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Gallbladder perforation due to the obstructing periampullary duodenal diverticulum (Lemmel's syndrome): a case report.
J Surg Case Rep
March 2025
Department of Gastrointestinal Surgery, Birat Medical College and Teaching Hospital (BMCTH), Tankisinwari, Morang, Biratnagar 56613, Nepal.
Lemmel's syndrome is a rare condition characterized by obstructive jaundice due to the periampullary duodenal diverticulum in the absence of choledocholithiasis or tumors. Its infrequent occurrence and non-specific clinical presentation can make it difficult to distinguish from other conditions. We present a case of Lemmel's syndrome in a 63-year-old male who exhibited symptoms of abdominal pain in right hypochondrium, vomiting, and fever.
View Article and Find Full Text PDFSurgical Management of Postcholecystectomy Strasberg Type E4 Bile Duct Injuries.
World J Surg
March 2025
Division of GI Surgery, GI Oncology, Minimal Access and Bariatric Surgery, Institute of Digestive and Hepatobiliary Sciences, Medanta - The Medicity, Gurugram, India.
Introduction: High-biliary injuries are associated with worse outcomes. Most series do not mention failure rates specific to the injury grade. In our experience, Strasberg E4 injuries are associated with a higher failure rate.
View Article and Find Full Text PDFWhether preoperative biliary drainage leads to better patient outcomes of pancreaticoduodenectomy: a meta-analysis and systematic review.
BMC Gastroenterol
March 2025
The Forth Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou, 730000, Gansu, China.
Objective: To investigate whether preoperative biliary drainage is beneficial for patients undergoing pancreaticoduodenectomy.
Methods: The PubMed, Cochrane Library and the Web of Science were systematically searched for relevant trials that included outcome of pancreaticoduodenectomy with and without preoperative biliary drainage from January 2010 to May 2024. The primary outcomes are postoperative pancreatic fistula and intra-abdominal infection.
The EUS-guided rendezvous technique was performed for stent implantation.
Rev Esp Enferm Dig
March 2025
Biliopancreatic Endoscopic Surgery, The Second Hospital of Hebei Medical University, china.
When Endoscopic retrograde cholangiopancreatography (ERCP) fails in patients with obstructive jaundice, EUS-guided rendezvous technique (EUS-RV) becomes an alternative treatment. For the EUS-RV, we can puncture the intrahepatic bile duct (IHBD) and the extrahepatic bile duct (EHBD). Puncturing the EHBD needs through duodenum, the puncture site can be divided into via the proximal duodenum (D1) and via the second portion of the duodenum (D2).
View Article and Find Full Text PDFOverview of endoscopic biliary stenting in malignant obstructive jaundice.
World J Gastrointest Surg
February 2025
Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
This article discusses Wang 's essay. Endoscopic biliary stenting, a less invasive alternative to surgery, is effective for malignant obstructive jaundice. This article summarizes the pathophysiology of biliary obstruction, the technical aspects of stenting, and the clinical outcomes.
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