Effect of liver steatosis in outcome after bile duct reconstruction for iatrogenic injury.

Background: The estimated prevalence of nonalcoholic fatty liver disease (NAFLD) in the overall population is 30%. Bile duct injuries associated with cholecystectomy have a constant frequency and some patients with these types of injuries have concomitant hepatic stenosis (HS). It has not been determined if HS has a negative outcome on the results of surgical bile duct repair.

[Transhepatic transanastomotic stents for bile duct injuries. Long-term evolution].

Background: With loss of continuity of the bile ducts after injury, surgery is the only feasible treatment option. Roux-en-Y hepatojejunostomy is the best choice. The use of transhepatic and transanastomotic tubes is still controversial.

[Prognostic factor in gallbladder cancer].

Background: Gallbladder cancer is a rare and aggressive neoplasm.

Objective: The purpose of this manuscript was to evaluate the prognostic factors associated with overall survival in gallbladder cancer patients.

Methods: We performed a retrospective study of the patients with gallbladder cancer who received attention in a tertiary referral center in Mexico City during a 13 year period (1990-2002).

[Portal biliopathy].

Portal biliopathy is a rare condition that is usually not diagnosed. It is associated with presence of varix around bile duct with concomitant ischemic damage and structural alterations of bile duct wall; this produces obstructive phenomena. There are scarce reports on the literature this entity.