endoscopic management of bile duct complications

... Mohamed A: Endoscopic management of biliary hydatid disease: report of six cases Endoscopy 1991, 23:278-281 Ozer B, Serin E, Gümürdülü Y, Gür G, Yilmaz U, Boyacioğlu S: Endoscopic extraction of living ... dose of 10 mg/kg of Tricalbendazole [3] On her follow-up examination, after four weeks, her liver enzymes had returned to normal Another ultrasonography revealed that the size of her bile duct ... duodenum Figure Cholangiogram revealing a dilated common bile duct and a chronic phase, which develops due to the presence of flukes in the bile ducts [4] The metacercariae for these parasites encyst...

Ngày tải lên: 11/08/2014, 12:20

... of the cystic to common bile duct junction and laceration of the common hepatic duct over less than 25% of the duct diameter Major injuries include laceration over more than 25% of the bile duct ... triple duct injury, with right and left hepatic duct ligaFigure common bile duct cross-section (Bismuth type V), was and bile tion revealed in magnetic resonance imaging A triple bile duct injury, ... Type D Type E Bile leak from cystic duct or liver bed without further injury Partial occlusion of the biliary tree, most frequently of an aberrant right hepatic duct Bile leak from duct (aberrant...

Ngày tải lên: 11/08/2014, 19:21

... Multi-organ system disease MEDICAL MANAGEMENT OF LIVER TRANSPLANT CANDIDATES • Management of complicated portal hypertension • Nutritional support • Aggressive management of infection • Appropriate immunizations ... degree of biliary obstruction and the amount of fat excreted in the stools • Intraluminal bile salt concentrations are below the critical micellar concentration such that intraluminal products of ... correlate with the degree of vitamin or trace mineral deficiency or the degree of hepatic dysfunction Nutritional Assessment of the Child with Liver Disease • A number of obstacles complicate the...

Ngày tải lên: 05/03/2014, 10:20

... absorption of distending media, which is discussed later Risk Reduction, Recognition, and Management of Access-related Adverse Events The risk of complications of access may be largely reduced by any of ... Reduction, Recognition, and Management of Media-related Adverse Events Risk reduction of media-related complications begins well before the procedure starts Recognition of the types of procedures that ... is often easier to relate many of the terms to those of hydraulics, which are more familiar Just as a certain amount of water flows through a garden hose, electric energy consists of a flow of...

Ngày tải lên: 06/03/2014, 12:20

... anatomy of paranasal sinuses Describe medical management of CRS Describe surgical management of CRS – Preoperative, intraoperative, and postoperative care • Discuss expected results and possible complications ... management of chronic rhinosinusitis • If medical management fails, – And, clear evidence of bacterial infection or anatomic obstruction, – And, significant symptoms and/or significant loss of ... • No official guideline for frequency of infections – Consider or more episodes of infection during the past year Surgical management • Open approaches are now relatively rare – Trauma – Complications...

Ngày tải lên: 16/03/2014, 14:20

... SIGN 119 Management of patients with stroke: identification and management of dysphagia6 and SIGN 108 Management of patients with stroke or TIA: assessment, investigation, immediate management ... treatment of sialorrhea Careful assessment of nutritional status and of swallowing impairment, careful fluid management, and routine use of intravenous fluids are consistent features of early management ... interventions made up of a number of components, are often implemented with some form of education and usually form all or part of the patient record.13 One systematic review of three randomised...

Ngày tải lên: 17/03/2014, 15:20

... National Hospital of Sri Lanka VP (MBBS) is Medical Officer of the medical intensive care unit of the National Hospital of Sri Lanka HF (MBBS, MD, FRCP, FCCP) is Consultant Physician of Ward 49, National ... are acts of deliberate self harm Ingestion of significant quantities of copper carries a risk of multi organ failure and death[1] Unfortunately, many physicians are not familiar with the complications ... is a rare form of poisoning However, given the complications and high mortality rates, it’s essential that clinicians are familiar with the management of such patients The effects of poisoning...

Ngày tải lên: 20/06/2014, 00:20

... A rare combination of an endocrine tumour of the common bile duct and a follicular lymphoma of the ampulla of Vater: a case report and review of the literature World Journal of Surgical Oncology ... Vas Sofias Ave., 11528, Athens, Greece 2Department of Anesthesiology, University of Athens, Aretaieion Hospital, 76 Vas Sofias Ave., 11528, Athens, Greece 3Department of Pathology, University of ... stenosis of the CBD, close to the ampulla of Vater (arrow) Endoscopic ultrasonography (EUS) demonstrated the duodenal ampulla of Vater thickened and the CBD dilated with the presence of thick...

Ngày tải lên: 09/08/2014, 01:24

... WBC of 9,490/μL, albumin of 4.2 g/dL, total bilirubin of 0.8 mg/dL, AST/ALT of 58/65 IU/L, alkaline phosphatase of 387 IU/L, γ-GTP of 764 IU/L, α-FP of 0.7 ng/mL, CEA of 3.1 ng/mL, CA 19-9 of ... aneurysmal dilatation of the bile duct itself of the left medial section and a diffuse dilatation of the extrahepatic bile duct (B) http://www.wjso.com/content/7/1/93 chyma of most right hemiliver, ... distal portion of the left intrahepatic duct and B4 No additional intraductal tumor was found in the right intrahepatic and extrahepatic bile duct Resection margins of the proximal bile duct and hepatic...

Ngày tải lên: 09/08/2014, 04:21

... drainage of the collection, the patient died on January 10th 2008 due to refractory septic shock Discussion Management of resectable bile duct adenocarcinoma Adenocarcinoma of the extrahepatic bile duct ... follow-up visit Clinical management of loco-regional relapse The case presented illustrates an example of an unusual pattern of relapse for adenocarcinoma of the extrahepatic bile duct on a draining ... diagnosis and management of bile duct cancer Ann Surg 1990, 211:614-620 discussion 620-611 Schoenthaler R, Phillips TL, Castro J, Efird JT, Better A, Way LW: Carcinoma of the extrahepatic bile ducts...

Ngày tải lên: 09/08/2014, 04:21

... than 1% of patients [5] The majority of these abscesses are colonized by gastrointestinal tract flora [5] H parainfluenza is a normal inhabitant of the human respiratory tract and its route of translocation ... Haemophilus parainfluenza after endoscopic retrograde cholangiopancreatography and open cholecystectomy with a common bile duct exploration: a case report Journal of Medical Case Reports 2010, ... there was no evidence of perforation or abscess and the CBD was intact at operation It is well understood that H parainfluenza is a common inhabitant of the mucosal surfaces of the human upper respiratory...

Ngày tải lên: 11/08/2014, 12:20

... transplant The results of surgery are often disappointing, with quick return of symptoms, bile leakage and symptomatic ascites in many patients [1-3] We present the case of a patient who underwent ... of small vessels and bile ducts of up to to mm in diameter Larger vessels and biliary ducts were divided with clamps and sutured with 4-0 polypropylene The major advantage of the ultrasound scalpel ... controlled dissection of the tissue Especially in the periphery, the UltraCision was an ideal dissection instrument: with the absence of large vessels and bile ducts, nearly all of the parenchyma...

Ngày tải lên: 11/08/2014, 14:20

... delivery of evidence-based cost-effective care As identified earlier, the appropriate management of chest pain raises a host of considerations relative to improving cross-disciplinary coordination of ... portal -of- entry healthcare provider in a primary ambulatory setting, the professional responsibilities of the practicing chiropractor include proper assessment, documentation, and treatment of chest ... multidisciplinary focus group composed of both chiropractic and medical professionals The goals of the focus group were to explore the attitudes and experiences of medical and chiropractic clinicians...

Ngày tải lên: 25/10/2012, 10:06

... portion of body or tail of the pancreas For tumors of SPT located in the neck and body of the pancreas, resection of the midportion of the pancreas and the mass with preserving the rim of the ... Malignant potential of solid pseudopappillary neoplasm of the pancreas Br J Surg 2006;93:733-37 de Castro SMM, Singhal D, Aronson DC, et al Management of Solid-pseudopapillary Neoplasms of the pancreas: ... median age of 39 years, which is significantly older than in the other reported series.7 Literatures showed the head and tail of the pancreas were the preferential sites of the occurrence of SPT.3,7,10,14,15,16...

Ngày tải lên: 25/10/2012, 11:40

... widespread of HS in the right gluteal area (C) Excision material of lesion (D) View of defect after excision The duration time of hospitalization was related with the extent and severity of the lesions ... surgical removal of the abscesses and fistulas are usually futile.1,14 The success of medical therapies, however, often is limited because of the indolent and recurrent nature of the disease Operative ... etiology of HS still remains unclear, genetic factors may play a role as a positive family history has been elicited in 26% of patients with HS The role of endocrine factors in the etiology of HS...

Ngày tải lên: 26/10/2012, 08:57

... major role in the pathogenesis of both types of diabetes mellitus High levels of free radicals and the decline of antioxidant defense mechanisms lead to damage of cellular organelles and enzymes, ... development of the oxidative stress (68) If our findings are proven by further studies involving a larger number of patients, ultra-low microcurrent therapy might change the concept of management of chronic ... common pathology of chronic diseases, and using antioxidants, such as the EPRT device used in this experiment, might change the concept of management of chronic diseases Conflict of Interest The...

Ngày tải lên: 26/10/2012, 09:39

... diagnosis and management of hepatitis C in the peri-liver transplant period, as well as the management of the complications of chronic liver diseases Paul Martin M.D is Professor of Medicine at ... 30% of patients will discontinue therapy Often the only way of maintaining Int J Med Sci 2006, the blood counts is to aggressively use hematopoietic growth factors The often poor tolerability of ... profound graft dysfunction following successful interferon clearance of HCV RNA with a picture suggestive of chronic ductopenic rejection [26] One explanation may be that following clearance of...

Ngày tải lên: 31/10/2012, 17:08

... respect to risk or prevalence of reinfection, development of LAM resistance or prevalence of precore mutations Management of Patients Prior to Transplantation Studies of HBIG monotherapy established ... absence of detectable HBV DNA at the time of OLT and absence of reinfection for a minimum of months post-OLT After one year, reinfection occurred in 20% of patients in each group, but the finding of ... trough level of anti-HBs of 500 IU/L has been recommended [72] Later, when Int J Med Sci 2005 2(1) 44 extrahepatic sites of replication become the source of HBV, a lower trough level of 100-150...

Ngày tải lên: 02/11/2012, 11:17

... showed that 33% of treated patients loss HBeAg compared to only 12% of controls [11] In addition, 7.8% of treated subjects loss HBsAg versus only 1.8% of controls had spontaneous loss of HBsAg [11] ... and benefit of HBV treatment in this group of patients Goals of HBV Treatment The rationale of HBV treatment is to significantly suppress HBV replication and prevent the progression of HBV-mediated ... CHB The course of IFN treatment is usually 16–24 weeks that offers a small, but certain opportunity of HBsAg clearance Response to IFN treatment is usually durable Reactivation of HBV infection...

Ngày tải lên: 03/11/2012, 09:41

... on the contemporary treatment of SARS [2], and the whole topic has also been reviewed elsewhere [3] In this article, we aim to focus on the management of a subgroup of critically ill SARS patients ... benefits were reportedly observed in a small number of patients [40] Management of SARS-related respiratory failure Despite all efforts, at least 50% of SARS patients would still develop acute hypoxemic ... in immunocompromised subjects of other diseases has reported similarly reduced rates of endotracheal intubation and serious complications [45] NIV in SARS may be of particular benefit, since high...

Ngày tải lên: 03/11/2012, 10:20