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https://www.readbyqxmd.com/read/28068691/a-dual-modality-approach-of-endobiliary-radiofrequency-ablation-and-self-expandable-metal-stent-placement-to-control-malignant-hemobilia
#1
Christopher M Linz, Rohan M Modi, Somashekar G Krishna
No abstract text is available yet for this article.
February 2017: Endoscopy
https://www.readbyqxmd.com/read/28048950/choledochoscopic-holmium-laser-lithotripsy-for-difficult-bile-duct-stones
#2
Shangdong Lv, Zheping Fang, Aidong Wang, Jian Yang, Wenlong Zhang
OBJECTIVE: The aim of this study was to evaluate the feasibility and efficacy of choledochoscopic holmium laser lithotripsy as a means of removing resistant extrahepatic and intrahepatic bile duct stones. METHODS: Clinical data on 28 patients who had undergone choledochoscopic holmium laser lithotripsy were analyzed. RESULTS: Complete stone clearance was obtained in 24 patients; small numbers of residual stones in the left or right hepatic duct were found in 4 patients...
January 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28008403/endoscopic-ultrasound-as-a-diagnostic-tool-in-a-case-of-obscure-hemobilia
#3
Monica A Konerman, Zishu Zhang, Cyrus Piraka
Hemobilia represents an uncommon cause of gastrointestinal bleeding that can present both diagnostic and therapeutic challenges. The evaluation of hemobilia typically involves cross-sectional imaging and endoscopic retrograde cholangiopancreatography (ERCP). There is limited data regarding the diagnostic utility of endoscopic ultrasound (EUS) in the evaluation of hemobilia. We present a case of a hepatic artery pseudoaneurysm as the etiology of hemobilia that was detected via EUS only. We conclude that EUS can serve as an important diagnostic tool in the evaluation of obscure hemobilia, especially in cases where imaging, ERCP, and percutaneous transhepatic cholangiography have been unsuccessful or inconclusive...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27932176/intrahepatic-artery-pseudoaneurysm-induced-hemobilia-caused-by-a-plastic-biliary-stent-after-abo-incompatible-living-donor-liver-transplantation-a-case-report
#4
J M Chun, H T Ha, Y Y Choi, Y J Hwang, J Heo, H K Ryeom, Y S Han
Bile leakage after duct-to-duct anastomosis in living-donor liver transplantation (LDLT) can mostly be managed by therapeutic endoscopic retrograde cholangiopancreatography. Following this, various complications such as biliary infection, pancreatitis, perforation, and bleeding can occur, and endoscopic sphincterotomy is primarily associated with post- endoscopic retrograde cholangiopancreatography bleeding; other causes have been published in case reports. In the present case, a plastic biliary stent used for treating liver abscesses and leakage at the bile duct anastomosis site after ABO-incompatible LDLT resulted in an intrahepatic artery pseudoaneurysm and hemobilia, which were managed by angiography and coil embolization...
November 2016: Transplantation Proceedings
https://www.readbyqxmd.com/read/27921055/acute-pancreatitis-caused-by-hemobilia-an-unusual-complication-of-laparoscopic-cholecystectomy
#5
Ameet Kumar, Dharmendra Kumar, Amandeep Singh, C K Jakhmola
Acute pancreatitis (AP) in the early postlaparoscopic cholecystectomy (LC) period is a rare complication. The cause is often a missed common bile duct stone. Having been reported only once before, we present a second case of AP after LC caused by hemobilia secondary to hepatic artery pseudoaneurysm. The management of this complication is distinctly different from the treatment for AP caused by a stone and must be done on an emergency basis.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27921052/hemobilia-and-mirizzi-syndrome-a-rare-combination
#6
Eric M Nelsen, Jeffrey Hubers, Deepak V Gopal
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27904252/hemobilia
#7
REVIEW
Rakesh Navuluri
Hemobilia is a rare source of upper gastrointestinal bleeding, though the incidence is increasing along with the rise in minimally invasive biliary interventions. Prompt diagnosis and treatment rests on having appropriate clinical suspicion which should be based on the patient's presenting signs and symptoms, as well as history including recent instrumentation. Endoscopy should be reserved for cases of upper gastrointestinal bleeding with low suspicion for hemobilia. Interventional radiology may be the first-line diagnostic and therapeutic option for patients with a high suspicion of hemobilia...
December 2016: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/27807584/hemobilia-from-biliary-angiodysplasia-diagnosed-with-cholangioscopy
#8
Kap Sum Foong, Ashley Lee, Shaismy Kudakachira, Hemchand Ramberan
Biliary angiodysplasia is extremely rare. Our background search revealed only a few case reports in the English literature. We present a case of angiodysplasia of the proximal common bile duct in a patient with subacute upper gastrointestinal bleeding and symptomatic anemia. A standard esophagogastroduodenoscopy with subsequent dedicated duodenoscopy revealed blood-stained bile draining from the major ampulla orifice. A contrast-enhanced magnetic resonance cholangiopancreatography was unrevealing for any pancreaticobiliary pathology...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27807570/transjugular-liver-biopsy-and-the-bloody-mess-that-follows-a-rare-case-of-hemobilia-and-hemocholecystitis
#9
Kristen A Suchniak-Mussari, Beth A Foreman, Amol Sharma, Tanmay Shah, Charles E Dye
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27768835/endoscopic-radiofrequency-ablation-may-be-preferable-in-the-management-of-malignant-biliary-obstruction-a-systematic-review-and-meta-analysis
#10
Xiao Zheng, Zhi Yuan Bo, Wei Wan, Ye Chen Wu, Tian Tian Wang, Jun Wu, Dao Jian Gao, Bing Hu
AIM: Endoscopic biliary radiofrequency ablation (RFA) has been increasingly used for unresectable malignant biliary obstruction (MBO). However, its efficacy and safety remain unclear. METHODS: A comprehensive search of Cochrane Library, PubMed and EMBASE was conducted to collect studies to evaluate endoscopic biliary RFA in the management of MBO. Meta-analysis was performed by extracting the data from included studies with regards to the technical effectiveness, overall survival, adverse events and mortality of endoscopic RFA...
October 21, 2016: Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27746621/delayed-severe-hemobilia-due-to-bilio-venous-fistula-after-percutaneous-transhepatic-biliary-drainage-treatment-with-covered-stent-placement
#11
Kumble S Madhusudhan, Nihar R Dash, Adil Afsan, Shivanand Gamanagatti, Deep N Srivastava, Arun K Gupta
Biliovenous fistula occurs due to development of a communication between hepatic duct and portal vein branches and is a rare complication of percutaneous transhepatic biliary drainage (PTBD). Most of them are self-limiting and only occasionally they need interventional management. Placement of biliary stent graft is a viable option. We present here a case of a 56-year-old male with carcinoma of gall bladder presenting with hemodynamic shock due to severe hemobilia after PTBD and treated successfully by biliary covered stent placement...
September 2016: Journal of Clinical and Experimental Hepatology
https://www.readbyqxmd.com/read/27689206/therapeutic-challenges-for-symptomatic-portal-cavernoma-cholangiopathy
#12
Adriana Cavași, Voicu Mercea, Ofelia Anton, Ion Cosmin Puia
Although transjugular intrahepatic portosystemic shunts are most frequently used for the management of portal hypertension, the surgical approach is preferred for symptomatic portal cavernoma cholangiopathy. We present the case of a 25-year old female patient with a portal cavernoma secondary to catheterization of the umbilical vein at birth. She had had two episodes of esophageal variceal bleeding, successfully treated by endoscopic banding. and an episode of acute cholangitis secondary to portal cavernoma cholangiopathy...
September 2016: Journal of Gastrointestinal and Liver Diseases: JGLD
https://www.readbyqxmd.com/read/27593367/two-cases-of-cystic-artery-pseudoaneurysm-rupture-due-to-acute-cholecystitis-with-gallstone-impaction-in-the-neck
#13
Shogo Kaida, Kyouko Arahata, Asako Itou, Sakiko Takarabe, Kayoko Kimura, Hiroshi Kishikawa, Jiro Nishida, Yoshiki Fujiyama, Yutaka Takigawa, Junichi Matsui
A cystic artery aneurysm is a rare cause of hemobilia. Herein, we report two cases of acute cholecystitis with a ruptured cystic artery pseudoaneurysm. Two patients (a 69-year-old man and an 83-year-old man) were admitted to our hospital because of acute cholecystitis with gallstone impaction in the neck. Percutaneous transhepatic gallbladder drainage (PTGBD) was performed for both patients. After a few days of PTGBD, gallbladder hemorrhage was observed. Abdominal angiography showed cystic artery aneurysm. A transcatheter arterial embolization was therefore performed, followed by an open cholecystectomy...
September 2016: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
https://www.readbyqxmd.com/read/27586033/placement-of-a-newly-designed-y-configured-bilateral-self-expanding-metallic-stent-for-hilar-biliary-obstruction-a-pilot-study
#14
Dechao Jiao, Kai Huang, Ming Zhu, Gang Wu, Jianzhuang Ren, Yanli Wang, Xinwei Han
BACKGROUND: Whether unilateral or bilateral drainage should be performed for malignant hilar biliary obstruction remains a matter of debate. Although a Y-stent with a central wide-open mesh facilitates bilateral stent placement, it has its own limitations. AIM: This study aims to evaluate the feasibility and efficacy of a newly designed Y-configured bilateral self-expanding metallic stent (SEMS) for the treatment of hilar biliary obstruction. METHODS: In this retrospective study, 14 consecutive patients with unresectable malignant hilar biliary obstruction (Bismuth type II or higher), who underwent placement of a newly designed Y-configured bilateral SEMS for hilar biliary obstruction from April 2013 to March 2015, were included into this study...
January 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/27549188/delayed-hemobilia-due-to-hepatic-artery-pseudo-aneurysm-a-pitfall-of-laparoscopic-cholecystectomy
#15
Mawaddah Alrajraji, Abrar Nawawi, Reda Jamjoom, Yousef Qari, Murad Aljiffry
BACKGROUND: Hepatic artery pseudoaneurysm as a complication of laparoscopic cholecystectomy is considered a rare, potentially life threatening condition. CASE PRESENTATION: We report a case of late onset hemobilia presenting 8 months following elective laparoscopic cholecystectomy with complex biliary and vascular injury. The patient was treated surgically with primary repair of the aneurysm and hepaticojujenostomy. CONCLUSION: A high index of suspicion should be raised when encountering a patient with massive upper GI bleeding and a previous history of hepatobiliary manipulation or surgery regardless of postoperative period...
August 22, 2016: BMC Surgery
https://www.readbyqxmd.com/read/27451092/arterial-portal-fistula-after-percutaneous-liver-biopsy-in-hepatic-allograft-causing-hemobilia-and-pancreatitis
#16
Daniel S Zhang, Zeyad Metwalli, Khozema B Hussain
No abstract text is available yet for this article.
January 2017: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27449807/spontaneous-hemobilia-after-liver-transplantation-frequency-risk-factors-and-outcome-of-endoscopic-management
#17
Tae Young Park, Sung Koo Lee, Kwangwoo Nam, Dongwook Oh, Tae Jun Song, Do Hyun Park, Sang Soo Lee, Dong-Wan Seo, Myung-Hwan Kim
BACKGROUND AND AIM: Spontaneous hemobilia is an uncommon liver transplantation (LT)-related biliary complication. The frequency, etiology, and mechanism of spontaneous hemobilia after LT are not known. This study aimed to assess the outcome of endoscopic management for spontaneous hemobilia after LT, and to investigate its frequency and risk factors. METHODS: The records of patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) to manage hemobilia after LT at the Asan Medical Center, Korea, between January 2006 and April 2014 were retrospectively reviewed...
July 23, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27362248/hepatic-artery-pseudoaneurysm-simple-or-difficult-to-diagnose
#18
Kiandokht Bashiri, Nader Roushan, Seyyed Mohammadtaghi Hamidian
Ruptured hepatic artery pseudoaneurysm (HAP) generally leads to the hemobilia and can be diagnosed by endoscopy. This condition mostly occurs after an iatrogenic trauma. The management of the HAP is still a big challenge. Due to an increased rate of HAP cases over the last decade, appropriate management is necessary for the optimal outcomes achievement. Here, we report a 59-year-old woman presenting with hematemesis, melena, hematochezia, and epigastric pain. The CT scan of the abdomen showed intrahepatic biliay dilation with hypodense material, probably a clot inside it...
July 2016: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/27358680/gastrointestinal-bleeding-and-obstructive-jaundice-think-of-hepatic-artery-aneurysm
#19
Fabrice Vultaggio, Pierre-Henri Morère, Christophe Constantin, Michel Christodoulou, Didier Roulin
Hemobilia is an uncommon and potential life-threatening condition mainly due to hepato-biliary tree traumatic or iatrogenic injuries. Spontaneously ruptured aneurysm of the hepatic artery is seldom described. We report the case of an 89-year-old woman presenting with abdominal pain, jaundice and gastrointestinal bleeding, whose ultrasound and computed tomography revealed a non-traumatic, spontaneous aneurysm of the right hepatic artery. The oeso-gastro-duodenoscopy and colonoscopy did not reveal any bleeding at the ampulla of Vater, nor anywhere else...
June 27, 2016: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27328719/iatrogenic-hemobilia-imaging-features-and-management-with-transcatheter-arterial-embolization-in-30-patients
#20
Wen Feng, Dong Yue, Lu ZaiMing, Liu ZhaoYu, Zhao XiangXuan, Li Wei, Guo QiYong
PURPOSE: We aimed to evaluate the imaging features of computed tomography (CT) and angiography and the efficacy of transcatheter arterial embolization (TAE) in patients with hemobilia of different iatrogenic causes. METHODS: Thirty patients with hemobilia were divided into two groups according to their iatrogenic causes, i.e., group 1, 11 patients (36.7%) with transhepatic intervention and group 2, 19 patients (63.3%) with surgical procedures in the hilar area. Seventeen patients (56...
July 2016: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
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