Abstract The diagnosis of cryptogenic liver disease is made when after extensive evaluations, recognizable etiologies chronic are excluded. In this study, the presence hepatitis C virus (HCV) RNA was tested in peripheral blood mononuclear cells (PBMCs) taken from Iranian patients who although were found negative for plasma HCV and anti‐HCV antibodies, suffered unknown etiology. From September 2007 to March 2010, 69 Tehran with etiology referred our center enrolled present study. PBMCs...

Background. Although periampullary diverticulum is usually asymptomatic and discovered incidentally in patients during endoscopic retrograde cholangiopancreatography (ERCP), it may lead to post-ERCP morbidity. We compared baseline characteristics clinical data as well ERCP results with without diverticulum. Methods. Clinical, laboratory, of 780 referred the Taleghani Hospital, a great referral endoscopy center, Iran were prospectively analyzed. Results. The was identified 44 (5.6%)....

<b><i>Background:</i></b> Acute pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). The incidence post-ERCP (PEP) ranges between 15 and 20% among patients at high risk developing PEP. efficacy indomethacin administration in prevention PEP rather debatable. In present randomized trial study, we evaluated whether or not combination epinephrine comparison to single differs pathogenesis pancreatitis....

Fascioliasis is a worldwide zoonotic infection with Fasciola hepatica and gigantica. The zoonoses are particularly endemic in sheep-raising countries also Iran. Typical symptoms that may be associated fascioliasis can divided by phases of the disease, including acute or liver phase, chronic biliary ectopic pharyngeal fascioliasis. Cholestatic absent, some cases diagnosis treatment preceded long period abdominal pain, eosinophilia vague gastrointestinal symptoms. We report case epigastric...

Fascioliasis is an endemic zoonotic disease in Iran. It occurs mainly sheep-rearing areas of temperate climates, but sporadic cases have been reported from many other parts the world. The usual definitive host sheep. Humans are accidental hosts life cycle Fasciola. Typical symptoms may be associated with fascioliasis, some diagnosis and treatment preceded by a long period abdominal pain vague gastrointestinal symptoms. We report case epigastric upper quadrant for last 6 months, imaging...

The pancreatic neuroendocrine tumor (pNET) is relatively rare and generally felt to follow an indolent course. EUS has important role in detection of pNET. This a review clinical radiological presentation pathologic reports 22 patients with pNET.In this study we analyzed presentations all relevant cases who were referred Taleghani hospital for 3 years since 2008.A total 28-74 old (mean=49) enrolled between 2008 2011. Among the total, 13 (59%) male, 9 (41%) female 16 (72.7%) had functional...

Objectives: Endogenous and exogenous infection of the biliary tract could occur during endoscopic retrograde cholangiopancreatography.Methods: Bile samples patients with hepatobiliary diseases, swab elevator channel duodenoscope washing instruments were prepared simultaneously cultured aerobically anaerobically. Antimicrobial susceptibility most common characterized bacterial species was tested, their genetic relatedness analyzed by multiple locus variable number tandem repeats...

Primary pancreatic lymphoma (PPL) is rare but manageable malignant tumor of the pancreas which may be confused with adenocarcinoma.We report a 38 year-old smoker man IVDA and history B (inactive carrier), C (Ia genotype) hepatitis negative for HIV admitted to our hospital because nausea, vomiting, epigastric RUQ pain as result long period alcohol consumption. Due high amount amylase (480 U/L) lipase (326 Pancreatitis was diagnosed. Four days after admission CT done that showed enhancement...

Cronkhite-Canada syndrome is characterized by gastrointestinal and ectodermal manifestations. In this paper, we describe a 64-year-old Iranian male, presenting with metastatic colon cancer. The patient was suffering from hair loss, which occurred on the scalp at first then, during 5 months, extended to whole body. After that, his sense of taste impaired, 2 months later, symptoms gradually started, weight loss 20 kg over an initial 100 kg. Finally, he admitted our center 10 after onset...

Cholangitis is relatively uncommon but associated mortality high due to the predisposition in people with underlying disease. For this recognition of contributing risk factors necessary. Therefore, present descriptive-analytical cross-sectional survey was designed determine for post-ERCP cholangitis patients pancreatic cancer. From 2005 2010, 110 consecutive cases cancer attending a tertiary referral centre (Taleghani Hospital), Tehran, Iran were recruited. The all underwent stenting via...

Background/Aims. Destructive and metabolic changes in hepatobiliary system have been demonstrated following opium use; however, cholangiographic features of bile ducts opium-addicted patients with sphincter Oddi dysfunction are not clearly determined. We described these differences assessed the effects use on postendoscopic retrograde cholangiopancreatography complications. Methodology . One hundred nineteen diagnosis sphinctre according to Geenen-Hogan classification were studied. Eight...

Background and Study Aims. The usefulness of wire-guided cannulation for avoiding hyperamylasemia pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP) is conflicting, therefore we designed this study to determine whether reduces the rate post-ERCP compare its efficacy conventional method. Patients Methods. Seven hundred forty-eight patients with hepatobiliary diseases consecutively underwent diagnostic or therapeutic ERCP at unit Taleghani referral hospital in Tehran....

AIM:To investigate whether single-nucleotide polymorphisms in the promoter regions of endotoxin-responsive genes CD14 C (-159) T is associated with chronic hepatitis B. METHODS:We obtained genomic DNA from 80 patients established diagnosis B and 126 healthy subjects served as a control population.The CD 14 polymorphism was investigated using an allele specific PCR method. RESULTS:Twenty seven percent 75% controls were heterozygous for CT genotype.The difference between groups statistically...

Biliary cast syndrome (BCS) is an uncommon complication which mostly described in orthotopic liver transplantation. However, BCS has also been reported rarely non-liver transplant patients. We describe a male long-term opium inhaler with who underwent successful endoscopic removal by balloon enteroscopy-guided retrograde cholangiopancreatography. A 52-year-old man, was known case of addiction, presented the chief complaint epigastric pain for 1 week prior to admission. Routine laboratory...

Introduction: Some reports have considered hepatitis A as a possible factor in the development of acute decompensation patients with Wilson's disease.Here we report case delayed diagnosis disease end third decade life patient infected A. Case report:The was 26 year old woman complaints nausea and vomiting, anorexia, ichter, fever epigastric pain since week before admission.She had not any history previous herself her families.Considering an increase liver enzymes, serum bilirubin levels, IgM...