scholarly journals EVALUATION OF FACTORS CONTRIBUTING THE FORM OF THE COMMON BILE DUCT AT CONGENITAL BILIARY DILATATION IN CHILDREN

1999 ◽  
Vol 60 (10) ◽  
pp. 2589-2593
Author(s):  
Takashi KOHTANI ◽  
Hiroshi TAKAHASHI ◽  
Katsutoshi MIYAUCHI ◽  
Atsushi HORIUCHI ◽  
Hideaki SUZUKI ◽  
...  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Shoko Kato ◽  
Kenitiro Kaneko ◽  
Nozomi Matsushita ◽  
Shintaro Kurahashi ◽  
Takaaki Osawa ◽  
...  

Abstract Background Symptomatic congenital biliary dilatation (CBD) during early infancy is always characterized by cystic dilation of the common bile duct with a narrow segment connecting the pancreatic duct. Case presentation In two consecutive infants with a prenatal diagnosis of CBD, we found that biliary sludge had formed in the cyst upon the appearance of symptoms including acholic stool and hypertransaminasemia. Infrared absorption spectrometry revealed that the sludge consisted of calcium bilirubinate. Conclusion We suggest that overproduction of bilirubin by neonatal hemolysis causes sedimentation of bilirubin calcium, resulting in obstruction of the narrow segment and development of symptoms.


Author(s):  
Mitsuru Yanagaki ◽  
Shinji Onda ◽  
Ryoga Hamura ◽  
Takashi Horiuchi ◽  
Yoshihiro Shirai ◽  
...  

2017 ◽  
Vol 26 (2) ◽  
pp. 111 ◽  
Author(s):  
Theodor Voiosu ◽  
Monica Ionita ◽  
Andrei Voiosu ◽  
Andreea Bengus ◽  
Cristiana Popp ◽  
...  

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2002 ◽  
Vol 179 (3) ◽  
pp. 804-805 ◽  
Author(s):  
Joseph P. Mazzie ◽  
Burton M. Gold ◽  
Robert Bartolomeo ◽  
Douglas S. Katz

1994 ◽  
Vol 8 (1) ◽  
pp. 33-35
Author(s):  
Noel B Hershfield

Endoscopic retrograde cholangiopancreatography (ERCP) is established as the method of choice to investigate the biliary tree when obstruction is suspected. On rare occasions, the papilla cannot be entered because of anatomical or pathological abnormalities. This report describes endoscopic fistulotomy or the suprapapillary punch that has been carried out at the Foothills Hospital in Calgary, Alberta, on 30 of 623 patients referred for ERCP for conditions causing obstruction of the common bile duct or suspected obstruction of the common bile duct. The following communication also describes the method of suprapapillary punch or endoscopic fistulotomy. Results have been excellent with only one complication, a minor attack of pancreatitis after the procedure. In summary, the suprapapillary punch or fistulotomy is a safe and useful method for entering the common bile duct when access by the usual method is impossible.


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