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Acta Chir Belg 2020 Jun 4:1-18. Epub 2020 Jun 4.

Liver Transplant Institute, Inonu University, 44280, Malatya, Turkey.

To share our experience with hollow viscus migration of artificial vascular grafts (AVG) used for venous reconstruction of the right anterior sector in living donor liver transplantations (LDLT). Clinical, radiological, and endoscopic data of 13 right lobe LDLT patients (range: 26-67 years) with a diagnosis of postoperative AVG migration into adjacent hollow viscus were analyzed.: Biliary complications were detected in 12 patients. Read More

Int J Surg Case Rep 2020 May 29;71:319-322. Epub 2020 May 29.

Department of Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo, 105-8461, Japan. Electronic address:

Introduction: The prognosis of atypical pulmonary carcinoid with liver metastases is extremely poor, and patients with multiple liver metastases are often treated using non-surgical therapies. We report a case with multiple liver metastases from atypical pulmonary carcinoid that was successfully treated using two-stage hepatectomy combined with embolization of portal vein branches.

Presentation Of Case: A 48-year-old man was referred to our department after multiple liver tumors were detected in both liver lobes on computed tomography. Read More

Respir Med Case Rep 2020 20;30:101075. Epub 2020 May 20.

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi Zhuang Autonomous Region, People's Republic of China.

Background: The biliary bronchial fistula is rare and difficult to treat. Here we report a 49-year-old woman diagnosed with biliary bronchial fistula due to cough with yellow-green sputum.

Case Presentation: this is a typical case of the biliary bronchial fistula with typical symptoms. Read More

Surg Laparosc Endosc Percutan Tech 2020 Jun 1. Epub 2020 Jun 1.

Department of Gastroenterology, Affiliated HangZhou First People's Hospital, Zhejiang University School of Medicine.

Aim: The aim of this study was to evaluate the efficacy and safety of endoscopic ultrasound-guided biliary drainage (EUS-BD) in patients with biliary obstruction and surgically altered anatomy.

Patients And Methods: This was a retrospective study. We collected data from 60 patients with biliary obstruction and surgically altered anatomies who undergone EUS-BD (group A, 33 cases) and percutaneous transhepatic biliary drainage (PTBD) (group B, 27 cases) after unsuccessful endoscopic retrograde cholangiopancreatography from January 2016 to January 2018. Read More

Medicine (Baltimore) 2020 May;99(21):e20237

Department of Hepatobiliary Surgery, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, Jiangsu Province.

Objectives: To compare the clinical outcomes of endoscopic biliary drainage (EBD) with those of percutaneous transhepatic biliary drainage (PTBD) in patients with resectable hilar cholangiocarcinoma (HCCA) and evaluate the effect of EBD and PTBD on tumor prognosis.

Materials And Methods: PubMed, EMBASE, and Cochrane Library databases were searched for articles about the comparison between PTBD and EBD. Data were analyzed by Revman 5. Read More

ANZ J Surg 2020 May 26. Epub 2020 May 26.

Microbiology and Infectious Diseases, Flinders Medical Centre, Adelaide, South Australia, Australia.

Background: There have been declining mortality rates associated with pyogenic liver abscess (PLA) in recent decades due to improvements in percutaneous drainage techniques, access to imaging and improvements in supportive care. The aim of this study was to analyse the aetiology, management and outcome of PLA at a tertiary hospital in Adelaide.

Methods: Data was collected retrospectively from 80 patients who were admitted with a PLA between 2011 and 2018. Read More

Clin Gastroenterol Hepatol 2020 May 23. Epub 2020 May 23.

Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC.

Br J Surg 2020 May 25. Epub 2020 May 25.

Centre of Hepato-pancreato-biliary Diseases, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China.

Background: Various minimally invasive approaches have been described for infected necrotizing pancreatitis. This article describes a modified minimal-access retroperitoneal pancreatic necrosectomy (MARPN) procedure assisted by gas insufflation.

Methods: This retrospective, observational study documented patients who had undergone a step-up MARPN between 1 January 2010 and 31 December 2016. Read More

Transplant Proc 2020 May 17. Epub 2020 May 17.

Department of Radiology, Kaohsiung Medical University, Chung-Ho Memorial Hospital, Kaohsiung, Taiwan (R.O.C.); Department of Radiology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan (R.O.C.). Electronic address:

A bronchobiliary fistula (BBF), which is defined by abnormal communication between the biliary system and the bronchial tree, is usually regarded as a consequence of local infection, such as hydatid or amebic disease of the liver, hepatic abscess, trauma, neoplasm, and other causes of biliary obstruction. We present a 40-year-old female patient who received a living donor liver transplantation for autoimmune hepatitis and who suffered from biliary stricture at the anastomosis, bile leakage in the right subphrenic region, and development of a BBF 1 year later. Magnetic resonance cholangiography (MRC) and fistulography showed a fistula between the subphrenic biloma and right lower bronchus. Read More

BMC Cancer 2020 May 14;20(1):422. Epub 2020 May 14.

Division of Haematology-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, 5, Fu-Hsing Street, Kwei-Shan, Taoyuan, Taiwan.

Background: Chemotherapy with gemcitabine and cisplatin has been the standard of care in first-line chemotherapy for advanced biliary tract cancer (BTC) since the trial ABC-02 was published in 2010. We aimed to investigate the prognostic and predictive factors of this regimen in a cohort of Taiwanese patients with advanced BTC.

Methods: A total of 118 patients with histologically confirmed BTC treated at Chang Gung Memorial Hospital at Linkou from 2012 to 2017 were retrospectively reviewed. Read More

Gastroenterol Clin North Am 2020 Jun;49(2):361-377

Division of Gastroenterology, Hepatology Program, Washington University School of Medicine, 660 S. Euclid Avenue, St. Louis, MO 63110, USA. Electronic address:

Pyogenic liver abscesses are classified by the bacteria that have caused the abscess because this guides treatment and can point to the underlying cause. The most common cause is biliary disease. The diagnosis is made by imaging. Read More

Int J Surg 2020 May 5. Epub 2020 May 5.

Medanta Institute of Liver Transplantation and Regenerative Medicine, Medanta-The Medicity, New Delhi, India.

For a technically successful liver transplant (LT), secure bile duct anastomosis to prevent biliary complications (BC's) like biliary anastomotic stricture (BAS) and bile leak (BL) is mandatory. BC's after living donor liver transplantation (LDLT) are relatively more common compared to deceased donor LT (DDLT), particularly owing to surgical factors (small diameter, and/or multiple bile duct openings on the graft), and non-surgical factors (immunologic reactions). Adequate blood supply to the bile duct both in donor and recipient, meticulous anastomotic technique, mucosal eversion for better approximation thus avoiding lesser fibrosis, proper use of internal or external stent drainage, and tension-free anastomosis, may contribute to the decrease of BC's after LDLT. Read More

Obes Surg 2020 May 8. Epub 2020 May 8.

Assistance Publique-Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière Hospital, Department of Hepato-Biliary and Pancreatic Surgery, Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Université, Institute of Cardiometabolism and Nutrition (ICAN), 47-83 boulevard de l'Hôpital, 75013, Paris, France.

Background: Cholangiocarcinoma (CC) incidence is rising worldwide. Obesity and its related metabolic impairments are associated with primitive liver malignancies including CC. While bariatric surgery (BS) is associated with decreased risk of incident cancer, few data are available regarding CC incidence, presentation, and management issues after BS. Read More

Dig Endosc 2020 May 6. Epub 2020 May 6.

Department of Gastroenterology, Ajou University School of Medicine, Suwon, Republic of Korea.

Endoscopic ultrasonography (EUS)-guided hepaticogastrostomy is a rescue technique for internal drainage when percutaneous antegrade biliary stenting (PABS) fails after percutaneous transhepatic biliary drainage (PTBD). However, this may be difficult under bile duct decompression despite contrast injection through the PTBD catheter because the sonographic ring-down artifact caused by micro-air bubbles in the contrast may hinder the EUS delineation of the intrahepatic bile duct. Read More

J Gastroenterol Hepatol 2020 May 4. Epub 2020 May 4.

Division of Gastroenterology, Department of Internal Medicine, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea.

Background And Aims: Segregated right intrahepatic duct dilatation (IHD) results from complete obstruction of the biliary tract proximal to the hilar level. We aimed to evaluate long-term efficacy and safety of endoscopic ultrasound (EUS) hepaticoduodenostomy (HDS) in segregated right IHD.

Methods: Consecutive patients who had undergone EUS-guided HDS with a fully covered self-expandable metal stent (FCSEMS) in an academic tertiary center were recruited. Read More

J Ultrasound 2020 Jun 2;23(2):175-181. Epub 2020 May 2.

Interventional Ultrasound Unit, Pineta Grande Hospital, SS Domitiana, KM 30,00, 81030, Castel Volturno, CE, Italy.

Purpose: To assess the role of intracavitary contrast-enhanced ultrasound (IC-CEUS) as a focused ultrasound (US) examination aimed at supporting a single physician in the management of interventional procedures for abdominal fluid collections/abscesses.

Methods: In 43 patients (27 M/16 F, median age 68 years, range 35-91), a single physician performed catheter drainage (42) or needle aspiration (3) for the following: 14 infected abdominal fluid collections, 11 non-infected abdominal fluid collections, 9 pyogenic liver abscesses, 8 gallbladder empyema, and 3 infected pancreatic fluid collections. IC-CEUS (0. Read More

Clin Transl Gastroenterol 2020 Apr;11(4):e00161

First Department of Medicine, University of Szeged, Szeged, Hungary.

Introduction: Data about the efficacy of palliative double stenting for malignant duodenal and biliary obstruction are limited.

Methods: A systematic literature search was performed to assess the feasibility and optimal method of double stenting for malignant duodenobiliary obstruction compared with surgical double bypass in terms of technical and clinical success, adverse events, reinterventions, and survival. Event rates with 95% confidence intervals were calculated. Read More

Pathol Int 2020 Apr 29. Epub 2020 Apr 29.

Institute of Liver Studies, King's College Hospital, London, UK.

Most primary liver cancers diagnosed in allograft livers are recurrent tumors of the native liver origin, while donor-derived primary liver cancers are markedly less common. A 21-year-old woman who had liver transplantation for post-Kasai biliary atresia was recently referred for post-transplant biliary stricture. Her transplantation was performed at the age of 6 years using the whole liver graft from a 10-year-old donor and choledocho-jejunostomy. Read More

Cardiovasc Intervent Radiol 2020 Apr 29. Epub 2020 Apr 29.

Department of Diagnostic and Interventional Radiology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, Nagoya, Aichi, 464-8681, Japan.

World J Gastroenterol 2020 Apr;26(14):1638-1646

Department of Gastroenterology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China.

Background: Biliary diseases are common digestive system disorders which may combine with biliary tract infection such as cholecystitis or cholangitis. Thus, rapid identification of the bacteria and their antibiotic susceptibility profiles are crucial for reducing the mortality of patients with biliary tract infection.

Aim: To identify bacterial species and antibiotic susceptibility for antibacterial therapy and analyze bile cultivation risk factors for increasing detection rates. Read More

Langenbecks Arch Surg 2020 Mar 21;405(2):191-198. Epub 2020 Apr 21.

Department of Surgery, Swedish Medical Center - First Hill, 747 Broadway, Heath Tenth, Seattle, WA, 98122, USA.

Introduction: Cholecystectomy is the gold standard treatment of acute cholecystitis. Patients who are considered not to be candidates for cholecystectomy are commonly recommended to undergo percutaneous transhepatic gallbladder drainage (PTGBD) tube placement; however, external drainage is undesirable for many patients. Endoscopic transpapillary stent placement (ETSP) has been described as an alternative method for decompression of the gallbladder. Read More

Dis Mon 2020 Apr 17:100986. Epub 2020 Apr 17.

Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.

Pancreatic fluid collections (PFC), including pancreatic pseudocysts and walled-off pancreatic necrosis, are a known complication of severe acute pancreatitis. A majority of the PFCs remain asymptomatic and resolve spontaneously. However, some PFCs persist and can become symptomatic. Read More

Case Rep Surg 2020 2;2020:5785413. Epub 2020 Apr 2.

Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar.

Peripartum pancreatitis is a rare clinical condition that occurs usually in the third trimester of pregnancy. Pancreatitis is usually secondary to gallstones, and it can lead to life-threatening and rare complications. We report a case of necrotizing postpartum pancreatitis that developed abdominal compartment syndrome (ACS) in early course, posterior reversible encephalopathy syndrome (PRES), and splanchnic and extrasplanchnic thrombosis later on. Read More

Eur J Radiol 2020 Jun 15;127:108994. Epub 2020 Apr 15.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy; Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy.

Hepatobiliary Pancreat Dis Int 2020 Mar 21. Epub 2020 Mar 21.

Department of Radiology, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China. Electronic address:

Background: Percutaneous transhepatic biliary drainage is an alternative treatment for patients with malignant distal biliary obstruction. The aim of this study was to investigate the occurrence of pancreatitis in patients who had undergone percutaneous placement of a biliary stent and to assess the risk factors for pancreatitis and the treatment outcomes.

Methods: From January 2010 to October 2016, 980 patients in our hospital who underwent percutaneous placements of self-expandable metallic stents for obstructive jaundice were retrospectively analyzed. Read More

Gastrointest Endosc 2020 Apr 9. Epub 2020 Apr 9.

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

Background And Aims: We previously reported safety and effectiveness of EUS-guided hepaticogastrostomy (EUS-HGS) using a long, partially covered metal stent (LP-CMS) for malignant biliary obstruction (MBO). In this study, we aimed to evaluate long-term outcomes of EUS-HGS in the expanded cohort.

Methods: A total of 110 patients undergoing EUS-HGS using a LP-CMS in 2 centers were retrospectively studied. Read More

Med Oncol 2020 Apr 9;37(5):45. Epub 2020 Apr 9.

Department of Medicine and Health Sciences "V. Tiberio", University of Molise, Via Francesco De Sanctis 1, Campobasso, Italy.

Cholangiocarcinoma (CC) accounts for about 3% of the gastrointestinal and 10-25% of all hepatobiliary malignancies. It arises from the epithelium of the bile duct and it can be classified in intrahaepatic (ICC), perihilar (PCC) and distal (DCC) cholangiocarcinoma, depending on the anatomical location. About 50-60% of the cases are PCC. Read More

World J Surg 2020 Apr 7. Epub 2020 Apr 7.

Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester, NHS Trust, Gwendolen Road, Leicester, LE5 4PW, United Kingdom.

Background: Percutaneous cholecystostomy (PC) is often performed for patients with acute cholecystitis who are too high risk for cholecystectomy. The purpose of this retrospective study was to evaluate the outcomes of this cohort of patients over a 5-year period.

Methods: A retrospective analysis of all patients treated with PC for acute cholecystitis in a tertiary centre teaching hospital was conducted. Read More

Dig Endosc 2020 Apr 6. Epub 2020 Apr 6.

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

Endoscopic retrograde cholangiopancreatography with stent placement has been utilized as standard palliative management of distal malignant biliary obstruction. Compared to plastic stents, metal stents can provide longer-term relief of symptoms. When a large-bore metal stent is placed across the ampulla, patients are predisposed to the risk of cholangitis or stent dysfunction due to reflux of duodenal contents. Read More

J Ultrasound 2020 Mar 27. Epub 2020 Mar 27.

Department of Radiodiagnosis, RPGMC, Kangra, HP, India.

Purpose: To evaluate and compare the efficacy of intermittent needle aspiration and continuous catheter drainage in ultrasound-guided management of liver abscesses.

Methods: This was a prospective, randomised study conducted on 100 patients (88 males and 12 females; age range 22-74 years) with liver abscess(es) and having abscess size more than 5 cm, divided into two groups: Percutaneous needle aspiration (PNA) (n = 50) and percutaneous catheter drainage (PCD) (n = 50). Criteria of exclusion were: rupture of abscess before intervention; prior intervention; uncorrectable coagulopathy; concomitant biliary tract malignancy. Read More

BMJ Case Rep 2020 Mar 26;13(3). Epub 2020 Mar 26.

Department of Surgery, Hospital da Luz Lisboa, Lisboa, Lisboa, Portugal.

Walled-off pancreatic necrosis (WOPN) is a rare complication of pancreatitis. We present the case of a woman in her eighties admitted for diffuse abdominal pain. She had a palpable abdominal mass and the CT scan showed necrosis throughout the tail of the pancreas, a peripancreatic and retrogastric hydroaerial collection (19 cm of diameter) and a calculus in the main biliary duct, thus establishing a diagnosis of emphysematous necrotising obstructive pancreatitis. Read More

Acta Radiol 2020 Mar 25:284185120911187. Epub 2020 Mar 25.

Department of Diagnostic and Interventional Radiology, Leipzig University Hospital, Leipzig, Germany.

Ann Med Surg (Lond) 2020 Apr 10;52:36-43. Epub 2020 Mar 10.

Department of Hepatopancreatobiliary and Liver Transplant Surgery, National Liver Institute, Menoufia University, Menoufia, Egypt.

Background: Biliary injuries after blunt abdominal traumas are uncommon and difficult to be predicted for early management. The aim of this study is to analyze the risk factors and management of biliary injuries with blunt abdominal trauma.

Method: Patients with blunt liver trauma in the period between 2009 to May 2019 were included in the study. Read More

Case Rep Surg 2020 3;2020:9605370. Epub 2020 Mar 3.

Dwight D Eisenhower Army Medical Center, Fort Gordon, Georgia.

Biloma and biliary leak after percutaneous liver biopsy (PLB) are rare. Previous cases are largely in the setting of transplant, oncology, and cirrhotic patients. Patients can be asymptomatic, peritoneal, or present with obstructive symptoms, including bilirubinemia. Read More

Phys Med 2020 Apr 14;72:7-15. Epub 2020 Mar 14.

Radiology Department, University Hospital "Maggiore della Carità" Novara, Italy.

Conversion factors used to estimate effective (E) and organ doses (H) from air Kerma area product (KAP) are required to estimate population doses in percutaneous transhepatic biliary drainage (PTBD) and trans arterial chemoembolization (TACE) interventional procedures. In this study, E and H for ten critical organs/tissues, were derived in 64 PTBD and 48 TACE procedures and in 14,540 irradiation events from dosimetric, technical and geometrical information included in the radiation dose structured report using the PCXMC Monte Carlo model, and the ICRP 103 organ weighting factors. Conversion factors of: 0. Read More

Surg Innov 2020 Jun 14;27(3):279-290. Epub 2020 Mar 14.

Manchester Royal Infirmary Hospital, Manchester, UK.

. To compare short-term and long-term outcomes of preoperative endoscopic biliary drainage (EBD) and percutaneous biliary drainage (PBD) in patients with Klatskin tumor undergoing curative surgery. . Read More

AJR Am J Roentgenol 2020 Jun 11;214(6):1377-1383. Epub 2020 Mar 11.

Department of Medical Ultrasound, Institute of Diagnostic and Interventional Ultrasound, First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan Rd 2, Guangzhou, 510080 China.

The purpose of this study was to evaluate the feasibility of ultrasound (US)-guided percutaneous transhepatic cholangial drainage (PTCD) and consequent percutaneous US cholangiography in managing the dilated biliary tracts of children who have undergone hepatobiliary surgery. Sixteen children (11 boys, five girls; age range, 3-144 months) who underwent hepatobiliary surgery from December 2016 to October 2018 and had US evidence of biliary dilatation were included. All patients had undergone US-guided PTCD because of elevated postoperative serum bilirubin levels or bile duct infection. Read More

Chin Clin Oncol 2020 Feb;9(1)

The Bili Project Foundation, Pleasanton, CA, USA.

Hepatobiliary and pancreatic cancers can cause malignant biliary constriction of the bile ducts, a lethal complication that leads to obstruction of the bile ducts, cholangitis, sepsis, and death. Patients may present with symptoms such as painless jaundice, dark or amber urine, light colored stools, and weight loss. These patients often have locally advanced disease at presentation, and surgical intervention is often not possible. Read More

J Investig Med High Impact Case Rep 2020 Jan-Dec;8:2324709620910636

UCLA-Kern Medical, Bakersfield, CA, USA.

Coccidioidomycosis is an infection caused by inhalation of arthroconidia produced by dimorphic fungi in the genus . Forty percent of patients will develop an influenza-like illness with symptoms suggestive of a mild and self-limited respiratory infection; however, 5% of these individuals will develop extrapulmonary disseminated disease. An immunocompromised patient presented with right upper quadrant pain, ultrasound with pericholecystic fluid, in which a percutaneous cholecystostomy contained biliary fluid that grew the fungus . Read More

World J Clin Cases 2020 Feb;8(3):568-576

Department of Liver Transplant, Tianjin First Central Hospital, Tianjin 300192, China.

Background: Loss of graft function after liver transplantation (LT) inevitably requires liver retransplant. Retransplantation of the liver (ReLT) remains controversial because of inferior outcomes compared with the primary orthotopic LT (OLT). Meanwhile, if accompanied by vascular complications such as arterial and portal vein (PV) stenosis or thrombosis, it will increase difficulties of surgery. Read More

ANZ J Surg 2020 Feb 20. Epub 2020 Feb 20.

Division of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia.

Background: Percutaneous cholecystostomy (PC) is a well-recognized management option for the treatment of acute cholecystitis (AC) in high-risk patients. Patient characteristics, efficacy and particularly the longer-term outcomes for patients having PC across the Hunter New England Local Health District were analysed.

Methods: A retrospective audit from January 2013 to September 2017 was undertaken. Read More

Int J Surg Case Rep 2020 6;67:211-214. Epub 2020 Feb 6.

Department of Digestive Surgery, Nagano Municipal Hospital, Nagano, 381-8551, Japan. Electronic address:

Introduction: Asymptomatic hepatic cysts, often observed on computed tomography, have never been reported as a risk factor for infection following pancreatoduodenectomy. Symptomatic liver cysts are treated surgically or non-surgically. We encountered a case of infected hepatic cyst following pancreatoduodenectomy. Read More

Cardiovasc Intervent Radiol 2020 May 10;43(5):765-774. Epub 2020 Feb 10.

Transplant Surgery Department, Charles University, First Faculty of Medicine, Institute for Clinical and Experimental Medicine, Vídeňská 1958/9, 14021, Prague 4, Czech Republic.

Purpose: To assess the efficacy of percutaneous techniques in managing paediatric liver transplantation complications.

Material And Methods: We carried out 105 paediatric cadaveric donor liver transplantations at our centre from 2001 to 2018. Percutaneous techniques were used to treat 25 cases involving transplantation complications in 23 patients. Read More

CVIR Endovasc 2019 Jan 4;2(1). Epub 2019 Jan 4.

Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

Background: Hepatic arterial injury is an uncommon complication of percutaneous transhepatic biliary drainage interventions that commonly presents with hemobilia and peri catheter hemorrhage. It is classically managed with antegrade trans arterial embolization. However, this approach may not be possible due to altered anatomy and alternative techniques need to be considered. Read More

Endosc Int Open 2020 Feb 22;8(2):E203-E210. Epub 2020 Jan 22.

The First Clinical Medical School of Lanzhou University, Lanzhou, China.

 Preoperative biliary drainage of hilar cholangiocarcinoma (HC) is controversial. The goal of this study was to compare the clinical outcome and associated complications for types II, III, and IV HC managed by percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangiopancreatography (ERCP).  Between January 2011 and June 2017, a total of 180 patients with II, III, and IV HC were enrolled in this retrospective cohort study. Read More

J Transl Int Med 2019 Dec 31;7(4):170-177. Epub 2019 Dec 31.

Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Faculty of Medicine, Chulalongkorn University Society, Bangkok, Thailand.

Background And Objectives: Drainage of symptomatic walled-off peripancreatic fluid collections (WPFCs) can be achieved by endoscopic, percutaneous, and surgical techniques. The aim of this study was to determine the current trends in management of WPFCs and the outcome of such modalities in Asian population.

Methods: In this retrospective analysis, all patients diagnosed with pancreatitis from 2013 to 2016 in King Chulalongkorn Memorial Hospital, Bangkok, Thailand, were analyzed. Read More

Indian J Gastroenterol 2019 12 30;38(6):480-487. Epub 2020 Jan 30.

Department of Hepatology, Institute of Liver and Biliary Sciences, D-1, Vasant Kunj, New Delhi, 110 070, India.

Background: Acute necrotizing pancreatitis is managed conservatively in early phase of the disease. Even minimally invasive procedure is preferred after 21 days of onset and there is a paucity of data on decision and outcomes of early radiological interventions. This study aimed to evaluate efficacy and safety of early image-guided percutaneous interventions in management of acute severe necrotizing pancreatitis. Read More

Surg Endosc 2020 Jan 28. Epub 2020 Jan 28.

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital and University of Bern, 3010, Bern, Switzerland.

Background: In bariatric surgery patients, pancreaticobiliary access via endoscopic retrograde cholangiopancreatography (ERCP) is technically challenging and the optimal approach for the evaluation and treatment of biliary tree-related pathologies has been debated. Besides laparoscopy-assisted ERCP (LA-ERCP) as standard of care, EUS-directed transgastric ERCP (EDGE) and hepaticogastrostomy (HGS) with placement of a fully covered metal stent have emerged as novel techniques. The objective of this study was to evaluate safety and efficacy of three different endoscopic approaches (LA-ERCP, EDGE, and HGS) in bariatric patients. Read More

Korean J Gastroenterol 2020 Jan;75(1):50-55

Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.

Endobiliary radiofrequency ablation (RFA) is a procedure performed widely to induce locoregional tumor control by the transfer of thermal energy to the lesion and subsequent tumor necrosis. A 72-year-old male with a prior history of acute calculous cholangitis and perforated cholecystitis was admitted to the Kyungpook National University Hospital complaining of fever and nausea. He had an indwelling percutaneous transhepatic gallbladder drainage (PTGBD) catheter from the previous episode of perforated cholecystitis. Read More