Balloon Catheter Dilatation of Stenotic Common Bile Duct Anastomoses in the Pig

1987 ◽  
Vol 28 (1) ◽  
pp. 115-120
Author(s):  
U. Nilsson ◽  
L. Ekelund ◽  
L.-E. Hammarström ◽  
T. Holmin ◽  
N. Jonsson
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Balloon Dilatation ◽  
Thrombus Formation ◽  
Balloon Catheter ◽  
Percutaneous Transhepatic Cholangiography ◽  
Bile Duct Wall ◽  
Duct Wall ◽  
Catheter Dilatation

Fibrotic stenosing anastomoses of the common bile duct were surgically created in pigs in order to investigate the effects of percutaneous transhepatic balloon catheter dilatation. In a group of 6 animals, not treated with balloon dilatation, percutaneous transhepatic cholangiography and microscopic examination of the stricture were performed 5 to 25 weeks postoperatively. A persistent stenosis and slight to moderate fibrosis of the bile duct wall and peribiliary tissue were observed. In 5 animals the stenotic anastomosis was dilated.4 to 10 weeks postoperatively and this resulted in widening of the stricture and necrosis of the mucosa at the stricture site. Rupture of the fibrotic tissue in the bile duct wall and thrombus formation in the peribiliary veins also occurred in one of these 5 animals. Short-term follow-up in 3 animals 4 to 6 weeks after balloon dilatation showed almost complete fibrotic healing and partial re-stenosis of the anastomoses.

scholarly journals Post ERCP Migration of Biliary Stent Through Common Bile Duct Wall - A Case Report

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Ramesh Agarwalla ◽  
Snigdhendu Chand ◽  
Gouranga Charan Nayak ◽  
Soumen Pal
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Stent ◽  
Bile Duct Wall ◽  
Duct Wall

Common Bile Duct Wall Thickening Due to Intramural Varices Diagnosed by Colour Doppler Ultrasound

2006 ◽  
Vol 27 (05) ◽  
pp. 483-486 ◽  
Author(s):  
I Grgurević ◽  
M Buljevac ◽  
M Kujundžić ◽  
M Vukelić-Marković ◽  
D Kardum ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Doppler Ultrasound ◽  
Wall Thickening ◽  
Colour Doppler ◽  
Bile Duct Wall ◽  
Colour Doppler Ultrasound ◽  
Duct Wall

scholarly journals Balloon Catheter Dilatation of Stenotic Common Bile Duct Anastomoses in the Pig

1987 ◽  
Vol 28 (1) ◽  
pp. 115-120
Author(s):  
Ulf Nilsson ◽  
L. Ekelund ◽  
L.-E. Hammarström ◽  
T. Holmin ◽  
N. Jonsson
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Balloon Catheter ◽  
Catheter Dilatation

scholarly journals Choledochoplasty by Vein Grafts in Iatrogenic Bile Duct Injuries

HPB Surgery ◽  
1992 ◽  
Vol 5 (3) ◽  
pp. 195-202 ◽  
Author(s):  
Aws S. Salim
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Balloon Catheter ◽  
Tissue Loss ◽  
Stricture Formation ◽  
Vein Grafts ◽  
Bile Duct Injuries ◽  
Considerable Morbidity

The quality of immediate repair of common bile duct injuries with or without tissue loss occurring during elective cholecystectomy is crucial and maybe the sole factor behind future stricture formation with its considerable morbidity and mortality. Successful repair of iatrogenic common bile duct injuries has been achieved by immediate saphenous vein grafts in two patients with cystic duct avulsion, in one patient whose duct was split by a balloon catheter, and in one patient where a segment of the duct was resected. Follow-up for 5 years demonstrated that the grafting remained sound and produced no complications. Consequently, the immediate repair of iatrogenic bile duct injuries using vein grafts deserves consideration.

Perforators of common bile duct wall in portal hypertensive biliopathy (with videos)

2009 ◽  
Vol 70 (5) ◽  
pp. 1041-1043 ◽  
Author(s):  
Malay Sharma ◽  
Amit Pathak
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Duct Wall ◽  
Duct Wall

scholarly journals Micro- and ultrastructural organization of the common bile duct wall during four-week opioid effect in the experiment

Morphologia ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 59-64
Author(s):  
L. R. Mateshuk-Vatseba ◽  
I. I. Hirniak
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Ultrastructural Organization ◽  
Bile Duct Wall ◽  
Duct Wall ◽  
The Common

scholarly journals Spontaneous common bile duct perforation due to choledocolithiasis accompanied with pancreaticobiliary maljunction in an adult: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Risa Sakamoto ◽  
Kengo Kai ◽  
Masahide Hiyoshi ◽  
Naoya Imamura ◽  
Koichi Yano ◽  
...  
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Emergency Surgery ◽  
Postoperative Management ◽  
Pancreaticobiliary Maljunction ◽  
Retroperitoneal Abscess ◽  
Bile Duct Wall ◽  
T Tube ◽  
Duct Wall

Abstract Background Spontaneous common bile duct (CBD) perforation is an extremely rare disease in adults. We report an adult case of CBD perforation due to choledocolithiasis accompanied with pancreaticobiliary maljunction, which is, to our knowledge, the first such case report based on a search using PubMed. Case presentation A 71-year-old woman with consciousness disorder was transported to the emergency department of another hospital. She was diagnosed as having severe peritonitis with septic shock and transferred to our hospital for emergency surgery. Enhanced computed tomography (CT) revealed supraduodenal CBD dilation similar to a diverticulum and a defect of bile duct wall continuity. Furthermore, CT showed a long common channel of the pancreaticobiliary duct, so she was diagnosed as having spontaneous CBD perforation with pancreaticobiliary maljunction. Emergency surgery was performed that revealed a necrotic diverticulum-like change on the supraduodenal part, and a 2.5 × 1 cm perforation was found on the anterolateral wall of the CBD. Peritoneal lavage was performed, and CBD perforation was resolved with a T-tube. The patient suffered refractory intra-abdominal and retroperitoneal abscess formation and bleeding from the abdominal wall, which required a long period of postoperative management. The T-tube was removed on day 136, and the patient was transferred on day 153. Conclusion The cause of CBD perforation is commonly considered to be increased intraductal pressure or weakness of the bile duct wall. In this case, pancreaticobiliary maljunction may have significantly influenced onset and the postoperative course. This case suggests that early surgical intervention and appropriate drainage are important to ensure survival.

scholarly journals Surgical procedure for unexpected balloon burst complication during endoscopic balloon dilatation in a patient with common bile duct stones

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Koji Morishita ◽  
Hideaki Sasaki
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Balloon Dilatation ◽  
Rare Complication ◽  
Common Bile Duct Stones ◽  
Endoscopic Retrograde ◽  
Case Presentation ◽  
Endoscopic Balloon Dilatation ◽  
Cbd Stones ◽  
Endoscopic Balloon

Abstract Background Endoscopic balloon dilatation (EBD) is the established treatment for common bile duct (CBD) stones. Although pancreatitis and bleeding have been reported as major complications of EBD, balloon-related complications are rarely reported in EBD. Case presentation A 30-year-old woman with suspected CBD stones underwent endoscopic retrograde cholangiopancreatography (ERCP) and EBD. During EBD, the balloon of the EBD catheter suddenly burst at the biliary sphincter. We therefore performed surgical intervention: removal of the broken EBD catheter and T-tube drainage. Finally, the patient was discharged without any complications. Conclusions We present a case involving a burst balloon of an EBD catheter as a rare complication during EBD, as well as the surgical technique that was used to treat this complication.

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