A large-bore teflon endoprosthesis with side holes for nonoperative decompression of the biliary tract in malignant obstructive jaundice

1980 ◽  
Vol 5 (1) ◽  
pp. 361-366 ◽  
Author(s):  
Jürgen Hoevels ◽  
Anders Lunderquist ◽  
Torben Owman ◽  
Ingemar Ihse
Keyword(s):  
Obstructive Jaundice ◽  
Biliary Tract ◽  
Malignant Obstructive Jaundice

scholarly journals Malignant obstructive jaundice: justification of the method of biliary decompression

2020 ◽  
Vol 25 (2) ◽  
pp. 124-136
Author(s):  
P. N. Romashchenko ◽  
N. A. Maistrenko ◽  
A. I. Kuznetsov ◽  
A. S. Pryadko ◽  
A. A. Filin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Obstructive Jaundice ◽  
Biliary Tract ◽  
Optimal Algorithm ◽  
Tnm Classification ◽  
Postoperative Mortality ◽  
Endoscopic Stenting ◽  
Malignant Obstructive Jaundice ◽  
Primary Surgery ◽  
Complications And Mortality

Aim. To show the optimal algorithm of diagnostic and treatment of malignant obstructive jaundice, which allows to increase the effectiveness of primary surgery, reducing the number of complications and mortality in the operated patients.Materials and methods. The results of examination and surgical treatment of 325 patients with malignant obstructive jaundice who underwent minimally invasive decompression of the biliary tract were studied. Based on the results of treatment, an algorithm for examining and treating patients with malignant obstructive jaundice has been formed and tested.Results. Using such criterial like severity of obstructive jaundice by E.I. Galperin, anatomical level of biliary tract occlusion and staging oncology process by TNM classification could help to choose the rational method for its surgical treatment and determine the risk of complications and mortality. At the level of biliary occlusion I and II, endoscopic stenting is a fairly successful inter-vention with a minimum of complications. For a level III block, the operation of choice is percutaneous transhepatic drainage. Cholecystostomy is advisable in case of level I block below the cystic duct in flow level and class “C” obstructive jaundice or for technical impossibility to apply a different method.Realization of the developed algorithm allowed resolving obstructive jaundice in a palliative option in 71.4% of patients and preparing 28.6% for surgical treatment.Conclusion. Implementation of an improved algorithm for the diagnosis of malignant obstructive jaundice makes it possible to justify the choice of a rational option for its surgical treatment, increase the effectiveness of interventions and reduce postoperative mortality.

scholarly journals PTBD During COVID-19 Pandemic: A Life Saving Procedure in Malignant Obstructive Jaundice Patients

2021 ◽  
Vol 6 (S1) ◽  
pp. 17-19
Author(s):  
Khushboo Rani ◽  
Kumar Gaurav ◽  
Naveen Kumar
Keyword(s):  
Obstructive Jaundice ◽  
Biliary Tract ◽  
Percutaneous Drainage ◽  
Positive Impact ◽  
Laboratory Data ◽  
Patient Characteristics ◽  
Endoscopic Drainage ◽  
Malignant Obstructive Jaundice ◽  
Abdominal Ultrasonography ◽  
Almost All

Objective: PTBD is an important lifesaving alternative for biliary tract decompression to endoscopic drainage in the treatment of malignant obstructive jaundice patients. The aim of this study was to evaluate the usefulness of PTBD in terms of the relief of symptoms and laboratory data, survival after PTBD, and the relationship between patient characteristics and survival during COVID-19 pandemic. Methods: During this study, in total thirteen patients’ procedures of percutaneous drainage were applied during a three-month period. The average age of men was 59 years and women was 55 years. The causes of obstructive jaundice were investigated using both abdominal computed tomography and abdominal ultrasonography. Results: In examined group percutaneous drainage was successful in 92.3% (12 patients) and drainage procedure application was ineffective in 7.7% (1 patient). After PTBD, almost all the symptoms of obstructive jaundice were relieved, except in one patient. Transient haemobilia was the only complication seen in one patient. Conclusion: In present scenario of COVID-19 pandemic, PTBD emerges as an effective method of biliary tract decompression and an important alternative to endoscopic drainage. It decreased the jaundice and relieved the symptoms caused by biliary tract obstruction. Thus, our study shows a positive impact in quality of life of patients after PTBD.

Cholesterol and its esters as serum biomarkers in malignant obstructive jaundice: a single step 1H NMR metabolomic approach

Metabolomics ◽  
2013 ◽  
Vol 9 (6) ◽  
pp. 1181-1191 ◽  
Author(s):  
Shatakshi Srivastava ◽  
Raja Roy ◽  
Santosh Kumar ◽  
Hari Om Gupta ◽  
Devendra Singh ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
1H Nmr ◽  
Single Step ◽  
Serum Biomarkers ◽  
Malignant Obstructive Jaundice ◽  
Metabolomic Approach

scholarly journals A CASE OF BILIARY TRACT ASPERGILLOSIS WITH OBSTRUCTIVE JAUNDICE

1980 ◽  
Vol 69 (5) ◽  
pp. 587-592 ◽  
Author(s):  
Shigetoshi FUJIYAMA ◽  
Katsuro SAGARA ◽  
Kimiaki ONOUE ◽  
Shoso NAKAGAWA ◽  
Takehisa HIRAOKA ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Biliary Tract

scholarly journals Palliative interventions for patients with malignant obstructive jaundice

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e521
Author(s):  
M. Seisembayev ◽  
D. Toksanbayev ◽  
N. Sadykov ◽  
M. Duisebekov ◽  
M. Doskhanov ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Malignant Obstructive Jaundice

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 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 Endoscopic surgeries and correction of homeostasis disorders in patients with obstructive jaundice

2015 ◽  
Vol 96 (3) ◽  
pp. 444-447
Author(s):  
I S Malkov ◽  
G R Zakirov ◽  
V N Korobkov ◽  
M N Nasrullayev
Keyword(s):  
Obstructive Jaundice ◽  
Liver Failure ◽  
Biliary Tract ◽  
Comprehensive Treatment ◽  
Treatment Results ◽  
Endoscopic Papillotomy ◽  
Invasive Approach ◽  
Endoscopic Techniques ◽  
Endoscopic Methods ◽  
Pancreatic Sphincterotomy

Aim. To improve the treatment results of patients with obstructive jaundice using endoscopic methods for restoring biliary tract patency. Methods. A retrospective analysis of treatment results of 636 patients, treated in the surgical departments of City Clinical Hospital №7, Kazan, Russia in 2004-2014 with obstructive jaundice induced by tumors and other diseases was performed. Results. It was revealed that using endoscopic techniques for biliary system decompression allows to improve the treatment results. Our observations of patients 2014 with obstructive jaundice induced by tumors and other diseases suggest that the most important element of a comprehensive treatment of such patients is the earliest possible biliary tract decompression using minimally invasive approach, including endoscopic papillotomy and biliary tract stenting. The liver failure stage is an important criterion that defines patient management in case of obstructive jaundice. In patients with obstructive jaundice, treatment of endogenous toxemia and liver failure, according to the contemporary approaches, is based on drug administration and infusions of the required volume and contents, associated with one of the methods for biliary decompression therapy adequate in its formula and size. Conclusion. Endoscopic surgeries are indicated in the majority of acute, recurrent, and chronic large duodenal papilla obstruction cases. Performing endoscopic retrograde cholangiopancreatography, endoscopic pancreatic sphincterotomy in obstructive jaundice not associated with biliary tumors may refuse the surgical approach or reduce its volume and surgical injury.

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