scholarly journals Regulation of Output of Electrolytes in Bile and Pancreatic Juice in Sheep

1972 ◽  
Vol 25 (1) ◽  
pp. 155 ◽  
Author(s):  
I Caple ◽  
T Heath
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Pancreatic Juice ◽  
The Common ◽  
Bicarbonate Output

Bile and pancreatic juice were collected from conscious, standing sheep with fistulae of the common bile duct, before and during infusions of secretin to the portal vein, and during infusion of acid to the duodenum. The output of volume and electrolytes, particularly bicarbonate, in bile and in pancreatic juice increased during infusion of secretin. However, the output of volume and of bicarbonate was three to five times higher in bile than in pancreatic juice. When acid was infused into the duodenum a similar result was obtained, and the increment in total bicarbonate output was similar to the amount of acid infused.

scholarly journals Pancreatic fistula through the distal common bile duct

2002 ◽  
Vol 130 (5-6) ◽  
pp. 201-203
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Vesna Masirevic ◽  
Ljiljana Ivic
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Pancreatic Fistula ◽  
Pancreatic Juice ◽  
Gastric Artery ◽  
Distal Common Bile Duct ◽  
Life Threatening ◽  
The Common ◽  
The Right ◽  
High Output

Pancreatic fistula is usually caused by acute or chronic pancreatitis, injury and operations of the pancreas. The pancreatic juice comes either from the main pancreatic duct or from side branches. Extremely rare pancreatic fistula may come through the distal end of the common bile duct that is not properly sutured or ligated after traumatic or operative transaction. We present a 58-year old man who developed a life threatening high output pancreatic fistula through the distal end of the common bile duct that was simply ligated after resection for carcinoma. Pancreatic fistula was developed two weeks after original surgery and after two emergency reoperations for serious bleeding from the stump of the right gastric artery resected and ligated during radical limphadenectomy. The patient was treated conservatively by elevation of the drain- age bag after firm tunnel round the drain was formed so that there was no danger of spillage of the pancreatic juice within abdomen.

Effect of insulin on canalicular bile formation

1976 ◽  
Vol 231 (1) ◽  
pp. 40-43 ◽  
Author(s):  
RS Jones
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Intravenous Infusion ◽  
Bile Flow ◽  
Sodium Taurocholate ◽  
Duodenal Fistula ◽  
Bile Formation ◽  
Biliary Clearance ◽  
The Common ◽  
Bicarbonate Output

Mongrel dogs were prepared by cholecystectomy, ligation of the lesser pancreatic duct, and insertion of gastric and duodenal cannulas. The common bile duct was cannulated through the duodenal fistula. After bile flow had been stabilized by intravenous infusion of sodium taurocholate the dogs were given an intravenous injection of insulin or 0.9% NaCl (control). Insulin caused marked increases in bile flow, chloride output, and biliary clearance of erythritol and small increases in bicarbonate output and bile salt output. The increased erythritol clearance indicates that canalicular secretion contributes to insulin choleresis in dogs.

Significant Contribution of the Portal Vein to Blood Flow Through the Common Bile Duct

2012 ◽  
Vol 255 (3) ◽  
pp. 523-527 ◽  
Author(s):  
Juliette C. Slieker ◽  
Waqar R. R. Farid ◽  
Casper H. J. van Eijck ◽  
Johan F. Lange ◽  
Jasper van Bommel ◽  
...  
Keyword(s):  
Blood Flow ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Significant Contribution ◽  
Flow Through ◽  
The Common

scholarly journals Immunoglobulin G4–Related Sclerosing Cholangitis Mimicking Hilar Cholangiocarcinoma Diagnosed With Following Bile Duct Resection: Report of a Case

2015 ◽  
Vol 100 (3) ◽  
pp. 480-485 ◽  
Author(s):  
Atsushi Miki ◽  
Yasunaru Sakuma ◽  
Hideyuki Ohzawa ◽  
Yukihiro Sanada ◽  
Hideki Sasanuma ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Sclerosing Cholangitis ◽  
Plasma Cells ◽  
Intraductal Ultrasonography ◽  
Immunoglobulin G4 ◽  
Invasive Approach ◽  
Bile Duct Wall ◽  
The Common

We report a rare case of immunoglobulin G4 (IgG4)–related sclerosing cholangitis without other organ involvement. A 69-year-old-man was referred for the evaluation of jaundice. Computed tomography revealed thickening of the bile duct wall, compressing the right portal vein. Endoscopic retrograde cholangiopancreatography showed a lesion extending from the proximal confluence of the common bile duct to the left and right hepatic ducts. Intraductal ultrasonography showed a bile duct mass invading the portal vein. Hilar bile duct cancer was initially diagnosed and percutaneous transhepatic portal vein embolization was performed, preceding a planned right hepatectomy. Strictures persisted despite steroid therapy. Therefore, partial resection of the common bile duct following choledochojejunostomy was performed. Histologic examination showed diffuse and severe lymphoplasmacytic infiltration, and abundant plasma cells, which stained positive for anti-IgG4 antibody. The final diagnosis was IgG4 sclerosing cholangitis. Types 3 and 4 IgG4 sclerosing cholangitis remains a challenge to differentiate from cholangiocarcinoma. A histopathologic diagnosis obtained with a less invasive approach avoided unnecessary hepatectomy.

Intravascular Ultrasound of the Portal Vein — Normal Anatomy

1995 ◽  
Vol 36 (4-6) ◽  
pp. 388-392 ◽  
Author(s):  
Pétur H. Hannesson ◽  
Hans Stridbeck ◽  
Christer Lundstedt ◽  
Åke Andrén-Sandberg ◽  
Ingemar Ihse
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Colorectal Carcinoma ◽  
Portal Vein ◽  
Lymph Nodes ◽  
Intravascular Ultrasound ◽  
Pancreatic Disease ◽  
Field Of View ◽  
Normal Anatomy ◽  
The Common

The purpose of this study was to evaluate the appearance of the normal portal vein with intravascular ultrasound. The portal vein was studied in 10 patients with colorectal carcinoma without known liver or pancreatic disease. For the intravascular portovenous examination, a 2.0-mm, 20-MHz ultrasound catheter was used. The field of view was 30 mm. The wall of the portal vein appeared as a single hyperechoic layer 0.5 to 0.8 mm in thickness. Normal structures adjacent to the portal vein, such as the common bile duct, the hepatic artery or small lymph nodes, were clearly separated from the lumen of the portal vein by the wall of the vein together with some periportal fat. In most cases the parenchyma of the pancreas could be separated from the wall of the vein.

scholarly journals Biliary and portal vein strictures following treatment of Hodgkin’s lymphoma

2012 ◽  
Vol 94 (7) ◽  
pp. e18-e19
Author(s):  
KJ Roberts ◽  
R Brown ◽  
JV Patel ◽  
GJ Toogood
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Multidisciplinary Approach ◽  
Stricture Formation ◽  
Gastrointestinal Complications ◽  
First Case ◽  
Staged Approach ◽  
The Common ◽  
Bowel Stricture

Treatment of abdominal lymphoma can be associated with bowel stricture or perforation. Rarely, the common bile duct or portal vein can be involved. This is the first case of stricture formation of both the portal vein and common bile duct in a patient following successful treatment of lymphoma. The development of extensive hilar varices rendered surgical management high risk. A staged approach to treatment was used. First, a percutaneous portal vein stent was placed, resulting in resolution of the hilar varices. This was followed by a surgical hepaticojejunostomy, performed without complication. Gastrointestinal complications are rare following treatment of lymphoma but may affect a variety of sites. The safe and effective treatment of this case highlights the benefit of a multidisciplinary approach to complex medical and surgical problems.

Compression of the common bile duct due to portal-vein thrombosis in polycythemia vera

Hepatology ◽  
1993 ◽  
Vol 17 (4) ◽  
pp. 586-592 ◽  
Author(s):  
J. Matthias Löhr ◽  
Stefan Kuchenreuter ◽  
Hans Grebmeier ◽  
Eckhardt G. Hahn ◽  
Wolfgang E. Fleig
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Polycythemia Vera ◽  
Portal Vein Thrombosis ◽  
Vein Thrombosis ◽  
The Common
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