liver biliary tract and gall bladder

... ABC OF LIVER, PANCREAS AND GALL BLADDER This is trial version www.adultpdf.com This Page Intentionally Left Blank This is trial version www.adultpdf.com ABC OF LIVER, PANCREAS AND GALL BLADDER ... Books and BMJ Electronic Production Printed and bound in Spain by GraphyCems, Navarra This is trial version www.adultpdf.com Contents Contributors vii Preface ix Investigation of liver and biliary ... hypertension -2 Ascites, encephalopathy, and other conditions J E J Krige, I J Beckingham 22 Liver tumours I J Beckingham, J E J Krige 25 Liver abscesses and hydatid disease J E J Krige, I J Beckingham...

Ngày tải lên: 10/08/2014, 07:20

... of liver and biliary disease Serum globulin titres rise in chronic hepatitis and cirrhosis, mainly due to a rise in the IgA and IgG fractions High titres of IgM are characteristic of primary biliary ... inexpensive, and quick but requires experience in technique and interpretation Ultrasonography is the best method for identifying gallbladder stones and for confirming extrahepatic biliary obstruction ... ultrasonography and provides information on liver texture, gallbladder disease, bile duct dilatation, and pancreatic disease Computed tomography is particularly valuable for detecting small lesions in the liver...

Ngày tải lên: 10/08/2014, 07:20

... sclerotherapy and variceal injection In: Blumgart LH, ed Surgery of the liver and biliary tract London: Saunders, 2000:1885-1906 Sherlock S, Dooley J Portal hypertension In: Diseases of the liver and biliary ... cannulated and a tract created through the liver parenchyma from the hepatic to the portal vein, with a needle under ultrasonographic and fluoroscopic guidance The tract is dilated and an expandable ... toxicity of the sclerosant and include transient fever, dysphagia and chest pain, ulceration, stricture, and (rarely) perforation Band ligation Band ligation is achieved by a banding device attached...

Ngày tải lên: 10/08/2014, 07:20

... Diseases of the liver and biliary system Oxford: Blackwell Scientific, 1996 Riordan SM, Williams R Management of liver failure In: Blumgart LH, ed Surgery of the liver and biliary tract London: ... ABC of Liver, Pancreas, and Gall Bladder hepatic and renal function is often associated with hepatic encephalopathy About half these patients have diuretic induced renal impairment and half ... cannot be reached and the distinction from a malignant liver tumour is uncertain Histological distinction between focal nodular hyperplasia and cirrhosis and between liver cell adenoma and well differentiated...

Ngày tải lên: 10/08/2014, 07:20

... acute pancreatitis induced by gall stones This is trial version www.adultpdf.com 35 ABC of Liver, Pancreas, and Gall Bladder Long term management Patients with gall stones are best treated by ... 37 ABC of Liver, Pancreas, and Gall Bladder Diagnosis Early diagnosis of chronic pancreatitis is usually difficult There are no reliable biochemical markers, and early parenchymal and ductal ... radiologist, and Figure 12.1 Patient with jaundice, bruising, and weight loss due to pancreatic carcinoma This is trial version www.adultpdf.com 41 ABC of Liver, Pancreas, and Gall Bladder surgeon...

Ngày tải lên: 10/08/2014, 07:20

... nơi bệnh nhân đái đường, bệnh nhân với túi mật hóa vôi (porcelain gallbladder), bệnh nhân có bệnh sử viêm tụy tạng sỏi mật (biliary pancreatitis) - Những người bị bệnh đái đường có tỷ lệ bệnh ... tử vong cao mổ cấp cứu cắt bỏ túi mật thực tình viêm túi mật - Các túi mật hóa vôi (porcelain gallbladder) có 22% nguy liên kết với ung thư - Các nguy bị viêm tụy tạng cao so với nguy mổ phiên ... gan chung (common hepatic duct), ống mật chủ (common bile duct) 34/ TÚI MẬT HÓA VÔI (PORCELAIN GALLBLADDER) LÀ GÌ? - Là túi mật có thành bị hóa vôi Đây dấu hiệu quan trọng 22% túi mật hóa vôi liên...

Ngày tải lên: 13/07/2014, 16:20

... cầu hình cầu (spherocytosis) có khả bị sỏi sắc tố (pigment stones) 9/ BÙN MẬT (BILIARY SLUDGE) LÀ GÌ? Bùn mật (biliary sludge) cấu tạo chất kết tủa vi thể cholesterol hay calcium bicarbonate ... cách ngẫu nhiên Người ta cho bùn mật biểu cho giai đoạn sớm tạo thành sỏi mật 10/ BÙN TÚI MẬT (GALLBLADDER SLUDGE) CÓ THỂ GÂY NÊN TRIỆU CHỨNG HAY BIẾN CHỨNG KHÔNG? Có Khi bùn mật khỏi túi mật vào ... nên triệu chứng y hệt triệu chứng gây nên sỏi túi mật Bùn mật (sludge) liên kết với đau quặn gan (biliary colic), viêm tụy tạng, viêm mật quản (cholangitis), viêm túi mật (cholecystitis) Bùn mật...

Ngày tải lên: 13/07/2014, 16:20

... Fatty Liver Disease: NASH and Related Disorders Fatty Liver Disease: NASH and Related Disorders Edited by Geoffrey C Farrell Director, Storr Liver Unit, Westmead Hospital, ... Andrew D Clouston Department of Pathology, University of Queensland, The Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane, Queensland 4102, Australia Ann K Daly Centre for Liver ... alcoholic liver disease and chronic hepatitis C as reason for referral to gastroenterologist or liver clinic NASH is a potential cause of cirrhosis, which may be ‘cryptogenic’, and lead to end-stage liver...

Ngày tải lên: 22/03/2014, 16:20

... showed a large mass present in the right lobe of the liver and that the mass splayed the anterior and posterior portal pedicles apart Next, a standard right hepatic lobectomy was performed with ... tissue sarcoma requires an understanding of the natural history of the disease, close attention to the individual patient and an understanding of the benefits and limitations of the therapeutic ... by liver resection Although disease in the liver was determined to be the only site of disease upon initial tumor recurrence, the patient experienced progression of disease outside of the liver...

Ngày tải lên: 09/08/2014, 07:21

... Fatty Liver Disease: NASH and Related Disorders Fatty Liver Disease: NASH and Related Disorders Edited by Geoffrey C Farrell Director, Storr Liver Unit, Westmead Hospital, ... alcoholic liver disease and chronic hepatitis C as reason for referral to gastroenterologist or liver clinic NASH is a potential cause of cirrhosis, which may be ‘cryptogenic’, and lead to end-stage liver ... obesity and type diabetes (see Chapter 19) [46,47] Some possible reasons for high rates of obesity and type diabetes in contemporary affluent societies (‘east’ and ‘west’, ‘north’ and ‘south’), and...

Ngày tải lên: 10/08/2014, 15:20

... and the development of a fatty liver We therefore discuss the causes and consequences of IR and how these may lead to a fatty liver and oxidative stress The development of additional ‘hits’ and ... saturation and chain length) and whether the changes in FFA delivery to the liver are acute or long-standing An important pathway regulating a hepatocyte’s ability to handle an increase in FFA delivery ... Metabolic abnormalities in NAFLD and the genesis of a fatty liver A key question is how does insulin resistance and increased delivery of FFA to the liver result in a fatty liver? A conceptual framework...

Ngày tải lên: 10/08/2014, 15:20

... severity of liver disease and insulin resistance correlates well with the level of TNF-α in adipose tissue and liver Obese ob/ob mice also overexpress TNF-α in adipose tissue and liver and, like ... steatosis and lipotoxicity The concept of fatty acid overload and the molecular and biochemical adaptive responses in the liver to fatty acid overload The value and limitations of in vitro and in ... correlated liver disease severity with TNF-α gene expression in adipose and liver tissues of 52 obese patients [14] TNF-α mRNA was overexpressed in adipose tissues and livers of patients with NASH, and...

Ngày tải lên: 10/08/2014, 15:20

... of HSC and other cell types (Kupffer cells and endothelial cells), migration and proliferation of HSC, synthesis and deposition of ECM, remodelling and degradation of the scar tissue and deactivation ... other sources (see Chapters 7, and 10) Dysregulation of leptin expression and signalling PPARα and γ expression and signalling Inflammation and release of cytokine and other fibrogenic mediators ... expression and function in humans with obesity and hyperleptinaemia are therefore mandatory to address the leptin paradox, and to exploit it therapeutically PPARα and γ expression and signalling...

Ngày tải lên: 10/08/2014, 15:20

... clinician to proceed more aggressively and perform a liver biopsy, or take a more conservative approach and defer the liver biopsy and treat with current standard therapy for the associated comorbid ... V et al Cryptogenic cirrhosis and posttransplantation non-alcoholic fatty liver disease [Abstract] Liver Transpl 2001; 7: 797–801 193 Fatty Liver Disease: NASH and Related Disorders Edited by ... slightly to moderately elevated liver transaminase values in asymptomatic patients Scand J Gastroenterol 1999; 34: 85–91 Morgan W The Liver and its Diseases, Both Functional and Organic: Their History,...

Ngày tải lên: 10/08/2014, 15:20

... clinical importance of hepatic steatosis and the metabolic syndrome both before and after liver transplantion Abstract Non-alcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH)aa ... relevance of fatty liver and its relationship with the NAFLD, NASH AND ORTHOTOPIC LIVER TRANSPLANTATION insulin resistance syndrome and its comorbidities while performing patient selection and formulating ... management of NAFLD both pre- and post-OLT Use of steatotic livers for liver transplantation The demand for OLT continues to outstrip the supply of available cadaveric donor livers and each year many patients...

Ngày tải lên: 10/08/2014, 15:20

... progressive liver disease resulting either in acute liver failure or hepatic fibrosis and cirrhosis [1,6–9] When discussing the clinical and morphological spectrum and the pathogenesis of JIB-induced liver ... acute and chronic complications, and was replaced by other operative procedures in the early 1980s One of the most important complications was liver injuryasevere forms of fatty liver and steatohepatitis ... acute liver failure and cirrhosis A variety of mechanisms including protein malnutrition and gut-derived endotoxins and other bacterial toxins contribute to the genesis of post-bypass liver disease...

Ngày tải lên: 10/08/2014, 15:20

... vitamins E and C on liver enzymes and liver histology in 45 NASH patients In a double-blind, randomized, placebo controlled trial, patients received either combination vitamin E and C (1000 IU and 1000 ... injury 291 liver cirrhosis see cirrhosis liver fatty acid binding protein (L-FABP) expression 112 liver, free fatty acid uptake 133 liver function tests 6–7, 26–27, 27–28 NAFLD diagnosis 182 liver ... decreased, and glucose and free fatty acid sensitivity to insulin improved uniformly Liver biopsies showed a significant reduction in steatosis, inflammation, cellular injury, Mallory bodies and fibrosis...

Ngày tải lên: 10/08/2014, 15:20

... destroy the muscle layer and collagen fibers of the gall bladder wall [6] In our patient, an intraluminal growing gall bladder tumor with intact gall bladder wall was found and microscopic examination ... mg/dL, NH3: 98 mcg/dL, and a-FP level: 231.1 ng/mL Abdominal echogram revealed a thickened gall bladder wall, gall stones and a suspected tumor mass in the distended gall bladder An abdominal computed ... produce a-FP because the gall bladder and liver have identical embryologic origin Recurrence or metastasis of these tumors can be detected by a relapsing a-FP level [1] Gall bladder tumors, either...

Ngày tải lên: 11/08/2014, 17:21

Ngày tải lên: 12/08/2014, 17:20

... collectin-43 and surfactant protein A (SP-A) It is predominantly found in the respiratory tract, but is also detected at other non-pulmonary mucosal surfaces such as the salivary and lachrymal gland, ... blood agar plates and by optochin sensitivity To obtain virulent pneumococci, bacteria were cultured and passaged through mice as described previously [19] and subsequently recovered and stored at ... UK) and blood was collected by cardiac puncture Mice were killed by cervical dislocation, and the lungs, trachea and nasopharynx were removed separately into 10 ml of sterile PBS, weighed and...

Ngày tải lên: 12/08/2014, 18:20