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Endoscopic ultrasound-guided biliary drainage: a literature review.
Rev Col Bras Cir
April 2023
- Universidade de São Paulo, Departamento de Cirurgia Geral - São Paulo - SP - Brasil.
Neoplasms of the biliopancreatic confluence may present with obstruction of the bile tract, leading to jaundice, pruritus and cholangitis. In these cases drainage of the bile tract is imperative. Endoscopic retrograde cholangiopancreatography (ERCP) with placement of a choledochal prosthesis is an effective treatment in about 90% of cases, even in experienced hands.
View Article and Find Full Text PDFIntraoperative placement of transparietohepatic biliary drainage in remedial hepaticojejunostomy: technique and clinical experience.
Am J Surg
April 2008
General Surgery 8 and Liver Transplantation Center, University of Turin, San Giovanni Battista Hospital, Corson Bramante 88, 10126 Turin, Italy.
Remedial biliary surgery most often entails a Roux-en-Y hepaticojejunostomy. Sometimes the duct wall at the porta hepatis has been so damaged by inflammatory changes that the postoperative external drainage of bile away from a biliodigestive suture at risk of dehiscence is advisable. A technique of intraoperative placement of transparietohepatic biliary drainage was devised.
View Article and Find Full Text PDF[Spontaneous and postoperative bile peritonitis. Surgical technique].
Minerva Chir
February 2002
Dipartimento di Discipline Chirurgiche e delle Emergenze, Università degli Studi di Modena e Reggio Emilia, Italy.
Background: Bile peritonitis has a diversified aetiology that can present in clinical pictures of variable gravity depending on whether the bile is uncontaminated or activated by other secretions (intestinal, pancreatic) or actually infected. The consequent treatment is therefore eclectic. In our opinion, however, the therapeutic strategy proves effective if modulated on the basis of certain priority elements that should be carefully considered.
View Article and Find Full Text PDFRhabdomyosarcoma of extrahepatic biliary tree: initial treatment with chemotherapy and conservative surgery.
Med Pediatr Oncol
May 1998
Oncology Unit, Hospital de Niños Superiora Sor María Ludovica, La Plata, Argentina.
Background: The very low frequency of rhabdomyosarcoma (RMS) of the extrahepatic biliary tree has impeded the development of a standardized form of treatment.
Procedure: Based on the good response of embryonal RMS to chemotherapy, we used a multi-drug protocol as the initial treatment of a 3-year-old girl after obtaining adequate transparietohepatic biliary drainage. The treatment achieved complete remission.
[Surgical prosthesis in Klatskin's tumor: the indications and results].
Chirurgia (Bucur)
February 1997
Clinica de Chirurgie, Spitalul Interdepartamental Bucureşti
The unresectable Klatskin tumors can benefit from surgical polliction through intrahepatic biliodigestive anastomosis or surgical stenting (lost tube, "U" tube-Terblanche or "T" tube). 85 Klatskin tumors were operated in 20 years in the Surgery Clinic "Colentina" and in the Surgery Clinic "Interdepartamental". Surgical stenting was performed in 13 cases.
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