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cholangiography complications

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https://www.readbyqxmd.com/read/27888532/biliary-strictures-complicating-liver-transplantation-in-pediatric-patients-experience-in-a-south-american-transplant-center
#1
A Holguin, S Rodriguez-Takeuchi, L Ospina, D Acosta, V Botero, L Thomas, J Villegas, G Echeverri, L Caicedo
OBJECTIVE: To describe the experience of percutaneous transhepatic cholangiography (PTC) with biliary dilatation and drainage after pediatric liver transplantation, and to determine the long-term outcome of this procedure. METHODS: Retrospective study from 2001 to 2013. Follow-up after treatment was also undertaken. A survival analysis was performed in patients in whom the procedure and eventual removal of the catheter were successful. RESULTS: In all, 196 children received liver transplants; 40 of them (20 boys and 20 girls; median age of 4 years) were treated using PTC due to biliary complications...
November 26, 2016: Clinical Transplantation
https://www.readbyqxmd.com/read/27882046/the-role-of-genetic-and-immune-factors-for-the-pathogenesis-of-primary-sclerosing-cholangitis-in-childhood
#2
REVIEW
Priscila Menezes Ferri, Ana Cristina Simões E Silva, Soraya Luiza Campos Silva, Diego Junior Queiroga de Aquino, Eleonora Druve Tavares Fagundes, Débora Marques de Miranda, Alexandre Rodrigues Ferreira
Primary sclerosing cholangitis (PSC) is a rare cholestatic liver disease characterized by chronic inflammation of the biliary tree resulting in liver fibrosis. PSC is more common in male less than 40 years of age. The diagnosis of PSC is based on clinical, laboratory, image, and histological findings. A biochemical profile of mild to severe chronic cholestasis can be observed. Endoscopic retrograde cholangiography is the golden standard method for diagnosis, but magnetic resonance cholangiography is currently also considered a first-line method of investigation...
2016: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/27857966/endoscopic-versus-laparoscopic-treatment-for-choledocholithiasis-a-prospective-randomized-controlled-trial
#3
Javier Ernesto Barreras González, Rafael Torres Peña, Julián Ruiz Torres, Miguel Ángel Martínez Alfonso, Raúl Brizuela Quintanilla, Maricela Morera Pérez
Background and study aims: Overall, 5 % to 15 % of patients undergoing cholecystectomy for cholelithiasis have concomitant bile duct stones, and the incidence of choledocholithiasis increases with age. There is no clear consensus on the best therapeutic approach (endoscopic versus surgical). Patients and methods: A prospective randomized controlled clinical trial was performed to compare three treatment options for patients with choledocholithiasis at the National Center for Minimally Invasive Surgery in Havana, Cuba from November 2007 to November 2011...
November 2016: Endoscopy International Open
https://www.readbyqxmd.com/read/27744664/endoscopic-management-of-anastomotic-strictures-after-liver-transplantation
#4
Dong Wook Lee, Hyeong Ho Jo, Juveria Abdullah, Michel Kahaleh
Endoscopic treatment of biliary strictures involving plastic stent placement has been used widely. The use of self-expandable metal stents (SEMSs) has been described for anastomotic strictures following liver transplantation (LT). This review aimed to assess and compare the efficacy of plastic stents with SEMS in LT patients. Information was retrieved regarding technical success, stricture resolution, the number of endoscopic retrograde cholangiography procedures, follow-up, immediate, and late complications...
September 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27744539/side-by-side-placement-of-bilateral-endoscopic-metal-stents-for-the-treatment-of-postoperative-biliary-stricture
#5
Seiji Kaino, Manabu Sen-Yo, Shuhei Shinoda, Michitaka Kawano, Hirofumi Harima, Shigeyuki Suenaga, Isao Sakaida
Postoperative biliary strictures are usually complications of cholecystectomy. Endoscopic plastic stent prosthesis is generally undertaken for treating benign biliary strictures. Recently, fully covered metal stents have been shown to be effective for treating benign distal biliary strictures. We present the case of a 53-year-old woman with liver injury in which imaging studies showed a common hepatic duct stricture. Endoscopic retrograde cholangiopancreatography also confirmed the presence of a common hepatic duct stricture...
October 15, 2016: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/27742337/endoscopic-management-of-post-liver-transplantation-biliary-strictures-with-the-use-of-fully-covered-metallic-stents
#6
M Jiménez-Pérez, J M Melgar Simón, A Durán Campos, R González Grande, J M Rodrigo López, R Manteca González
OBJECTIVE: The aim of this work was to evaluate the safety and efficacy of a fully covered self-expandable metal stent (FCSEMS) in the treatment of post-liver transplantation biliary strictures. METHODS: From October 2009 to October 2014, 44 patients with post-liver transplantation biliary stenosis were treated with the use of endoscopic retrograde cholangiography and placement of FCSEMS after informed consent. The FCSEMS was scheduled to remain in situ for 3-6 months...
September 2016: Transplantation Proceedings
https://www.readbyqxmd.com/read/27644579/complication-of-portal-vein-thrombosis-after-right-hemihepatectomy-in-a-patient-lacking-the-portal-vein-bifurcation
#7
Hiroki Teraoku, Yusuke Arakawa, Masato Yoshikawa, Shinichiro Yamada, Yu Saito, Shuichi Iwahashi, Tetsuya Ikemoto, Yuji Morine, Satoru Imura, Mitsuo Shimada
Absence of portal vein bifurcation is a rare anomaly. We report a patient with this anomaly who underwent right hemihepatectomy for treatment of hepatocellular carcinoma. Although the procedure was carefully performed with a preoperative three-dimensional simulation and intraoperative cholangiography, postoperative portal vein thrombosis occurred. J. Med. Invest. 63: 315-318, August, 2016.
2016: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/27616153/role-of-mdct-in-the-detection-of-early-abdominal-complications-after-orthotopic-liver-transplantation
#8
Piero Boraschi, Francescamaria Donati, Massimiliano Rossi, Davide Ghinolfi, Franco Filipponi, Fabio Falaschi
PURPOSE: This study aims to assess the role of multidetector computed tomography (MDCT) for detecting early abdominal complications after orthotopic liver transplantation. MATERIALS AND METHODS: We retrospectively enrolled 170 subjects with clinical laboratory and/or echo-color Doppler abnormalities who underwent MDCT within the first 90 days after transplantation. All images were reviewed by two radiologists in conference and imaging results were correlated with digital subtraction angiography, conventional cholangiography, surgery, clinical laboratory, and/or imaging follow-up...
August 26, 2016: Clinical Imaging
https://www.readbyqxmd.com/read/27566635/near-infrared-fluorescence-cholangiography-assisted-laparoscopic-cholecystectomy-versus-conventional-laparoscopic-cholecystectomy-falcon-trial-study-protocol-for-a-multicentre-randomised-controlled-trial
#9
Jacqueline van den Bos, Rutger M Schols, Misha D Luyer, Ronald M van Dam, Alexander L Vahrmeijer, Wilhelmus J Meijerink, Paul D Gobardhan, Gooitzen M van Dam, Nicole D Bouvy, Laurents P S Stassen
INTRODUCTION: Misidentification of the extrahepatic bile duct anatomy during laparoscopic cholecystectomy (LC) is the main cause of bile duct injury. Easier intraoperative recognition of the biliary anatomy may be accomplished by using near-infrared fluorescence (NIRF) imaging after an intravenous injection of indocyanine green (ICG). Promising results were reported for successful intraoperative identification of the extrahepatic bile ducts compared to conventional laparoscopic imaging...
August 26, 2016: BMJ Open
https://www.readbyqxmd.com/read/27549034/comparison-of-double-balloon-and-single-balloon-enteroscope-for-therapeutic-endoscopic-retrograde-cholangiography-after-roux-en-y-small-bowel-surgery
#10
Michael De Koning, Tom G Moreels
BACKGROUND: Roux-en-Y reconstructive surgery excludes the biliopancreatic system from conventional endoscopic access. Balloon-assisted enteroscopy allows therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in these patients, avoiding rescue surgery. The objective of the current study is to compare success and complication rate of double-balloon (DBE) and single-balloon enteroscope (SBE) to perform ERCP in Roux-en-Y patients. METHODS: Seventy three Roux-en-Y patients with suspected biliary tract pathology underwent balloon-assisted enteroscopy in a tertiary-care center...
2016: BMC Gastroenterology
https://www.readbyqxmd.com/read/27510388/development-of-a-swine-benign-biliary-stricture-model-using-endoscopic-biliary-radiofrequency-ablation
#11
Jin Seok Park, Seok Jeong, Joon Mee Kim, Sang Soon Park, Don Haeng Lee
The large animal model with benign biliary stricture (BBS) is essential to undergo experiment on developing new devices and endoscopic treatment. This study conducted to establish a clinically relevant porcine BBS model by means of endobiliary radiofrequency ablation (RFA). Endoscopic retrograde cholangiography (ERC) was performed on 12 swine. The animals were allocated to three groups (60, 80, and 100 W) according to the electrical power level of RFA electrode. Endobiliary RFA was applied to the common bile duct for 60 seconds using an RFA catheter that was endoscopically inserted...
September 2016: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/27500210/value-of-magnetic-resonance-cholangiopancreatography-in-assessment-of-nonanastomotic-biliary-strictures-after-liver-transplantation
#12
A Claire den Dulk, Martin N J M Wasser, François E J A Willemssen, Melanie A Monraats, Marianne de Vries, Rivka van den Boom, Jan Ringers, Hein W Verspaget, Herold J Metselaar, Bart van Hoek
UNLABELLED: Nonanastomotic biliary strictures (NAS) remain a frequent complication after orthotopic liver transplantation (OLT). The aim of this study was to evaluate whether magnetic resonance cholangiopancreatography (MRCP) could be used to detect NAS and to grade the severity of biliary strictures. METHODS: In total, 58 patients after OLT from 2 Dutch transplantation centers in whom endoscopic retrograde cholangiopancreatography or percutaneous transhepatic cholangiography and MRCP were performed within less than 6 months apart were included in the study...
November 2015: Transplantation Direct
https://www.readbyqxmd.com/read/27495346/a-retrospective-comparison-of-robotic-cholecystectomy-versus-laparoscopic-cholecystectomy-operative-outcomes-and-cost-analysis
#13
David S Strosberg, Michelle C Nguyen, Peter Muscarella, Vimal K Narula
INTRODUCTION: Robotic-assisted surgery is gaining popularity in general surgery. Our objective was to evaluate and compare operative outcomes and total costs for robotic cholecystectomy (RC) and laparoscopic cholecystectomy (LC). METHODS AND PROCEDURES: A retrospective review was performed for all patients who underwent single-procedure RC and LC from January 2011 to July 2015 by a single surgeon at a large academic medical center. Demographics, diagnosis, perioperative variables, postoperative complications, 30-day readmissions, and operative and hospital costs were collected and analyzed between those patient groups...
August 5, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27477798/fluorescence-versus-x-ray-cholangiography-during-laparoscopic-cholecystectomy-protocol-for-a-randomised-trial
#14
Lars Lang Lehrskov, Søren S Larsen, Billy B Kristensen, Thue Bisgaard
INTRODUCTION: Intraoperative fluorescent cholangiography is a novel non-invasive imaging technique to visualise the extrahepatic biliary tract during laparoscopic cholecystectomy. It has been proven feasible, fast and cost effective. Never-theless, there is only sparse data on the capacity of fluorescent cholangiography to visualise the biliary anatomy. METHODS: Based on a non-inferiority design, patients with complicated gallstone disease are randomised to either -intraoperative conventional X-ray cholangiography (reference group, n = 60) or intraoperative fluorescent cholangiography (n = 60)...
August 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27448279/contrast-enhanced-intraoperative-ultrasonic-cholangiography-in-living-donor-hepatectomy
#15
LETTER
Takeshi Urade, Takumi Fukumoto, Masahiro Kido, Atsushi Takebe, Motofumi Tanaka, Kaori Kuramitsu, Hisoka Kinoshita, Hirochika Toyama, Tetsuo Ajiki, Takeshi Iwasaki, Masahiro Tominaga, Yonson Ku
No abstract text is available yet for this article.
October 2016: Liver Transplantation
https://www.readbyqxmd.com/read/27411676/elective-laparoscopic-cholecystectomy-without-intraoperative-cholangiography-role-of-preoperative-magnetic-resonance-cholangiopancreatography-a-retrospective-cohort-study
#16
Jinfeng Zang, Yin Yuan, Chi Zhang, Junye Gao
BACKGROUND: Laparoscopic cholecystectomy (LC) is the standard treatment for gallbladder diseases. Intraoperative cholangiography (IOC) can reduce biliary complications of LC; however, with the emergence of magnetic resonance cholangiopancreatography (MRCP), IOC nowadays is faced with unprecedented challenge. The purpose of this study is to evaluate whether preoperative MRCP can safely replace IOC during elective LC in terms of retained common bile duct (CBD) stones and bile duct injury (BDI)...
July 13, 2016: BMC Surgery
https://www.readbyqxmd.com/read/27374645/laparoscopic-cholecystectomy-decreases-extra-surgical-site-morbidity-compared-with-open-cholecystectomy-a-propensity-matched-analysis
#17
Chadli Dziri, Imen Samaali, Samia Ben Osman, A Fingerhut, Riadh Bédoui, Youssef Chaker, Ibtissem Bouasker, Ramzi Nouira
BACKGROUND: The ideal way to show treatment effectiveness is through randomized controlled trials the 'gold standard' in evidence-based surgery. Indeed, not all surgical studies can be designed as randomized trials, sometimes for ethical and otherwise, for practical reasons. This article aimed to compare laparoscopic cholecystectomy to open cholecystectomy, according to data from an administrative database, managed by a propensity matched analysis. METHODS: Were included all patients with cholelithiasis admitted in Department B between June 1st, 2008 and December 31st, 2009...
August 2015: La Tunisie Médicale
https://www.readbyqxmd.com/read/27358683/imaging-and-radiological-interventions-in-extra-hepatic-portal-vein-obstruction
#18
REVIEW
Sudheer S Pargewar, Saloni N Desai, S Rajesh, Vaibhav P Singh, Ankur Arora, Amar Mukund
Extrahepatic portal vein obstruction (EHPVO) is a primary vascular condition characterized by chronic long standing blockage and cavernous transformation of portal vein with or without additional involvement of intrahepatic branches, splenic or superior mesenteric vein. Patients generally present in childhood with multiple episodes of variceal bleed and EHPVO is the predominant cause of paediatric portal hypertension (PHT) in developing countries. It is a pre-hepatic type of PHT in which liver functions and morphology are preserved till late...
June 28, 2016: World Journal of Radiology
https://www.readbyqxmd.com/read/27358523/common-bile-duct-obstruction-due-to-surgical-clips-following-laparoscopic-cholecystectomy-treated-with-percutaneous-balloon-dilatation
#19
Mehmet Korkmaz, Ünal Adıgüzel, Bekir Şanal, Sezgin Zeren, Mehmet Fatih Ekici
Bile duct injury is a commonly seen complication of the laparoscopic cholecystectomy (LC) approach, which can even lead to a life-threatening condition and endoscopic retrograde cholangiopancreatography (ERCP) is the first-line choice in treatment. Beside this, it can be concluded that percutaneous transhepatic cholangiography (PTC) and balloon dilatation methods may also constitute a reasonable selection with non-invasive, feasible and effective aspects prior to open surgery. In the present case, we report the management of a bile duct obstruction due to surgical clips following LC, treated with PTC and balloon dilatation instead of surgical procedure in a child patient...
June 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27331082/biliary-complications-following-orthotopic-liver-transplantation-may-contrast-enhanced-mr-cholangiography-provide-additional-information
#20
Piero Boraschi, Francescamaria Donati, Roberto Gigoni, Franco Filipponi
PURPOSE: To assess whether contrast-enhanced T1-weighted MR Cholangiography may provide additional information in the evaluation of biliary complications in orthotopic liver transplant recipients. MATERIAL AND METHODS: Eighty liver transplant patients with suspicion of biliary adverse events underwent MR imaging at 1.5 T scanner. After acquisition of axial T1-/T2-weighted images and conventional T2-weighted MR Cholangiography (image set 1), 3D gradient-echo T1-weighted fat-suppressed LAVA (Liver Acquisition with Volume Acceleration) sequences were obtained about 30 min after intravenous infusion of mangafodipir trisodium (Mn-DPDP,Teslascan(®)) (image set 2)...
2016: European Journal of Radiology Open
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