scholarly journals A CASE OF DELAYED-ONSET BILE DUCT STENOSIS AFTER LAPAROSCOPIC CHOLECYSTECTOMY RESPONDING TO INTERNAL BILIARY DRAINAGE

2006 ◽  
Vol 67 (11) ◽  
pp. 2687-2691 ◽  
Author(s):  
Yuichi ARIMOTO ◽  
Yoshitetsu KANAMIYA ◽  
Hiroshi OTANI ◽  
Takehiko IWAUCHI ◽  
Kohei OTA ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Biliary Drainage ◽  
Bile Duct Stenosis ◽  
Delayed Onset ◽  
Duct Stenosis

scholarly journals A Case of Benign Bile Duct Stenosis caused by a Clip Two Years after Laparoscopic Cholecystectomy

2008 ◽  
Vol 41 (10) ◽  
pp. 1809-1814
Author(s):  
Makoto Takahashi ◽  
Masahiko Satou ◽  
Takeshi Ohkubo ◽  
Suguru Watabe ◽  
Naoki Negami ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Stenosis ◽  
Duct Stenosis

Common bile duct stenosis in chronic pancreatitis: Is endoscopic biliary drainage up to date

1998 ◽  
Vol 114 ◽  
pp. A456
Author(s):  
M. Farnbacher ◽  
H.T. Schneider ◽  
S. Mühldorfer ◽  
J. Hochberger ◽  
C. Ell ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Drainage ◽  
Endoscopic Biliary Drainage ◽  
Bile Duct Stenosis ◽  
Duct Stenosis

scholarly journals Outcomes of Endoscopic Ultrasound-Guided Biliary Drainage in a General Hospital for Patients with Endoscopic Retrograde Cholangiopancreatography-Difficult Transpapillary Biliary Drainage

2021 ◽  
Vol 10 (18) ◽  
pp. 4105
Author(s):  
Naosuke Kuraoka ◽  
Satoru Hashimoto ◽  
Shigeru Matsui ◽  
Shuji Terai
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasound ◽  
Biliary Drainage ◽  
Duodenal Bulb ◽  
Distal Bile Duct ◽  
Ultrasound Guided ◽  
Difficult Patients ◽  
Stent Patency ◽  
Bile Duct Stenosis ◽  
Duct Stenosis

Endoscopic ultrasound-guided biliary drainage (EUS-BD) has been developed as an alternative treatment for percutaneous transhepatic biliary drainage for patients with bile duct stenosis. At specialized hospitals, the high success rate and effectiveness of EUS-BD as primary drainage has been reported. However, the procedure is highly technical and difficult, and it has not been generally performed. In this study, we retrospectively examined the effectiveness of EUS-BD in ERCP-difficult patients with distal bile duct stenosis. We retrospectively examined 24 consecutive cases in which EUS-BD was performed at our hospital for distal bile duct stenosis from October 2018 to December 2020. EUS-guided choledochoduodenostomy (EUS-CDS) was selected for cases that could be approached from the duodenal bulb, and EUS-HGS was selected for other cases. In the EUS-CDS and EUS-HGS groups, the technical success rates were 83.3% (10/12] and 91.7% (11/12], respectively. An adverse event occurred in one case in the EUS-CDS group, which developed severe biliary peritonitis. The stent patency period was 91 and 101 days in the EUS-CDS and EUS-HGS groups, respectively. EUS-BD for ERCP-difficult patients with distal bile duct stenosis is considered to be an effective alternative for biliary drainage that can be performed not only in specialized hospitals but also in general hospitals.

scholarly journals Difficulty Achieving a Preoperative Diagnosis of IgG4-Related Sclerosing Cholangitis

2018 ◽  
Vol 12 (2) ◽  
pp. 425-431
Author(s):  
Kazuhiro Suzumura ◽  
Etsuro Hatano ◽  
Masaharu Tada ◽  
Hideaki Sueoka ◽  
Hiroshi Nishida ◽  
...  
Keyword(s):  
Bile Duct ◽  
Preoperative Diagnosis ◽  
Sclerosing Cholangitis ◽  
Wall Thickening ◽  
Distal Bile Duct ◽  
Obliterative Phlebitis ◽  
Bile Duct Stenosis ◽  
Storiform Fibrosis ◽  
Lymphoplasmacytic Infiltration ◽  
Duct Stenosis

A 75-year-old male was admitted to our hospital because of bile duct stenosis. He had no medical history of autoimmune disease. The level of tumor markers, serum IgG, and IgG4 were within normal ranges. Computed tomography showed perihilar and distal bile duct stenosis and wall thickening without swelling or abnormal enhancement of the pancreas. Endoscopic retrograde cholangiopancreatography showed perihilar and distal bile duct stenosis. A biopsy and cytology from the distal bile duct stenosis suggested adenocarcinoma, and cytology from the perihilar bile duct also suggested adenocarcinoma. A preoperative diagnosis of perihilar and distal bile duct cancer was made, and the patient underwent left hepatectomy and pancreaticoduodenectomy. Resected specimens showed wall thickening in the perihilar and distal bile duct; however, tumors were unclear. A histopathological examination revealed lymphoplasmacytic infiltration, storiform fibrosis, and obliterative phlebitis in the perihilar and distal bile ducts. Immunohistochemistry revealed diffuse infiltration of IgG4-positive plasma cells in the perihilar and distal bile ducts. Lymphoplasmacytic infiltration, inflammatory change, storiform fibrosis, and obliterative phlebitis were shown in the pancreas. A final diagnosis of IgG4-related sclerosing cholangitis (IgG4-SC) with autoimmune pancreatitis was made. We herein report a case in which a preoperative diagnosis of IgG4-SC was difficult due to normal serum IgG4 levels and no obvious pancreatic lesion.

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