary, liver vascular and abdominal wall) were observed by trans-abdominal ultrasonography (US), contrast enhanced ultrasound (CEUS), intra-operative ultrasound (IOUS) and contrast enhanced computed tomography (CT)...
April 16, 2013: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/23789284/mutational-analysis-of-atp7b-gene-and-the-genotype-phenotype-correlation-in-patients-with-wilson-s-disease-in-serbia
#16
Aleksandra Tomić, Valerija Dobricić, Ivana Novaković, Marina Svetel, Tatjana Pekmezović, Nikola Kresojević, Aleksandra Potrebić, Vladimir S Kostić
BACKGROUND/AIM: Wilson's disease (WD) is an autosomal-recessive disorder which is characterized with a marked clinical heterogeneity. The gene responsible for WD is located in 13q14.3 chromosome, contains 21 exons and codes for copper specific transporting P-type adenosinetriphosphatase (ATPase) (ATP7B). Mutations in ATP7B gene change biosynthetic and transporting role of ATPase in cell leading to damaged billiary excretion of copper and its accumulation in the liver, brain, cornea and other tissues...
May 2013: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
https://www.readbyqxmd.com/read/23752025/da-vinci-robot-assisted-anatomic-left-hemihepatectomy-and-biliary-reconstruction
#17
Zhifei Wang, Quanda Liu, Junzhou Chen, Weihong Duan, Ningxin Zhou
BACKGROUND: Since the introduction of Da Vinci robotic surgery, more and more complicated surgeries can now be performed robotically, yet there have been very few on robotic hepatectomy, especially when billiary reconstruction is involved. The video shows our initial experience with an anatomic hepatectomy using Da Vinci surgical robot. In this case, we also conducted billiary reconstruction due to the anatomic abnormality of bile duct, while applying the choledochoscopy. The preoperative diagnosis is primary liver carcinoma, tumor thrombi in bile duct, and hepatitis B...
June 2013: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/23726584/creation-of-a-solid-organ-transplant-program-in-an-underdeveloped-country-mexico-s-general-hospital-transplantation-program
#18
L García Covarrubias, A Rossano García, A Cicero Lebrija, A Luque Hernández, H Hinojosa Heredia, D Fernández Ángel, J Córdova, A García Covarrubias, R Bautista Olayo, H S Diliz Perez
BACKGROUND: With a population of >112 million persons, all Mexicans are entitled to receive medical care by the state and more than half have limited access to healthcare. From January 1985 to March 2009, 40 renal transplants were performed from living donors with a high percentage of complications. In April 2009, a new Solid Organ Transplantation Program was started; herein, we present this enterprise to the international community and briefly present a perspective on the Mexican transplant situation...
May 2013: Transplantation Proceedings
https://www.readbyqxmd.com/read/23700875/malignant-tumors-of-digestive-organs-and-liver-metastases-at-the-time-of-diagnosis
#19
Elena Toader, V L Drug, Iulia Munteanu, Diana Petroius, Irina Ciortescu, Oana Barboi, A Mohammad
AIM: Malignant tumors localized in the digestive tract have a tendency to local growth and invasion with lymph node metastasis. Distant metastases through blood with prevalent liver location are detected late in disease progression, in an advanced stage, when therapeutic possibilities are often limited to palliative therapy. MATERIAL AND METHODS: The study included a series of 139 patients with liver metastases admitted to the Center of Gastroenterology and Hepatology lasi between January 1 and October 10, 2011 for the identification of primitive tumor...
October 2012: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
https://www.readbyqxmd.com/read/23393352/perineural-invasion-and-preoperative-serum-ca19-9-as-predictors-of-survival-in-biliary-tract-cancer
#20
Hiroshi Kawamata, Keishi Yamashita, Kazunori Nakamura, Hiroyuki Katagiri, Kenichiro Ishii, Yoshihito Takahashi, Kazunori Furuta, Yusuke Kumamoto, Masahiko Watanabe
BACKGROUND: Billiary tract cancer requires invasive surgical procedures for cure, and the risk factors related to patient prognosis remain controversial. PATIENTS AND METHODS: Out of the 111 patients who underwent resection of extrahepatic biliary tract tumors from 1986 to 2010, the records for 88 with both ampullary and extrahepatic bile duct cancer, which included all information for evaluation of the clinicopathological factors, were employed in a multivariate analysis...
February 2013: Anticancer Research
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