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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561906 | PMC |
| http://dx.doi.org/10.1590/1806-9282.20230791 | DOI Listing |
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Department of Urology, The University of Hong Kong - Shenzhen Hospital, Shenzhen, Guangdong, China.
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View Article and Find Full Text PDFPercutaneous Transhepatic Cholangioscopy in Hepatolithiasis Associated With Decompensated Cirrhosis: A Retrospective Cohort Study.
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Research Center of Biliary Disease, West China Hospital, Sichuan University, Chengdu, China.
Background: Multiple and complicated hepatolithiasis can be associated with decompensated cirrhosis. Endoscopic retrograde cholangiopancreatography is unavailable for multiple and complicated hepatolithiasis, and the mainstay for decompensated cirrhosis is liver transplantation. However, due to the ethical factors and the complexity of operation, liver transplantation cannot be widely operated.
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Tertiary hyperparathyroidism is characterized by increased parathyroid hormone (PTH) secretion that appears after prolonged secondary hyperparathyroidism, leading to the onset of hypercalcemia. The parathyroid glands are found to undergo hyperplastic or adenomatous changes and act autonomously with increased parathormone secretion not suppressed by feedback control. This entity is commonly associated with long-term secondary hyperparathyroidism states, such as chronic kidney disease, renal transplantation, and gastrointestinal malabsorption.
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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.
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