Bile reflux gastritis is due to an excessive reflux of duodenal contents into the stomach. The increased enterogastric reflux may provide the basis for increased mucosal injury. Bile reflux gastritis can appear in two circumstances: gastric resection with ablation of pylorus and primary biliary reflux due to the failure of pylorus. The aim of the study was to evaluate the endoscopical and histo...

hepatobiliary scintigraphy is a sensitive method for intra & extera hepatic bile leak diagnosis. bile lead may be seen after hepatobiliary surgery, trauma, inflammatory disease or malignant neoplasms. although sonography and ct scanning are useful for diagnosis of peritoneal or perihepatic fluid, they cannot prove bile ascites. hepatobiliary scintigraphy with tc-99m-ida agents is a physiolo...

ducts with dilatation and obstruction of the common bile duct. The second operation was undertaken on February 24, I962, i.e. about two months after the first, under general intubation aniesthesia. The old scar was excised. Adhesions of the colon and great omentum to the gallbladder were dissected. The common bile duct, which was found to be dilated (about 1.5 cm. in diameter), was explored thr...

BACKGROUND/AIMS Increased viscosity and supersaturation of cholesterol in gallbladder bile, as well as an impaired motility of the gallbladder, are considered to be important factors in the pathogenesis of cholesterol gallstones. However, the relation of these parameters has not yet been determined. MATERIAL AND METHODS Bile viscosity (mPa s) was measured by rotation viscosimetry and the comp...

BACKGROUND The most common cause of perihilar obstruction is cholangiocarcinoma, especially in Thailand. Benign perihilar stricture represents less than 20% of cases. IgG4-related disease and IgG4-related sclerosing cholangitis, however, have been receiving increased recognition. Isolated IgG4-related sclerosing cholangitis is less common. The preoperative diagnosis of IgG4-related sclerosing c...

The liver is unique in its capacity to regenerate after injury, during which hepatocytes actively divide and establish cell-cell contacts through cell adhesion complexes. Here, we demonstrate that the loss of α-catenin, a well-established adhesion component, dramatically disrupts liver regeneration. Using a partial hepatectomy model, we show that regenerated livers from α-catenin knockdown mice...

This is the first case report in Thailand of a Capillaria hepatica infection causing a granulomatous hepatic lesion, bile duct dilatation, hepatolithiasis and hepatomegaly. The patient's chief complaint was abdominal pain with fever and chills. Imaging of the liver revealed a 3-cm mass in the postero-inferior sub-segment of the right lobe of the liver with bile duct dilatation. Right hepatectom...

We present a case of a 7-year-old boy who had cholestasis after trimethoprim-sulfamethoxazole combination therapy. Liver biopsy was performed 36 days after the onset of jaundice because of no evidence of improving cholestasis. Liver histology revealed portal inflammation, bile plug, and biliary stasis around the central vein with the loss of the interlobular bile ducts. Immunohistochemical stai...

Feline liver disease usually involves Zone 1 (portal triad region) and focuses on components of the biliary system (bile ductules, bile ducts, common bile duct, pancreatic ducts, gallbladder). Inflammatory effacement of the limiting plate (hepatocytes surrounding the portal triad) and associated apoptotic or necrolytic hepatocyte death is uncommon without involvement of biliary structures. The ...

UNLABELLED Acute pancreatitis is a serious disease. Triggered by the local inflammation of the pancreas, it can cause inflammation in various organs and systems in the body. It is important to identify severe forms of acute pancreatitis with an increased morbidity and mortality rate. Lately, internationally, numerous clinical and paraclinical factors predicting the severity of acute pancreatiti...