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SpyBite-Assisted Biliary Cannulation Facilitating Endoscopic Retrograde Cholangiopancreatography in the Presence of Intradiverticular Papilla.
ACG Case Rep J
November 2024
Gastroenterology and Hepatology, Cardioinfantil-La Cardio Foundation, Bogotá, Colombia.
Biliary cannulation in the context of intradiverticular papilla (IDP) during endoscopic retrograde cholangiopancreatography (ERCP) remains a challenge even for experts. A 71-year-old woman with choledocholithiasis failed extrainstitutional ERCP because of the presence of IDP. A new ERCP was performed, identifying papillary orifice at the edge of the diverticulum, biliary cannulation by means of SpyBite and sphincterotome, visualizing intra and extrahepatic bile duct dilatation, proceeding to large balloon bilioplasty with extraction of biliary sludge, with optimal results and without complications.
View Article and Find Full Text PDFEmergency pancreaticoduodenectomy for complex pancreaticoduodenal damage with multiple organ injuries following blunt abdominal trauma: A case report and literature review.
Int J Surg Case Rep
November 2024
Department of Abdominal Surgery, Military Hospital 175, Ho Chi Minh City 70000, Viet Nam.
Article Synopsis
- Pancreaticoduodenectomy, a complex surgery, risks complications like pancreatic fistula and bile leakage, with emergency cases posing even higher threats due to patients’ unstable conditions.
- A case of a 49-year-old man who suffered severe abdominal injuries from a truck collision illustrates the challenges; despite instability, he underwent emergency pancreaticoduodenectomy and additional surgeries, facing postoperative issues managed conservatively.
- Although high-risk, emergency pancreaticoduodenectomy can be lifesaving for trauma patients with severe injuries, it should only be performed by experienced surgeons at specialized centers.
Laparoscopic cholecystectomy: post-operative bile and chyle leaks. A case report.
J Surg Case Rep
September 2023
Adult General Surgery, Memorial Hospital West, Pembroke Pines 33028, United States.
One week after an elective laparoscopic cholecystectomy at an outside hospital, a 56-year-old male presented to the emergency department with right-sided abdominal pain. Computerized tomography (CT) revealed a complex fluid collection in the gallbladder fossa. The patient underwent drain placement and received broad-spectrum intravenous antibiotics.
View Article and Find Full Text PDFPractices in the Management of Incidental Gallbladder Cancer.
South Asian J Cancer
July 2024
Department of Hepato-Pancreato-Biliary Surgery, Mahatma Gandhi Medical College and Hospitals, Jaipur, Rajasthan, India.
Peeyush Varshney Histopathology of gallbladder removed for stones may reveal incidental gallbladder cancer (iGBC). We conducted this online e-survey to document the knowledge and practices of management of iGBC among surgeons in India. A 38-question online e-survey Two-hundred thirty responses were recorded.
View Article and Find Full Text PDFFibrin-based haemostatic agents for reducing blood loss in adult liver resection.
Cochrane Database Syst Rev
August 2023
Institute of Transplantation, The Freeman Hospital, Newcastle upon Tyne, UK.
Background: Liver resection is the optimal treatment for selected benign and malignant liver tumours, but it can be associated with significant blood loss. Numerous anaesthetic and surgical techniques have been developed to reduce blood loss and improve perioperative outcomes. One such technique is the application of topical fibrin-based haemostatic agents (FBHAs) to the resection surface.
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