General hepatobiliary diseases Latest Topics

Laparoscopic extraction of Ascaris lumbricoides from the biliary tract

Thu, 01 May 2025 12:45:21 +0000

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Lap R-en-Y cystojejunostomy for a congenital solitary intrahepatic biliary cyst

Thu, 01 May 2025 12:38:01 +0000

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2/2/2025

Sun, 02 Feb 2025 11:42:30 +0000

[size=20px]A 12-year-old is referred to your clinic by their pediatrician for evaluation of crampy, post-prandial right upper quadrant pain of 8 months duration. A right upper quadrant ultrasound showed no gallstones or evidence of chronic cholecystitis. A HIDA scan was obtained and demonstrated an ejection fraction of 25%. The report notes that the patient had pain with CCK injection. What is the most appropriate next step in management?

a Offer cholecystectomy or medical management based upon patient preference

b Medical management

c Cholecystectomy

d Refer to a gastroenterologist for further evaluation[/size]

Pediatric biliary dyskinesia

Sun, 21 Apr 2024 10:36:54 +0000

CBCLIPS Episode 11

Mon, 20 Dec 2021 21:01:02 +0000

A 4-yr old, previously healthy girl, born at term, has 3 days of generalized abdominal pain. Exam shows normal vital signs and a mildly tender abdomen without peritoneal signs. Abdominal ultrasound (shown) demonstrates a normal appendix, and a very thickened gallbladder wall (7 mm), without stones. The biliary tree is normal. L:ab tests show a mildly elevated CRP (28) and normal CBC & lipase. The AST, ALT, and direct bilirubin are mildly elevated. How will you treat this patient?

CBCLIPS Episode 32

Mon, 20 Dec 2021 18:36:54 +0000

A previously healthy 4-year old girl had an episode of pancreatitis which resolved after 72 hours. Ultrasound showed some gallbladder sludge, a mildly dilated common bile duct at 6.7 mm, and mildly dilated hepatic ducts. The GI specialist believes she passed a stone. What would you do next?

Laparoscopic treatment of a hydatid cyst of the liver in children

Mon, 17 May 2021 08:13:21 +0000

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Laparoscopic transcystic common bile duct exploration in an infant

Mon, 20 Dec 2021 11:49:29 +0000

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Laparoscopic pediatric hepatic cyst excision

Fri, 12 Nov 2021 08:11:15 +0000

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open treatment of a hydatid cyst of the liver

Mon, 18 Oct 2021 17:15:19 +0000

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Byler disease management by Partial external Biliary Diversion using appendix

Tue, 03 Aug 2021 11:49:09 +0000

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Biliary tract injury during cholecystectomy early and delayed management

Sat, 29 May 2021 10:23:39 +0000

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Laparoscopic resection of giant hepatic cystadenoma

Tue, 25 May 2021 16:00:02 +0000

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Laparoscopic Unroofing of Liver Cyst in 14 Year Old Boy

Sat, 08 May 2021 05:44:08 +0000

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Laparoscopic cholecystectomy and CBD exploration in patient with obstructive Jaundice

Fri, 05 Feb 2021 14:29:19 +0000

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bleeding esophageal varices

Sat, 12 Dec 2020 04:02:34 +0000

[size=20px]A five-year old boy with a history of biliary atresia and liver failure after an initially successful Kasai procedure is transferred to the pediatric intensive care unit with hematemesis. He receives 20 mL/kg of lactated Ringers and one unit of pRBCs. The hemoglobin in 9 gm/dL. Flexible upper gastrointestinal endoscopy reveals bleeding from esophageal varices. Octreotide is administered.

The next best step in management in this child with bleeding esophageal varices is

A transjugular intrahepatic portosystemic shunt (TIPS).

B placement of a Sengstaken Blakemore tube (balloon tamponade).

C emergency mesocaval shunt procedure.

D variceal banding.

E variceal sclerotherapy.[/size]

an old jaundice description!

Wed, 16 Sep 2020 05:19:16 +0000

Cotton Mather;1724

There is a Disease, which has been called, Morbus Regius, or, The Royal Disease; because it brings with it the Colour of Gold unto them that have it. But so poor a Recommendation will not make the Jaundice to be wished for.... The Excretion of the Bile into the Intestines, meets with some Obstruction, and so it Regurgitates and is Carried with the Blood all over the Body, whereby all the Parts, both the Solid and the Fluid, come to be tinged with a Yellow

The Angel of Bethesda