7,684 results match your criteria Cholelithiasis Imaging


Efficiency of fluorescent cholangiography during laparoscopic cholecystectomy for subvesical bile ducts: A case report.

Int J Surg Case Rep 2019 Mar 30;57:194-196. Epub 2019 Mar 30.

Department of Gastroenterological Surgery, Ishikawa Prefectural Central Hospital, 2-1 Kuratsuki-Higashi, Kanazawa, 920-8530, Japan. Electronic address:

Introduction: The subvesical bile ducts are located in the peri-hepatic connective tissue of the gallbladder fossa. Injury of the subvesical bile ducts provokes the severe complication of bile leak. Until now, fluorescent cholangiography has been employed during hepatobiliary surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612193016
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http://dx.doi.org/10.1016/j.ijscr.2019.03.042DOI Listing
March 2019
1 Read

Hepatobiliary and pancreatic manifestations in inflammatory bowel diseases: a referral center study.

BMC Gastroenterol 2019 Apr 3;19(1):48. Epub 2019 Apr 3.

Department of Gastroenterology and Hepatology, Medical school and University of Ioannina, Ioannina, Greece.

Background: Hepatobiliary and pancreatic manifestations have been reported in patients with Crohn's disease or ulcerative colitis. Our aim was to describe the prevalence of hepatobiliary and pancreatic manifestations in inflammatory bowel disease and their association with the disease itself and the medications used.

Methods: Data were retrospectively extracted from the clinical records of patients followed up at our tertiary IBD referral Center. Read More

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http://dx.doi.org/10.1186/s12876-019-0967-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446300PMC
April 2019
2 Reads

Sonography of Acute Cholecystitis and Its Mimics.

Radiol Clin North Am 2019 May 10;57(3):535-548. Epub 2019 Feb 10.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, Box 648, Rochester, NY 14642, USA.

Right upper quadrant (RUQ) abdominal pain is a common complaint. Acute cholecystitis (AC) is the primary diagnostic consideration in most adults presenting with acute onset RUQ abdominal pain; however, a variety of other conditions can mimic AC. Abdominal ultrasound (US) receives the highest score for imaging appropriateness for these patients. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.01.002DOI Listing
May 2019
1 Read

Interventional radiology-operated percutaneous cholecystoscopy with ultrasonic lithotripsy and stone basket retrieval: A treatment for symptomatic cholelithiasis in non-operative candidates.

J Med Imaging Radiat Oncol 2019 Mar 29. Epub 2019 Mar 29.

David Geffen School of Medicine at UCLA, Los Angeles, California, USA.

Interventional radiology-operated percutaneous endoscopy has seen a recent resurgence with potential to return to the scope of Interventional Radiology practice. Endoscopy adds a new dimension to the Interventional Radiology armamentarium by offering a unique opportunity to diagnose and treat conditions under direct visualization with improved maneuverability. Cholecystoscopy (gallbladder endoscopy), as a method for percutaneous removal of gallstones, is an effective treatment option in patients with symptomatic cholelithiasis who are poor candidates for surgical cholecystectomy. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/1754-9485.12
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http://dx.doi.org/10.1111/1754-9485.12879DOI Listing
March 2019
8 Reads

Comparison of clinical characteristics and outcomes of pyogenic liver abscess patients < 65 years of age versus ≥ 65 years of age.

BMC Infect Dis 2019 Mar 7;19(1):233. Epub 2019 Mar 7.

National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, Shaanxi Provincial Center for Regenerative Medicine and Surgical Engineering, Institute of Advanced Surgical Technology and Engineering, First Affiliated Hospital, Xi'an Jiaotong University, 76 West Yanta Road, P.O. Box 124, Xi'an, 710061, Shaanxi Province, China.

Background: Pyogenic liver abscess (PLA) in the elderly is insufficiently elucidated. A few studies attempted to investigate the role of age in PLA have yielded controversial results. The purpose of this study was to explore the possible differences in the comorbidity, microbiological characteristics and clinical course between elderly and young PLA patients. Read More

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http://dx.doi.org/10.1186/s12879-019-3837-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407260PMC
March 2019
3 Reads

Sickle cell diseases: What can nuclear medicine offer?

Hell J Nucl Med 2019 Jan-Apr;22(1):2-3. Epub 2019 Mar 7.

Nuclear Medicine Unit, Interdisciplinary Department of Medicine, University of Bari "Aldo Moro", Bari, Italy.

Sickle cell disease (SCD) is the best known haemoglobinopathy, caused by a mutation substituting valina for glutamic acid at position 6 of the beta-globin chain of adult hemoglobin A, resulting in hemoglobin S (HbS). The homozygous HbS disease (HbSS), an autosomal recessive disorder, is the most common form and the Mediterranean area, along with sub-Saharian African and India, have the highest prevalence (1%-15%). In particular, Sicily with a prevalence of 2%-5%, is among the most interested regions. Read More

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http://dx.doi.org/10.1967/s002449910950DOI Listing
March 2019
1 Read

Safe laparoscopic cholecystectomy: Adoption of universal culture of safety in cholecystectomy.

World J Gastrointest Surg 2019 Feb;11(2):62-84

Transplant and HPB Surgery, the Iowa Clinic-Iowa Methodist Hospital, Des Moines, IA 50309, United States.

The incidence of biliary injury after laparoscopic cholecystectomy (LC) has shown a declining trend though it may still be twice that as with open cholecystectomy. Major biliary or vasculobiliary injury is associated with significant morbidity. As prevention is the best strategy, the concept of a culture of safe cholecystectomy has been recently introduced to educate surgeons and apprise them of basic tenets of safe performance of LC. Read More

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http://dx.doi.org/10.4240/wjgs.v11.i2.62DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397793PMC
February 2019
2 Reads

Predictors of abnormalities on magnetic resonance cholangiopancreatography: is there a role when the biliary tree is normal on previous imaging?

Ann Gastroenterol 2019 Mar-Apr;32(2):193-198. Epub 2019 Jan 15.

Department of Gastroenterology (Bhamini Vadhwana, John Graby, Martin Lewis, Anouchka Goldman, Kevin J. Monahan).

Background: There is limited evidence supporting the use of magnetic resonance cholangiopancreatography (MRCP) if the biliary tree is within normal limits on ultrasound scan (US) or computed tomography (CT). The aim of this study was to assess the role of MRCP in the absence of a dilated biliary system on index imaging.

Methods: A retrospective observational study of consecutive MRCP investigations (n=427) was performed between October 2010 and June 2013 at a single district general hospital. Read More

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http://dx.doi.org/10.20524/aog.2019.0352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394272PMC
January 2019
1 Read

Ectopic papilla of Vater in duodenum bulb: A hospital-based study.

Medicine (Baltimore) 2019 Feb;98(8):e14642

Division of Gastroenterology, Department of Internal Medicine, Taichung Tzu-Chi Hospital, Taichung, Taiwan.

The major papilla of Vater can be ectopically present in the stomach, pyloric canal, duodenal bulb, and third or fourth portion of the duodenum. In this study, we determined the clinical significance of ectopic papilla of Vater by endoscopic retrograde cholangiopancreatogram (ERCP).A retrospective study was conducted by reviewing the medical records of 6133 patients receiving ERCP from 1988 to 2011. Read More

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http://dx.doi.org/10.1097/MD.0000000000014642DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407926PMC
February 2019
1 Read

Etiology and clinical characteristics of pediatric acute pancreatitis in Saudi Arabia: a 20-year experience from a single tertiary center.

Int J Pediatr Adolesc Med 2018 Mar 24;5(1):13-17. Epub 2018 Feb 24.

King Abdullah Specialist Children Hospital, Pediatric Gastroenterology, Riyadh, Saudi Arabia.

Background: Cases of acute pancreatitis (AP) have increased among pediatric populations worldwide; however, the natural course of this condition in Saudi Arabia was unknown.

Aim: To report the characteristics as well as outcomes of pediatric AP.

Patients And Methods: A retrospective chart review study was conducted to include acute pancreatitis in patients ≤ 19 years. Read More

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http://dx.doi.org/10.1016/j.ijpam.2018.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363251PMC
March 2018
1 Read

Neonatal Jaundice.

Indian J Pediatr 2019 Feb 21. Epub 2019 Feb 21.

Department of Radio-Diagnosis, All India Institute of Medical Sciences, New Delhi, India.

Hyperbilirubinemia is a common occurrence in neonates; it may be physiological or pathological. Conjugated hyperbilirubinemia may result from medical or surgical causes, and can result in irreversible liver damage if untreated. The aim of imaging is the timely diagnosis of surgical conditions like biliary atresia and choledochal cysts. Read More

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http://link.springer.com/10.1007/s12098-019-02856-0
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http://dx.doi.org/10.1007/s12098-019-02856-0DOI Listing
February 2019
4 Reads

Duodenoscope combined with laparoscopy in treatment of biliary stones for a patient with situs inversus totalis: A case report.

Medicine (Baltimore) 2019 Feb;98(7):e14272

Department of Hepatobiliary Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Rationale: Although endoscopic and laparoscopic techniques in situs inversus totalis (SIT) have been reported respectively, endo-laparoscopic combination therapy due to biliary lithiasis remains infrequent. We shared the experience regarding the operations with a video report and discussed the similarities and differences with the usual procedures, which proved to be challenging to some extent for SIT.

Patient Concerns: Herein we present a 72-year-old man with SIT who underwent endo-laparscopic combination therapy due to choledocholithiasis and gallbladder stone. Read More

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http://dx.doi.org/10.1097/MD.0000000000014272DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408073PMC
February 2019
1 Read

Ultrasound findings in paediatric cholestasis: how to image the patient and what to look for.

J Ultrasound 2019 Feb 12. Epub 2019 Feb 12.

Department of Radiology, "Federico II" University Hospital, Naples, Italy.

Paediatric biliary tract and gallbladder diseases include a variety of entities with a wide range of clinical presentations. Cholestasis represents an impaired secretion of bilirubin by hepatocytes, manifesting with high blood levels of conjugated bilirubin and jaundice. Various causes may be involved, which can be recognised analysing blood tests and hepatobiliary imaging, while sometimes liver biopsy or surgery may be necessary. Read More

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http://dx.doi.org/10.1007/s40477-019-00362-9DOI Listing
February 2019
5 Reads

Gallbladder Polyps: Real or Imagined?

Am Surg 2018 Oct;84(10):1670-1674

Department of Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California, USA.

The finding of gallbladder polyps on imaging studies prompts further workup. Imaging results are often discordant with final pathology. The goal of this study is to compare polypoid lesions of the gallbladder found on preoperative ultrasound (US) with final pathologic diagnosis after cholecystectomy to help guide clinical decision-making. Read More

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October 2018
12 Reads

Single-stage approach for the management of choledocolithiasis with concomitant cholelithiasis. Implementation of a protocol in a secondary hospital.

Surgeon 2019 Jan 28. Epub 2019 Jan 28.

Hepatobiliary and Pancreatic Surgery Unit, General Surgery Department, Joan XXIII University Hospital, Tarragona, Spain.

Background: Current evidence shows that single-stage treatment of concomitant choledocholithiasis and cholelithiasis is as effective and safe as two-stage treatment. However, several studies suggest that single-stage approach requires shorter hospitalization time and is more cost-effective than the two-stage approach, even though it requires considerable training. This study aimed to evaluate the implementation of a protocol for managing concomitant choledocholithiasis and cholelithiasis using single-stage treatment. Read More

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http://dx.doi.org/10.1016/j.surge.2018.12.001DOI Listing
January 2019
5 Reads

Outcomes of endoscopic sphincterotomy open choledochotomy for common bile duct stones.

World J Gastroenterol 2019 Jan;25(4):485-497

Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.

Background: Endoscopic sphincterotomy (EST) for the management of common bile duct stones (CBDS) is used increasingly widely because it is a minimally invasive procedure. However, some clinical practitioners argued that EST may be complicated by post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) and accompanied by a higher recurrence of CBDS than open choledochotomy (OCT). Whether any differences in outcomes exist between these two approaches for treating CBDS has not been thoroughly elucidated to date. Read More

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http://dx.doi.org/10.3748/wjg.v25.i4.485DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350168PMC
January 2019
1 Read

Against the Odds: A Novel Technique to Perform Cholangiography from a Percutaneous Approach through the Cystic Duct.

Cureus 2018 Nov 12;10(11):e3577. Epub 2018 Nov 12.

Interventional Radiology, University of Florida College of Medicine, Jacksonville, USA.

Percutaneous cholangiography is typically performed via a transhepatic approach and is reserved for patients with contraindications to traditional cholangiogram imaging modalities. For those with suspected cholelithiasis or choledocholithiasis who cannot undergo magnetic resonance imaging for diagnosis, percutaneous cholecystostomy with cholangiogram is a viable option. Endoscopic retrograde cholangiopancreatography may also be precluded due to anatomic or obstructive limitations, in which case, percutaneous transhepatic cholangiography (PTC) may be indicated for diagnosis. Read More

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http://dx.doi.org/10.7759/cureus.3577DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333255PMC
November 2018
3 Reads

Gallstone Ileus With Cholecysto-Duodenal Fistula In An Elderly Male.

J Ayub Med Coll Abbottabad 2018 Oct-Dec;30(4):614-416

Department of Surgery, Cork University Hospital, Wilton, County Cork-Republic of Ireland.

Gall stone ileus associated with cholecysto-duodenal fistula is a rare pathology. It most commonly presents in elderly females in 72-90% of cases. In such a case, a patient typically presents with recurrent attacks of sub-acute intestinal obstruction which usually resolves completely with conservative management only to recur again after some time. Read More

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February 2019
3 Reads

COMPARATIVE EVALUATION OF MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY AND PERIOPERATIVE CHOLANGIOGRAPHY IN PATIENTS WITH SUSPECT CHOLEDOCHOLITHIASIS.

Arq Bras Cir Dig 2019 Jan 7;32(1):e1416. Epub 2019 Jan 7.

Discipline of Digestive System Surgery.

Background: Cholelithiasis is a highly prevalent condition, and choledocholitiasis is a high morbidity complication and requires accurate methods for its diagnosis.

Aim: To evaluate the population of patients with suspected choledocholitiasis and check the statistical value of magnetic resonance cholangiopancreatography, ultrasonography, the laboratory and the clinic of these patients comparing them to the results obtained by perioperative cholangiography.

Methods: This is a retrospective cohort study, which were evaluated 76 patients with cholelithiasis and suspected choledocholithiasis. Read More

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http://dx.doi.org/10.1590/0102-672020180001e1416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323631PMC
January 2019
5 Reads

Clonorchiasis sinensis detected by laparoscopic exploration of biliary tracts in two patients with obstructive jaundice.

BMC Infect Dis 2019 Jan 8;19(1):33. Epub 2019 Jan 8.

Department of Hepatobiliary, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, 519000, China.

Background: Hepatic clonorchiasis is one of the most prevalent food-borne parasitic diseases worldwide. Clonorchis sinensis, the pathogen, is the major parasitic trigger contributing to cholangitis, cholelithiasis, and even cholangiocarcinoma. Unfortunately, unspecific clinical manifestations of patients with hepatic clonorchiasis tend to mislead clinicians to neglect or misdiagnose them, following ignorance of appropriate therapy. Read More

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https://bmcinfectdis.biomedcentral.com/articles/10.1186/s128
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http://dx.doi.org/10.1186/s12879-019-3679-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325787PMC
January 2019
14 Reads

Clinical Observation of the Efficacy of Endoscopic Retrograde Cholangiopancreatography on Elder Choledocholithiasis and Its Effects on the Levels of TNF-α, IL-1, and IL-6.

Rev Assoc Med Bras (1992) 2018 Nov;64(11):1012-1016

Department of the second lesion of general surgery, Jiangjin central hospital of Chongqing, Jiangjin district, Chongqing, China.

Objective: We conducted this study to investigate the clinical efficacy of endoscopic retrograde cholangiopancreatography (ERCP) on elder choledocholithiasis and its effects on the levels of TNF-α, IL-1, and IL-6.

Methods: Elder patients with choledocholithiasis were enrolled in this study, and according to the surgical methods, they were divided into the ERCP group and the surgical group. After treatment, we compared the efficacy of these two methods on patients, inflammatory responses indicated by the levels of TNF-α, IL-1, and IL-6, and the complications. Read More

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http://dx.doi.org/10.1590/1806-9282.64.11.1012DOI Listing
November 2018
1 Read

Single-incision laparoscopic cholecystectomy using conventional instruments in situs inversus totalis.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Department of Surgery, Indira Gandhi Medical College, Shimla, India.

Situs inversus totalis is a rare genetic disorder. Single-incision laparoscopic cholecystectomy (SILC) in situs inversus totalis has been reported rarely. SILC has an advantage of being easier than conventional laparoscopic cholecystectomy in addition to better cosmesis and reduced postoperative pain. Read More

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http://dx.doi.org/10.1136/bcr-2018-226404DOI Listing
November 2018
2 Reads

Long term outcome of EUS-based strategy for suspected choledocholithiasis but negative CT finding.

Scand J Gastroenterol 2018 Oct - Nov;53(10-11):1381-1387. Epub 2018 Dec 5.

a Department of Medicine , Samsung Medical Center, Sungkyunkwan University School of Medicine , Seoul , Korea.

Objectives: The American Society for Gastrointestinal Endoscopy (ASGE) guidelines offered the risk-stratified approach in suspected choledocholithiasis. Previous studies have raised concern about the insufficient accuracy of the guideline, especially in high probability group. The purposes of this study were to authenticate the stratification and clinical predictors of the guidelines for suspected choledocholithiasis with no visible choledocholithiasis on computed tomography (CT) and to make clear the clinical strategy of endoscopic ultrasonography (EUS). Read More

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http://dx.doi.org/10.1080/00365521.2018.1524021DOI Listing
April 2019
4 Reads

Localized pancreatic Castleman disease presenting with extrahepatic dilatation of bile ducts: A case report and review of published cases.

Int J Surg Case Rep 2019 20;54:28-33. Epub 2018 Nov 20.

Universidade Federal do Vale do São Francisco, Av. José de Sá Maniçoba, S/N - Centro, CEP: 56304-917, Petrolina, PE, Brazil. Electronic address:

Introduction: Castleman disease (CD) is a rare polyclonal lymphoproliferative disorder of unknown etiology, which usually develops in the mediastinum. It can also occur in the cervical, retroperitoneal and axillary regions. Localized pancreatic CD is quite rare [1]. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.11.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279997PMC
November 2018
5 Reads

Evaluation of Preoperative Ultrasonography in Gall Stone Disease to Predict Technical Difficulties during Laparoscopic Cholecystectomy.

Mymensingh Med J 2018 Oct;27(4):757-763

Dr Md Monoarul Islam Talukdar, Resident Surgeon (Surgery), Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh; E-mail:

Laparoscopic cholecystectomy is the gold standard in the treatment of gallstones. This study was carried out to determine the technical difficulties that can be encountered during laparoscopic cholecystectomy and to evaluate the role of ultrasonography in identifying patients at risk of conversion returning to open surgery. The objective of this study was to evaluate the efficacy of preoperative ultrasonography in assessing technical difficulty faced during laparoscopic cholecystectomy in gallstone disease. Read More

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October 2018
14 Reads

Percutaneous transhepatic use of rigid bronchial forceps as bailout in difficult biliary stent retrieval.

Radiol Case Rep 2019 Feb 20;14(2):246-250. Epub 2018 Nov 20.

Department of Diagnostic and Interventional Imaging, University of Texas-Houston McGovern Medical School, 6431 Fannin Street, Suite 2.132, Houston, TX 77030, USA.

Endoscopic retrieval of embedded, proximally migrated, or fractured plastic biliary stents may be technically challenging and sometimes unsuccessful. Percutaneous transhepatic techniques have previously been described to assist in such challenging cases. Here in, we describe a difficult case in which all commonly described endoscopic and percutaneous techniques failed to retrieve a proximally migrated, fractured, and looped plastic biliary stent. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.10.034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250801PMC
February 2019
1 Read

Dedifferentiated liposarcoma of the gallbladder: first reported case.

World J Surg Oncol 2018 Nov 12;16(1):221. Epub 2018 Nov 12.

Department of Surgery, Federal University of Pernambuco, Recife, PE, Brazil.

Background: Liposarcoma of the gallbladder is an extremely rare sarcoma, with only five cases reported in the literature according to our knowledge.

Case Presentation: A 71-year-old woman was referred to the Surgical Oncology Division of Napoleão Laureano Hospital (João Pessoa, PB, Brazil) due to a solid mass at the right side of the abdomen and fever, with no signs of jaundice. Abdominal ultrasonography and computed tomography (CT) evidenced an extensive gallbladder lobular formation adhered to the inferior border of the right hepatic lobe and cholelithiasis. Read More

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https://wjso.biomedcentral.com/articles/10.1186/s12957-018-1
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http://dx.doi.org/10.1186/s12957-018-1520-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233360PMC
November 2018
15 Reads

Inflammatory Pseudotumor of the Liver Presented in a Patient with Cholelithiasis.

Cureus 2018 Aug 29;10(8):e3231. Epub 2018 Aug 29.

2nd Department of Surgery, Aretaieio Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

An inflammatory pseudotumor of the liver is a rare tumor-like lesion consisting of an inflammatory infiltrate that often can mimic a malignant liver neoplasm. The cause of an inflammatory pseudotumor of the liver is unknown, but it has been reported to be associated with different comorbid conditions most likely inflammatory or infectious in origin. We present an 83-year-old female who presented with a symptomatic gallstones disease and an incidental finding of inflammatory pseudotumor mimicking intrahepatic cholangiocarcinoma in preoperative liver imaging. Read More

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https://www.cureus.com/articles/14501-inflammatory-pseudotum
Publisher Site
http://dx.doi.org/10.7759/cureus.3231DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207491PMC
August 2018
19 Reads

[Chinese guidelines for ERCP (2018)].

Authors:

Zhonghua Nei Ke Za Zhi 2018 Nov;57(11):772-801

Endoscopic retrograde cholangiopancreatography (ERCP) was reported for the first time in 1970s. Since then, ERCP has become an indispensable procedure in the diagnosis and management of a variety of biliary and pancreatic disorders. The main purpose of Chinese ERCP guideline is to precisely define the clinical indications of ERCP. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1426.2018.11.002DOI Listing
November 2018
17 Reads

Intraoperative cholangiography versus magnetic resonance cholangiography in patients with mild acute biliary pancreatitis: A prospective study in a second-level hospital.

Medicine (Baltimore) 2018 Nov;97(44):e12976

Department of General Surgery, Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.

Cholecystectomy is the only definitive management of pancreatitis secondary to gallstone disease. Approximately 20% to 30% of patients with acute biliary pancreatitis (ABP) will have persistent common bile duct (CBD) stones. Therefore, choosing a method for the early diagnosis of choledocholithiasis is essential to reduce waiting days for surgery and hospital stay in these patients. Read More

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http://Insights.ovid.com/crossref?an=00005792-201811020-0002
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000012976DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221722PMC
November 2018
4 Reads

Hemochromatosis associated with cholelithiasis as a cause of hydrops fetalis and stillbirth: Prenatal diagnosis.

J Clin Ultrasound 2019 Jan 30;47(1):47-50. Epub 2018 Oct 30.

Department of Embryo-Fetopathology, Maternity and Neonatology Center, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

Prenatal diagnosis of neonatal hemochromatosis (NH) is usually raised in front of fetal hepatomegaly and heterogeneous liver architecture. We describe a novel sonographic feature that may be associated with NH. Ultrasound demonstrated reticulonodular liver and distended gallbladder with multiple gallstones in a hydropic fetus. Read More

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http://dx.doi.org/10.1002/jcu.22653DOI Listing
January 2019
5 Reads

Ursodeoxycholic acid combined with percutaneous transhepatic balloon dilation for management of gallstones after elimination of common bile duct stones.

World J Gastroenterol 2018 Oct;24(39):4489-4498

Department of Intervention Medicine, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, China.

Aim: To evaluate the effectiveness and safety of combined ursodeoxycholic acid and percutaneous transhepatic balloon dilation for management of gallstones after expulsion of common bile duct (CBD) stones.

Methods: From April 2014 to May 2016, 15 consecutive patients (6 men and 9 women) aged 45-86 (mean, 69.07 ± 9. Read More

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http://www.wjgnet.com/1007-9327/full/v24/i39/4489.htm
Publisher Site
http://dx.doi.org/10.3748/wjg.v24.i39.4489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196333PMC
October 2018
47 Reads
2.370 Impact Factor

[Radiologic diagnostics of the gall bladder and bile ducts-part 1 : Imaging techniques-normal variants and congenital disorders-cholelithiasis].

Radiologe 2018 Nov;58(11):1021-1034

Kinderradiologie im Dr. von Haunerschen Kinderspital der Radiologischen Klinik und Poliklinik, Ludwig-Maximilians-Universität München, München, Deutschland.

Upper abdominal pain, icterus and cholestasis are the main symptoms leading to evaluation of the biliary tract. Since the advent of contrast-enhanced ultrasound techniques the accuracy of bile duct imaging has significantly improved. This is also true for computed tomography using isotropic secondary reconstructions as well as magnetic resonance imaging (MRI) including MR cholangiography (MRC), classically and after iv injection of hepatobiliary contrast agent. Read More

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http://dx.doi.org/10.1007/s00117-018-0460-yDOI Listing
November 2018
1 Read

Cholecystocolonic fistula with a giant colonic gallstone: the mainstay of treatment in an acute setting.

J Surg Case Rep 2018 Oct 16;2018(10):rjy278. Epub 2018 Oct 16.

Hôpital Maisonneuve-Rosemont, Service de Chirurgie Colorectale, 5415 Boul de l'Assomption, Montréal, Quebec, Canada.

A cholecystoenteric fistula (CEF) is a rare complication of cholelithiasis with cholecystitis. Cholecystocolonic fistulas (CCFs) account for 8-26.5% of all CEFs. Read More

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https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjy27
Publisher Site
http://dx.doi.org/10.1093/jscr/rjy278DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189374PMC
October 2018
16 Reads

Cholelithiasis and Related Morbidity in Chronic Intestinal Failure: a Longitudinal Cohort Study from a National Specialized Centre.

J Gastrointest Surg 2018 Oct 15. Epub 2018 Oct 15.

Irving National Intestinal Failure Unit and The University of Manchester, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, M6 8HD, UK.

Background: Short-term studies have shown that patients with type III intestinal failure often develop gallstones and have recommended prophylactic cholecystectomy. In this retrospective cohort study, we aimed to define the incidence and clinical consequences of cholelithiasis over an extended time period, in order to refine the role of prophylactic cholecystectomy in type III intestinal failure.

Methods: Data were retrospectively collected from a prospectively maintained audit. Read More

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http://dx.doi.org/10.1007/s11605-018-3979-3DOI Listing
October 2018
1 Read

Clinical characteristics and risk factors for stent-stone complex formation following biliary plastic stent placement in patients with common bile duct stones.

J Hepatobiliary Pancreat Sci 2018 Oct 22;25(10):448-454. Epub 2018 Oct 22.

Department of Internal Medicine II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka, 431-3192, Japan.

Background: Stent-stone complex (SSC) formation is one of the complications of endoscopic biliary stent placement. This study aimed to clarify the clinical characteristics and risk factors for SSC formation following plastic stent (PS) placement in patients with common bile duct (CBD) stones.

Methods: We retrospectively reviewed the charts of 78 patients with CBD stones who had undergone 107 biliary stent placements as palliative treatment. Read More

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http://dx.doi.org/10.1002/jhbp.584DOI Listing
October 2018
2 Reads

Size does matter: when a large plastic biliary stent ends up in the root of the mesentery.

Clin J Gastroenterol 2019 Apr 3;12(2):102-105. Epub 2018 Oct 3.

Department of Gastroenterology, Army Share Fund Hospital (NIMTS), Monis Petraki 10-12 Street, 11521, Athens, Greece.

Duodenal perforations due to biliary stenting migration, although rare, can occur. We report a unique case of duodenal perforation due to a large in length plastic stent with no (or marginal) migration, which ended up in the root of the mesentery, explaining the normal laboratory values and minimal imaging findings observed. Any clinical symptom during the postprocedural period should raise the suspicion of a major complication and prompt quick management decisions. Read More

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http://dx.doi.org/10.1007/s12328-018-0914-9DOI Listing
April 2019
1 Read

Repeated cardiac arrest caused by an air embolism during hepatic resection: A case report.

Medicine (Baltimore) 2018 Sep;97(39):e12639

Department of Anesthesia, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China.

Rationale: Although venous air embolism (VAE) during liver operation has been reported occasionally, fatal VAE in hepatic resection is uncommon. Prompt detection of VAE by transesophageal echocardiography (TEE) is crucial for effective therapy. We describe a case of fatal VAE that caused repeated cardiac arrest during hepatic resection and was confirmed by TEE. Read More

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http://dx.doi.org/10.1097/MD.0000000000012639DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181541PMC
September 2018
12 Reads

Sarcomatous intrahepatic cholangiocarcinoma: Case report and literature review.

Medicine (Baltimore) 2018 Sep;97(39):e12549

Department of General Surgery.

Rationale: Sarcomatous intrahepatic cholangiocarcinoma is a rare histological variant of cholangiocarcinoma (ICC). Previous medical literature has not mentioned the prevalence of this kind of disease, but a poorer prognosis than that of ordinary ICC was indicated. The diagnosis of the sarcomatous ICC is established on histopathological and immunohistochemical examinations. Read More

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http://Insights.ovid.com/crossref?an=00005792-201809280-0007
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http://dx.doi.org/10.1097/MD.0000000000012549DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181610PMC
September 2018
9 Reads

Modified laparoscopic Janeway gastrostomy: a novel adjunct for the management of choledocholithiasis in Roux-en-Y patients.

BMJ Case Rep 2018 Sep 30;2018. Epub 2018 Sep 30.

NYU Langone Medical Center, Brooklyn, New York, USA.

A 76-year-old woman with surgical history of Roux-en-Y gastric bypass presented with recurrent choledocholithiasis. Double balloon enteroscopy was unsuccessful in cannulating the biliary tree, thus, requiring surgically assisted endoscopic retrograde cholangiopancreaticogram (ERCP) access. Due to her stable clinical status, the non-urgent indication and multiple anticipated ERCPs for definitive biliary clearance, a more durable port of access to the ampulla was desired. Read More

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http://dx.doi.org/10.1136/bcr-2018-227442DOI Listing
September 2018
2 Reads

A Rare Cause of Biliary Obstruction.

Gastroenterology 2019 03 27;156(4):e5-e6. Epub 2018 Sep 27.

Department of Interventional Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

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https://linkinghub.elsevier.com/retrieve/pii/S00165085183503
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http://dx.doi.org/10.1053/j.gastro.2018.09.043DOI Listing
March 2019
14 Reads

Gallbladder Agenesis: A Case Report.

Yale J Biol Med 2018 09 21;91(3):237-241. Epub 2018 Sep 21.

Section of Gastrointestinal Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT.

Gallbladder agenesis (GA) is an extremely rare congenital entity. The incidence is around 1 per 6500 live births. The majority of patients, estimated between 50 to 70 percent, remain asymptomatic while those who are symptomatic report symptoms mimicking biliary colic. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153629PMC
September 2018
27 Reads

Mirizzi syndrome complicated by common hepatic duct fistula and left hepatic atrophy: a case report.

J Int Med Res 2018 Nov 23;46(11):4806-4812. Epub 2018 Sep 23.

1 Department of Hepatobiliary, Pancreatic and Splenic Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Huhhot, China PR.

Background: Mirizzi syndrome is a rare complication of chronic cholecystitis, usually caused by gallstones impacted in the cystic duct or the neck of the gallbladder. Mirizzi syndrome results in compression of the hepatic duct or fistula formation between the gallbladder and common bile duct (or hepatic duct, right hepatic duct, or even mutative right posterior hepatic duct). Clinical features include abdominal pain, fever, and obstructive jaundice. Read More

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http://dx.doi.org/10.1177/0300060518797246DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259394PMC
November 2018
11 Reads

Long-term survival of a patient with recurrent gallbladder carcinoma, treated with chemotherapy, immunotherapy, and surgery: a case report.

Surg Case Rep 2018 Sep 15;4(1):115. Epub 2018 Sep 15.

Fukuoka General Cancer Clinic, 3-1-1 Sumiyoshi, Hakata-ku, Fukuoka, 812-0018, Japan.

Background: Gallbladder cancer (GBC) is one of the refractory diseases. Multidisciplinary approach including immunotherapy for such cancers has received much attention in recent years.

Case Presentation: A 59-year-old man underwent an extended cholecystectomy for GBC (pathological stage II, T2 N0 M0, [per UICC 7th edition]) that was incidentally found during cholelithiasis surgery, and was then treated with adjuvant gemcitabine (GEM). Read More

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http://dx.doi.org/10.1186/s40792-018-0512-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139108PMC
September 2018
6 Reads

Percutaneous transhepatic extraction and balloon dilation for simultaneous gallbladder stones and common bile duct stones: A novel technique.

World J Gastroenterol 2018 Sep;24(33):3799-3805

Department of Interventional Medicine, The Second Hospital of Shandong University, Jinan 250033, Shandong Province, China.

Aim: To evaluate the clinical efficacy and safety of an innovative percutaneous transhepatic extraction and balloon dilation (PTEBD) technique for clearance of gallbladder stones in patients with concomitant stones in the common bile duct (CBD).

Methods: The data from 17 consecutive patients who underwent PTEBD for clearance of gallbladder stones were retrospectively analyzed. After removal of the CBD stones by percutaneous transhepatic balloon dilation (PTBD), the gallbladder stones were extracted to the CBD and pushed into the duodenum with a balloon after dilation of the sphincter of Oddi. Read More

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http://dx.doi.org/10.3748/wjg.v24.i33.3799DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127656PMC
September 2018
11 Reads
2.370 Impact Factor

Cholecystectomy Patients with High Plasma Level of Catalase Have Significantly Lower Analgesia Requirement: A Prospective Study of Two Different Cholecystectomy Techniques with Special Reference to Patients with Cancer.

Anticancer Res 2018 Sep;38(9):5417-5422

Department of Surgery, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, Finland

Background/aim: The plasma level of the oxidative stress biomarker catalase in patients with gallstone disease has not been previously compared with that of patients with cancer. Moreover, the number of analgesic doses required during the first 24 h postoperatively (NAD) after laparoscopic cholecystectomy (LC) or mini-cholecystectomy (MC) in patients with gallstones is unreported. The aim of the present study was to determine the correlation between the plasma catalase level in patients with gallstones according to cholecystectomy technique versus patients with cancer. Read More

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http://dx.doi.org/10.21873/anticanres.12872DOI Listing
September 2018
3 Reads

Laparoscopic Ultrasonography Versus Magnetic Resonance Cholangiopancreatography in Laparoscopic Surgery for Symptomatic Cholelithiasis and Suspected Common Bile Duct Stones.

J Gastrointest Surg 2018 Sep 5. Epub 2018 Sep 5.

Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, 100853, China.

Background: There continues to be controversy regarding the optimal screening modality in patients with symptomatic cholelithiasis and suspected common bile duct (CBD) stones. The aim of this study was to assess the diagnostic accuracy of laparoscopic ultrasonography (LUS) compared to magnetic resonance cholangiopancreatography (MRCP).

Methods: Both LUS and MRCP were performed to evaluate the CBD stones and biliary anatomy in 200 patients undergoing laparoscopic surgery. Read More

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http://dx.doi.org/10.1007/s11605-018-3949-9DOI Listing
September 2018
6 Reads

Gallbladder agenesis mimicking cholelithiasis in an adult.

Radiol Case Rep 2018 Jun 4;13(3):640-643. Epub 2018 Apr 4.

Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USA.

We present the case of a 24-year-old woman with morbid obesity who came to the emergency department with right upper quadrant abdominal pain associated with nausea and vomiting. Her workup included a right upper quadrant ultrasound suggestive of a small gallbladder with cholelithiasis without sonographic evidence of acute cholecystitis. She underwent attempted laparoscopic cholecystectomy with no identifiable gallbladder during surgery. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6114116PMC
June 2018
25 Reads