3,968 results match your criteria Bile Duct Strictures


Successful percutaneous treatment of biliary stenosis after living donor liver transplantation in a child.

Radiol Case Rep 2019 Jul 15;14(7):800-804. Epub 2019 Apr 15.

Department of Radiology, Medical Imaging Center, University Medical Center Groningen, University of Groningen, PO Box 30.001, Groningen, 9700 RB, The Netherlands.

We report the case of a 16-year-old boy with primary clerosing holangitis associated with inflammatory bowel disease who was initially treated and controlled pharmacologically. He underwent living donor liver transplantation (LDLT) after he developed progressive biliary tract abnormalities and portal hypertension accompanied by recurrent bile duct infections. Two months following LDLT, the hepaticojejunostomy anastomosis became occluded and it was treated surgically. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.03.039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468169PMC

Optimal Biliary Drainage for Patients with Biliary Anastomotic Strictures After Right-Lobe Living Donor Liver Transplantation.

Liver Transpl 2019 Apr 12. Epub 2019 Apr 12.

Department of Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.

Background/aims: There are usually two bile duct anastomosis sites, namely, the right anterior segmental duct (RASD) and the right posterior segmental duct (RPSD), in right lobe (RL) living donor liver transplantation (LDLT). This study aimed to evaluate the optimal treatment for biliary strictures following RL-LDLT with respect to unilateral or bilateral drainage technique.

Methods: From January 2005 to December 2017, 883 patients at Seoul National University Hospital underwent RL-LDLT. Read More

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http://dx.doi.org/10.1002/lt.25472DOI Listing

Integrating next-generation sequencing to endoscopic retrograde cholangiopancreatography (ERCP)-obtained biliary specimens improves the detection and management of patients with malignant bile duct strictures.

Gut 2019 Apr 10. Epub 2019 Apr 10.

Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Objective: Despite improvements in imaging, serum CA19-9 and pathological evaluation, differentiating between benign and malignant bile duct strictures remains a diagnostic conundrum. Recent developments in next-generation sequencing (NGS) have opened new opportunities for early detection and management of cancers but, to date, have not been rigorously applied to biliary specimens.

Design: We prospectively evaluated a 28-gene NGS panel (BiliSeq) using endoscopic retrograde cholangiopancreatography-obtained biliary specimens from patients with bile duct strictures. Read More

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http://dx.doi.org/10.1136/gutjnl-2018-317817DOI Listing
April 2019
1 Read

Postcholecystectomy bile duct injuries: evolution of surgical treatment.

Pol Przegl Chir 2019 Jan;91(1):14-21

Vilnius University Clinic of Gastroenterology, Nephrourology and Surgery, Center of Abdominal Surgery.

Introduction Bile duct injuries (BDIs) still occur during laparoscopic cholecystectomy. Although management of such complications is challenging, collaboration of a multidisciplinary team and development of treatment methods and materials often lead to the successful treatment. Materials and methods Medical records of 67 patients who have experienced bile duct injures after laparoscopic cholecystectomy were retrospectively reviewed. Read More

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http://dx.doi.org/10.5604/01.3001.0012.7810DOI Listing
January 2019
3 Reads

Initial single institution experience with robotic biliary surgery and bilio-enteric anastomosis in southeast Asia.

ANZ J Surg 2019 Apr 18;89(4):E142-E146. Epub 2019 Mar 18.

Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.

Background: Presently, experience with robotic biliary surgery (RBS) is increasing worldwide although widespread adoption remains limited. In this study, we report our initial experience with RBS.

Methods: Retrospective review of a single institution prospective database of 95 consecutive robotic hepatopancreatobiliary surgeries performed between 2013 and 2018. Read More

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http://dx.doi.org/10.1111/ans.15135DOI Listing
April 2019
5 Reads
1.118 Impact Factor

A New Approach to Accomplish Intraoperative Cholangiography in Left Lateral Segmentectomy of Living Liver Donation.

Ann Transplant 2019 Mar 19;24:155-161. Epub 2019 Mar 19.

Liver Transplantation Center, Beijing Friendship Hospital, Capital Medical University and National Clinical Research Center for Digestive Diseases, Beijing, China (mainland).

BACKGROUND There are 2 main methods of bile duct division in harvesting left lateral segment of a living donor: 1) by intraoperative cholangiography through cystic duct with cholecystectomy, or 2) by direct vision with preoperative magnetic resonance cholangiopancreatography. Here, we present a new approach to cholangiography by using the bile duct stump of the fourth liver segment (B4 stump) to achieve left lateral segmentectomy in pediatric living donor liver transplantation. MATERIAL AND METHODS This was a prospective study of 221 living donors who had undergone intraoperative cholangiography via the B4 stump in the course of left lateral segmentectomy. Read More

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http://dx.doi.org/10.12659/AOT.915400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439928PMC
March 2019
1 Read

[Immune-mediated cholangiopathies : Diagnostic and therapeutic challenges].

Authors:
T Herta U Beuers

Radiologe 2019 Apr;59(4):348-356

Department of Gastroenterology and Hepatology and Tytgat Institute for Liver and Intestinal Research, Amsterdam University Medical Centers, Location Academic Medical Center, AMC, C2-327, Meibergdreef 9, 1105 AZ, Amsterdam, Niederlande.

Background: Immune-mediated cholangiopathies comprise primary biliary cholangitis (PBC), primary sclerosing cholangitis (PSC) and IgG4-associated cholangitis (IAC). A common feature is the progressive destruction of bile ducts leading to cholestasis with fibrosis and cirrhosis of the liver over time. The diseases are mostly identified during routine laboratory testing. Read More

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http://dx.doi.org/10.1007/s00117-019-0513-xDOI Listing
April 2019
1 Read

Acute myeloid leukaemia: an unusual cause of biliary strictures.

BMJ Case Rep 2019 Mar 14;12(3). Epub 2019 Mar 14.

University Hospitals Plymouth NHS Trust, Plymouth, UK.

A 17-year-old man with no significant past medical history presented with a 2-week history of worsening jaundice, lethargy, anorexia and progressive right upper quadrant abdominal pain. There were no stigmata of chronic liver disease. Initial investigations were suggestive of cholangitis with large intrahepatic and extrahepatic bile duct strictures but otherwise normal hepatic and splenic appearances. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22782
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http://dx.doi.org/10.1136/bcr-2018-227821DOI Listing
March 2019
7 Reads

Study protocol for a multicenter randomized controlled trial to compare the efficacy of end-ischemic dual hypothermic oxygenated machine perfusion with static cold storage in preventing non-anastomotic biliary strictures after transplantation of liver grafts donated after circulatory death: DHOPE-DCD trial.

BMC Gastroenterol 2019 Mar 12;19(1):40. Epub 2019 Mar 12.

Section Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, University Medical Center Groningen, Groningen, The Netherlands.

Background: The major concern in liver transplantation of grafts from donation after circulatory death (DCD) donors remains the high incidence of non-anastomotic biliary strictures (NAS). Machine perfusion has been proposed as an alternative strategy for organ preservation which reduces ischemia-reperfusion injury (IRI). Experimental studies have shown that dual hypothermic oxygenated machine perfusion (DHOPE) is associated with less IRI, improved hepatocellular function, and better preserved mitochondrial and endothelial function compared to conventional static cold storage (SCS). Read More

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http://dx.doi.org/10.1186/s12876-019-0956-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416838PMC
March 2019
2 Reads

Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases.

Clin Endosc 2019 Mar 14. Epub 2019 Mar 14.

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Although endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for benign biliary diseases, this procedure is technically difficult in some conditions such as a surgically altered anatomy and gastric outlet obstruction. After a failed ERCP, a surgical or a percutaneous approach is selected as a rescue procedure; however, various endoscopic ultrasound (EUS)-guided interventions are increasingly utilized in pancreatobiliary diseases, including EUS-guided rendezvous for failed biliary cannulation, EUS-guided antegrade treatment for stone management, and EUS-guided hepaticogastrostomy for anastomotic strictures in patients with a surgically altered anatomy. There are some technical hurdles in EUS-guided interventions for benign biliary diseases owing to the difficulty in puncturing a relatively small bile duct and in subsequent guidewire manipulation, as well as the lack of dedicated devices. Read More

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http://dx.doi.org/10.5946/ce.2018.188DOI Listing
March 2019
1 Read

Epidemiology and disease characteristics of symptomatic choledocholithiasis in Sri Lanka.

Ann Hepatobiliary Pancreat Surg 2019 Feb 28;23(1):41-45. Epub 2019 Feb 28.

Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Colombo, Sri Lanka.

Backgrounds/aims: Published data on choledocholithiasis in Sri Lanka is scarce. This study was conducted to determine epidemiological, clinical and endoscopic characteristics of choledocholithiasis in Sri Lanka.

Methods: This was a retrospective study of consecutive patients for a period of three years until April 2016. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.14701/ahbps.2019
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http://dx.doi.org/10.14701/ahbps.2019.23.1.41DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405359PMC
February 2019
9 Reads

The safety of newly developed automatic temperature-controlled endobiliary radiofrequency ablation system for malignant biliary strictures: A prospective multicenter study.

J Gastroenterol Hepatol 2019 Mar 12. Epub 2019 Mar 12.

Digestive Disease Center and Research Institute, Department of Internal Medicine, Soonchunhyang University School of Medicine, Korea.

Background And Aims: Catheter-based endobiliary radiofrequency ablation (RFA) is an endoscopic local treatment for patients with malignant biliary stricture (MBS). However, excessive heating of the bile duct by the current RFA system can induce serious complications. Recently, a new RFA system with automatic temperature control was developed. Read More

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http://doi.wiley.com/10.1111/jgh.14657
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http://dx.doi.org/10.1111/jgh.14657DOI Listing
March 2019
10 Reads

Benign biliary strictures: prevalence, impact, and management strategies.

Clin Exp Gastroenterol 2019 18;12:83-92. Epub 2019 Feb 18.

Department of Gastroenterology and Hepatology, Fiona Stanley Hospital, Murdoch, Perth, WA 6150, Australia,

Benign biliary strictures (BBSs) may form from chronic inflammatory pancreaticobiliary pathologies, postoperative bile-duct injury, or at biliary anastomoses following liver transplantation. Treatment aims to relieve symptoms of biliary obstruction, maintain long-term drainage, and preserve liver function. Endoscopic therapy, including stricture dilatation and stenting, is effective in most cases and the first-line treatment of BBS. Read More

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http://dx.doi.org/10.2147/CEG.S165016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385742PMC
February 2019
1 Read

Endoscopic Management of Biliary Issues in the Liver Transplant Patient.

Gastrointest Endosc Clin N Am 2019 Apr 2;29(2):237-256. Epub 2019 Feb 2.

Recanati/Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA. Electronic address:

Biliary complications remain a common problem after liver transplantation (LT). The therapeutic endoscopist encounters a variety of situations in LT including strictures at the duct-to-duct biliary anastomosis, strictures elsewhere in the biliary tree caused by an ischemic injury, and bile leaks at the anastomosis or from the cut surface and stone disease. Biliary complications lead to significant morbidity and occasionally reduced graft and patient survival. Read More

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http://dx.doi.org/10.1016/j.giec.2018.11.003DOI Listing
April 2019
1 Read

Endoscopic management of anastomotic stricture after living-donor liver transplantation.

Korean J Intern Med 2019 Mar 25;34(2):261-268. Epub 2019 Feb 25.

Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.

The most effective and fundamental treatment for end-stage liver disease is liver transplantation. Deceased-donor liver transplantation has been performed for many of these cases. However, living-donor liver transplantation (LDLT) has emerged as an alternative because it enables timely procurement of the donor organ. Read More

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http://dx.doi.org/10.3904/kjim.2019.044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406087PMC

Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones.

Ann Gastroenterol 2019 Mar-Apr;32(2):199-204. Epub 2019 Jan 25.

Department of Gastroenterology, Venizelion General Hospital, Heraklion, Crete.

Background: Recently, the introduction of the novel digital SpyGlass™ DS Direct Visualization system (Boston Scientific Corp., Natick, MA, USA) has signaled the transition into the era of digital single-operator cholangioscopy (D-SOC). We sought to compare the clinical utility between fiberoptic single-operator cholangioscopy (F-SOC) and D-SOC in a tertiary-care referral center in Greece. Read More

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http://dx.doi.org/10.20524/aog.2019.0358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394257PMC
January 2019
1 Read

Predictive criteria of response to endoscopic treatment for severe strictures in primary sclerosing cholangitis.

Clin Res Hepatol Gastroenterol 2019 Feb 13. Epub 2019 Feb 13.

Department of Radiology, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris AP-HP, Sorbonne university, 75012 Paris, France. Electronic address:

Background: The aim of this study was to identify predictive criteria of improvement after endoscopic treatment (ET) for severe strictures of extrahepatic bile ducts in patients with primary sclerosing cholangitis (PSC).

Methods: PSC patients who had at least one ET for severe stricture were included. Features of magnetic resonance cholangiography (MRC), performed before ET, were evaluated according to a standard model of interpretation, and a radiologic qualitative score of probability of improvement after ET was built. Read More

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http://dx.doi.org/10.1016/j.clinre.2019.01.003DOI Listing
February 2019
2 Reads

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
3 Reads

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
4 Reads

Biliary interventions using single-operator cholangioscopy.

Dig Endosc 2019 Jan 28. Epub 2019 Jan 28.

Department of Gastroenterology, Tokyo Medical University, Tokyo, 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 cholangioscopy 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
14 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
3 Reads

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
26 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
Publisher Site
http://dx.doi.org/10.5946/ce.2018.102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370931PMC
January 2019
10 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
14 Reads

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

Eur Radiol 2019 May 3;29(5):2426-2435. 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
May 2019
3 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392648PMC
November 2018
18 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
24 Reads

Percutaneous Patency Recovery and Biodegradable Stent Placement in a Totally Occluded Hepaticojejunostomy After Paediatric Living Donor Liver Transplantation.

Cardiovasc Intervent Radiol 2019 Mar 12;42(3):466-470. Epub 2018 Nov 12.

Image Guided Minimally Invasive Surgery Unit, Hospital Italiano de Buenos Aires, Juan D. Peron 4190, C1181ACH, Buenos Aires, Argentina.

Biliary complications after living donor liver transplantation (LDLT) cause severe morbidity and mortality, with biliary anastomotic stricture being the most common form of presentation. Surgical revision is risky, and it is avoided whenever possible. When a Roux-en-Y hepaticojejunostomy (RYHJ) is used for bilioenteric reconstruction, endoscopic approach is more difficult, if not impracticable. Read More

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http://link.springer.com/10.1007/s00270-018-2115-9
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http://dx.doi.org/10.1007/s00270-018-2115-9DOI Listing
March 2019
21 Reads

Individual probe based confocal laser endomicroscopy criteria in the analysis of indeterminate biliary strictures.

Scand J Gastroenterol 2018 Oct - Nov;53(10-11):1358-1363. Epub 2018 Nov 5.

a Department of Medicine, Division of Gastroenterology , University of Colorado , Aurora , CO , USA.

Objectives: Evaluation of indeterminate biliary strictures remains challenging due to limited sensitivity of endoscopic tissue sampling. Biliary probe-based confocal laser endomicroscopy (pCLE) has shown promise to detect and exclude neoplasia. However, knowledge of whether individual inflammatory criteria are more prevalent in neoplasia compared to benign strictures is limited. Read More

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https://www.tandfonline.com/doi/full/10.1080/00365521.2018.1
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http://dx.doi.org/10.1080/00365521.2018.1512151DOI Listing
April 2019
11 Reads

Predictors of failure of endoscopic retrograde cholangiography in clearing bile duct stone on the initial procedure.

Saudi J Gastroenterol 2019 Mar-Apr;25(2):132-138

Gastroenterology Division, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.

Background/aims: The aim of this study is to predict cases where the clearance of the biliary system from stones at the initial endoscopic retrograde cholangiopancreatography (ERCP) might be of value for better risk-stratifying patients. We attempted to identify factors that are associated with a higher failure rate of clearing the biliary system on the index ERCP.

Patients And Methods: This is a retrospective study from January 2008 to January 2015. Read More

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http://dx.doi.org/10.4103/sjg.SJG_304_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457179PMC
April 2019
4 Reads
1.221 Impact Factor

Factors affecting length of stay after percutaneous biliary interventions.

Br J Radiol 2019 Apr 26;92(1096):20180814. Epub 2019 Feb 26.

1 Hepato-biliary and Pancreatic Surgery Unit, Barts and the London HPB Centre, The Royal London Hospital , Whitechape , UK.

Objective:: To evaluate the factors affecting the length of hospital stay (LOS) after percutaneous transhepatic biliary drainage (PTBD).

Methods:: A retrospective review of all patients who had undergone PTBD with or without stenting at a UK specialist centre between 2005 and 2016 was conducted.

Results:: 692 patients underwent 1976 procedures over 731 clinical episodes for which, the median age was 65 (range 18-100) years, and the median Charlson Index was 3. Read More

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https://www.birpublications.org/doi/10.1259/bjr.20180814
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http://dx.doi.org/10.1259/bjr.20180814DOI Listing
April 2019
14 Reads

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

Eur Radiol 2019 May 22;29(5):2690-2697. 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
May 2019
2 Reads

Digital cholangioscopy: the diagnostic yield and impact on management of patients with biliary stricture.

Scand J Gastroenterol 2018 Oct - Nov;53(10-11):1364-1367. Epub 2018 Oct 22.

a Department of Gastroenterology , Vitkovice Hospital , Czech Republic.

Objectives: Biliary strictures frequently present a diagnostic challenge. The aim of this study was to evaluate the impact of digital single-operator cholangioscopy (DSOC) on subsequent treatment of patients with biliary stricture.

Methods: Consecutive patients undergoing DSOC for biliary stricture were enrolled. Read More

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http://dx.doi.org/10.1080/00365521.2018.1512649DOI Listing
April 2019
16 Reads

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

Liver Transpl 2018 11;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
21 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
17 Reads

Biliary Decompression in Perihilar Cholangiocarcinoma Improves Survival: A Single-Center Retrospective Analysis.

Dig Dis Sci 2019 02 20;64(2):561-569. Epub 2018 Sep 20.

Gastroenterology, Hepatology, and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Background And Aims: The complex biliary strictures of perihilar cholangiocarcinoma present significant challenges for providing adequate and long-lasting biliary drainage. The best approach to relieve obstruction remains controversial. The purpose of this study was to assess stenting outcomes in perihilar cholangiocarcinoma. Read More

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http://dx.doi.org/10.1007/s10620-018-5277-zDOI Listing
February 2019
8 Reads
2.550 Impact Factor

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
4 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
20 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
23 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
13 Reads

SpyCatcher: Use of a Novel Cholangioscopic Snare for Capture and Retrieval of a Proximally Migrated Biliary Stent.

Dig Dis Sci 2018 12;63(12):3224-3227

Division of Gastroenterology and Hepatology, Stanford University School of Medicine, 300 Pasteur Drive, MC:5244, Stanford, CA, 94305, USA.

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http://dx.doi.org/10.1007/s10620-018-5228-8DOI Listing
December 2018
3 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
3 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
31 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
6 Reads