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Technical Note on Modified Direct Intrahepatic Portocaval Shunt Targeting Different Vessels for Portal Vein Obstruction in Cirrhosis.
Cardiovasc Intervent Radiol
January 2025
Department of Gastroenterology and Hepatology, Zhongnan Hospital of Wuhan University, No. 169, Donghu Road, Wuchang District, Wuhan, 430071, Hubei Province, China.
Purpose: This study aimed to explore a modified direct intrahepatic portocaval shunt (DIPS) technique as an alternative approach for patients with portal vein occlusion (PVO) and cirrhosis who were not candidates for traditional transjugular intrahepatic portosystemic shunt (TIPS) due to anatomical challenges.
Technique: Three patients with esophageal or gastric fundus variceal hemorrhage complicated by severe PVO were treated using innovative DIPS approaches. Preoperative contrast-enhanced computed tomography was employed to assess anatomical feasibility.
[A Case of Spontaneous Rupture of a Metastatic Renal Tumor Caused by Hepatocellular Carcinoma].
Hinyokika Kiyo
August 2024
The Department of Pathology, Gifu Prefectual General Medical Center.
TA 51-year-old Japanese man presented with a history of percutaneous transhepatic portal veinembolization, right hepatic lobectomy for hepatocellular carcinoma, and left upper pulmonary lobectomy forpulmonary metastasis of hepatocellular carcinoma. Owing to the elevated tumor marker levels,ultrasonography and fluorodeoxyglucose-positron emission tomography-computed tomography (FDG-PETCT) were performed, which revealed a left renal tumor 24 mm in diameter with FDG accumulation ;accordingly, renal metastasis of hepatocellular carcinoma was diagnosed. Localized radiofrequencyablation (RFA) was scheduled due to the absence of metastases other than that in the left kidney.
View Article and Find Full Text PDFAdrenal Gland Metastasis of Merkel Cell Carcinoma Diagnosed by Endoscopic Ultrasonography-guided Fine Needle Biopsy.
Tokai J Exp Clin Med
December 2024
Department of Gastroenterology and Hepatology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Article Synopsis
- A 70-year-old man with a history of Merkel cell carcinoma presented with jaundice and underwent several imaging studies showing bile duct obstruction.
- Due to complications from the patient's anatomy, standard procedures like endoscopic retrograde cholangiopancreatography were unsuccessful, leading to a percutaneous bile drainage.
- Further investigation via endoscopic ultrasound-fine needle biopsy revealed a recurrence of Merkel cell carcinoma in the right adrenal gland.
Evaluating the yield of digital single operator cholangioscopy in posttransplant biliary strictures after unsuccessful guidewire placement with ERCP.
JGH Open
October 2024
Department of Gastroenterology and Hepatology Austin Health Melbourne Victoria Australia.
Article Synopsis
- Strictures following liver transplantation are a common complication, and while endoscopic retrograde cholangiopancreatography (ERCP) is typically the first line of treatment, it can fail, necessitating further procedures.
- This study reviewed the use of a digital single operator cholangioscope (D-SOC) at two Australian centers to assist patients who had unsuccessful ERCP attempts for biliary strictures.
- Out of 18 patients treated with D-SOC, 72% successfully achieved guidewire access, with some patients avoiding more invasive procedures, indicating D-SOC's potential as a viable option before resorting to less favorable techniques like percutaneous transhepatic cholangiography (PTC) or surgery.
Current Gallstone Treatment Methods, State of the Art.
Diseases
August 2024
Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, National Virtual, Reality Experimental Education Center for Medical Morphology (Southern Medical University), National Key Discipline of Human Anatomy School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, China.
Article Synopsis
- - This study provides insights for clinicians on selecting minimally invasive surgical methods for treating biliary tract stones, including a comparison of techniques like PTCS, ERCP, and LCBDE.
- - The paper highlights the rise in gallstone-related diseases and the growing need for innovative, patient-friendly surgical approaches while addressing unique complications associated with each method.
- - The incorporation of artificial intelligence into gallstone procedures is discussed as a promising solution for improving detection, treatment, and prognosis, with recommendations for optimizing preoperative and procedural practices.
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