Pancreas cancer has increased morbidity and mortality. It generally result in biliary obstruction which life threatening importance. Main biliary drainage method is endoscopic retrograde cholangiopancreatography. When endoscopic retrograde cholangiopancreatography is not successful, second preferred method is percutaneous biliary drainage. Percutaneous biliary drainage has some complications wh...

OBJECTIVE Our objective was to describe the technique and utility of functional MR cholangiography (fMRC) in the evaluation of the gallbladder and biliary tree. CONCLUSION FMRC has the potential to provide a comprehensive examination for the anatomic and functional assessment of the gallbladder and biliary tree. Complex anatomic abnormalities and functional disorders can be shown by fMRC, inc...

We report a case in which a spontaneous choledochoduodenal fistula occurred after biliary covered self-expanding metal stent (SEMS) placement and a late transfistula migration of the stent in a patient with malignant distal biliary obstruction. A partially covered WallFlex biliary stent (Boston Scientific) was appropriately implanted in the common bile duct. Subsequently the patient received ch...

Biliary obstruction in the setting of hepatic bacterial infection has great morbidity and mortality. We developed a novel murine model to examine the effect of biliary obstruction on the clearance of hepatic Escherichia coli infection. This model may allow us to test the hypothesis that biliary obstruction itself adversely affects clearance of hepatic infections even if the bacteria are introdu...

Objective: Bilary stenting with endoprosthesis is a palliative prodedure to relieve malignant biliary obstruction. Percutaneous transhepatic technique has been employed whenever endoscopic technique was not possible or had fialed. Setting: Angiography intervention suite, department of radiology, Aga Khan University hospital, Karachi. Methods: We present retrospective analysis of 17 patients wit...

A simple immunofluorescence test for antibody to a mitochondrial antigen present in many tissues is a reliable method of distinguishing most cases of primary biliary cirrhosis from jaundice due to extrahepatic biliary tract obstruction. Of 30 cases diagnosed as primary biliary cirrhosis, 26 had antimitochondrial antibody whereas none of 77 cases with jaundice due to extrahepatic bile duct obstr...

ABSTRUCT The authors prepared the obstructive jaundice model on which the external biliary drainage was operable, and tried to clarify the critical duration of obstruction from the aspects of the standard liver function and hepatic fibrosis, and the following results were obtained. 1) The T. B, Al-p, GOT and GPT levels in 1 to 4 weeks after the common bile duct obstruction was significantly hig...

The optimal treatment for patients with biliary obstruction varies depending on the underlying cause of the obstruction, the clinical condition of the patient, and anticipated long-term effects of the procedure performed. Endoscopic and image-guided procedures are usually the initial procedures performed for biliary obstructions. Various options are available for both the radiologist and endosc...

There are many observations in man which describe the frequency and severity of bacterial infections of the hepato-biliary system in association with common bile duct obstruction.:` This association has been corroborated in animals by observing the frequency with which complicating bacterial infections interfere with experiments designed to study the effects of sterile biliary obstruction.5" In...