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Robot resection of a choledochal cyst with Roux-en-y hepaticojejunostomy in adults: Initial experiences with 22 cases and a comparison with laparoscopic approaches

Han JH, Lee JH, Hwang DW, Song KB, Shin SH, Kwon JW, Lee YJ, Kim SC, Park KM

BACKGROUNDS/AIMS: In adult choledochal cysts, complete excision of cyst with Roux-en-Y hepaticojejunostomy by laparoscopy is typically been performed, but there is now a trend towards adopting robot-assisted resection. METHODS: From January...
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Biliary Anastomotic Stricture after Surgical Management of Mirizzi Syndrome: Treated with Long-term Percutaneous Transhepatic Biliary Drainage

Ryu H, Kim JH, Jeon UB, Jang JY, Kim TU, Yeom JA, Park C, Yang KH

Mirizzi syndrome (MS) is a rare complication of cholecystolithiasis that is characterized by obstruction of the common hepatic duct due to mechanical compression by impacted stones in the neck of...
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Endoscopic ultrasound-guided biliary drainage: Complications and their management

Isayama H, Nakai Y, Yamamoto N, Matsubara , Ito Y, Kogure H, Hamada T, Koike K

Endoscopic ultrasound-guided biliary drainage (EUS-BD), EUS-guided choledochoduodenostomy (EUS-CDS), and EUS-guided hepaticogastrostomy (EUS-HGS) can effectively palliate obstructive jaundice, but have not been well established yet. The incidence of complications is about...
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A simple rat model of in situ reversible obstructive jaundice in situ reversible obstructive jaundice model

Huang X, Li CH, Zhang AQ, Kong Z, Gu WQ, Dong JH

PURPOSE: To develop a simple and reliable rat model of in situ reversible obstructive jaundice with low morbidity and mortality rates. METHODS: Rats were divided into 4 groups with 8 rats...
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Symptomatic Choledochal Cyst in Association with Pregnancy Managed with EUS-guided Choledochoduodenostomy without Fluoroscopic Guidance

Lee KM, Kang JE, Lee HK, An S, Hong SM, Lee HW, Park DH, Kim MH

Choledochal cyst has only rarely been encountered in association with pregnancy. The clinical manifestations are nonspecific and variable that makes it difficult to differentiate from physiologic changes in pregnancy. Consequently,...
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Surgical treatment of mucin-producing cholangiocarcinoma arising from intraductal papillary neoplasm of the intrahepatic bile duct: a report of 2 cases

Baterdene , Hwang S, Lee JW, Jung MJ, Shin H, Seo HK, Kim MH, Lee SK

Intraductal papillary neoplasms of the bile duct (IPNB) leads to malignant transformation and mucin production. Herein, we presented two cases of mucin-producing IPNB with obstructive jaundice who underwent resection of...
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The rat choledochojejunostomy model for microsurgical training

Lee JS, Hong TH

PURPOSE: The feasibility of a rat choledochojejunostomy (CJ) training model was investigated, as an introductory model to microsurgery for general surgeons. METHODS: Roux-en-Y CJ was performed on 20 rats. Interrupted 10-0...
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Double Penetrated Duodenal Wall during Endoscopic Ultrasound-Guided Choledochoduodenostomy

Kawakami H, Kuwatani M, Sakamoto N

No abstract available.
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Choledochoduodenal fistula in Mainland China: a review of epidemiology, etiology, diagnosis and management

Wu MB, Zhang WF, Zhang YL, Mu D, Gong JP

PURPOSE: Choledochoduodenal fistula (CDF) is an extremely rare condition even in the most populous nations. However, diagnostic tools are inadequate for the young surgeon to be made aware of such...
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A Case of Direct Peroral Cholangioscopy-Guided Intraductal Radiofrequency Ablation for Malignancy Biliary Obstruction via Choledochoduodenostomy Orifice

Kang JS, Kim DU, Lee JE, Kim MJ, Song GA, Heo J, Baek DH, Kim TW

BAlthough intraductal radiofrequency ablation (RFA) has been reported to be a feasible treatment of malignancy biliary obstruction in unresectable cholangiocarcinoma, endoscopic retrograde cholangiopancreatography (ERCP)-guided intraductal RFA has a disadvantage that...
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In vivo porcine training model for laparoscopic Roux-en-Y choledochojejunostomy

Lee JS, Hong TH

PURPOSE: The purpose of this study was to develop a porcine training model for laparoscopic choledochojejunostomy (CJ) that can act as a bridge between simulation models and actual surgery for...
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Balloon dilation of jejunal afferent loop functional stenosis following left hepatectomy and hepaticojejunostomy long time after pylorus-preserving pancreaticoduodenectomy: a case report

Yoon YI, Hwang S, Ko GY, Lee JJ, Kang CM, Seo JH, Kwon YJ, Cheon SJ

We present a rare case of functional stenosis of the jejunal loop following left hepatectomy and hepaticojejunostomy long after pylorus-preserving pancreaticoduodenectomy (PPPD), which was successfully managed by balloon dilation. A...
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Fatal Cerebral Air Embolism Due to a Patent Foramen Ovale during Endoscopic Retrograde Cholangiopancreatography

Bastovansky A, Stollberger C, Finsterer

Fatal air embolism to the cerebrum during an endoscopic retrograde cholangiopancreatography (ERCP) has not been reported in a patient with a biliodigestive anastomosis and multiresistant extended-spectrum beta-lactamase Escherichia coli (ESBL)...
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Imaging Findings of Neuroendocrine Neoplasm in Biliary Duct with Liver Metastasis

Oh JH, Chung DJ, Hahn ST, Lee JM

A 64-year-old man was transferred to our hospital because of indigestion and jaundice. The initial abdominal CT and MRI revealed a 2.0 cm enhancing mass in the proximal common bile...
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Percutaneous Transhepatic Biliary Drainage Using a Ligated Catheter for Recurrent Catheter Obstruction: Antireflux Technique

Hamada T, Tsujino T, Isayama H, Hakuta R, Ito Y, Nakata R, Koike K

  • KMID: 2135080
  • Gut Liver.
  • 2013 Mar;7(2):255-257.
Percutaneous transhepatic biliary drainage (PTBD) is an established procedure for biliary obstruction. However, duodenobiliary or jejunobiliary reflux of the intestinal contents through a PTBD catheter sometimes causes recurrent catheter obstruction...
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Advances in Endoscopic Ultrasound-Guided Biliary Drainage: A Comprehensive Review

Sarkaria S, Lee HS, Gaidhane M, Kahaleh M

  • KMID: 2135062
  • Gut Liver.
  • 2013 Mar;7(2):129-136.
Endoscopic retrograde cholangiopancreatography (ERCP) has become the first-line therapy for bile duct drainage. In the hands of experienced endoscopists, conventional ERCP results in a failed cannulation rate of 3% to...
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Simultaneous Duodenal Metal Stent Placement and EUS-Guided Choledochoduodenostomy for Unresectable Pancreatic Cancer

Kawakubo K, Isayama H, Nakai Y, Sasahira N, Kogure H, Sasaki T, Hirano K, Tada M, Koike K

  • KMID: 2053506
  • Gut Liver.
  • 2012 Jul;6(3):399-402.
Patients with pancreatic cancer frequently suffer from both biliary and duodenal obstruction. For such patients, both biliary and duodenal self-expandable metal stent placement is necessary to palliate their symptoms, but...
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Endoscopic Ultrasound-Guided Biliary Drainage

Artifon EL, Ferreira F, Sakai P

OBJECTIVE: To demonstrate a comprehensive review of published articles regarding endoscopic ultrasound (EUS)-guided biliary drainage. MATERIALS AND METHODS: Review of studies regarding EUS-guided biliary drainage including case reports, case series and...
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A Case of Liver Abscess due to Sump Syndrome and Spontaneous Drainage to the Stomach

Hwang JJ, Ha CY, Jang HJ, Yun EY, Ju JH, Ahn YJ, Min HJ, Kim TH, Kim HJ, Jung WT, Lee OJ, Yi SY

A 55-year-old man was admitted to our hospital with symptom of fever, chilling, abdominal discomfort and weight loss for 2months. Abdominal computed tomography(CT) revealed a 5x3.75 cm sized low attenuated...
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EUS-Guided Biliary Drainage

Yamao K, Hara K, Mizuno N, Sawaki A, Hijioka S, Niwa Y, Tajika M, Kawai H, Kondo S, Shimizu Y, Bhatia V

  • KMID: 2053435
  • Gut Liver.
  • 2010 Sep;4(Suppl 1):S67-S75.
Endoscopic ultrasonography (EUS) combines endoscopy and intraluminal ultrasonography, and allows imaging with a high-frequency transducer over a short distance to generate high-resolution ultrasonographic images. EUS is now a widely accepted...
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