scholarly journals Results of endoscopic treatment in patients with obstructive jaundice

2013 ◽  
Vol 94 (4) ◽  
pp. 450-455
Author(s):  
I M Sayfutdinov ◽  
L E Slavin
Keyword(s):  
Heart Failure ◽  
Pancreatic Cancer ◽  
Obstructive Jaundice ◽  
Complication Rate ◽  
Endoscopic Treatment ◽  
Biliary Obstruction ◽  
Treatment Method ◽  
Head Of The Pancreas ◽  
Transpapillary Drainage

Aim. To evaluate the results of endoscopic treatment in patients with obstructive jaundice. Methods. 136 patients with obstructive jaundice aged 27 to 88 years were referred for endoscopic transpapillary interventions from 2007 to 2012. 24 (17.6%) patients had biliary obstruction due to malignancies, most frequently - pancreatic cancer in the head of the pancreas (12 out of 24 patients, 50% of cancer cases). Among 112 (82.4%) patients with benign obstructive jaundice choledocholithiasis was diagnosed 67 (59.8%). Results. In 4 out of the 24 (16.7%) patients with malignancies and in 1 out of 112 (0.9%) patients with benign obstructive jaundice an endoscopic transpapillary intervention has failed. Single endoscopic transpapillary drainage was needed in 66 (48.5% of cases) patients, two endoscopic transpapillary decompressions - in 56 (41.2%) patients, three or more - in 14 (10.3%) patients. Papillosphincterotomy was the most frequent procedure performed, used in 136 out of 225 (60.4%) of cases. Serious complications occurred in 3.1% (7 out of 225) of completed surgeries. 1 (0.7%) patient has died of the heart failure. Endoscopic transpapillary stenting, which was performed in 19.6% of cases (44 out of 225 procedures) was the most secure treatment method with complication rate of 0%. Conclusion. The effectiveness of endoscopic transpapillary drainage in patients with obstructive jaundice of various genesis has reached 96.3%.

scholarly journals Autoimmune pancreatitis with associated ulcerative colitis in a teenager

2018 ◽  
Vol 11 (1) ◽  
pp. e227888
Author(s):  
Carolina Isabel Gouveia ◽  
Laura Oliveira ◽  
António P Campos ◽  
José Cabral
Keyword(s):  
Ulcerative Colitis ◽  
Pancreatic Cancer ◽  
Chronic Pancreatitis ◽  
Obstructive Jaundice ◽  
Autoimmune Pancreatitis ◽  
Pancreatic Mass ◽  
Rare Entity ◽  
Clinical Challenge ◽  
Head Of The Pancreas

Autoimmune pancreatitis (AIP) is a rare entity that is extremely uncommon in children. Its diagnosis is also a clinical challenge. This form of chronic pancreatitis often presents itself with obstructive jaundice and/or a pancreatic mass and it is sometimes misdiagnosed as pancreatic cancer. We describe the case of a 13-year-old boy with obstructive jaundice and a 4 cm mass in the head of the pancreas that was diagnosed as AIP with associated ulcerative colitis.

Cirurgia Paliativa em Pacientes com Tumor Periampular Irressecável: Estudo Retrospectivo de 5 Anos em um Hospital em São José dos Campos – SP/Surgical Palliation in Patients with Unresectable Periampullary Tumor: a Retrospective Study of 5 Years in a Hosp

1970 ◽  
Vol 3 (4) ◽  
pp. 9-20
Author(s):  
José Henrique Gomes Torres ◽  
Rosyane Rena De Freitas
Keyword(s):  
Pancreatic Cancer ◽  
Retrospective Study ◽  
Survival Rates ◽  
Periampullary Tumor ◽  
The Past ◽  
Palliative Procedure ◽  
Surgical Palliation ◽  
Head Of The Pancreas ◽  
Keywords Pancreatic Cancer ◽  
Main Complication

Objetivo: Avaliar diferentes métodos paliativos quanto a sua resolução, complicações e sobrevida em pacientes com tumor periampular irressecável. Materiais e métodos: Estudo retrospectivo com análise dos prontuários de pacientes com tumor periampular irressecável e que foram submetidos a procedimento paliativo no Hospital Municipal Dr José de Carvalho Florence nos últimos cinco anos. Resultados: O principal tumor periampular foi o de cabeça de pâncreas, com incidência de 94%, acometendo pacientes com média de 66 anos, sem preferência por sexo. Os procedimentos mais realizados foram derivação biliar e colocação de endoprótese através de colangiopancreatografia endoscópica retrógrada, apresentando sobrevidas de 586 e 56 dias, respectivamente. Conclusão: A coledocojejunostomia foi o procedimento mais realizado e apresentou menor tempo de internação e maiores sobrevida e tempo de permanência anictérico. Pneumonia foi a complicação mais frequente.  Palavras chave: Câncer pancreático, Colangiocarcinoma, Cuidados paliativos.  Objective: To evaluate different palliative methods concerning its resolution, complications and survival in patients with unresectable periampular tumor. Materials and methods: Retrospective study analysing records of patients with unresectable periampullary tumor and who underwent palliative procedure in the Hospital Municipal Dr José de Carvalho Florence in the past five years. Results: The main periampullary tumor was the head of the pancreas, with an incidence of 94%, affecting patients with an average of 66 years old, regardless of gender. The most common procedures were bypass and biliary stent, with survival rates of 586 and 56 days, respectively. Conclusion: Coledocojejunostomy was the procedure which was the most often performed and showed a shorter hospital stay and longer survival time and time without jaundice. Pneumonia was the main complication.  Keywords: Pancreatic cancer, Cholangiocarcinoma, Palliative care  

scholarly journals Obstructive Jaundice Following Transarterial Chemoembolization for Hepatocellular Carcinoma with Bile Duct Invasion

2021 ◽  
Vol 5 (02) ◽  
pp. 127-130
Author(s):  
Kazuki Matsushita ◽  
Ken Kageyama ◽  
Natsuhiko Kameda ◽  
Yurina Koizumi ◽  
Akira Yamamoto
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Obstructive Jaundice ◽  
Transarterial Chemoembolization ◽  
Tumor Invasion ◽  
Endoscopic Sphincterotomy ◽  
Biliary Obstruction ◽  
Intraductal Tumor ◽  
Bile Duct Invasion ◽  
The Common

AbstractHepatocellular carcinoma (HCC) with bile duct invasion is considered rare. A case in which a fragment of intraductal tumor dropped into the common bile duct after transarterial chemoembolization (TACE) and caused abdominal pain, and obstructive jaundice secondary to biliary obstruction is presented. This case was successfully managed by emergent endoscopic sphincterotomy. Physicians should recognize one of the complications due to TACE for HCC with intraductal tumor invasion.

scholarly journals Biliary Obstruction: Endoscopic Approaches

2017 ◽  
Vol 34 (04) ◽  
pp. 369-375 ◽  
Author(s):  
Tomas DaVee ◽  
Jeffrey Lee
Keyword(s):  
Pancreatic Cancer ◽  
Biliary Obstruction ◽  
Epigastric Pain ◽  
Surgical Techniques ◽  
Malignant Biliary Obstruction ◽  
Metal Stents ◽  
Biliary Stents ◽  
Term Survival ◽  
Painless Jaundice

AbstractPainless jaundice is a harbinger of malignant biliary obstruction, with the majority of cases due to pancreatic adenocarcinoma. Despite advances in treatment, including improved surgical techniques and neoadjuvant (preoperative) chemotherapy, long-term survival from pancreatic cancer is rare. This lack of significant improvement in outcomes is believed to be due to multiple reasons, including the advanced stage at diagnosis and lack of an adequate biomarker for screening and early detection, prior to the onset of jaundice or epigastric pain. Close attention is required to select appropriate patients for preoperative biliary decompression, and to prevent morbid complications from biliary drainage procedures, such as pancreatitis and cholangitis. Use of small caliber plastic biliary stents during endoscopic retrograde cholangiopancreatography should be minimized, as metal stents have increased area for improved bile flow and a reduced risk of adverse events during neoadjuvant therapy. Efforts are underway by translational scientists, radiologists, oncologists, surgeons, and gastroenterologists to augment lifespan for our patients and to more readily treat this deadly disease. In this review, the authors discuss the rationale and techniques of endoscopic biliary intervention, mainly focusing on malignant biliary obstruction by pancreatic cancer.

scholarly journals ULTRASONOGRAPHY IN OBSTRUCTIVE JAUNDICE

2012 ◽  
Vol 19 (04) ◽  
pp. 436-441
Author(s):  
ASMA AFZAL KIANI ◽  
RANA HASSAN JAVAID ◽  
ABDUL GHAFFAR ◽  
Shamrez Khan
Keyword(s):  
Obstructive Jaundice ◽  
Sensitivity And Specificity ◽  
Gold Standard ◽  
Biliary Obstruction ◽  
Pancreatic Head ◽  
Histological Diagnosis ◽  
Imaging Procedure ◽  
Preoperative Ultrasonography ◽  
Initial Imaging

Objective: To evaluate the validity of ultrasonography in patients who have obstructive jaundice. Design: Descriptive study.Place and duration of study: The study was carried out from September 2006 to May 2008 in department of Radiology Combined MilitaryHospital Quetta. Patients and Methods: A total of 30 patients; 14 male and 16 female underwent operation for obstructive jaundice. All of themhad preoperative ultrasonography. The site and nature of biliary obstruction were noted and the accuracy was determined with per-operativefindings / histological diagnosis as gold standard. Results: The cause of obstructive jaundice identified by ultrasonography with reasonablesensitivity of 90% and specificity of 90% for choledocholithiasis and sensitivity of 55.5% and specificity of 95.2% for pancreatic head tumours.Conclusions: Ultrasonography should be the first and best initial imaging procedure in patients who have obstructive jaundice and showsreasonable sensitivity and specificity to identify causes of obstruction in obstructive jaundice.

Percutaneous Transhepatic Biliary Drainage in Malignant Obstructive Jaundice

1983 ◽  
Vol 69 (2) ◽  
pp. 161-165 ◽  
Author(s):  
Aldo Severini ◽  
Guido Cozzi ◽  
Massimo Bellomi ◽  
Maria Chiara Castoldi ◽  
Roberto Doci
Keyword(s):  
Prognostic Factors ◽  
Surgical Treatment ◽  
Liver Function ◽  
Obstructive Jaundice ◽  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Percutaneous Transhepatic Biliary Drainage ◽  
Malignant Obstructive Jaundice ◽  
High Operative Risk ◽  
Transhepatic Biliary Drainage

Results obtained in 70 patients with neoplastic (primary or metastatic) biliary obstruction and submitted to percutaneous transhepatic biliary drainage indicate the effectiveness of the technique in relieving jaundice, improving general conditions and restoring liver function. In 25.4% of cases, the drainage allowed the patients to undergo surgical treatment of the neoplasm. In 74.6%, the drainage was left in place as definitive palliation. The complication rate was very low and similar to that described in the literature. At this time it is difficult to identify prognostic factors and foresee the results of percutaneous transhepatic biliary drainage, but the procedure is always indicated in patients at high operative risk or inoperable.

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