Noninvasive Imaging Prior to Biliary Interventions

2021 ◽  
Vol 38 (03) ◽  
pp. 263-272
Author(s):  
Roberta Catania ◽  
Anil K. Dasyam ◽  
Frank H. Miller ◽  
Amir A. Borhani

AbstractNoninvasive imaging is a crucial and initial step in the diagnostic algorithm of patients with suspected biliary pathology and directs the subsequent diagnostic and therapeutic workup, including the endoluminal and percutaneous biliary interventions. This article reviews the current noninvasive imaging methods for the evaluation of biliary system and further discusses their roles in the diagnostic workup of different biliary disease.

2021 ◽  
Vol 38 (03) ◽  
pp. 373-376
Author(s):  
Ahsun Riaz ◽  
Riad Salem

AbstractWe are at an exciting cross-road in biliary interventions. While other services such as surgery and gastroenterology have learned to use imaging guidance to improve the safety and efficacy of their procedures, it is time for interventional radiologist to learn endoscopic interventions to achieve the same. The future of interventional radiologists in managing patients with biliary disease depends on (1) increasing comfort of our procedures, (2) publishing our data on biliary interventions, and (3) increasing collaboration with other services to manage biliary disease. We need to appropriately understand the limitations of interventional radiology to help guide the future directions of our specialty in this very interesting space.


1990 ◽  
Vol 18 (12) ◽  
pp. 1081-1089
Author(s):  
Yoshiaki MASUDA ◽  
Junichiro TAKASU ◽  
Makoto SAKAKIBARA ◽  
Nobuhiro MOROOKA ◽  
Yoshiaki INAGAKI

1999 ◽  
Vol 8 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Irmina Gradus-Pizlo ◽  
Douglas S Segar ◽  
Harvey Feigenbaum

2014 ◽  
Vol 3 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Lakshmanan Sannachi ◽  
Hadi Tadayyon ◽  
Ali Sadeghi-Naini ◽  
Michael C Kolios ◽  
Gregory Czarnota

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Annabelle White ◽  
Andrew Refalo ◽  
Hedda. Widlund ◽  
William Knight ◽  
Husam Ebied

Abstract Aim We conducted a retrospective analysis of readmissions after Acute admission with biliary pathology managed conservatively under the Surgical Team in a teaching London Hospital from 01/03/2019-29/02/2020 Methods We obtained records of patients admitted with Acute Cholecystitis, Biliary Colic, Cholelithiasis, Choledocholithiasis and Gallstone Pancreatitis from the Audit Department between 01/03/2019-29/02/2020, and analysed these regarding patient demographics, comorbidities, duration of index admission, method of diagnosis and management and identified patients’ readmissions Differences in readmission rates based on before mentioned characteristics were studied. Results 157 patients presented between 01/03/2019-29/02/2020, 76 acute cholecystitis, 22 Biliary Colic, 24 Gallstone Pancreatitis, 6 Ascending Cholangitis and 29 Choledocholithiasis The highest representation rate was for patients with choledocholithiasis (41.3%) followed by Acute Cholecystitis (31.5%), 3 patients required cholecystostomies. Baseline characteristics and differences in these characteristics based on occurrence of readmission were studied. 45-60 age group, increasing comorbidity, and biliary obstruction were all associated with increased risk of readmission. Conclusion Readmissions is a substantial burden on the health care services and patient’s safety and QoL We propose adherence to the NICE/BSG Guidelines for management of Acute Biliary Disease, to alleviate this pressure which is already sometimes challenging due to the logistics and resources and would be more challenging with the COVID situation and limited emergency and elective theatre availability so the group at high risk of readmission should be prioritised in the recovery plans.


2013 ◽  
Vol 27 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Turki AlAmeel ◽  
Vincent Bain ◽  
Gurpal Sandha

BACKGROUND: Single-operator cholangioscopy enables direct diagnostic visualization and therapeutic intervention in the biliary tree. There is increasing evidence of its clinical utility in the assessment of biliary strictures and treatment of difficult stones.OBJECTIVE: To describe the first reported Canadian experience with managing biliary disease using single-operator cholangioscopy.METHODS: The present study was a retrospective analysis of data collected from all sequential patients undergoing single-operator cholangioscopy for assessment of biliary strictures and treatment of biliary stones. The main outcome measures were the ability to make an overall diagnosis of stricture (based on visual appearances and tissue histology), and to fragment and extract biliary stones.RESULTS: Thirty patients (17 women), mean age 66 years (range 41 to 89 years) underwent single-operator cholangioscopy. In biliary strictures (20 patients), overall accuracy for visual and tissue diagnosis was 84% and 81%, respectively. Successful electrohydraulic lithotripsy with stone clearance was achieved in 90% of the 10 patients who failed previous conventional therapy. The mean (± SD) procedure time was 61±21 min (range 20 min to 119 min). One patient developed mild postendoscopic retrograde cholangioscopy pancreatitis.CONCLUSION: The results of this experience reaffirms the clinical utility and safety of single-operator cholangioscopy for the management of biliary pathology. Further improvements can be achieved with increasing operator experience and refinements in optical technology.


Eye ◽  
2020 ◽  
Vol 35 (1) ◽  
pp. 33-51 ◽  
Author(s):  
Ilknur Tugal-Tutkun ◽  
Carl P. Herbort Jr ◽  
Alessandro Mantovani ◽  
Piergiorgio Neri ◽  
Moncef Khairallah

1995 ◽  
Vol 18 (2) ◽  
pp. 339-340 ◽  
Author(s):  
Gordon M. Burghardt

AbstractPosner & Raichle's (1994) exciting, wonderfully illustrated book describes the past successes and future potential of the relatively noninvasive imaging of the nervous systems of living people. The focus has been on cognitive processes but there is no reason why emotional and motivational systems cannot also be tapped. Although the authors do not formally address such contentious issues as consciousness and the private experience of other species, imaging methods may hold promise for helping us to understand these phenomena, as well as to integrate psychological processes into ethological and phylogenetic research in general.


Sign in / Sign up

Export Citation Format

Share Document