Surgical Procedure of Complete Duodenum-Preserving Pancreatoduodenostomy with Preservation of the Biliary Tract

1997 ◽  
pp. 239-247
Author(s):  
Hideki Yasuda ◽  
Tadahiro Takada ◽  
Hodaka Amano ◽  
Masahiro Yoshida ◽  
Katsuhiro Uchiyama
Keyword(s):  
Biliary Tract ◽  
Surgical Procedure

scholarly journals Prevalence of cholelithiasis in patients with chagasic megaesophagus

2011 ◽  
Vol 44 (3) ◽  
pp. 324-326 ◽  
Author(s):  
Eduardo Crema ◽  
Ellen Caroline Rosa Resende Silva ◽  
Priscila Melo Franciscon ◽  
Virmondes Rodrigues Júnior ◽  
Aiodair Martins Júnior ◽  
...  
Keyword(s):  
General Population ◽  
Chagas Disease ◽  
Biliary Tract ◽  
Surgical Procedure ◽  
Clinical Findings ◽  
Parasympathetic Nerve ◽  
Subtotal Esophagectomy ◽  
Significant Difference ◽  
The Mean ◽  
Chagasic Megaesophagus

INTRODUCTION: The prevalence of cholelithiasis in the general population ranges from 9 to 18%. This prevalence is known to be higher in the presence of parasympathetic nerve damage of the biliary tract either due to surgery (vagotomy) or neuronal destruction (Chagas disease). The objective of this study was to evaluate the association of cholelithiasis and chagasic or idiopathic megaesophagus. METHODS: The ultrasound scans of 152 patients with megaesophagus submitted to cardiomyotomy and subtotal esophagectomy surgery were evaluated. The presence of cholelithiasis was compared between chagasic and idiopathic esophagopathy and ultrasound and clinical findings were correlated with age, sex and race. RESULTS: A total of 152 cases of megaesophagus, including 137 with chagasic megaesophagus and 15 with idiopathic megaesophagus, were analyzed. The mean age was 56.7 years (45-67) in the 137 patients with chagasic megaesophagus and 35.6 years (27-44) in the 15 cases of idiopathic megaesophagus, with a significant difference between the two groups (p < 0.0001). The group with chagasic megaesophagus consisted of 59 (43%) women and 78 (56.9%) men, while the group with idiopathic megaesophagus consisted of 8 (53.3%) women and 7 (46.6%) men, showing no significant difference between the groups. Of the 137 patients with confirmed chagasic megaesophagus, 39 (28.4%) presented cholelithiasis versus one case (6.6%) in the 15 patients with idiopathic megaesophagus. CONCLUSIONS: The prevalence of cholelithiasis is high in patients with chagasic megaesophagus and preoperative ultrasound should be performed routinely in these patients in order to treat both conditions during the same surgical procedure.

scholarly journals Intraoperative ultrasound in liver and pancreatic surgery

2020 ◽  
Author(s):  
Adrian Bartoș ◽  
Ioana Iancu ◽  
Lidia Ciobanu ◽  
Radu Badea ◽  
Zeno Spârchez ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Biliary Tract ◽  
Surgical Procedure ◽  
Pancreatic Surgery ◽  
Current Knowledge ◽  
Intraoperative Ultrasound ◽  
Intraoperative Ultrasonography ◽  
Diagnostic Approaches ◽  
Pancreatic Pathology

This paper summarizes the current knowledge of intraoperative ultrasonography (IOUS) in open and laparoscopic ab-dominal surgery. The abdominal IOUS contributes to the diagnosis and staging (for parenchymal organ tumors), to establish surgical procedure and to guide surgical maneuvers. The main applications are represented by liver, biliary tract and pancreatic pathology. Diagnostic approaches are frequently combined with therapeutic purposes. The technique, equipment, training, benefits and limits of IOUS in abdominal surgery are discussed and cases from our experience are used as examples.

scholarly journals Hida Scan in The Follow-Up of Biliary-Enteric Anastomoses

HPB Surgery ◽  
1988 ◽  
Vol 1 (1) ◽  
pp. 29-34 ◽  
Author(s):  
G. Belli ◽  
G. Romano ◽  
A. Monaco ◽  
M. L. Santangelo
Keyword(s):  
Informed Consent ◽  
Computer System ◽  
Intravenous Injection ◽  
Biliary Tract ◽  
Surgical Procedure ◽  
Hida Scan ◽  
Long Term Follow Up ◽  
And Function

In order to assess the patency and function of biliary-enteric anastomoses performed in our Department of Surgery, 21 patients entered the following study, provided an informed consent was obtained. All the patients were affected by benign biliary tract diseases and underwent either Roux-en-Y hepaticojejunostomy (11 cases), or side-to-side choledochoduodenostomy (10 cases). The 21 patients were evaluated with Tc-99m-HIDA scanning at intervals of 20 days–36 months after the surgical procedure (mean 14 months). The images were obtained after intravenous injection of the radioactive medium (5 mCi) and the scans were taken at 1 min (1 frame/s), 3 min (1 frame/10 s), and 56 min (1 frame/2 min). The data were analyzed by a Digital PDP 11/34 Computer System. This method allowed us to assess each individual patient for the patency of the anastomosis and, by computer analysis, to build up a profile of the timing of the passage of the radioactive medium through the anastomosis; a delayed passage across the anastomosis was always pathological.In conclusion, the 99m-Tc-HIDA scanning used in our study for long-term follow-up of biliary-enteric anastomoses is reliable and allows an assessment of prognosis.

Roentgenology of the Liver and Biliary Tract

1963 ◽  
Vol 45 (5) ◽  
pp. 644-657 ◽  
Author(s):  
Robert E. Wise
Keyword(s):  
Biliary Tract

The Diagnosis of Cancer of the Pancreas, Biliary Tract, and Duodenum by Combined Cytologic and Secretory Methods

1958 ◽  
Vol 34 (6) ◽  
pp. 996-1008 ◽  
Author(s):  
Howard F. Raskin ◽  
Julius Wenger ◽  
Manuel Sklar ◽  
Sylvia Pleticka ◽  
Willard Yarema
Keyword(s):  
Biliary Tract ◽  
Cancer Of The Pancreas ◽  
Diagnosis Of Cancer

V703: The Continent Extraperitoneal Vesico-Cutaneous Access Tunnel: A Novel Surgical Procedure for Managing Neurogenic Bladders

2006 ◽  
Vol 175 (4S) ◽  
pp. 227-227
Author(s):  
Ryan C. Hedgepeth ◽  
Michael Aleman ◽  
Humphrey Atiemo ◽  
Joseph Abdelmalak ◽  
Kubilay Inci ◽  
...  
Keyword(s):  
Surgical Procedure

Amputation in fictional literature: the case of Hippolyte in Madame Bovary

VASA ◽  
2001 ◽  
Vol 30 (Supplement 58) ◽  
pp. 3-5 ◽  
Author(s):  
Kauss
Keyword(s):  
Surgical Procedure ◽  
Medical Profession ◽  
Major Amputation ◽  
Madame Bovary

In his famous novel, published in 1856, Flaubert describes the circumstances of a failed surgical procedure ending up in a major amputation. Flaubert, whose father was a physician in Rouen/France, mocks at the medical profession and its victims and proves himself to be compassionate at the same time. About his writing, he explained: "I only measure shit into doses." ("Je ne fais autre chose que de doser de la merde.")

Chemotherapy for biliary tract cancer in Japan

2002 ◽  
Vol 29 (6U) ◽  
pp. 51-53 ◽  
Author(s):  
Takuji Okusaka
Keyword(s):  
Biliary Tract ◽  
Biliary Tract Cancer ◽  
Tract Cancer
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