bile duct diseases

..CONCLUSION: Endoscopic balloon dilatation offers no significant advantage over the well established technique of endoscopic sphincterotomy for the removal of bile duct stones...

..We studied the rate of pancreatitis and asymptomatic hyperamylasemia after endoscopic balloon dilation (EBD) and endoscopic sphincterotomy (EST) for removal of bile duct stones...

..Prevention is the key but, should an injury occur, referral to a specialist in biliary reconstructive surgery is indicated...

..The choice of technique used depends on local availability and expertise. In future, endoscopic retrograde cholangiopancreatography will be reserved exclusively for therapeutic applications...

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..However, diagnosis is usually achieved by microscopic appearance of caseating granulomas and isolation of Mycobacterium tuberculosis. The treatment in this case consisted of cholecystectomy and antitubercular chemotherapy...

..The evaluation of the endoscopic treatment of surgical bile duct injuries, especially in the management of post-operative strictures, remains controversial...

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..The treatment of tuberculosis of the bile duct involves relief of the bile duct obstruction and antituberculous therapy...

..CONCLUSION: We suggest that biliary tract calculi are a part of the spectrum of otherwise typical PSC and therefore their presence should not necessarily exclude the diagnosis...

..Familiarity with the imaging appearance of the normal cystic duct, its anatomic variants, and related disease processes facilitates accurate diagnosis and helps avoid misinterpretation...

..The presence of these rare pathologies in two viscera running together in a patient with right portal vein thrombosis is a very rare condition...

..The authors report their experience in the treatment of a case of Syndrome of Mirizzi (SM) that it simulates a cholangiocarcinoma...

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..By photodynamic therapy it seems possible to achieve an improvement of quality of life and of the prognosis in cholangiocarcinoma...

..An appropriate level of suspicion followed by prompt and complete evaluation should result in accurate delineation of the biliary anatomy, which is essential for directing appropriate surgical reconstruction...

..05). CONCLUSIONS: MRCP has a good agreement rate in evaluation of intrahepatic stones and a moderate agreement rate in intrahepatic strictures, compared to PTCS...

..This is the first detailed report on a sequestration of the entire bile duct system caused by ITBL, successfully treated for several years by endoscopic means...

..Treatment of hepatolithiasis is complex and difficult. With the advent of biliary endoscopy and radiological intervention, percutaneous choledochoscopic removal of intrahepatic stones has become a well established procedure...

..The MPR images combined with 0.5-mm axial images improve the CT depiction of the pancreatic and intrapancreatic bile ducts in comparison with 0.5-mm axial, 2-mm axial, and 6-mm axial images alone...

..CONCLUSIONS: ERCP with NBT placement is an effective and safe treatment modality in the management of postcholecystectomy biliary leaks...

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..This study was undertaken to evaluate the factors influencing the outcome of repair of bile duct injuries caused by laparoscopic cholecystectomy...

..CONCLUSIONS: The addition of POCS to tissue sampling improves the diagnostic ability and covers for insufficient sensitivity. POCS is especially useful for diagnosing a filling defect...

..Due to the fact that most of the cases involve cicatricial fibroses, predisposition for recurrence of biliary strictures after interventional therapy can be very high, ranging up to 66% depending on the localization...

..The most likely mechanism of infection of the biliary tract was direct introduction of the upper respiratory tract pathogen during the diagnostic procedure...

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..CONCLUSIONS: These findings suggest that genetic examinations of the bile, when used in conjunction with cytology, may improve the diagnostic yield for suspected malignant tumors of the hepatobiliary and pancreatic system...

..Therefore, the choice between EUS, MRCP and ERCP will become simplified: MRCP as the first option for diagnosis, EUS in doubtful cases needing sampling for pathology and ERCP as a therapeutic alternative to some surgical procedures...

..Morphine administration may also be particularly helpful for the evaluation of patients with primary sclerosing cholangitis, malignant neoplasms such as cholangiocarcinoma, or cystic and non-organ-deforming benign pancreatic neoplasms...

..The aim of this retrospective and monocentric study was to describe the magnetic resonance cholangiography (MRC) features of biliary abnormalities related to extrahepatic obstruction of the portal vein (EHOPV)...

..In conclusion, we present the case report of a liver transplant recipient with an anastomotic bile leak that was successfully treated with the rendezvous technique...

..The performance of Thinprep-prepared brushings from this anatomical site was comparable with conventional preparations...

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..Cholecystectomy is the most frequently performed general surgical procedure. Bile duct injury is a dreaded complication and is associated with serious long-term morbidity...

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..To report clinical presentation, perioperative outcome, and long-term results of surgical management of congenital intrahepatic bile duct (IHBD) dilatations (including Caroli disease) in a multi-institutional setting...

..There were no OCT-related complications. CONCLUSIONS: High-resolution OCT imaging of the biliary tree is feasible and may provide useful diagnostic information during ERCP...

..This pictorial review illustrates the wide spectrum of images obtained by the MPR and MinIP of the anomalies and disorders of the pancreaticobiliary tree...

..This paper describes a simple method for dislodging difficult intrahepatic biliary stones: modification of a rigid choledochoscope to permit use of a biliary Fogarty catheter and Segura basket under direct visualization...

..CONCLUSION: MRCP can be proposed as a first intention imaging technique for the evaluation of intrahepatic ducts...

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..Patients with choledochal cyst should receive a prophylactic cholecystectomy, and an excision of the extrahepatic bile duct, followed by hepaticojejunostomy...

..In conclusion, biliary fistulas after HJA in LT or after SLT can be successfully treated by PTBD. The absence of enlarged intrahepatic biliary ducts should not be a contraindication for percutaneous treatment...

..This study was undertaken to evaluate patient dose in paediatric liver transplant recipients treated by percutaneous biliary drainage and bilioplasty procedures...

..Most bile leaks will close with time, although a drain may be required for many months...

..Minimally invasive surgical techniques are thus now fully established in routine use, and the indications are continuing to expand...

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..Traumatic bile leaks often result in prolonged morbidity and an increased length of hospital stay that requires multimodality management. Data on endoscopic management of traumatic bile leaks are scarce...

..The objective of this study was to evaluate the clinicopathological features of patients with pancreaticobiliary maljunction, which was detected by intraoperative cholangiography in laparoscopic cholecystectomy...

..Intramucosal incision technique is a useful procedure to achieve ductal access in patients undergoing ERCP. However, the procedure has been underused...

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..CONCLUSION: Images from RDC and 3DC are helpful in guiding PTBD procedures and for better diagnosis in selected patients with hilar biliary duct stenoses...

..The advantages of endoscopy are its simplicity, repeatability and minimal invasiveness; furthermore, surgery after endotherapy is always possible...

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..After the introduction of laparoscopic cholecystectomy the incidence of these injuries has at least doubled, and even after the learning curve, the incidence has plateaued at the level of 0.5%...

..It is not only associated with fewer biliary complications, but also less costly than using choledochocholedochostomy over a T-tube. Randomized prospective studies are needed to confirm our results...

..49% and 0.05%. CONCLUSIONS: A knowledge of normal pancreaticobiliary ductal structures as well as the frequency and pattern of variations including anomalies is essential for the diagnosis and treatment of pancreaticobiliary disorders...

..The results support the conclusion that PBM is a high risk factor for the development of bile duct carcinoma...

..This paper describes the procedure of detection of Helicobacter pylori (H. pylori) in bile specimens in patients suffering from benign diseases of biliary ducts (lithiasis with/without nonspecific cholangitis)...

..of laparoscopy, duodenoscopy and choledochoscopy has been accepted as a mini-invasive surgical therapy for bile duct diseases; but either endoscopic or laparoscopic therapy alone is disadvantageous in its narrow indications and in ..

..In this study, the significance of TFF family and deleted in the malignant brain tumor-1 (DMBT1), a putative receptor of TFF2, in the intrahepatic biliary tree was investigated in normal and diseased livers...

..We investigated the expression and localization of E-NPP1 and -3 in human inflammatory and neoplastic bile duct diseases. Immunohistochemically E-NPP1 was located on the apical cytoplasmic side of cancer cells, whereas E-NPP3 was ..

..Alterations in biliary electrolyte transport could contribute to the pathogenesis of cholestasis in primary bile duct diseases. Cystic Fibrosis-related liver disease represents an example of biliary cirrhosis secondary to a derangement ..

..MRCP is integrated in the preinterventional concept for performing invasive endoscopic retrograde cholangiopancreatography (ERCP) and for follow-up post intervention and for diagnosing complications...

Congenital bile duct diseases consist of ductal plate development abnormalities and are genetically determined...

..cholangioscopy, peroral cholangioscopy have an important role in diagnosis and therapy of common bile duct diseases. In 2001-2002 the authors have perform six peroral cholangioscopy for diagnosis and therapy (nonspecific ..

..The most common benign diseases were bile duct diseases (1.5 %), acute appendicitis (1.2 %) and diverticulosis (0...

..plate configuration" in several conditions, including some forms of biliary atresia with poor prognosis and all varieties of fibrocystic bile duct diseases with "ductal plate malformation" as the basic morphologic lesion.

..excluding patients suffering from hepatitis virus infection, autoimmune liver diseases and apparently active bile duct diseases were cross-sectionally examined...

..The differential diagnosis includes hepatitis and inflammatory bile duct diseases, undifferentiated carcinoma, inflammatory myofibroblastic tumor as well as histiocytic and dendritic cell ..

Non-neoplastic bile duct diseases include several entities with a variety of clinical and histopathologic features. In needle biopsies, however, these may overlap. Here, auxiliary diagnostic markers would be helpful...

..to the data of the European Liver Transplant Registry (ELTR), liver transplantations (LTx) as a result of bile duct diseases were reported in 12.0% of cases...

..of chronic hepatitis C necessitates awareness of coinciding liver damage by nutritional or drug toxicity, bile duct diseases, and hereditary hemochromatosis...

Endoscopic treatment of the bile duct diseases is possible thanks to the ERCP (endoscopic retrograde cholangio pancreatography), nevertheless, it is not free of complications.

..Chronic cholecystitis was also noted. We discuss the findings of multiple image modalities in biliary ascariasis and review the literature...

..Accordingly, it is concluded that RLSG is a technically feasible option that may effectively expand the donor pool. Further application of RLSG is warranted...

..The purpose of this work was to reevaluate the characteristics and diagnostic accuracy of spiral CT cholangiography (CTC) for detecting biliary calculi...

..Definitive decompressive shunt surgery is sometimes required when biliary obstruction is recurrent and progressive...

..A prospective study to evaluate the postcholecystectomy problem management...

..This simple prediction rule may identify patients with biliary pancreatitis who are most likely to benefit from early interventions to diagnose and remove persistent CBD stones...

..To determine the value of serum bilirubin levels in selecting patients for MRCP...

..An understanding of the indications for and uses of stents in the treatment of biliary occlusion and pancreatic disease will provide a foundation for those assisting in endoscopic retrograde cholangiopancreatography...

..CONCLUSION: MRCP is a more effective diagnostic method than ERCP for the evaluation of intrahepatic stones...

..Spontaneous perforation of the bile duct (SPBD) is a rare disease in infancy. The pathogenesis, diagnostic modalities and treatment options for this condition are reviewed and discussed...

..The cell collection rate was not as high (59%) using conventional nasobiliary cytological diagnosis. Brush cytology via a nasobiliary catheter was shown to be a useful adjunct to other diagnostic procedures...

..In recent years, NOTES (Natural Orifice Translumenal Endoscopic Surgery) was developed, the support system of the navigation of such flexible endoscope is desired earnestly...

..This suggests that portal blood flow may have an important contribution to the biliary microcirculation and that a compromised portal venous blood supply can predispose to the development of ITBL...

..The core of multimodality interventional treatments is percutaneous transhepatic biliary drainage (PTBD)...

..Interventional radiology serves a critical role in diagnosis and treatment of these liver transplant biliary complications and is important to the success of all transplant programs...

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..This proposal meets the goals of the US Public Health Service in treating chronic liver diseases. ..

..These new resources will further increase the ability of the department and institution to attract researchers and continue the long tradition of ground breaking, cutting edge Biomedical Imaging at UCSF. ..

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..An Advisory Committee of pharmacologists and neuroscientists will provide scientific and career advice, and training in the techniques of amperometry and SNS cell culture required for this project's success. ..

..Finally, AIM 43 will determine whether there is signal cross talk in LP associated Collagen gene activation between the MARK pathways and the mammalian homologues of mothers against Drosophilia, or Smads 2/3 and Smad 4. ..