scholarly journals Endoscopic nasobiliary drainage improves jaundice attack symptoms in benign recurrent intrahepatic cholestasis: A case report

2012 ◽  
Vol 5 (2) ◽  
pp. 389-394 ◽  
Author(s):  
NORITAKA WAKUI ◽  
MITSURU FUJITA ◽  
NOBUYUKI OBA ◽  
YOSHIYA YAMAUCHI ◽  
YUKI TAKEDA ◽  
...  
2021 ◽  
Vol 19 (4) ◽  
pp. 462-467
Author(s):  
A. R. Obuhovich ◽  
◽  
N. N. Iaskevich ◽  

Jaundice is a manifestation of many diseases both benign and malignant. Genetic progress allowed to distinguish the group of unknown earlier rare cholestatic jaundices, which are resulted from gene mutations. There are no described algorithms of their diagnosis or treatment. In this article case report of the patient with benign recurrent intrahepatic cholestasis type 1 is presented. There is also literature analysis of this theme.


Author(s):  
JM Stapelbroek ◽  
KJ Van Erpecum ◽  
LWJ Klomp ◽  
MP Schwartz ◽  
AS Knisely ◽  
...  

2020 ◽  
Vol 102 (2) ◽  
pp. e29-e32
Author(s):  
S Kono ◽  
T Kumamoto ◽  
Y Kurahashi ◽  
H Niwa ◽  
Y Ishida ◽  
...  

Although the optimal surgical procedure for the resection of duodenal gastrointestinal stromal tumours has not yet been characterised due to the low prevalence of these tumours and the anatomical complexity of the duodenopancreatic region, difficult surgical procedures such as pancreaticoduodenectomy are often proposed for stromal tumours located in the second portion of the duodenum. Our case report highlights a novel surgical strategy that can be implemented as an alternative to pancreaticoduodenectomy for such tumours close to the duodenal ampulla. A 70-year-old man incidentally diagnosed with a stromal tumour close to the duodenal ampulla in the second portion of the duodenum underwent local resection guided by an endoscopic nasobiliary drainage tube with primary closure. This tube was converted to a percutaneous trans-small intestinal biliary drainage tube during the procedure to prevent biliary leakage biliary stasis due to swelling of the duodenal ampulla. He also underwent a simple distal gastrectomy with Roux-en-Y reconstruction. This resulted in successful R0 resection. There were no procedure-related complications or post-surgery weight changes. Our simple novel surgical strategy may therefore be useful for avoiding pancreaticoduodenectomy and maintaining quality of life in patients with stromal tumours close to the duodenal ampulla.


2016 ◽  
Vol 39 (6) ◽  
pp. 164 ◽  
Author(s):  
Tolga Yakar ◽  
Mehmet Demir ◽  
Huseyin S Gokturk ◽  
Ayse G Unler Kanat ◽  
Alper Parlakgumus ◽  
...  

Purpose: Benign recurrent intrahepatic cholestasis (BRIC) is characterized by episodic cholestasis and pruritus without anatomical obstruction. The aim of this study was to evaluate the safety and efficacy of nasobiliary drainage (NBD) in patients with BRIC refractory to medical therapy and to determine whether the use of NBD prolongs the episode duration. Methods: This was a multicenter retrospective study consisting of 33 patients suffering from BRIC. All patients were administrated medical treatment and 16 patients who were refractory to standard medical therapies improved on treatment with temporary endoscopic NBD. Duration of treatment response and associated complications were analyzed. Results: Sixteen patients (43% females) underwent 25 NBD procedures. The median duration of NBD was 17 days. There were significant improvements in total and direct bilirubin and alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and gamma-glutamyl transpeptidase on the 3rd day of NBD. Longer clinical remission was monitored in the NBD group. Post-endoscopic retrograde cholangiopancreatography pancreatitis was observed in one of 16 cases. Conclusion: NBD effectively eliminates BRIC in all patients and improves biomarkers of cholestasis. It can be suggested that patients with attacks of BRIC can be treated with temporary endoscopic NBD; however, the results of this study should be confirmed by prospective studies in the future.


2020 ◽  
Vol 12 (2) ◽  
pp. 64-71 ◽  
Author(s):  
Mariano Piazzolla ◽  
Nicola Castellaneta ◽  
Antonio Novelli ◽  
Emanuele Agolini ◽  
Dario Cocciadiferro ◽  
...  

2015 ◽  
Vol 9 (2) ◽  
pp. 108-110
Author(s):  
Md Kaisar Niaz ◽  
Dewan Saifuddin Ahmed ◽  
Syeda Nur E Jannat ◽  
Quazi Abdullah Al Masum ◽  
Muhammad Sayedul Arifin ◽  
...  

Benign recurrent intrahepatic cholestasis is an inherited and occasionally sporadic disease presents as recurrent episodes of obstructive jaundice without any obstruction in billiary channel with intervening symptom free periods. Here we are presenting a case of 20-year-old male with a recurrent jaundice and pruritus who later diagnose as BRIC.Faridpur Med. Coll. J. 2014;9(2): 108-110


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