BACKGROUND AND OBJECTIVES Endoscopic ultrasound (EUS)-guided biliary drainage techniques are alternative procedures in cases of obstructive jaundice with altered anatomy or failed ERCP. Complications related to EUS-guided antegrade drainage (EUS-AD) are still present in up to 10% of cases, and combination of procedures is sometimes suggested to avoid adverse events. The purpose of our study is ...

Received 28 February 2014; accepted 4 March 2014 We herein present a 78-year-old man with a 3-day history of jaundice and fever with chills. His past medical history was unremarkable except for smoking. He presented clinically with jaundice, anemia, abdominal scratch marks and hypotension. Laboratory investigation revealed microcytic hypochromic anemia, leukocytosis and an elevated serum creati...

Biliary ascariasis is a common disease in certain geographical areas of the world. The adult form of the worm usually lives in the human intestine. Biliary complications due to ascaris infestation are uncommon but are becoming an important clinical problem, as fatal cases have been reported in the literature. Many authors have recommended traditional surgical treatment for removal of the w...

Abstract Aim To assess MRCP usage in patients with suspected biliary disease a major teaching hospital Dublin Background Our surgical team this regularly admits complications arising from gallstones e.g. acute pancreatitis. This audit is aimed at looking the appropriateness of using cohort patients. Methods We accessed Beaumont's electronic patient records and its radiology system to gather dat...

biliary atresia is characterized by the progressive obliteration of extra- and intrahepatic biliary duct system leading to the obstruction of bile flow in infancy. the cause(s) of biliary atresia remain unclear and many surgical options for bypassing the atretic segment have been described. 1-3 biliary atresia may be associated with small bowel atresia.  the surgical interventions for biliary d...

We investigated the gastric response to an ulcerogenic irritant and the change in gastric functions in an experimental rat model of obstructive jaundice, with or without biliary drainage. After biliary obstruction for 14 days, rats with ligated bile duct (BDL) were randomly divided into three groups: BDL group without biliary drainage, BDL followed by choledochoduodenostomy (CD) or a choledocho...

grave’s disease is a clinical syndrome consisting of hypermetabolism, diffuse thyroid enlargement and exophthalmos. which has ocular complications. due to the high incidence of these complications and the risk of blindness special attention is needed. many therapeutic methods including medical surgical and radiotherapy for ocular complications are suggested. in cases of medical therapy failure,...

Scuba diving is associated with an important risk of devel­oping decompression sickness secondary to formation of gas bubbles inside the body. The latter is formed mainly by nitrogen in the body on the diver’s way to the surface (1,2). In some cases, it might injure the central nervous system. Several decompression cases that have been asso­ciated with neurologic symptoms are described in the l...