Gallbladder Volvulus: An Uncommon Twist in Biliary Pathology

AIM: To determine the accuracy of Magnetic Resonance Cholangiopancreatography compared to the gold standard Endoscopic Retrograde Cholangiopancreatography in the diagnosis of bile duct disorders at our institution. PATIENTS AND METHODS: 52 patients with suspected pancreatobiliary pathology were included in this prospective observational study. MRCP was performed in the 24-hour period prior to the ERCP. RESULTS: MRCP had sensitivity, specificity, positive and negative predictive values of 87%, 80%, 83.3% and 84.2% respectively for choledocholitiasis which correlates well with results obtained in other parts of the world. CONCLUSION: At our institution, MRCP has high diagnostic accuracy for bile duct calculi. Due to a small study population, results for other biliary pathology were inconclusive

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OPIOID PREMEDICATION AND BILIARY COLIC (THE FIRST INDICATION OF BILIARY PATHOLOGY)

British Journal of Anaesthesia ◽

10.1093/bja/60.3.348-a ◽

1988 ◽

Vol 60 (3) ◽

pp. 348-349

Author(s):

N.J. SAUNDERS ◽

C.J. LEVY

Keyword(s):

Biliary Colic ◽

Biliary Pathology

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Magnetic Resonance Cholangiopancreatography Still Plays a Role in the Preoperative Evaluation of Choledocholithiasis and Biliary Pathology

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2015.11.017 ◽

2016 ◽

Vol 222 (3) ◽

pp. 325-326

Author(s):

Ziad Kanaan ◽

Fadi Antaki

Keyword(s):

Magnetic Resonance ◽

Preoperative Evaluation ◽

Magnetic Resonance Cholangiopancreatography ◽

Biliary Pathology

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Safety and Yield of Diagnostic ERCP in Liver Transplant Patients with Abnormal Liver Function Tests

Diagnostic and Therapeutic Endoscopy ◽

10.1155/2014/314927 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Jayapal Ramesh ◽

Nipun Reddy ◽

Hwasoon Kim ◽

Klaus Mönkemüller ◽

Shyam Varadarajulu ◽

...

Keyword(s):

Liver Function ◽

Liver Transplant ◽

Liver Function Tests ◽

Abnormal Liver Function ◽

Biliary Stones ◽

Organ Rejection ◽

Transplant Patients ◽

Function Tests ◽

Biliary Pathology

Background. Abnormal liver enzymes postorthotopic liver transplant (OLT) may indicate significant biliary pathology or organ rejection. There is very little known in the literature regarding the current role of diagnostic ERCP in this scenario. Aim. To review the utility of diagnostic ERCP in patients presenting with abnormal liver function tests in the setting of OLT. Methods. A retrospective review of diagnostic ERCPs in patients with OLT from 2002 to 2013 from a prospectively maintained, IRB approved database. Results. Of the 474 ERCPs performed in OLT patients, 210 (44.3%; 95% CI 39.8–48.8) were performed for abnormal liver function tests during the study period. Majority of patients were Caucasian (83.8%), male (62.4%) with median age of 55 years (IQR 48–62 years). Biliary cannulation was successful in 99.6% of cases and findings included stricture in 45 (21.4 %); biliary stones/sludge in 23 (11%); biliary dilation alone in 31 (14.8%); and normal in 91 (43.3%). Three (1.4%) patients developed mild, self-limiting pancreatitis; one patient (0.5%) developed cholangitis and two (1%) had postsphincterotomy bleeding. Multivariate analyses showed significant association between dilated ducts on imaging with a therapeutic outcome. Conclusion. Diagnostic ERCP in OLT patients presenting with liver function test abnormalities is safe and frequently therapeutic.

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Issues of therapy for biliary pathology in children: the choice of the optimal solution

CHILD`S HEALTH ◽

10.22141/2224-0551.13.0.2018.131174 ◽

2018 ◽

Vol 13 (0) ◽

pp. 23-29 ◽

Cited By ~ 1

Author(s):

O.V. Shutova ◽

N.V. Pavlenko ◽

O.N. Babadganyan ◽

I.G. Solodovnichenko ◽

O.V. Buksha

Keyword(s):

Optimal Solution ◽

Biliary Pathology

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Association of metabolic syndrome with complicated gall stone disease: our experience

International Surgery Journal ◽

10.18203/2349-2902.isj20192989 ◽

2019 ◽

Vol 6 (7) ◽

pp. 2543

Author(s):

Narender Kumar ◽

Somendra Bansal ◽

Shalu Gupta ◽

Bhanwar Lal Yadav ◽

Pradeep Verma ◽

...

Keyword(s):

Metabolic Syndrome ◽

General Surgery ◽

Prospective Observational Study ◽

Gall Stone ◽

Daily Practice ◽

Stone Disease ◽

P Value ◽

Gall Stone Disease ◽

Biliary Pathology ◽

Surgery Department

Background: Gall stone disease is the most common biliary pathology and frequently encountered in our daily practice. Patients with gall stone that experienced at least one attack of acute cholecystitis is defined as complicated gall stone disease (CGSD). Aim of this study was to find out the association between complicated gall stone disease and the metabolic syndrome.Methods: This prospective, observational study was done from 1st March 2017 to 30th November 2018 in department of general surgery, SMS hospital Jaipur. All patients with cholelithiasis admitted in general surgery department were included. Metabolic syndrome was defined by adult treatment panel III (ATP III) criteria. All patients were divided in two groups: complicated gall stone disease (CGSD) and uncomplicated gall stone disease (UGSD).Results: Mean age was 47.2 years in CGSD group and 46.7 year in UGSD group. Female to male ratio was 8.2:1 in CGSD group and 4:1 in UGSD. Metabolic syndrome was presented in 64 patients (58.2%) of CGSD group and 24 patients (21.8%) of UGSD patients, which was statistically significant (OR 4.986, CI 2.763-8.995, p value <0.001). Five components of metabolic syndrome were compared in both CGSD group and UGSD group. Lower serum HDL-C level and hyperglycemias was statistically significant in CGSD group as compared to UGSD group.Conclusions: Metabolic syndrome can be use to predict complicated gall stone disease. Hyperglycaemia and lower HDL-C associated with CGSD. One should be aware about possible metabolic syndrome background when dealing with gall stone disease patients.

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