Guide to early diagnosis of biliary obstruction
in infancy: review of 143 cases.
Yeh TS et al 15 studied MRCP findings with reference to ERCP in malignant perihilar biliary obstruction
. As compared to our study MRCP correctly diagnosed 6 cases of perihilar biliary obstruction
, at the confluence of right and left hepatic ducts with sensitivity of 100%.
Data included demographic information, level of biliary obstruction
, efficacy and complications of SEMS insertion.
A wide array of special investigations, including expensive and invasive procedures, is now available for evaluating the jaundiced patient with suspected biliary obstruction
. Complete assessment of biliary obstruction
requires detailed imaging to define the exact level and cause of the biliary obstruction
, and to implement treatment.
The tumor must be at least 2 cm from the portal veins, because of the nearby bile ducts and the danger of causing biliary obstruction
. Finally, the patient must not have Child class C cirrhosis, which signals a much greater risk of dying from the cirrhosis than from the tumor.
We conducted this study to establish a one-step real-time PCR method that combines a competing PNA oligomer (clamped probe assay) with fluorescent hybridization probes and melting curve analysis for the detection of K-ras gene codon 12 mutations in bile and to validate their clinical use in the differential diagnosis of biliary obstruction
: evaluation with three-dimensional MR cholangiography.
Recently, the approaches of palliative biliary drainage and biliary stent placement have been used to relieve biliary obstruction
We report the first case of Mirizzi syndrome in a patient who presented with biliary obstruction
caused by pure calcium carbonate stones.
Bowel functions-steatorrhoea occurs with biliary obstruction
, but much higher level of faecal fat results when pancreatic duct is blocked.
The diagnosis of PBC was made according to the diagnostic criteria for PBC in the American Association for the Study of Liver Diseases Practice Guidelines: [sup], (1) Presence of cholestatic liver disease including jaundice, fatigue, and pruritus with abnormally high levels of cholestatic parameters such as serum alkaline phosphatase (ALP), serum bilirubin, and gamma-glutamyl transpeptidase (GGT); (2) absence of biliary obstruction
as assessed by ultrasound or endoscopic retrograde cholangiopancreatography; (3) serum positive AMA titer 1:1000 and type M2 AMA positive; (4) absence of serological markers for hepatitis B and C virus and HIV infection by immunoassays.
Most hepatic cysts are asymptomatic, but complications, such as rupture , infection [7-9], biliary obstruction
, and intracystic hemorrhage [11-15], can occur.