Post written by Sundeep Lakhtakia, MD, MNAMS, DM, FASGE, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. A young woman who had surgical choledocho-duodenostomy 5 years ago for biliary adverse events soon after cholecystectomy presented with biliary obstruction. MRCP revealed a smooth mid-CBD stricture, intra-hepatic stone with …
Tag: Cholecystectomy
Long-term outcomes of endoscopic treatment of aberrant hepatic duct injuries after cholecystectomy
Post written by Andrea Tringali, MD, PhD, from the Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, and the Centre for Endoscopic Research Therapeutics and Training, Università Cattolica del Sacro Cuore, Rome, Italy. Our study is focused on 32 patients who underwent endoscopic treatment of “aberrant” hepatic duct injuries following cholecystectomy. “Aberrant” hepatic ducts …
Endoscopic management of gossypiboma
Post written by Radhika Chavan, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. A 30-year-old woman underwent cholecystectomy 3 weeks earlier and developed abdominal pain, vomiting, and low-grade fever within 2 weeks of surgery. On contrast-enhanced computed tomography, a large lesion with an internal reticular pattern was seen in the gastro-hepatic region. She …
The EPISOD study: long-term outcomes
Post written by Peter B. Cotton, MD, FRCS, FRCP, from the Medical University of South Carolina, Charleston, South Carolina, USA. The EPISOD study randomized 214 patients with post-cholecystectomy pain and little or no evidence of biliary obstruction (SOD type III) to sphincterotomy or sham intervention at ERCP. Intervention was judged successful at 1 year (by …
Long-term outcomes of EGBS
Tadahisa Inoue, MD, from the Department of Gastroenterology, Gifu Prefectural Tajimi Hospital, in Tajimi, Japan discusses this Original Article "Long-term outcomes of endoscopic gallbladder stenting in high-risk surgical patients with calculous cholecystitis (with videos)." The focus of this study was to evaluate the long-term outcomes associated with endoscopic gallbladder stenting (EGBS). Cholecystectomy is a fundamental …
