3,937 results match your criteria Bile Duct Strictures


Initial experience with irreversible electroporation of liver tumours.

Eur J Radiol Open 2019 22;6:62-67. Epub 2019 Jan 22.

Division of Surgery, Department of Clinical Sciences, Karolinska Inst itutet at Danderyd Hospital, 182 88 Stockholm, Sweden.

Introduction: Thermal ablation of liver tumours is an established technique used in selected patients with relatively small tumours that can be ablated with margin. Thermal ablation methods are not advisable near larger bile ducts that are sensitive to thermal injury causing strictures and severe morbidity. Irreversible electroporation (IRE) has the possibility to treat these tumours without harming the bile tree. Read More

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http://dx.doi.org/10.1016/j.ejro.2019.01.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351588PMC
January 2019
1 Read

Role of digital single-operator cholangioscopy in the diagnosis and treatment of biliary disorders.

World J Gastrointest Endosc 2019 Jan;11(1):31-40

Department of Interventional Gastroenterology, Clinic of Gastroenterology, Acibadem City Clinic Tokuda Hopsital, Sofia 1407, Bulgaria.

Due to the need for improvement in the diagnosis and minimally invasive therapy of the bile duct disorders new technologies for cholangioscopy have been recently developed. Per-oral cholangioscopy has become an important diagnostic and therapeutic tool leading to avoidance of aggressive and unnecessary surgery in many clinical scenarios. This paper focuses on the newly developed SpyGlass DS technology, its advantages, and the technique of single-operator cholangioscopy (SOC), biliary indications and possible adverse events. Read More

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http://dx.doi.org/10.4253/wjge.v11.i1.31DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354115PMC
January 2019
1 Read

Biliary interventions using Single operator cholangioscopy.

Dig Endosc 2019 Jan 28. Epub 2019 Jan 28.

Department of Gastroenterology, Tokyo Medical University, Japan.

Cholangioscopy provides an opportunity to directly visualize the bile duct for diagnosing biliary lesions and for therapeutic interventions. Although there are different cholangioscopy techniques available, single-operator cholangiosopy has gained widespread acceptance as the standard technique for interventions in the biliary system because of its ease of use and widespread availability. Single-operator cholangioscopy can be used for both diagnostic and therapeutic indications in the biliary tract. Read More

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http://doi.wiley.com/10.1111/den.13361
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http://dx.doi.org/10.1111/den.13361DOI Listing
January 2019
4 Reads

How to Brush Your Way into the Bile Duct.

GE Port J Gastroenterol 2018 Dec 28;26(1):1-2. Epub 2018 Mar 28.

Departamento de Gastrenterologia, Hospital de Braga, Braga, Portugal.

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http://dx.doi.org/10.1159/000487821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341311PMC
December 2018

Long-Term Impact of Iatrogenic Bile Duct Injury.

Dig Surg 2019 Jan 17:1-12. Epub 2019 Jan 17.

Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Background: Bile duct injury (BDI) is a devastating complication following cholecystectomy. After initial management of BDI, patients stay at risk for late complications including anastomotic strictures, recurrent cholangitis, and secondary biliary cirrhosis.

Methods: We provide a comprehensive overview of current literature on the long-term outcome of BDI. Read More

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https://www.karger.com/Article/FullText/496432
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http://dx.doi.org/10.1159/000496432DOI Listing
January 2019
4 Reads

Endoscopic Management of Combined Biliary and Duodenal Obstruction.

Clin Endosc 2019 Jan 10;52(1):40-46. Epub 2019 Jan 10.

Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.

Combined obstruction of the bile duct and duodenum is a common occurrence in periampullary malignancies. The obstruction of gastric outlet or duodenum can follow, occur simultaneously, or precede biliary obstruction. The prognosis in patients with combined obstruction is particularly poor. Read More

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http://www.e-ce.org/journal/view.php?doi=10.5946/ce.2018.102
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http://dx.doi.org/10.5946/ce.2018.102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370931PMC
January 2019
5 Reads

Safety and efficacy of SpyGlass cholangiopancreatoscopy in routine clinical practice in a regional Singapore hospital.

Singapore Med J 2018 Dec 17. Epub 2018 Dec 17.

Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore.

Introduction: This study examined the efficacy and safety of cholangiopancreatoscopy via the SpyGlass™ system in routine clinical practice.

Methods: The clinical data of endoscopic retrograde cholangiopancreatography (ERCP) performed in a regional hospital from January 2013 to November 2016 was retrieved from an electronic database and reviewed. All patients who had undergone SpyGlass cholangiopancreatoscopy were enrolled. Read More

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http://www.smj.org.sg/sites/default/files/OA-2017-028-epub.p
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http://dx.doi.org/10.11622/smedj.2018158DOI Listing
December 2018
6 Reads

Transhepatic forceps biopsy combined with biliary drainage in obstructive jaundice: safety and accuracy.

Eur Radiol 2018 Dec 3. Epub 2018 Dec 3.

Department of Interventional and Diagnostic Imaging, University Hospital of Caen, Avenue de la Côte de Nacre, 14033, Caen Cedex, France.

Purpose: This study was conducted in order to investigate the safety and accuracy of percutaneous transluminal forceps biopsy (PTFB) during percutaneous biliary drainage (PTBD) in patients with a suspicion of malignant biliary stricture.

Material And Methods: Fifty consecutive patients with obstructive jaundice underwent PTFB during PTBD. Biopsy specimens were obtained using 5. Read More

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http://dx.doi.org/10.1007/s00330-018-5852-xDOI Listing
December 2018
2 Reads

Suspended over length biliary stents versus conventional plastic biliary stents for the treatment of biliary stricture: A retrospective single-center study.

Medicine (Baltimore) 2018 Nov;97(47):e13312

Department of Gastroenterology and Hepatology, Peking University Third Hospital, Haidian District, Beijing, China.

To compare patency between suspended over length biliary stents (SOBSs; made from nasobiliary tube) and conventional plastic biliary stents (CPBSs).We retrospectively analyzed 61 patients with extrahepatic biliary stricture who underwent SOBS placement (intrahepatic bile duct) and 74 patients who underwent CPBS placement. Stent patency and complications were compared. Read More

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http://dx.doi.org/10.1097/MD.0000000000013312DOI Listing
November 2018
8 Reads

Endoscopic radiofrequency biliary ablation treatment: A comprehensive review.

Dig Endosc 2018 Nov 16. Epub 2018 Nov 16.

Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Catholic University, Rome, Italy.

Radiofrequency ablation (RFA) functions by delivering thermal energy within tissue, the result of a high-frequency alternating current released from an active electrode, leading to coagulative necrosis and cellular death. Recently, a biliary catheter working on a guidewire has been developed and a number of studies have so far been carried out. The present article provides a comprehensive review of the literature on the results of the use of RFA for the clinical management of patients with unresectable malignant biliary strictures, benign biliary strictures, and residual adenomatous tissue in the bile duct after endoscopic papillectomy. Read More

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http://doi.wiley.com/10.1111/den.13298
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http://dx.doi.org/10.1111/den.13298DOI Listing
November 2018
19 Reads

Percutaneous treatment of benign bilioenteric anastomotic strictures: temporary covered stent placement versus balloon dilatation.

Eur Radiol 2018 Oct 22. Epub 2018 Oct 22.

Department of Radiology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 82, Gumi-ro 173beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea.

Objectives: To compare percutaneous temporary covered stent placement with balloon dilatation in the treatment of benign stricture of bilioenteric anastomosis.

Methods: From November 2004 to August 2017, 56 patients with benign bilioenteric anastomotic strictures underwent percutaneous transhepatic treatment. A temporary covered stent designed for spontaneous migration was placed in 23 patients (stent group). Read More

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http://dx.doi.org/10.1007/s00330-018-5776-5DOI Listing
October 2018
1 Read

Living Donor Liver Transplantation Using Selected Grafts With 2 Bile Ducts Compared With 1 Bile Duct Does Not Impact Patient Outcome.

Liver Transpl 2018 Nov;24(11):1512-1522

Department of Surgery, Toronto General Hospital, Toronto, Canada.

The outcome after living donor liver transplantation (LDLT) using grafts with multiple bile ducts (BDs) remains unclear. We analyzed 510 patients who received an adult-to-adult right lobe LDLT between 2000 and 2015 and compared outcome parameters of those receiving grafts with 2 BDs (n = 169) with patients receiving grafts with 1 BD (n = 320). Additionally, patients receiving a graft with 3 BDs (n = 21) were analyzed. Read More

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http://doi.wiley.com/10.1002/lt.25197
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http://dx.doi.org/10.1002/lt.25197DOI Listing
November 2018
18 Reads

Atherosclerosis of the right posterior hepatic artery in a patient with hilar cholangiocarcinoma undergoing left trisectionectomy: a case report of a therapeutic pitfall.

BMC Surg 2018 Sep 24;18(1):76. Epub 2018 Sep 24.

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, 8300011, Japan.

Background: We experienced a rare case of benign arterial stricture of the right posterior hepatic artery (RPHA) caused by atherosclerosis in a patient with hilar cholangiocarcinoma.

Case Presentation: A 75-year-old man was referred to our hospital for the detailed investigation of serum hepatobiliary enzyme elevation. The patient had a history of hypertension, type 2 diabetes mellitus, and an operative history of coronary artery bypass grafting 10 years before. Read More

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http://dx.doi.org/10.1186/s12893-018-0415-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154876PMC
September 2018
15 Reads

Effect of covered self-expanding metal stents compared with multiple plastic stents on benign biliary stricture: A meta-analysis.

Medicine (Baltimore) 2018 Sep;97(36):e12039

School of Clinical Medicine.

Background: Endoscopic placement of multiple plastic stents (MPS) has been the first-line treatment for benign biliary stricture (BBS). Covered self-expanding metal stents (cSEMS) have been used in treatment of BBS; however, the efficacy has not been verified. Therefore, we conducted this meta-analysis according to PRISMA guidelines. Read More

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http://dx.doi.org/10.1097/MD.0000000000012039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133465PMC
September 2018
2 Reads

Recanalization for Tight Bile Duct-Jejunum Anastomosis Stricture Using Peroral Transliminal Cholangioscopy (with Video).

Dig Dis 2018 28;36(6):446-449. Epub 2018 Aug 28.

Recently, due to improvement of imaging modality, malignant tumor such as pancreatic or bile duct cancer can be detected at earlier stage. Therefore, the frequency of surgical treatment may be increasing. According to this background, benign biliary stricture in anastomosis site may also be increasing. Read More

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http://dx.doi.org/10.1159/000490737DOI Listing
November 2018
2 Reads

Biliary complications after liver transplantation: Assessment with MR cholangiopancreatography and MR imaging at 3T device.

Eur J Radiol 2018 Sep 11;106:46-55. Epub 2018 Jul 11.

Department of Diagnostic Imaging - Pisa University Hospital, Via Paradisa 2, 56124 Pisa, Italy.

Purpose: Our study was aimed to assess the diagnostic value of MR cholangiopancreatography (MRCP) and MR imaging at 3 T device when evaluating biliary adverse events after liver transplantation.

Materials And Methods: A series of 384 MR examinations in 232 liver transplant subjects with suspected biliary complications (impaired liver function tests and/or biliary abnormalities on ultrasound) were performed at 3 T device (GE-DISCOVERY MR750; GE Healthcare). After the acquisition of axial 3D dual-echo T1-weighted images and T2-weighted sequences (propeller and SS-FSE), MRCP was performed through coronal thin-slab 3D-FRFSE and coronal oblique thick-slab SSFSE T2w sequences. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X183024
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http://dx.doi.org/10.1016/j.ejrad.2018.07.009DOI Listing
September 2018
12 Reads

Cytologic diagnosis of adenocarcinoma on bile duct brushings in the presence of stent associated changes: A retrospective analysis.

Diagn Cytopathol 2018 Oct 25;46(10):826-832. Epub 2018 Aug 25.

Department of Pathology and Laboratory Medicine, Weill Cornell Medicine - New York Presbyterian Hospital, New York, New York.

Background: Bile duct brushing (BDB) cytology, for the characterization of bile duct strictures, can be challenging to interpret when associated with a stent. Our study aims to identify the cytologic criteria for the diagnosis of adenocarcinoma in BDBs in the presence of a stent.

Methods: A database search (January 2010-December 2015) identified three groups of BDBs-negative with stent, malignant with stent, malignant without stent. Read More

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http://dx.doi.org/10.1002/dc.24052DOI Listing
October 2018
1 Read

Cytologic Diagnosis of Bile Duct Strictures: Brush or Scrape?

Authors:
Jason S Gold

Dig Dis Sci 2019 01;64(1):12-14

Surgical Service, VA Boston Healthcare System, 1400 VFW Parkway (112), West Roxbury, MA, 02132, USA.

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http://dx.doi.org/10.1007/s10620-018-5256-4DOI Listing
January 2019
1 Read

Management of Biliary Stricture Following Emergent Pancreaticoduodenectomy for Trauma: Report of Two Cases.

Cureus 2018 Jun 18;10(6):e2829. Epub 2018 Jun 18.

Trauma Surgery, Creighton University School of Medicine, Phoenix, USA.

Stricturing of the biliary-enteric anastomosis is a known complication of emergent pancreaticoduodenectomy (PD) performed for trauma. Percutaneous techniques have become the first-line option for the management of these strictures. In cases where percutaneous intervention fails, surgical revision of the biliary enteric anastomosis is necessary. Read More

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http://dx.doi.org/10.7759/cureus.2829DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6101440PMC
June 2018
19 Reads

Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017.

Endoscopy 2018 09 7;50(9):910-930. Epub 2018 Aug 7.

Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, The Netherlands.

ESGE recommends against routine preoperative biliary drainage in patients with malignant extrahepatic biliary obstruction; preoperative biliary drainage should be reserved for patients with cholangitis, severe symptomatic jaundice (e. g., intense pruritus), or delayed surgery, or for before neoadjuvant chemotherapy in jaundiced patients. Read More

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http://dx.doi.org/10.1055/a-0659-9864DOI Listing
September 2018
6 Reads

[Neonatal sclerosing cholangitis caused by DCDC2 variations in two siblings and literature review].

Zhonghua Er Ke Za Zhi 2018 Aug;56(8):623-627

Department of Pediatrics, Jinshan Hospital of Fudan University, Shanghai 201508, China.

To summarize and review the clinical and genetic features of neonatal sclerosing cholangitis (NSC) caused by DCDC2 variations. Whole exome sequencing was performed to identify DCDC2 variants in two Chinese siblings with NSC who were diagnosed in Children's Hospital of Fudan University in May 2017. Clinical, laboratory and genetic data of the two cases were summarized. Read More

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http://doi.med.wanfangdata.com.cn/10.3760/cma.j.issn.0578-13
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http://dx.doi.org/10.3760/cma.j.issn.0578-1310.2018.08.013DOI Listing
August 2018
12 Reads

EUS-guided antegrade intervention for benign biliary diseases in patients with surgically altered anatomy (with videos).

Gastrointest Endosc 2019 02 1;89(2):399-407. Epub 2018 Aug 1.

Third Department of Surgery, Tokyo Medical University, Tokyo, Japan.

Background And Aims: Although balloon enteroscopy-assisted ERCP (BE-ERCP) is effective and safe for benign biliary diseases in patients with surgically altered anatomy (SAA), BE-ERCP is not always successful. Recently, EUS-guided antegrade intervention (EUS-AI) by using a 1-stage or 2-stage procedure has been developed for BE-ERCP failure cases. The aim of the present study was to evaluate the outcome of EUS-AI for benign biliary diseases in patients with SAA. Read More

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http://dx.doi.org/10.1016/j.gie.2018.07.030DOI Listing
February 2019
5 Reads

Introduction of resection of intrahepatic bile duct stenosis-causing membrane or septum into laparoscopic choledochal cyst excision.

Pediatr Surg Int 2018 Oct 2;34(10):1087-1092. Epub 2018 Aug 2.

Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.

Purpose: We previously showed that meticulous probing and resection of the intrahepatic bile duct stenosis (IHBDS)-causing membrane or septum was effective in preventing hepatolithiasis after choledochal cyst excisions in open surgeries. Then, we introduced this maneuver into laparoscopic choledochal cyst excisions in 2014 and performed routine resections since then. The aim of this study was to show the feasibility of this method in laparoscopic surgery. Read More

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http://dx.doi.org/10.1007/s00383-018-4320-7DOI Listing
October 2018
2 Reads

Diagnostic Ability of Endoscopic Bile Cytology Using a Newly Designed Biliary Scraper for Biliary Strictures.

Dig Dis Sci 2019 01 23;64(1):241-248. Epub 2018 Jul 23.

Department of Gastroenterology and Hepatology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki, 216-8511, Japan.

Background: A new device with metallic wires for scrape cytology was developed.

Aims: To compare the diagnostic performance of scrape cytology and conventional cytology during endoscopic retrograde cholangiopancreatography for biliary strictures.

Methods: A total of 420 cases with biliary stricture underwent transpapillary bile cytology. Read More

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http://link.springer.com/10.1007/s10620-018-5217-y
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http://dx.doi.org/10.1007/s10620-018-5217-yDOI Listing
January 2019
24 Reads

Cholangiocarcinoma Presenting as Linitis Plastica with Unusual Metastases to the Psoas Muscle and Urinary Bladder.

ACG Case Rep J 2018 18;5:e51. Epub 2018 Jul 18.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.

Cholangiocarcinoma offers poor prognosis. Infrequent sites of metastasis are poorly described and often diagnostically delayed or missed. Bile duct brush cytologies provide poor diagnostic sensitivity/specificity. Read More

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http://dx.doi.org/10.14309/crj.2018.51DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6053549PMC
July 2018
5 Reads

Clinical efficacy of anti-migration features in fully covered metallic stents for anastomotic biliary strictures after liver transplantation: comparison of conventional and anti-migration stents.

Gastrointest Endosc 2018 10 10;88(4):655-664. Epub 2018 Jul 10.

Gastroenterology Department, Hôpital Cochin, Paris-Descartes University, Paris, France.

Background And Aims: Anastomotic biliary strictures (ABSs) are one of the most frequent adverse events that occur after orthotopic liver transplantation (OLT). Multiple plastic stents (MPS) have been validated for this indication. More recently, fully covered self-expandable metallic stents (FCSEMSs) have been used with positive outcomes, but also have a higher rate of migration, which may limit success. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00165107183282
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http://dx.doi.org/10.1016/j.gie.2018.06.035DOI Listing
October 2018
6 Reads

Benign anastomotic biliary strictures untreatable by ERCP: a novel percutaneous balloon dilatation technique avoiding indwelling catheters.

Eur Radiol 2019 Feb 6;29(2):636-644. Epub 2018 Jul 6.

Department of Vascular and Interventional Radiology, Ghent University Hospital, C. Heymanslaan 10, 9000, Gent, Belgium.

Objective: To evaluate long-term patency rates of a novel percutaneous threefold balloon dilatation protocol in benign anastomotic biliary strictures.

Methods: Patients with a benign biliary stricture after hepatobiliary surgery or liver transplantation, untreatable with endoscopy, underwent a percutaneous treatment cycle consisting of a 20-min balloon dilatation session on day one, repeated on days three and five. No catheters were left behind after the last dilatation session. Read More

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http://dx.doi.org/10.1007/s00330-018-5526-8DOI Listing
February 2019
3 Reads

The application of vascularized stomach flap to repair postoperative biliary stricture.

Medicine (Baltimore) 2018 Jun;97(26):e11344

Hospital and Institute of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, China.

Hepaticojejunostomy, which is the "gold standard" procedure for repairing postoperative biliary strictures, predisposes patients to reflux cholangitis from loss of sphincter of Oddi. The aim of this study was to assess the sphincter-preserving biliary reconstruction approach to repair postoperative biliary stricture. An autologous vascularized stomach flap was prepared and used to repair biliary defect caused by postoperative biliary stricture. Read More

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http://dx.doi.org/10.1097/MD.0000000000011344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039584PMC
June 2018
4 Reads

Outcome of Endoscopic Management of Post Living Donor Liver Transplant Anastomotic Strictures.

J Coll Physicians Surg Pak 2018 Jul;28(7):514-517

Department of Gastroenterology and Hepatology, Shaikh Zayed Hospital, Lahore.

Objective: To evaluate the therapeutic efficacy of endoscopic dilatation of anastomotic stricture (AS).

Study Design: An observational study.

Place And Duration Of Study: Department of Gastroenterology and Hepatology, Shaikh Zayed Hospital, Lahore, Pakistan from November 2016 to November 2017. Read More

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http://dx.doi.org/10.29271/jcpsp.2018.07.514DOI Listing
July 2018
6 Reads
0.320 Impact Factor

Comparison of Histidine-Tryptophan-Ketoglutarate and University of Wisconsin preservation solutions in pediatric liver transplantation.

Pediatr Transplant 2018 Jun 15:e13252. Epub 2018 Jun 15.

Transplant Division, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

UW and HTK solutions are the two primary organ preservation solutions most used in the United States. This study analyzes use of the two solutions in all pediatric liver transplants performed at a single center between 2001and 2017. Outcome measures included early graft function, as well as graft and patient survival. Read More

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http://dx.doi.org/10.1111/petr.13252DOI Listing
June 2018
19 Reads

Combined surgical and interventional radiological treatment for biliary leakage following iatrogenic biliary obstruction.

Radiol Case Rep 2018 Aug 7;13(4):772-777. Epub 2018 Jun 7.

AORN "A.Cardarelli", Napoli - UOSC Radiologia Vascolare ed Interventistica, Napoli, Italy.

Biliary leakage is a challenging complication when managing the bile duct strictures. The etiology of benign strictures of the biliary tree may have different etiologies but iatrogenic is the most common, with relevant increase after introduction of laparoscopic procedures. Interventional radiologist plays a key role, both in diagnosis and treatment of biliary strictures and leakage. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.04.029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991901PMC
August 2018
3 Reads

Emerging Technologies for the Diagnosis of Perihilar Cholangiocarcinoma.

Semin Liver Dis 2018 05 5;38(2):160-169. Epub 2018 Jun 5.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.

The diagnosis of malignant biliary strictures remains problematic, especially in the perihilar region and in primary sclerosing cholangitis (PSC). Conventional cytology obtained during endoscopic retrograde cholangiography (ERC)-guided brushings of biliary strictures is suboptimal due to limited sensitivity, albeit it remains the gold standard with a high specificity. Emerging technologies are being developed and validated to address this pressing unmet patient need. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1655775
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http://dx.doi.org/10.1055/s-0038-1655775DOI Listing
May 2018
6 Reads

[Management of Intrahepatic Duct Stone].

Authors:
Sang Woo Cha

Korean J Gastroenterol 2018 05;71(5):247-252

Division of Gastroenterology, Department of Internal Medicine, Soon Chun Hyang University Seoul Hospital, Soon Chun Hyang University College of Medicine, Seoul, Korea.

Intrahepatic duct (IHD) stone is the presence of calculi within the intrahepatic bile duct specifically located proximal to the confluence of the left and right hepatic ducts. This stone is characterized by its intractable nature and frequent recurrence, requiring multiple therapeutic interventions. Without proper treatment, biliary strictures and retained stones can lead to repeated episodes of cholangitis, liver abscesses, secondary biliary cirrhosis, portal hypertension, and death from sepsis or hepatic failure. Read More

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http://dx.doi.org/10.4166/kjg.2018.71.5.247DOI Listing
May 2018
1 Read

A systematic review of biodegradable biliary stents: promising biocompatibility without stent removal.

Eur J Gastroenterol Hepatol 2018 08;30(8):813-818

Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital.

Biodegradable self-expanding stents are an emerging alternative to standard biliary stents as the development of endoscopic insertion devices advances. The aim was to systematically review the existing literature on biodegradable biliary stents. In-vivo studies on the use of biodegradable stents in the biliary duct were systematically reviewed from 1990 to 2017. Read More

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http://dx.doi.org/10.1097/MEG.0000000000001167DOI Listing
August 2018
2 Reads

Biliary Stenosis and Gastric Outlet Obstruction: Late Complications After Acute Pancreatitis With Pancreatic Duct Disruption.

Pancreas 2018 07;47(6):772-777

Department of Interventional Radiology.

Objectives: Pancreatic duct disruption (PDD) after acute pancreatitis can cause pancreatic collections in the early phase and biliary stenosis (BS) or gastric outlet obstruction (GOO) in the late phase. We aimed to document those late complications after moderate or severe acute pancreatitis.

Methods: Between September 2010 and August 2014, 141 patients showed pancreatic collections on computed tomography. Read More

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http://dx.doi.org/10.1097/MPA.0000000000001064DOI Listing
July 2018
29 Reads

A Novel Rabbit Model for Benign Biliary Stricture Formation and the Effects of Medication Infusions on Stricture Formation.

Dig Dis Sci 2018 10 16;63(10):2653-2661. Epub 2018 May 16.

Department of Gastroenterology and Hepatology, Postgraduate School Molecular Medicine, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.

Background: Benign biliary stricture (BBS) is highly refractory. Currently, there is no effective strategy for prevention of BBS recurrence. The aim of this study is to establish a novel BBS rabbit model and to investigate the efficacy of biliary infusion with anti-proliferative medications for treating BBS. Read More

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http://dx.doi.org/10.1007/s10620-018-5118-0DOI Listing
October 2018
6 Reads

Unexpected outcome following radiofrequency ablation of a malignant biliary stricture.

Turk J Gastroenterol 2018 03;29(2):230-232

Division of Gastroenterology, Hepatology and Nutrition, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

We present a case of a 60-year-old woman with extrahepatic cholangiocarcinoma and recurrent malignant biliary strictures status post placement of two overlapping distal bile duct uncovered self-expandable metal stents (SEMSs) who presented with biliary obstruction due to tumor/tissue ingrowth. She subsequently underwent radiofrequency ablation (RFA) through SEMS to improve biliary stent patency. Post-RFA, thermal injury was observed in the periampullary mucosa. Read More

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http://www.turkjgastroenterol.org/eng/makale/5260/306/Full-T
Publisher Site
http://dx.doi.org/10.5152/tjg.2018.17653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284715PMC
March 2018
7 Reads

Langerhans cell histiocytosis presenting as Crohn's disease: a case report.

Int J Colorectal Dis 2018 Oct 8;33(10):1501-1504. Epub 2018 May 8.

Department of Pathology, Centre Hospitalier de l'Universite de Montreal, 1100 rue Sanguinet, Pavillon F, Montreal, QC, H2X 0C2, Canada.

Purpose: We describe an exceptional case of Langerhans cell histiocytosis (LCH) that presented as Crohn's disease and primary sclerosing cholangitis.

Methods: The patient's clinical, endoscopic, and histologic data from the Centre Hospitalier de l'Universite de Montreal were reviewed, as well as the literature on LCH involving the digestive tract and the liver, with a focus on the similarities with Crohn's disease and primary sclerosing cholangitis.

Results: A 39 years-old man first presented with anal fissures and deep punctiform colonic ulcers. Read More

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http://dx.doi.org/10.1007/s00384-018-3066-yDOI Listing
October 2018
3 Reads
2.450 Impact Factor

EUS-guided hepaticoenterostomy as a portal to allow definitive antegrade treatment of benign biliary diseases in patients with surgically altered anatomy.

Gastrointest Endosc 2018 Sep 3;88(3):547-554. Epub 2018 May 3.

Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC, USA.

Background And Aims: EUS-guided hepaticoenterostomy (EUS-HE) usually is reserved for palliation of malignant biliary obstruction after failed endoscopic retrograde cholangiography (ERC) or inaccessible biliary tree in surgically altered anatomy (SAA). We describe the outcome of EUS-HE and antegrade therapy for benign biliary disease in patients with SAA.

Methods: Retrospective review of 20 consecutive patients with surgically altered anatomy and benign biliary obstruction who underwent EUS-HE performed by 1 endoscopist at a tertiary-care center over a 3-year period. Read More

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http://dx.doi.org/10.1016/j.gie.2018.04.2353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097896PMC
September 2018
21 Reads

Percutaneous Management of Biliary Enteric Anastomotic Strictures: An Institutional Review.

Cureus 2018 Feb 26;10(2):e2228. Epub 2018 Feb 26.

Department of Radiology, The Aga Khan University, Karachi.

Purpose Stricture formation at the biliary enteric anastomotic site is a common complication due to fibrotic healing. Few therapeutic options are available for biliary-enteric anastomotic site stricture (BES) including new surgical reconstruction or percutaneous transhepatic biliary drainage followed by balloon dilation of BES or stent placement. The purpose of this study is to assess the technical success, complications and reintervention rate of percutaneous transhepatic balloon dilatation (PTBD) of BES after iatrogenic bile duct injuries (BDI). Read More

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https://www.cureus.com/articles/10861-percutaneous-managemen
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http://dx.doi.org/10.7759/cureus.2228DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919762PMC
February 2018
6 Reads

Sequencing of intraductal biopsies is feasible and potentially impacts clinical management of patients with indeterminate biliary stricture and cholangiocarcinoma.

Clin Transl Gastroenterol 2018 04 30;9(4):151. Epub 2018 Apr 30.

Department of Internal Medicine I, Johann Wolfgang Goethe-University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.

Background: Definite diagnosis and therapeutic management of cholangiocarcinoma (CCA) remains a challenge. The aim of the current study was to investigate feasibility and potential impact on clinical management of targeted sequencing of intraductal biopsies.

Methods: Intraductal biopsies with suspicious findings from 16 patients with CCA in later clinical course were analyzed with targeted sequencing including tumor and control benign tissue (n = 55 samples). Read More

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http://dx.doi.org/10.1038/s41424-018-0015-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928069PMC
April 2018
8 Reads

[Primary sclerosing cholangitis : Current diagnostics and treatment].

Internist (Berl) 2018 06;59(6):551-559

I. Medizinische Klinik und Poliklinik, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.

Primary sclerosing cholangitis (PSC) is a chronic cholestatic liver disease of unknown etiology. Characteristic features are multifocal strictures and dilatations of the bile ducts. In 60-80 % of cases the PSC is strongly associated with chronic inflammatory bowel disease, mostly in the form of pancolitis. Read More

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http://dx.doi.org/10.1007/s00108-018-0428-zDOI Listing
June 2018
3 Reads

Celiac axis stenosis due to median arcuate ligament compression in a patient who underwent pancreatoduodenectomy; intraoperative assessment of hepatic arterial flow using Doppler ultrasonography: a case report.

J Med Case Rep 2018 Apr 11;12(1):92. Epub 2018 Apr 11.

Department of Gastroenterological, Breast and Transplant Surgery, Hiroshima Prefectural Hospital, Hiroshima, Japan.

Background: Celiac axis stenosis due to compression by the median arcuate ligament has been reported in patients undergoing pancreaticoduodenectomy; it leads to the development of major collateral pathways that feed the hepatic artery. Dividing these important collaterals during pancreaticoduodenectomy can cause ischemic complications which may lead to a high mortality rate. To prevent these complications, it is necessary to assess intrahepatic arterial flow. Read More

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http://dx.doi.org/10.1186/s13256-018-1614-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896120PMC
April 2018
2 Reads

Eversion Bile Duct Anastomosis: A Safe Alternative for Bile Duct Size Discrepancy in Deceased Donor Liver Transplantation.

Liver Transpl 2018 08;24(8):1011-1018

Simmons Transplant Institute, Baylor University Medical Center, Dallas, TX.

Bile duct size discrepancy in liver transplantation may increase the risk of biliary complications (BCs). The aim of this study was to evaluate the safety and outcomes of the eversion bile duct anastomosis technique in deceased donor liver transplantation (DDLT) with duct-to-duct anastomosis. A total of 210 patients who received a DDLT with duct-to-duct anastomosis from 2012 to 2017 were divided into 2 groups: those who had eversion bile duct anastomosis (n = 70) and those who had standard bile duct anastomosis (n = 140). Read More

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http://dx.doi.org/10.1002/lt.25075DOI Listing
August 2018
6 Reads

MR elastography in primary sclerosing cholangitis: correlating liver stiffness with bile duct strictures and parenchymal changes.

Abdom Radiol (NY) 2018 Dec;43(12):3260-3270

Department of Radiology, Mayo Clinic College of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Aim: To determine correlation of liver stiffness measured by MR Elastography (MRE) with biliary abnormalities on MR Cholangiopancreatography (MRCP) and MRI parenchymal features in patients with primary sclerosing cholangitis (PSC).

Methods: Fifty-five patients with PSC who underwent MRI of the liver with MRCP and MRE were retrospectively evaluated. Two board-certified abdominal radiologists in agreement reviewed the MRI, MRCP, and MRE images. Read More

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http://dx.doi.org/10.1007/s00261-018-1590-4DOI Listing
December 2018
5 Reads

Clinical patterns of postcholecystectomy syndrome.

Ann Hepatobiliary Pancreat Surg 2018 Feb 26;22(1):52-57. Epub 2018 Feb 26.

King Abdulaziz Medical City/King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

Backgrounds/aims: Postcholecystectomy syndrome represents a heterogeneous group of symptoms and findings in patients who have previously undergone cholecystectomy. It is rare and under-reported in Saudi Arabia. It can be attributed to many complications such as bile duct injury, biliary leak, retained common bile duct stones, recurrent bile duct stones, and bile duct strictures. Read More

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http://dx.doi.org/10.14701/ahbps.2018.22.1.52DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5845611PMC
February 2018
6 Reads

Differential diagnosis of cholangiocarcinoma and IgG4-related sclerosing cholangitis by fluorescence in situ hybridization using transpapillary forceps biopsy specimens.

J Hepatobiliary Pancreat Sci 2018 Mar;25(3):188-194

Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Background: Fluorescence in situ hybridization (FISH) of cytology specimens has been used to diagnose biliary strictures. However, the usefulness of FISH for differentiating between cholangiocarcinoma (CCA) and IgG4-related sclerosing cholangitis (IgG4-SC) has not been evaluated in forceps biopsy specimens.

Methods: We retrospectively reviewed 74 specimens obtained by transpapillary forceps biopsy between 2008 and 2015 from 49 consecutive patients with CCA and 25 with IgG4-SC. Read More

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http://dx.doi.org/10.1002/jhbp.536DOI Listing
March 2018
8 Reads

Outcome of donor biliary complications following living donor liver transplantation.

Korean J Intern Med 2018 07 14;33(4):705-715. Epub 2018 Mar 14.

Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Background/aims: Biliary complications are the most common donor complication following living donor liver transplantation (LDLT). The aim of this study is to investigate the long-term outcomes of biliary complications in right lobe adult-to-adult LDLT donors, and to evaluate the efficacy of endoscopic treatment of these donors.

Methods: The medical charts of right lobe donors who developed biliary complications between June 2000 and January 2008 were retrospectively reviewed. Read More

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http://dx.doi.org/10.3904/kjim.2017.264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6030404PMC
July 2018
5 Reads