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Review of the Endoscopic, Surgical and Radiological Techniques of Treating Choledocholithiasis in Bariatric Roux-en-Y Gastric Bypass Patients and Proposed Management Algorithm.
Obes Surg
November 2021
Department of Upper Gastrointestinal Surgery, St George Hospital, Sydney, NSW, Australia.
Choledocholithiasis in post-surgical bariatric Roux-en-Y gastric bypass patients presents a significant challenge secondary to altered anatomy. We aim to review the existing management options including either endoscopic, surgical, percutaneous or hybrid means. Current literature suggests reasonably successful cannulation rates for single- or double-balloon ERCP ranging from 50 to 70% and 63-83%, respectively.
View Article and Find Full Text PDF[The clinical application of primary sinus tract sinus establishment combined with holmium laser lithotripsy in elderly patients with choledocholithiasis and stricture].
Zhonghua Yi Xue Za Zhi
November 2020
Department of Hepatobiliary Surgery, Eastern Hospital, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, China.
To investigate the clinical efficacy and safety of one-time percutaneous transhepatic establishment of intrahepatic bile duct sinus, choledochoscope combined with holmium laser lithotripsy in elderly patients with hepatolithiasis combined with benign stricture. The clinical data of 56 elderly patients diagnosed with intrahepatic bile duct stones combined with stricture in our hospital from January 2018 to January 2019 were collected. All patients underwent PTCD puncture and drainage, and simultaneously expanded the punctured sinus channels step by step, intrahepatic bile duct stones lithotripsy and lithotomy were performed under choledochoscope combined with holmium laser.
View Article and Find Full Text PDFThe study between the dynamics and the X-ray anatomy and regularizing effect of gallbladder on bile duct sphincter of the dog.
World J Gastroenterol
May 2003
Radiology Department of Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, Shaanxi Province, China.
Aim: To study the relationship between the radiological anatomy and the dynamics on bile duct sphincter in bile draining and regularizing effect of gallbladder.
Methods: Sixteen healthy dogs weighing 18 kg to 25 kg were divided randomly into control group and experimental group (cholecystectomy group). Cineradiography, manometry with perfusion, to effect of endogenous cholecystokinin and change of ultrastructure were employed.
Computed tomography infusion choledochography in the management of Caroli's syndrome.
Aust N Z J Surg
April 1997
HepatoBiliary and Pancreatic Surgical Unit, Royal Adelaide Hospital, South Australia.
A metal cannula for laparoscopic choledochography.
Aust N Z J Surg
June 1994
Department of Surgery, Box Hill Hospital, Melbourne, Victoria, Australia.
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