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IMPROVEMENT OF SURGICAL TREATMENT OF ACUTE BILIARY PANCREATITIS.
Georgian Med News
October 2024
3State Higher Medical College named after D. Kalmataev, Semey, Republic of Kazakhstan.
Purpose Of The Study: improving the surgical treatment of biliary pancreatitis by using a universal retractor and improved methods of omentobursostomy with drainage of the omental bursa.
Study Design: Non-randomized controlled clinical trial Material and methods: This study included thirty-nine patients who underwent surgical procedures between October 2022 and September 2023 in Semey, located in the Abay region. The study examined the general characteristics of surgical interventions performed for acute biliary pancreatitis using our proposed treatment methods and devices to improve the outcomes of acute biliary pancreatitis.
Safety and effectiveness of consecutive 191 endoscopic ultrasonography-guided biliary drainage procedures: a single-center experience.
Pol Przegl Chir
May 2024
Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, Torun, Poland.
<b>Introduction:</b> The development of endoscopic ultrasonography (EUS) has enabled extra-anatomical transmural access to the bile ducts, thus making it possible to perform endoscopic biliary anastomoses with the gastrointestinal (GI) tract and obtain extra-anatomical transpapillary access. EUS provides an alternative to the existing methods of biliary drainage (BD) for cases in which endoscopic retrograde cholangiopancreatography (ERCP) is ineffective.<b>Aim:</b> This study aimed to evaluate the efficacy and safety of extraanatomical endoscopic biliary access methods for the treatment of benign and malignant biliary strictures.
View Article and Find Full Text PDFCholedochal Cysts in Adults: A Case Report and Literature Review.
Cureus
October 2024
General Surgery and Gastrointestinal Endoscopy, Hospital Regional de Alta Especialidad Dr. Gustavo A. Rovirosa Pérez, Villahermosa, MEX.
Choledochal cysts are a rare malformation of the biliary tract with an unknown etiology, predominantly affecting Asians and females. Although they are more often diagnosed during childhood, symptoms typically present in young adulthood due to complications. There are no pathognomonic clinical manifestations; the clinical presentation is associated with gallstones, choledocholithiasis, pancreatitis, cholangitis, and an increased risk of malignancy.
View Article and Find Full Text PDF[Ectopic variceal bleeding within a biliodigestive anastomosis - an interdisciplinary challenge and successful interventional therapy].
Rofo
September 2024
Diagnostic and Interventional Radiology, University of Leipzig Faculty of Medicine, Leipzig, Germany.
PERCUTANEOUS CHOLANGIOSCOPY AND LASER BILIARY LITHOTRIPSY FOR BILIARY INTRAHEPATIC STONES MANAGEMENT: CASE REPORT.
Arq Gastroenterol
June 2024
Hospital de Clínicas da Universidade Federal do Paraná, Unidade de Endoscopia Gastrointestinal, Curitiba, PR, Brasil.
Intrahepatic biliary stone disease is a difficult condition to treat, due to anatomical complexity of biliary tract, association with colestasis, and high recurrence rates, with potential short- and long-term complications, such as cholangitis and secondary biliary cirrhosis. Removal of biliary stones via intraductal access can be achieved endoscopically or percutaneously, with preference for cholangioscopy-guided laser lithotripsy in complex cases. The surgical approach, despite its prolonged results, is a more invasive and risky procedure.
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