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Similar Publications

Double Common Bile Duct with Ectopic Drainage into the Stomach Found in Asymptomatic.

Tokai J Exp Clin Med

September 2016

Department of Gastroenterology, Tokai University Oiso Hospital, 21-1 Gakkyo, Oisomachi, Nakagun, Kanagawa 259-0198, Japan.

The case of a patient with asymptomatic double common bile duct that was identified by chance is presented. A 41-year-old man underwent esophagogastroduodenoscopy(EGD) as part of a regular health checkup, during which he was found to have an elevated lesion in the lesser curvature of the upper gastric corpus with bile draining from its tip. Further examination led to a diagnosis of double common bile duct from the left intrahepatic bile duct to the opening into the stomach.

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Biliary and duodenal drainage for reducing the radiotoxic risk of antineoplastic 131I-hypericin in rat models.

Exp Biol Med (Maywood)

December 2015

Lab of Translational Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, 210028 Nanjing, P.R. China Radiation Medical Institute, Shandong Academy of Medical Sciences, 250062 Jinan, P.R. China Department of Radiology, Campus Gasthuisberg, KU Leuven, 3000 Leuven, Belgium.

Article Synopsis
  • The study investigates the use of (131)I-hypericin, a radiopharmaceutical, for treating solid tumors while identifying potential side effects due to its radioactivity after liver metabolism and bile excretion.
  • Thirty-eight rats were injected with (131)I-Hyp, and different bile drainage methods were tested to measure their effectiveness in reducing intestinal radioactivity, with results showing significant reductions in 12 rats subjected to bile drainage.
  • Findings suggest that effective bile drainage can prevent unwanted intestinal radioactivity, and this method might be translated into clinical practice for patients treated with (131)I-Hyp, using specialized drainage catheters.
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Obstruction of bile flow following pancreatoduodenectomy can be caused by stenosis of the hepaticojejunostomy created at the time of surgery, obstruction of the bile-draining jejunal loop, stones or, very rarely, ingested foreign bodies in the common hepatic duct. In analogy with endoscopic sphincterotomy or the once popular side-to-side-choledochduodenostomy, the creation of a hepaticojejunostomy eliminates the barrier of the sphincter Oddi, enabling intestinal content such as ingested foreign bodies or food fibers to migrate into the bile duct. We report on the case of a patient developing biliary tract obstruction due to fibrous material in the common hepatic duct 15 years after pancreatoduodenectomy.

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Diagnosis and management of cystic duct leakage after laparoscopic cholecystectomy: report of 3 cases.

Hepatobiliary Pancreat Dis Int

February 2005

Minimally Invasive Surgery Center, Shanghai Changhai Hospital, Second Military Medical University, Shanghai 200433, China.

Background: Operative complications after laparoscopic cholecystectomy (LC) vary. Abdominal pain and other symptoms caused by fluid accumulation in the operative area are not uncommon. Cystic duct (CD) leakage is one of the main sources of the fluid.

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The paper presents 30-year experience in treating 158 patients with congenital cystic diseases of the liver and bile ducts. Depending on the pattern of hepatobiliary lesions, the diagnostic value of techniques, such as ultrasound, computerized tomography, scintigraphy of the liver duodenoscopy with THCG was defined. Analyzing the late outcomes provided recommendations for the most optimal surgical management: cystic fenestration and tunneling in hepatic polycystosis, pericystectomy in solitary cysts of the liver, different varieties of bile draining operations in choledochal cysts and Caroli's disease.

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