scholarly journals Duration of biliary decompression in patients with common bile duct diseases complicated by obstructive jaundice using antegrade endobiliary interventions

2021 ◽  
Vol 25 (1) ◽  
pp. S311-S311
Author(s):  
Valeriy BOYKO ◽  
Yuriy AVDOSYEV ◽  
Denis YEVTUSHENKO ◽  
Anastasiia SOCHNIEVA
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Biliary Decompression ◽  
Bile Duct Diseases

PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY IN THE DIAGNOSTICS OF COMMON BILE DUCT DISEASES COMPLICATED BY OBSTRUCTIVE JAUNDICE*

2021 ◽  
Vol 8 (2) ◽  
pp. 62-67
Author(s):  
Valeriy V. Boyko ◽  
Yuriy V. Avdosyev ◽  
Anastasiia L. Sochnieva ◽  
Denys O. Yevtushenko ◽  
Dmitro V. Minukhin
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Biliary Tract ◽  
Percutaneous Transhepatic Cholangiography ◽  
Biliary Decompression ◽  
Biliodigestive Anastomosis ◽  
Bile Duct Diseases

Aim: Evaluation of the effectiveness of percutaneous transhepatic cholangiography in the diagnostics of bile duct diseases complicated by obstructive jaundice. Material and methods: This article presents the experience of using percutaneous transhepatic cholangiography in 88 patients with benign and malignant common bile duct diseases complicated by obstructive jaundice. Results: Methods of direct contrasting of the biliary tract make it possible to visualize choledocholithiasis with 86.5% accuracy, with 84.1% common bile duct strictures, with 87.8% stricture of biliodigestive anastomosis and with 97.5% accuracy of cholangiocarcinomas. Conclusions: Direct antegrade bile duct enhancement should be used if ERCPG has low explanatory value. PTCG in case of “endoscopically complicated forms” of choledocholithiasis, CBD and BDA strictures and cholangiocarcinomas enhances all bile duct sections and helps assess the level and completeness of biliary blockade. Following PTCG, measures can be taken to achieve biliary decompression regardless of OJ genesis.

scholarly journals TREATMENT OF COMMON BILE DUCT DISEASES COMPLICATED BY OBSTRUCTIVE JAUNDICE (review)

2018 ◽  
Vol 5 (2) ◽  
pp. 84-92
Author(s):  
A. Sochnieva
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Hepatic Impairment ◽  
Life Quality ◽  
Biliary Tree ◽  
Biliary Decompression ◽  
Surgical Interventions ◽  
Bile Duct Diseases

TREATMENT OF COMMON BILE DUCT DISEASES COMPLICATED BY OBSTRUCTIVE JAUNDICE (review)Sochneva A.L.The article presents the up-to-date data concerning the treatment of common bile duct diseases complicated by obstructive jaundice. Nowadays, specialized clinics widely use mini-invasive interventions to treat this complicated pathology. Biliary tree decompression is the main objective of operative treatment. It is reasonable to perform antegrade and retrograde endobiliary interventions as preparatory and final stages of surgical treatment and in order to improve the patients’ life quality and avoid hepatic impairment progression. Reconstructive-reparative operations following prior biliary decompression yield significantly better results as compared to surgical interventions without it.Key words: common bile duct diseases, obstructive jaundice, antegrade interventions, retrograde interventions, reconstructive-reparative operations. ЛІКУВАННЯ ЗАХВОРЮВАНЬ ГЕПАТИКОХОЛЕДОХА, УСКЛАДНЕНИХ МЕХАНІЧНОЮ ЖОВТЯНИЦЕЮ (огляд літератури)Сочнева А.Л.У статті висвітлені сучасні дані по лікуванню захворювань гепатикохоледоха, ускладнених механічною жовтяницею. В даний час в спеціалізованих клініках широко застосовуються мініінвазивні втручання в лікуванні такої складної патології. Декомпресія біліарного дерева є основною метою при виконанні оперативних втручань. Антеградний і ретроградні ендобіліарні втручання доцільно застосовувати в якості як підготовчого, так і завершального етапів хірургічного лікування, а також поліпшити якість життя хворих і уникнути прогресування печінкової недостатності. Виконання реконструктивно-відновлювальні операцій після попередньої біліарної декомпресії демонструє значно кращі результати в порівнянні з оперативними втручаннями, виконаними без неї.Ключові слова: захворювання гепатикохоледоха, механічна жовтяниця, антеградний втручання, ретроградні втручання, реконструктивно-відновлювальні операції. Лечение заболеваний гепатикохоледоха, осложненных механической желтухой: обзор литературы ЛЕЧЕНИЕ ЗАБОЛЕВАНИЙ ГЕПАТИКОХОЛЕДОХА, ОСЛОЖНЕННЫХ МЕХАНИЧЕСКОЙ ЖЕЛТУХОЙ (обзор литературы)Сочнева А.Л.В статье освещены современные данные по лечению заболеваний гепатикохоледоха, осложненных механической желтухой. В настоящее время в специализированных клиниках широко применяются миниинвазивные вмешательства в лечении столь сложной патологии. Декомпрессия билиарного дерева является основной целью при выполнении оперативных вмешательств. Антеградные и ретроградные эндобилиарные вмешательства целесообразно применять в качестве как подготовительного, так и завершающего этапов хирургического лечения, а также улучшить качество жизни больных и избежать прогрессирования печеночной недостаточности. Выполнение реконструктивно-восстановительные операций после предварительной билиарной декомпрессии демонстрирует значительно лучшие результаты в сравнении с оперативными вмешательствами, выполненными без нее.Ключевые слова: заболевания гепатикохоледоха, механическая желтуха, антеградные вмешательства, ретроградные вмешательства, реконструктивно-восстановительные операции.

scholarly journals OPTIMUM DURATION OF PERCUTANEOUS TRANSHEPATIC CHOLANGIODRAINAGE IN COMMON BILE DUCT DISEASES COMPLICATED BY OBSTRUCTIVE JAUNDICE

2020 ◽  
Vol 73 (9) ◽  
pp. 1915-1925
Author(s):  
Anastasiia L. Sochnieva
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Total Bilirubin ◽  
Biliary Decompression ◽  
Bile Duct Diseases ◽  
Optimum Duration ◽  
Percutaneous Transhepatic Cholangiodrainage ◽  
Group 3 ◽  
Group 2

The aim: Is to determine the optimum duration of percutaneous transhepatic cholangiodrainage depending on the duration of obstructive jaundice and the baseline total bilirubin level in patients with benign and malignant common bile duct diseases complicated by obstructive jaundice. Materials and methods: The experience of applying percutaneous transhepatic cholangiodrainage was combined for 88 patients with common bile duct diseases complicated by obstructive jaundice. The patients were divided into three groups: the Group 1 included 15 patients (17.1%) with benign common bile duct diseases, the Group 2 included 11 patients (12.5%) with resectable cholangiocarcinomas, and the Group 3 included 62 patients (70.4%) with unresectable cholangiocarcinomas. To determine optimal terms of biliary decompression using percutaneous transhepatic cholangiodrainage, the Poisson process was applied, and, to be more precise, the quasi-Poisson distribution. Results: It was found that the reduction of total bilirubin was the fastest in Group 3 patients. It took these patients an average of 7-8 days to reduce total bilirubin to 50 μmole/l. In Group 1 patients, the process is somewhat slower. The duration of biliary decompression in this category of patients averages 10-12 days. For Group 2 patients, biliary decompression requires at least 12 days. Conclusions: Using the Poisson process, or, to be more precise, the quasi-Poisson distribution, we managed to determine the optimum duration of biliary decompression using percutaneous transhepatic cholangiodrainage depending on the obstructive jaundice duration and the baseline total serum bilirubin.

Obstructive jaundice caused by circumscript papillomatosis of the common bile duct

2000 ◽  
Vol 32 (2) ◽  
pp. 88-89
Author(s):  
P. Ondrejka ◽  
A. Zabo ◽  
E. Siket ◽  
I. Sugar ◽  
B. Forgacs ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
The Common

Mechanical jaundice caused by common bile duct obstruction due to hepato-biliary ascariasis

2021 ◽  
pp. 20-24
Author(s):  
Zaipula Zulbegovich Nazhmudinov ◽  
Abdulkamal Guseynovich Guseynov
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Surgical Intervention ◽  
Duct Obstruction ◽  
Biliary Ascariasis ◽  
Modern Methods ◽  
Common Bile Duct Obstruction ◽  
The Common ◽  
The Right

The paper presents a case of successful surgical treatment of a patient with common bile duct ascariasis, which caused obstructive jaundice. Modern methods of examining a patient with obstructive jaundice did not allow to make the right diagnosis of the common bile duct ascariasis before surgical intervention. The rarity of this pathology arouses interest in this material.

scholarly journals Rhabdomyosarcoma of the biliary tract: a case report

2017 ◽  
Vol 4 (3) ◽  
pp. 1093 ◽  
Author(s):  
Asmaa Kouadir ◽  
Abderrahmane El Mazghi ◽  
Khalid Hassouni
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Biliary Tract ◽  
Clinical Symptoms ◽  
Treatment Approach ◽  
Imaging Techniques ◽  
Multidisciplinary Treatment ◽  
Rare Tumor ◽  
The Common

Rhabdomyosarcoma (RMS) of the biliary tract is a rare tumor that commonly arises from the common bile duct. The most common clinical symptoms are obstructive jaundice and abdominal pain. Although diagnosis is often difficult and is frequently made during surgery, diagnostic imaging techniques including ultrasound, computerized tomography scan, and magnetic resonance cholangiopancreatography remain useful in the diagnosis and evaluation of biliary tree anatomy. In order to improve prognosis, different rhabdomyosarcoma study groups have adopted multidisciplinary treatment approach. Herein we describe a case of three-year-old child with Embryonal rhabdomyosarcoma originating in the common bile duct who was treated with surgery, chemotherapy according to European soft tissue sarcoma group (EpSSG) protocol and adjuvant postoperative intensity modulated radiotherapy to surgical bed with 6 MV photons to a dose of 41, 4Gy in 23 fractions. One year and a half after the end of therapy, the patient is still disease free. Although Rhabdomyosarcoma of the biliary tract is a rare tumor, it should be considered in the differential diagnosis of patients who have obstructive jaundice and a cystic mass within the common bile duct. Once believed to be an incurable disease, the prognosis of patients with biliary rhabdomyosarcoma has improved with a multidisciplinary treatment approach.

scholarly journals A new model of reversible obstructive jaundice using rapidly absorbable suture materials

2012 ◽  
Vol 35 (6) ◽  
pp. 351 ◽  
Author(s):  
Nurettin Kahramansoy ◽  
Hayri Erkol ◽  
Edip E Yilmaz ◽  
Mustafa Şit ◽  
Fahri Yilmaz ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Surgical Intervention ◽  
Bile Duct Ligation ◽  
Absorbable Suture ◽  
Suture Materials ◽  
Common Bile Duct Ligation ◽  
Duct Ligation ◽  
Morphologic Changes

Purpose: Reversible obstructive jaundice models have some limiting features, including the need for a second anaesthesia, re-laparotomy and surgical intervention after common bile duct ligation. The present study investigates the feasibility of a new application that can eliminate these limitations. Rapidly absorbable suture materials were used for ligation; therefore, spontaneous biliary decompression was anticipated by the self release of these rapidly degrading materials. Methods: Common bile ducts in Wistar Albino rats were ligated with silk, polyglytone 6211, or irradiated polyglactine 910 (n=7 for each group). Rats were grouped according to both the suture materials and the experiments termination date: 5 days (sham, silk5, polyglytone5, polyglactine5) and 21 days (silk21, polyglytone21, polyglactine21) after the ligation. Biochemical and morphologic changes of liver were assessed. Results: The group polyglactine21 showed significantly lower mean ALT, AST, GGT, total and direct bilirubin values when compared with the group polyglactine5 (p=0.004-0.037). Morphologic changes did not correlate with the biochemical amelioration. In the group polyglytone21, not only the biochemical but also the morphologic changes significantly ameliorated when compared with the group polyglytone5 (p=0.003-0.043). No procedure associated mortality was observed. Conclusion: Common bile duct ligation with polyglytone offers a new reversible model for prolonged obstructive jaundice which abolishes the need for relaparotomy and a second surgical intervention and significantly reduces mortality.

Mucin-filled CBD, difficult to manage cholangitis

2021 ◽  
Vol 14 (1) ◽  
pp. e238363
Author(s):  
Manish Kumar ◽  
Ujjwal Sonika ◽  
Sanjeev Sachdeva ◽  
Ashok Dalal
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Rare Case ◽  
Malignant Potential ◽  
Cystic Neoplasm ◽  
Stricture Formation ◽  
Intraductal Papillary Mucinous Neoplasms ◽  
Mucinous Neoplasms ◽  
Optimum Management

Intraductal papillary mucinous neoplasms (IPMNs) are mucin-secreting cystic neoplasm of pancreas. They have a malignant potential. They are usually localised to the pancreas but occasionally can involve surrounding structures (1.9%–6.6%), like bile duct and duodenum, and are labelled as IPMN with invasion. Jaundice as a manifestation of IPMN is not common (4.5%). It can present as jaundice as a result of invasion of common bile duct (CBD) resulting in stricture formation or uncommonly as a result of fistulising to CBD with resultant obstruction of CBD by thick mucin secreted by this tumour. As only few cases (around 23) of mucin-filled CBD are reported in the literature. We are presenting our experience in dealing a rare case of obstructive jaundice caused by IPMN fistulising into CBD, highlighting the difficulties faced in managing such case, especially with regards to biliary drainage and what can be the optimum management in such cases.

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