G
V.K. Kapoor, Hans G. Beger in Acute Pancreatitis, 2017
Gabexate mesilate—an inhibitor of protease —has NOT been found to be of use in acute pancreatitis. It may, however, help to reduce the incidence of acute pancreatitis induced by endoscopic retrograde cholangiography (ERC).
T
David Dowsett in Radiological Sciences Dictionary: Keywords, names and definitions, 2009
T T-tube cholangiography (clin) Postoperative investigation when a T-tube is left in situ during surgery to exclude presence of calculi in the common bile duct. T1 contrast (mri) Contrast of a T1-weighted image depends primarily on the various T1 time constants of the different tissue types.
Cholangiography in Rabbits before and after Papillotomy
Published in Scandinavian Journal of Gastroenterology, 1983
A. R. Rosseland, F. Kolmannskog
The gallblader and the function of the sphincter of Oddi were studied after papillotomy (EPT) in New Zealand white rabbits. Intravenous cholangiography (IVC) was performed before and after papillotomy. After papillotomy, IVC showed gallbladder opacification in one of seven test animals, whereas gallbladder filling occurred in all six control animals. The bile ducts were not visualized in any of the test animals, whereas five of six controls showed contrast filling of the bile ducts. Reflux cholangiography was performed after EPT and showed free reflux of contrast from the duodenum to the bile ducts. These findings indicate that papillotomy results in an insufficiency of the sphincter mechanism of the ampulla of Vater, and hence intravenous cholangiography may not be valid for showing the gallbladder and the bile ducts after papillotomy.
Hepatocellular Carcinoma with Distant Double Bile Duct Tumoral Thrombus: a Case Report
Published in Acta Chirurgica Belgica, 2009
H.-D. Lam, Ph. Hauters, Chr. Iloaie, A. Nakad, N. Renard, Ph. Malvaux, J. Landenne
The authors report a case of a 3 cm hepatocellular carcinoma at the junction of segments VI and VII with double bile duct tumoral thrombi (Types I and III). The type I thrombus was suspected during the pre-operative workup, but the type III bile duct tumoral thrombus (BDTT) was an intra-operative additional finding on cholangiography. The patient underwent a bisegmental posterolateral resection to remove the primary tumour and the first tumoral thrombus located in the posterolateral intrahepatic duct. A choledocotomy was also performed to remove, by balloon catheter, the floating thrombus located in the common bile duct just over the papilla. The authors discuss their diagnostic and therapeutic approach and review the literature.
A Systematic Review of Laparoscopic Cholecystectomy in Situs Inversus
Published in Journal of Investigative Surgery, 2021
Mohamed Ali Chaouch, Hichem Jerraya, Mohamed Wejih Dougaz, Ramzi Nouira, Chadli Dziri
Background: In case of situs inversus (SI), laparoscopic cholecystectomy (LC) is challenging. This systematic review aimed to assess the appropriate technique for LC in SI. Methods: An electronic search was carried out using the following keywords: “Situs inversus” and “Laparoscopic cholecystectomy”. The main endpoints were surgical procedures, intra-operative cholangiography (IOC) use, common bile detection, operative time, bile duct injury, conversion, mortality, and morbidity. Results: We retained 93 cases. Essentially two types of laparoscopy port placement reported were reported: the “American mirror technique” and the “French mirror technique”. One report of a left-handed surgeon was retained. Fourteen cases operated by a right-handed surgeon: “American mirror technique” used in 33 cases and “French mirror technique” used in 7 cases. The operative time was mentioned in 52 cases with a mean of 74 min without any statistical difference between the two techniques. No cases of postoperative death, major complications or bile duct injury were reported. IOC was performed in 16 cases (17.2%). An associated common bile duct stone was found in eight cases (8.6%). ERCP with endoscopic sphincterotomy was used to treat the associated CBD stones in 7 cases and a choledecoscopy was conducted in one case to extract stones. The conversion rate in this systematic review was 1.07%. Conclusions: LC in SI is easier for left-handed surgeons. The fastest technique for right-handed surgeons seems to be the “American mirror technique” and some modifications of the port placement can facilitate it.
Related Knowledge Centers
- Abdominal Radiography
- Biliary Tract
- Bile Duct
- Endoscopic Sphincterotomy
- Ampulla
- Vater
- Radiopaque Media