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| http://dx.doi.org/10.1055/a-1930-5917 | DOI Listing |
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A Unique Presentation of Diffuse Intraductal Papillary Mucinous Neoplasm of Bile Duct Successfully Treated With Orthotopic Liver Transplant and Pancreaticoduodenectomy Procedure: A Case Report.
Cureus
September 2024
Department of Surgery, Saint Louis University Hospital, Saint Louis, USA.
Biliary intraepithelial neoplasm (BilIN) and intraductal papillary mucinous neoplasm of the bile duct (IPMN-B) are recognized as the two main precursors to biliary carcinoma. Surgical resection is the mainstay of treatment, with pancreaticoduodenectomy for extrahepatic biliary duct disease involving the pancreatic or distal portion of the bile duct, and bile duct and liver resection for perihilar and intrahepatic bile duct involvement. For diffuse IPMN-B with involvement of the entirety of the biliary epithelium of both intrahepatic and extrahepatic biliary systems, there is no well-documented consensus on treatment due to its rarity.
View Article and Find Full Text PDFHepaticogastrostomy versus hepaticogastrostomy with antegrade stenting for malignant biliary obstruction: a systematic review and meta-analysis.
Therap Adv Gastroenterol
October 2024
Centre for Translational Medicine, Semmelweis University, Üllői út 26, Budapest H-1085, Hungary.
Background: Combining antegrade stenting (AGS) and hepaticogastrostomy (HGS) is an increasingly used endoscopic ultrasound-guided intervention when stenting by endoscopic retrograde cholangiopancreatography is impossible.
Objectives: We comprehensively assessed the benefits and downsides of combined AGS and HGS (HGS procedure with AGS, HGAS).
Data Sources And Methods: From 788 HGS and 295 HGAS cases, a random-effects meta-analysis was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol.
Biliary Complications in Liver Transplant Recipients With a History of Bariatric Surgery.
Exp Clin Transplant
September 2024
>From the Department of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
Article Synopsis
- * A study reviewed 261 liver transplant patients, finding that 9 had prior bariatric surgery, and 33% of those experienced biliary complications, primarily in patients with Roux-en-Y or biliopancreatic diversion surgeries.
- * Effective management of these complications included advanced endoscopic techniques and surgical revisions, with no recurrent strictures observed by the study's end, highlighting the importance of a multidisciplinary approach.
Successful application of percutaneous endoscopic cholangioscopy + electrohydraulic lithotripsy for hepatolithiasis post-liver transplantation: a case report.
J Med Case Rep
September 2024
Department of Radiology and Diagnostic Imaging, Fundación Valle del Lili, Cali, Colombia.
Article Synopsis
- Liver transplantation is a very important surgery for kids with serious liver problems, but there can be complications like biliary stones.
- A 7-year-old boy who had a liver transplant faced issues with stones in his bile ducts and infection, making treatment difficult.
- A special method called percutaneous endoscopic cholangioscopy was used to successfully remove the stones without needing more surgery, which is a great option for future cases like this.
Endoscopic ultrasound-guided biliary drainage using electrocautery-enhanced lumen-apposing metal stent for malignant biliary obstruction: A promising procedure.
World J Clin Cases
September 2024
Department of Ultrasound, The First Affiliated Hospital of Hainan Medical University, Haikou 570102, Hainan Province, China.
In this editorial, we comment on the article by Peng . Palliative drainage for biliary obstruction resulting from unresectable malignant lesions includes internal and external drainage. The procedures of biliary drainage are usually guided by fluoroscopy or transcutaneous ultrasound, endoscopic ultrasound (EUS), or both.
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