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percutaneus transhepatic drainage

Ewa Karpel, Andrzej Madej, Łukasz Bułdak, Anna Duława-Bułdak, Ewa Nowakowska-Duława, Krzysztof Łabuzek, Maciej Haberka, Rafał Stojko, Boguslaw Okopień
INTRODUCTION: Cholangitis and biliary sepsis are severe infectious diseases, which are often observed in patients with choledocholithiasis. The antimicrobial therapy is effective if started as soon as the diagnosis is made. Therefore, the profile of bile pathogens and its susceptibility to a number of antibiotics were evaluated. MATERIAL AND METHODS: Bile cultures and antibiograms from 92 patients hospitalized between January 2006 and December 2008 in a tertiary referral center for the treatment of biliary and pancreatic diseases (Central Teaching Hospital, Medical University of Silesia) were reviewed...
July 2011: Scandinavian Journal of Gastroenterology
Mette Enok Munk Lauridsen, Frank V Mortensen, Dennis T Nielsen, Henning Grønbæk
INTRODUCTION: Cholangiocellular carcinoma accounts for 3% of gastrointestinal tumors. It is the second most common primary hepatic malignancy and is associated with primary sclerosing cholangitis. CASE DESCRIPTION: We report a patient with primary sclerosing cholangitis and cholangiocellular carcinoma who underwent partial hepatectomy and postoperatively suffered life-threatening biliary stasis with cholascos and peritonitis. The patient had cholangiocellular carcinoma recurrence at the resection margins and local lymph node metastases, but chemotherapy was not possible because of elevated bilirubin and liver dysfunction...
June 2012: Journal of Gastrointestinal Cancer
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