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Hook-shaped distal common bile duct due to peptic ulcer mimicking cholangiocarcinoma.
Int J Surg Case Rep
December 2024
Department of Surgery A La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
Introduction And Importance: Internal and spontaneous bilio-digestive fistulas, without primary biliary disease, are an infrequent complication of the upper digestive tract. We report a case of a Hook-shaped distal common bile duct due to peptic ulcer mimicking cholangiocarcinoma.
Case Report: A 63-year-old patient, with no medical history, presented to the emergency department with recent jaundice.
Diabetes Mellitus represents a major socio-economic issue both by influencing the patient's quality of life and also considering the impact on the healthcare system. Diabetic neuropathy is one of the main complications associated, in most cases being present from the moment of diagnosis. Considering the high incidence of diabetes among patients with biliodigestive surgical conditions, a thorough analysis of the evolution and management of these patients is necessary.
View Article and Find Full Text PDFEndoscopic entero-enteral bypass to treat postsurgical benign complications of hepatico-jejunostomy: Update of a 7-year single-center experience.
Endosc Int Open
April 2023
Digestive and Interventional Endoscopy Unit, Niguarda-Ca' Granda Hospital, Milan, Italy.
Since 2014, we have been using a new endoscopic approach to improve management of biliary adverse events (BAEs) after bilio-digestive anastomosis. We provide an update about our experience at 7 years. Patients with BAEs on hepatico-jejunostomy underwent entero-enteral endoscopic by-pass (EEEB) creation between the duodenal/gastric wall and the biliary jejunal loop.
View Article and Find Full Text PDFHigh amylase concentration in drainage liquid can early predict proximal and distal intestinal anastomotic leakages: A prospective observational study.
J Res Med Sci
January 2023
Department of General, Digestive and Endocrine Surgery, Robert Debré University Hospital, Reims, France.
Background: Anastomotic leak (AL) is a serious complication in digestive surgery. Early diagnosis might allow clinicians to anticipate appropriate management. The aim of this study was to assess the predictive value of amylase concentration in drain fluid for the early diagnosis of digestive tract AL.
View Article and Find Full Text PDFNeuraxial anesthesia in hepato-pancreatic-bilio surgery: a first western pilot study of 46 patients.
Updates Surg
April 2023
HPB Surgery Unit, Pineta Grande Hospital, 81030, Castel Volturno, CE, Italy.
The most common anesthetic approach in hepato-pancreatic-biliary (HPB) surgery is general anesthesia (GA), but it may result in increased morbidity and mortality and peri-operative risks especially in frail patients. The aim of this study was to assess the safety and effectiveness of neuraxial anesthesia (NA) in HPB in a pilot clinical series. This analysis was conducted on 46 consecutive patients undergoing HPB surgery in an Italian Tertial referral center.
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