The Experts below are selected from a list of 105 Experts worldwide ranked by ideXlab platform

Tahara H - One of the best experts on this subject based on the ideXlab platform.

  • Management of Biliary Tract Malformations in childhood--long-term survival and reoperation
    Nihon Geka Gakkai zasshi, 1992
    Co-Authors: Arima E, Tahara H
    Abstract:

    During the past 32 years, 67 of 145 cases of Biliary Tract Malformations survived for 8-30 years as the result of various types of management from childhood. Controversies regarding management were analyzed. The majority of the patients with Biliary Tract Malformation required radical operation initially. Regarding postoperative complications, however, non-surgical managements; PTCD, endoscopic lithotomy for remaining calculi, endoscopic injection sclerotherapy for esophageal varices or PSE (partial splenic embolization) for portal hypertension, are preferred. The optimal time to treat the patients; Biliary atresia--within 2 mo. for Kasai operation, choledochal cyst depends on the patient's symptom-onset, but extrahepatic Biliary Tract perforations may occasionally occur in infants, then antenatal ultrasonography (US) is necessary. Five infants out of 8 patients with choledochal dilatation due to congenital duodenal obstruction and annular pancreas were successfully treated following duodenal surgery alone, however a 18 yr-old female with this lesion underwent Biliary Tract reconstruction because of irreversible Biliary Tract dilatation. The preferred management we recommend; 1) pre-or intraoperative diagnosis using US, cholangiography or intraoperative direct probe survey of the Biliary or pancreatic duct, 2) accurate surgery with complete excision of the cyst or Biliary stenosis plasty with adequate anastomosis, 3) a sustained long-term follow-up study utilizing US.

Arima E - One of the best experts on this subject based on the ideXlab platform.

  • Management of Biliary Tract Malformations in childhood--long-term survival and reoperation
    Nihon Geka Gakkai zasshi, 1992
    Co-Authors: Arima E, Tahara H
    Abstract:

    During the past 32 years, 67 of 145 cases of Biliary Tract Malformations survived for 8-30 years as the result of various types of management from childhood. Controversies regarding management were analyzed. The majority of the patients with Biliary Tract Malformation required radical operation initially. Regarding postoperative complications, however, non-surgical managements; PTCD, endoscopic lithotomy for remaining calculi, endoscopic injection sclerotherapy for esophageal varices or PSE (partial splenic embolization) for portal hypertension, are preferred. The optimal time to treat the patients; Biliary atresia--within 2 mo. for Kasai operation, choledochal cyst depends on the patient's symptom-onset, but extrahepatic Biliary Tract perforations may occasionally occur in infants, then antenatal ultrasonography (US) is necessary. Five infants out of 8 patients with choledochal dilatation due to congenital duodenal obstruction and annular pancreas were successfully treated following duodenal surgery alone, however a 18 yr-old female with this lesion underwent Biliary Tract reconstruction because of irreversible Biliary Tract dilatation. The preferred management we recommend; 1) pre-or intraoperative diagnosis using US, cholangiography or intraoperative direct probe survey of the Biliary or pancreatic duct, 2) accurate surgery with complete excision of the cyst or Biliary stenosis plasty with adequate anastomosis, 3) a sustained long-term follow-up study utilizing US.

Mark F. Stidworthy - One of the best experts on this subject based on the ideXlab platform.

  • CONGENITAL Biliary Tract Malformation RESEMBLING Biliary CYSTADENOMA IN A CAPTIVE JUVENILE AFRICAN LION (PANTHERA LEO)
    Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians, 2012
    Co-Authors: Valentina Caliendo, Andrew C. J. Bull, Mark F. Stidworthy
    Abstract:

    A captive 3-mo-old white African lion (Panthera leo) presented with clinical signs of acute pain and a distended abdomen. Despite emergency treatment, the lion died a few hours after presentation. Postmortem examination revealed gross changes in the liver, spleen, and lungs and an anomalous cystic structure in the bile duct. Histologic examination identified severe generalized multifocal to coalescent necrotizing and neutrophilic hepatitis, neutrophilic splenitis, and mild interstitial pneumonia, consistent with bacterial septicemia. The abnormal Biliary structures resembled Biliary cystadenoma. However, due to the age of the animal, they were presumed to be congenital in origin. Biliary Tract anomalies and cystadenomas have been reported previously in adult lions, and this case suggests that at least some of these examples may have a congenital basis. It is unclear whether the lesion was an underlying factor in the development of hepatitis.

Valentina Caliendo - One of the best experts on this subject based on the ideXlab platform.

  • CONGENITAL Biliary Tract Malformation RESEMBLING Biliary CYSTADENOMA IN A CAPTIVE JUVENILE AFRICAN LION (PANTHERA LEO)
    Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians, 2012
    Co-Authors: Valentina Caliendo, Andrew C. J. Bull, Mark F. Stidworthy
    Abstract:

    A captive 3-mo-old white African lion (Panthera leo) presented with clinical signs of acute pain and a distended abdomen. Despite emergency treatment, the lion died a few hours after presentation. Postmortem examination revealed gross changes in the liver, spleen, and lungs and an anomalous cystic structure in the bile duct. Histologic examination identified severe generalized multifocal to coalescent necrotizing and neutrophilic hepatitis, neutrophilic splenitis, and mild interstitial pneumonia, consistent with bacterial septicemia. The abnormal Biliary structures resembled Biliary cystadenoma. However, due to the age of the animal, they were presumed to be congenital in origin. Biliary Tract anomalies and cystadenomas have been reported previously in adult lions, and this case suggests that at least some of these examples may have a congenital basis. It is unclear whether the lesion was an underlying factor in the development of hepatitis.

Andrew C. J. Bull - One of the best experts on this subject based on the ideXlab platform.

  • CONGENITAL Biliary Tract Malformation RESEMBLING Biliary CYSTADENOMA IN A CAPTIVE JUVENILE AFRICAN LION (PANTHERA LEO)
    Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians, 2012
    Co-Authors: Valentina Caliendo, Andrew C. J. Bull, Mark F. Stidworthy
    Abstract:

    A captive 3-mo-old white African lion (Panthera leo) presented with clinical signs of acute pain and a distended abdomen. Despite emergency treatment, the lion died a few hours after presentation. Postmortem examination revealed gross changes in the liver, spleen, and lungs and an anomalous cystic structure in the bile duct. Histologic examination identified severe generalized multifocal to coalescent necrotizing and neutrophilic hepatitis, neutrophilic splenitis, and mild interstitial pneumonia, consistent with bacterial septicemia. The abnormal Biliary structures resembled Biliary cystadenoma. However, due to the age of the animal, they were presumed to be congenital in origin. Biliary Tract anomalies and cystadenomas have been reported previously in adult lions, and this case suggests that at least some of these examples may have a congenital basis. It is unclear whether the lesion was an underlying factor in the development of hepatitis.