Non-surgical treatment has become the therapeutic method of choice in hemodynamically stable patients with liver trauma. There are a few reports endoscopic management traumatic hepatobiliary injuries such patients; however, optimal intervention is not known.Twenty from May 1997 to November 2005 were retrospectively evaluated.There 18 male and two female mean age 21.45 +/- 10.17 years (range 7-42 years). Seven children. Patients presented 19.4 17.04 days following Computed tomography (CT)...

Malignant hilar biliary obstruction carries a poor prognosis, as the disease is often unresectable at time of diagnosis. Various palliative measures surgical/radiological/ endoscopic drainage with or without radiotherapy/chemotherapy have been tried dismal outcome. We prospectively studied effect unilateral metal stent intraluminal high dose rate (HDR) brachytherapy in patients type II malignant obstruction.Eight were treated contrast-free stenting followed by (ILBT). A retrospectively...

Postoperative leaks occur after laparoscopic sleeve gastrectomy (LSG) in 1 % – 3 of cases [1]. Placement covered metallic stents is an effective treatment strategy [2] [3], but about 16.9 stent migration occurs [4]. To avoid the complication migration, we have used a large (Niti-S Mega esophageal stent; Taewoong Medical, Gyeonggi-do, South Korea) two patients who developed following LSG. The first patient was 50-year-old woman with body mass index (BMI) 35, abdominal pain and vomiting 2 days...

High biliary calcium and trace elements (copper, zinc iron) in patients with chronic cholelithiasis can be associated gallstones.Estimations of calcium, copper, iron were done the serum, gall bladder bile gallstones 48 20 age- sex-matched controls. Biliary levels bile/serum ratio compared two groups.Serum was significantly less (P = 0.009) than controls, but higher cholecystitis. All found to </= 0.036) cholelithiasis. The copper greater 0.03) Gall slightly more alkaline. Pigment stones...

Background Chyle leak is an uncommon form of ascites occurring due to the accumulation lipid‐rich lymph into peritoneal cavity. Traumatic injury lymphatic system pancreaticobiliary surgery can lead this phenomenon. Method We retrospectively evaluated data 159 patients pancreticobiliary from January 2012 December 2016. Five (5/137, 3.6%) sustained a chylous following pancreaticoduodenectomy and one patient (1/22, 4.5%) Roux‐en‐Y hepaticojejunostomy for postcholecystectomy biliary stricture....

Background : Injury induces systemic inflammatory response. The degree of response is proportionate to the trauma. Methods Patients with ultrasound‐proven gall stones posted for operation were randomized into two groups. Laparoscopic cholecystectomy was performed in one group while other underwent conventional cholecystectomy. Peripheral venous blood samples mediators, namely tumour necrosis factor, C‐reactive protein, oxygen release from monocytes and polymorphonuclear leucocytes drawn 1...

Hepatic artery pseudoaneurysm is an infrequently encountered entity that usually seen secondary to trauma or surgical procedures. The clinical presentation often due complications such as massive intrahepatic intraperitoneal bleeding a result of rupture the into biliary tree peritoneal cavity, respectively. pseudoaneurysm, associated with liver abscess, has very rarely been described in literature. We present imaging features case abscess hepatic and complicated by formation arteriovenous...

Visceral and shoulder tip pain following laparoscopic cholecystectomy is mainly due to carbon dioxide (CO2) insufflation. Various methods have been adopted eliminate residual CO2. We compared the postoperative analgesic efficacy of intraperitoneal normal saline (30 mL/kg) irrigation with preoperative oral acetazolamide administration in patients undergoing cholecystectomy.Sixty between 20 60 years age were included this prospective, randomized, double-blind study. Patients Group I received...

Intrabiliary rupture of hepatic hydatid cyst causes serious morbidity and mortality. These patients are usually managed surgically. We evaluated the feasibility outcome an alternative method treatment these patients.Seven with ruptured into biliary tract underwent endoscopic consisting sphincterotomy, material extraction hypertonic saline lavage via nasocystic catheter.Median age was 40 years (range 17-50 years) a male:female ratio 2:5. Abdominal pain, jaundice fever were seen in all...

Gallbladder malakoplakia in type 2 diabetes mellitus is a rare condition. Differentiating malakoplakia, which more aggressive disease condition with possible genetic abnormality from benign but closely related such as xanthogranulomatous cholecystitis, of prognostic importance postoperative patient management and follow-up.

Intestinal loop stoma is a common surgical procedure performed for various benign and malignant abdominal problems, but it rarely undergoes spontaneous closure, without intervention. Two male patients presented to our emergency department with acute pain. One of them was diagnosed as having rectosigmoid perforation underwent diversion sigmoid colostomy after primary closure the perforation. The other known case carcinoma rectum who had already undergone low anterior resection covering...