The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform

Yoshiko Takahashi - One of the best experts on this subject based on the ideXlab platform.

F. M. Konikoff - One of the best experts on this subject based on the ideXlab platform.

  • The clinical significance of Bile Duct sludge: is it different from Bile Duct stones?
    Surgical Endoscopy, 2007
    Co-Authors: D. Keizman, M. Ish-shalom, F. M. Konikoff
    Abstract:

    Background Some patients with suspected common Bile Duct (CBD) stones are found to have sludge and no stones. Although sludge in the gallbladder is a precursor of gallbladder stones, the significance of Bile Duct sludge (BDS) is poorly defined. This study aimed to compare BDS with Bile Duct stones in terms of frequency, associated risk factors, and clinical outcome after endoscopic therapy. Methods The study enrolled 228 patients who underwent therapeutic endoscopic retrograde cholangiopancreatography (ERCP) for suspected choledocholithiasis. The patients were divided into two groups: patients with BDS but no stones on ERCP and patients with CBD stones. The presence of risk factors for Bile Duct stones (age, periampullary diverticulum, Ductal dilation or angulation, previous open cholecystectomy) were assessed at ERCP. Follow-up data (36 ± 19 months) were obtained from medical records and by patient questioning. Results Bile Duct sludge occurred in 14% (31/228) of patients and was more common in females. After endoscopic clearance, CBD stones recurred in 17% (33/197) of the patients with CBD stones, and in 16% (5/31) of the patients with BDS ( p  = 0.99). Common Bile Duct dilation was less common in the sludge group. The other known risk factors for recurrent CBD stones (age, previous open cholecystectomy, Bile Duct angulation, and the presence of a peripampullary diverticulum) were not statistically different between the two groups. Conclusions The findings indicate that the clinical significance of symptomatic BDS is similar to that of CBD stones. Bile Duct sludge seems to be an early stage of choledocholithiasis.

  • The clinical significance of Bile Duct sludge: is it different from Bile Duct stones?
    Surgical endoscopy, 2007
    Co-Authors: D. Keizman, M. Ish-shalom, F. M. Konikoff
    Abstract:

    Background Some patients with suspected common Bile Duct (CBD) stones are found to have sludge and no stones. Although sludge in the gallbladder is a precursor of gallbladder stones, the significance of Bile Duct sludge (BDS) is poorly defined. This study aimed to compare BDS with Bile Duct stones in terms of frequency, associated risk factors, and clinical outcome after endoscopic therapy.

Wang Jian-gu - One of the best experts on this subject based on the ideXlab platform.

  • Feasibility of primary suture of Bile Duct in laparoscopic Bile Duct exploration
    Hainan Medical Journal, 2011
    Co-Authors: Wang Jian-gu
    Abstract:

    Objective To study the feasibility and indication of primary suture of Bile Duct in laparoscopic Bile Duct exploration.Methods A retrospective analysis was performed on 62 cases of primary suture of Bile Duct in laparoscopic Bile Duct exploration.Results The operation was successfully completed in 62 cases,with the mean operation time of 130min and mean intraoperative blood loss of 82 ml.The mean hospital stay after operation was 5.4 days.Postoperative biliary leakage happened in 1 case.Follow-up in all cases for 20～24 months showed no biliary residual stones and no Bile Duct stenosis and no Bile Duct infection.Conclusion Primary suture of Bile Duct in laporoscopic Bile Duct exploration was safe and feasible in the correct indications with shorter hospitalization and avoid the potentional complication related to the T tube placement.

Young Il Min - One of the best experts on this subject based on the ideXlab platform.

  • Cholangioscopic findings in Bile Duct tumors.
    Gastrointestinal Endoscopy, 2000
    Co-Authors: Dong Wan Seo, Myung-hwan Kim, Sung Koo Lee, Kyo Sang Yoo, Gyeong Hoon Kang, D.j. Suh, Young Il Min
    Abstract:

    Background: Cholangioscopy has been used in the treatment of Bile Duct stones and the diagnosis of various Bile Duct tumors. However, the cholangioscopic characteristics of the various types of Bile Duct tumors have not been clearly described. We analyzed the results of cholangioscopic examinations and classified the findings according to tumor histology. Methods: Cholangioscopic findings from 111 patients with benign or malignant Bile Duct tumors were reviewed. The mucosal changes, the presence of neovascularization, and the patterns of luminal narrowing were analyzed and compared with the histologic diagnosis. Results: Bile Duct adenocarcinoma can be classified into 3 different types according to the cholangioscopic findings: nodular, papillary, and infiltrative. Bile Duct adenoma, hepatocellular carcinoma and other types of Bile Duct cancer such as mucin-hypersecreting cholangiocarcinoma, biliary cystadenocarcinoma, and squamous cell carcinoma also presented unique cholangioscopic characteristics. Conclusions: Bile Duct tumors exhibit characteristic cholangioscopic findings and cholangioscopy seems to be useful for differential diagnosis. (Gastrointest Endosc 2000;52:630-4.)

G. Szinicz - One of the best experts on this subject based on the ideXlab platform.

  • Laparoscopic management of common Bile Duct stones
    Surgical Endoscopy And Other Interventional Techniques, 2004
    Co-Authors: S. Ebner, J. Rechner, S. Beller, K. Erhart, F. M. Riegler, G. Szinicz
    Abstract:

    Background While laparoscopic cholecystectomy is widely accepted for therapy of cholecystolithiasis, controversy still exists concerning the management of common Bile Duct stones. Besides preoperative endoscopic papillotomy followed by laparoscopic cholecystectomy and open common Bile Duct surgery, management of common Bile Duct stones can be conDucted by laparoscopy, if respective experience is available. Method During laparoscopic cholecystectomy a cholangiography via the cystic Duct is routinely performed. If Bile Duct stones are detected they are retrieved via the cystic Duct or via incision of the common Bile Duct by insertion of a Fogarty catheter or Dormia basket. Exclusion criteria against simultaneous laparoscopic management include suspicion of malignancy, severe pancreatitis, or cholangitis. Results From November 1991 to March 2002, 200 patients primarily underwent laparoscopic therapy of Bile Duct stones. Retrieval was performed via cystic Duct and common Bile Duct incision in 115 and 85 cases, respectively. Complete removal was achieved in 91%; complication rate and mortality was 7% and 0.5%, respectively. During the same period primary endoscopic papillotomy was necessary in 40 patients because of the above contraindications. Conclusions When correct indications and surgical expertise are observed, simultaneous laparoscopic management of common Bile Duct stones represents a safe and minimally invasive alternative to a two-procedure approach.