scholarly journals Long-term result of endoscopic treatment of an ampullary adenoma with extension into the common bile duct

Endoscopy ◽  
2018 ◽  
Vol 50 (05) ◽  
pp. E109-E110
Author(s):  
Rodrigo Scomparin ◽  
Luiza Bento ◽  
Clelma Batista ◽  
Marcelo de Lima ◽  
Gustavo de Paulo ◽  
...  
2017 ◽  
Vol 11 (2) ◽  
pp. 428-433 ◽  
Author(s):  
Hrudya Abraham ◽  
Sajan Thomas ◽  
Amit Srivastava

Biliary sump syndrome is a rare condition. It is seen as a rare long-term complication in patients with a history of a side-to-side choledochoduodenostomy. In the era before endoscopic retrograde cholangiopancreatography, side-to-side choledochoduodenostomy was a common surgical procedure for the management of biliary obstruction. In the setting of a side-to-side choledochoduodenostomy, the bile does not drain through the distal common bile duct anymore. Therefore, the part of the common bile duct distal from the choledochoduodenostomy anastomosis consequently transforms into a poorly drained reservoir, making this so-called “sump” prone to accumulation of debris. These patients are prone to cholangitis. We present a 64-year-old man with a history of side-to-side choledochoduodenostomy who presented with manifestations of cholangitis. An endoscopic retrograde cholangiopancreatography confirmed a diagnosis of sump syndrome. The etiology, clinical manifestations, and treatment of biliary sump syndrome are discussed in this article.


2007 ◽  
Vol 7 (1) ◽  
Author(s):  
Selcuk Disibeyaz ◽  
Erkan Parlak ◽  
Bahattin Cicek ◽  
Cem Cengiz ◽  
Sedef O Kuran ◽  
...  

Radiology ◽  
1994 ◽  
Vol 192 (3) ◽  
pp. 663-667 ◽  
Author(s):  
J R Mathieson ◽  
R F McLoughlin ◽  
P L Cooperberg ◽  
C C Prystai ◽  
S N Stordy ◽  
...  

1993 ◽  
Vol 39 (1) ◽  
pp. 94-98 ◽  
Author(s):  
Subhendu Narayan ◽  
Joel Roslyn ◽  
Shlomo Raz ◽  
Stuart Sherman

Author(s):  
S. V. Emelyanchik ◽  
O. A. Karniushko ◽  
S. M. Zimatkin

Cholestasis (disturbance of the liver bile outflow into the duodenum) is a frequent complication of cholelithiasis and other pathologies of the hepatobiliary system. In this case, all metabolism types are disturbances and all body organs and systems, including the nervous system, are affected. The objective of the study was to establish changes in the c-fos immunoreactivity in the cerebellum neurons of rats at different time after modeling subhepatic cholestasis. In this work, we used a material of 60 white male rats 200–250 g in weight. In experimental animals, the ligation of the common bile duct was carried out, in control animals – a false operation while maintaining a physiological bile flow in the duodenum throughout the experiment. Subhepatic cholestasis in rats is accompanied by an increase in the cortex cerebellum on the 2–20th days after the ligation of the common bile duct of the number of neurons with the increased c-fos-immunoreactivity, with the maximum one on the 10th day of the experiment. In surviving animals, after the removal of cholestasis in the long term (45–90 days), the number of neurons with the increased c-fos immunoreactivity, as well as the expression of this protein in neurons is normalized.


2010 ◽  
Vol 138 (5-6) ◽  
pp. 347-350 ◽  
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Mirjana Perisic ◽  
Marjan Micev ◽  
Stojan Latincic ◽  
...  

Introduction Choledochoduodenal fistulas are very rare and in most cases are caused by a long-lasting and poorly treated chronic duodenal ulcer. They may be asymptomatic or followed by symptoms of ulcer disease, by attacks of cholangitis or bleeding or vomiting in cases of ductoduodenal stenosis. The diagnosis is simple and safe, however treatment is still controversial. If surgery is the choice of treatment, local findings should be taken into consideration. As a rule, intervention involving closure of fistula is not recommended. Case Outline The authors present a 60-year-old woman with a long history of ulcer disease who developed attacks of cholangitis over the last three years. Ultrasonography and CT showed masive pneumobilia due to a choledochoduodenal fistula. . As there was no duodenal stenosis or bleeding, at operation the common bile duct was transected and end-to-side choledochojejunostomy was performed using a Roux-en Y jejunal limb. From the common bile duct, multiple foreign bodies of herbal origin causing biliary obstruction and cholangitis were removed. After uneventful recovery the patient stayed symptom free for four years now. Conclusion The performed operation was a simple and good surgical solution which resulted in complication-free and rapid recovery with a long-term good outcome. .


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