Clin Endosc.  2018 Jan;51(1):109-110. 10.5946/ce.2017.111.

White Bile in Malignant Biliary Obstruction: A Poor Prognostic Marker

• Gremida A
• Rustagi T

• KMID: 2403642
• DOI: http://doi.org/10.5946/ce.2017.111

Abstract

No abstract available.

MeSH Terms

Bile*

Figure

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  Fig. 1. Computed tomography scan of the abdomen indicating an infiltrating mass in the head of the pancreas (arrows) (A) and numerous hepatic metastatic lesions (B).

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  Fig. 2. Endoscopic ultrasound indicating a solid mass in the head of the pancreas, causing complete obstruction and marked dilation of the upstream bile duct (A). A transduodenal AXIOS (Boston Scientific, Marlborough, MA, USA) stent placed into the dilated bile duct, creating an endoscopic choledochoduodenostomy (B).

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  Fig. 3. Endoscopic appearance of the colorless “white” bile in the duodenum.

Reference

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2. Ahuja V, Garg PK, Kumar D, Goindi G, Tandon RK. Presence of white bile associated with lower survival in malignant biliary obstruction. Gastrointest Endosc. 2002; 55:186–191.

3. Geraci G, Sciumè C, Pisello F, Li Volsi F, Facella T, Modica G. Presence of white bile in malignant biliary obstruction is associated with poor prognosis: personal preliminary observations. Langenbecks Arch Surg. 2007; 392:61–65.