HYPOTHESIS Endoscopic retrograde cholangiopancreatography (ERCP) is frequently used preoperatively in adult patients with suspected choledocholithiasis. Cholelithiasis occurs much less often in children, and the indications for ERCP are not established. We hypothesized that the natural history of choledocholithiasis in children is spontaneous passage of stones through the papilla and that these...

The objective of this study was to analyze the hepatic imaging findings concerning clinical data on clonorchiasis. From August 1994 to September 2009, 13 patients were diagnosed with hepatic clonorchiasis by identification of adult flukes in the biliary tract through biliary drainage and/or surgery at a single institution. We analyzed their medical records and imaging findings by cholangiograph...

Endoscopic Ultrasonography (EUS) in patients with suspected bile duct stones rules out the presence of up to 65% patients, thus preventing unnecessary Retrograde Cholangiography Sphincterotomy (ERC ES) and its complications majority cases.1 Increased use EUS for ruling has led more cases which sludge is detected. Sludge an ultrasound diagnosis usually described as layered, mobile, low-amplitude...

Examination of a biliodigestive anastomosis presents a diagnostic and therapeutic challenge. Visualization of biliodigestive anastomosis and endoscopic retrograde cholangiography with intervention is possible with a double balloon enteroscope.

OBJECTIVES This study was undertaken to determine the actual amount of time a dynamic fluoroscopic intraoperative cholangiogram adds to a laparoscopic cholecystectomy. A secondary objective was to define the information gained from this procedure. METHODS A consecutive case study of 52 patients undergoing laparoscopic cholecystectomy was used. Time was recorded from placement of a laparoscopi...

Background and purpose: Biliary injury is a severe complication that can be associated with liver surgery. Intrahepatic biliary anatomy evaluated using magnetic resonance cholangiopancreatography X-ray cholangiography; however, an intraoperative real-time bile duct visualization method has not yet been reported. This study aimed to demonstrate the availability of fluorescent cholangiography (FC...

(MRI) cholangiography and endoscopic retrograde cholangiography (ERC), endoscopic ultrasound (EUS) readily visualizes common bile duct (CBD) and allows the diagnosis of bile duct masses or strictures (1). Once a Wallstent® has been placed, re-evaluation of the bile duct and stent patency may be difficult. We present the case of a patient with a Klastkin tumor to show the utility of EUS in this ...

Precise intraoperative assessment of the architecture of the biliary tree could reduce lesions to intra- or extrahepatic bile ducts. The aim of this study was to test feasibility of intraoperative three-dimensional imaging during liver resections. Isocentric C-arm fluoroscopy acquires three-dimensional images during a 190 degrees orbital rotation. The bile ducts were displayed three-dimensional...