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Results for “Common Bile Duct Diseases”

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At least 19 recordsLinked to original sources
PubMed1981

In vivo measurements of the internal and external diameters of the common bile duct in man.

As in other studies, it was not possible to define precisely the normal size of the common bile duct measured either externally or roentgenographically. However, the roentgenographically measured diameter of the common bile duct appears superior to the external width of the common bile duct in discriminating between patients with, and without, common bile duct disease. If the common bile duct was 1 centimeter or less roentgenographically, then only one of 78 patients studied had common bile duct disease, while all patients with common bile ducts 1.5 centimeters or larger had common bile duct disease. The range from 1.1 to 1.4 centimeters was indeterminate as a predictor of disease, since two of 19 patients in this group had common bile duct calculi. The utilization of the internal diameter instead of the external diameter of the common bile duct as a predictor of disease could be especially important in the clinical separation of patients with medical from surgical jaundice when noninvasive diagnostic tests, such as ultrasound and computerized tomography, are used.

Cholecystitis↗
PubMed1980

[Choledochoduodenostomy. What are the indications in non-neoplastic pathology of the hepatic and common bile ducts?].

Questions connected with choledochoduodenostomy, particular as regards indications, are discussed on the basis of a personal series and of a critical examination of concepts reported in the literature. The operation should certainly be considered in non-neoplastic bile duct pathology, although there are some fairly rigorous limitations. The disadvantages of the method are minimised to some extent and the surgeon is urged, in certain cases, to enhance the positive aspects so as not to lose opportunities which might otherwise not have been grasped.

Bile Duct Diseases↗
PubMed1982

[Idiopathic hepatic and choledochal cyst--diagnosis and surgical treatment].

Special uncertainty in diagnosis and operative therapy of infrequent hepatic and/or choledochal cyst is discussed by an own case report and recent literature. Indication for operation persists always. Best operative treatment is total excision of the cyst with Roux-en-Y hepatico-(choledocho-) jejunostomy.

Adult↗
PubMed1997

The part of MR cholangiography in biliary surgery.

The magnetic resonance cholangiography (MRC) is a new none invasive examination procedure which demonstrates well the extrahepatic ducts. The examination can reveal all the anatomical or pathological anomalies of the biliary tracts. The authors performed this examination on 12 patients between 1st December 1996 and 31st December 1996. In 4 patients there were no pathological changes. Common bile duct stone was found in 1 patient. Sclerosis of the Vater papilla in 1 case. Mirizzi syndrome in 1 case. Carcinoma of the common bile duct in 3 cases. In 2 cases inflammation of the head of the pancreas caused compression on the bile duct. The patients were all operated. The operative and the MRC diagnosis corresponded. Similar examination procedure has not yet been mentioned in Hungary.

Adult↗
PubMed1983

Parapapillary choledochoduodenal fistula: an analysis of 83 consecutive patients diagnosed at ERCP.

Eighty-three patients with parapapillary choledochoduodenal fistula diagnosed at endoscopic retrograde cholangiopancreatography over a 10-year period were reviewed. Three cases were associated with carcinoma of the papilla; the remaining 80 (37 female, 43 male) had gallstones. Thirty-one patients had choledocholithiasis, 12 had gallbladder stones, and 14 had intrahepatic stones. Fifty-five patients (69%) had a history of jaundice, whereas 23 (29%) had never experienced jaundice.

Adult↗
PubMedDate not supplied

Pancreas-sparing duodenectomy: classification, indication and procedures.

BACKGROUND/AIMS: Recent advances in the surgical anatomy of the pancreatoduodenal region have permitted duodenum-preserving pancreatic head resection. However, pancreas-sparing duodenectomy (PSD) has not been systematically studied and various types of such procedures have been reported under the designation of PSD. METHODOLOGY: PSD was performed in 6 patients with extensive duodenal lesions including trauma, mucosa-associated lymphoid tissue (MALT) lymphoma, corrosive necrosis, bleeding, leiomyosarcoma and congenital stenosis. Three patients had the whole papilla Vateri and half of the duodenum preserved and anastomosed to the jejunum. One patient had the duodenal button including the papilla of Vater transplanted to the jejunum. Another patient had the intraduodenal portion of the major papilla excised and the terminal portion of the bile and pancreatic ducts anastomosed to the jejunum. RESULTS: Two patients with moribund conditions died of the underlying disorders 2 weeks and 3 months after surgery, respectively, but without leakage or other surgery-associated complications. The other 4 patients survived the surgery without anastomotic insufficiency. Three survivors, who had complete preservation of the major and minor papillae along with the half portion of the duodenum, had normal morphology and function of the biliopancreatic system post-operatively. The fourth survivor, that with excision of the intrapancreatic portion of the major papilla, had regurgitation of contrast material into the bile and pancreatic ducts 2 months after surgery on active insufflation of the intestinal lumen, but remained asymptomatic. No abnormality in liver and pancreatic function was detected as of 7 months post-operatively. CONCLUSIONS: PSD appears to be applicable in the clinical setting, although classification of the procedure seems mandatory in consideration of indications, techniques, and long-term consequences of biliopancreatic function.

Adult↗
PubMed1981

[Roentgenologic and endoscopic findings after papillotomy].

During 1977--1980 36 papillotomies were performed; indications for the latter were: papillary stenosis, incarcerated stones or stones which could not be removed which certainty and suspicion of a papillocarcinoma. The indications were evaluated as to whether endoscopic or surgical papillotomy should be performed. The results of the papilloplasties were considered satisfactory. In 40% of the cases a duodenobiliary reflux was observed, which however did not give troubles.

Adult↗