Biliary complications are the most common post-liver transplant (LT) complications with an incidence of 15%-45%. Furthermore, such complications are reported more frequently in patients who undergo a living-donor LT compared to a deceased-donor LT. Most post-LT biliary complications involve biliary strictures, bile leakage, and biliary stones, although many rarer events, such as hemobilia and f...

884 CMAJ, May 15, 2012, 184(8) © 2012 Canadian Medical Association or its licensors Gallstone disease is responsible for about 1.8 million ambulatory care visits and more than 700 000 cholecystectomies yearly in the United States. In Canada, the adjusted annual rate of elective cholecystectomy was 260.8 per 100 000 population during the period 1992–2000. Gallstone disease is the second most com...

Long-term results of hepatic resection for hepatolithiasis in 34 patients having intrahepatic biliary strictures were studied. The left lateral and the right posterior segmental ducts were commonly and often simultaneously involved. Fourteen patients had multiple segmental involvement. Hepatic resection included left sided resection (n = 27), right sided resection (n = 6), and repeated bilatera...

Endoscopic biliary endoprosthesis was performed for 34 high-risk patients with common bile duct stones too large to be extracted by conventional endoscopic means. Bile duct drainage was established in all the patients without complications. Late complications developed in four patients and included cholangitis (three) and biliary pain (one). Twenty-five patients underwent a second endoscopic re...

Diseases of the pancreas and biliary tree are common in the United States. An estimated 6 per 100,000 people are afflicted with common bile duct stones, representing only a small fraction of those with gallstones. There are approximately 57,400 newly diagnosed cases of malignancy of the pancreas, gallbladder, or extrahepatic biliary tract each year, and the prognosis is usually poor. Pancreatit...

The surgeon frequently encounters renal and biliary stones but rarely may also encounter enteric stones or enteroliths. An enterolith is a stony foreign body that is formed in the gastrointestinal tract. We present a rare case of multiple, large enteroliths found associated with a longstanding incarcerated incisional hernia.

BACKGROUND Biliary tract stones account for the majority of cases with acute pancreatitis, and include black and brown pigment stones. The aim of the study was to compare the presentation and outcome in cholecystectomized patients with acute biliary pancreatits caused by black and brown pigment stones. METHOD Data from patients with prior cholecystectomy and acute biliary pancreatitis were co...

VOLUME 53, NO. 7, 2001 Individuals with choledocholithiasis (common bile duct stones or CDL) can present with biliary colic, nonspecific abdominal pain, obstructive jaundice, cholangitis, or acute biliary pancreatitis. Individuals may also harbor asymptomatic stones that are diagnosed serendipitously. The diagnostic studies available are imperfect, and therapies range from expectant management ...

We estimate that up to 60% of the patients we treated after extending the selection criteria for treatment would otherwise have been treated by cholecystectomy. Treatment was most successful in patients with many small stones (s1 cm diameter). The median time to clearance of stones in this group was seven months. This was shorter than would be expected with oral dissolution treatment alone, sug...

BACKGROUND The requirement for subsequent cholecystectomy in patients with gallbladder in situ after endoscopic removal of stones from the common bile duct (CBD) is controversial. The aims of this study were to assess the requirement for subsequent cholecystectomy for gallbladder-related symptoms, and to identify the patients who develop symptoms after the endoscopic removal of CBD stones. ME...