Management of intrahepatic stones: The role of subcutaneous hepaticojejunal access loop. A prospective cohort study

Kassem, Mohamed; Sorour, Magdy A; Ghazal, Abdel-Hamid; El-Haddad, Hany M.; El-Riwini, Mohamed T.; El-Bahrawy, Hassan

doi:10.1016/j.ijsu.2014.07.264

Cited by 16 publications

(17 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, disease progression occurs in most patients even after adequate treatment. 10 Surgery is strongly considered for relatively young patients with liver abscess and suggested biliary stricture like case 2. Surgical treatment is traditionally the standard of treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Success rates of the above treatments range from 72% to 92%. 10 Percutaneous transhepatic cholangioscopic lithotomy or lithotriopsy is nowadays commonly used for the removal of IHD stone or difficult cases of CBD stone. 11 Transpapillary endoscopic treatment with ultraslim endoscopy can be another option to access the IHD to remove the stone.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Three Cases of Difficult Bile Duct Stone Removal by EUS-guided Choledochoduodenostomy

Jeong¹,

Choi²,

Hong³

2020

Korean J Pancreas Biliary Tract

View full text Add to dashboard Cite

After failed removal of common bile duct or intrahepatic bile duct (IHD) stones by endoscopic retrograde cholangiopancreatography (ERCP), percutaneous lithotripsy is well-known as an effective procedure. However, it is time-consuming because multiple sessions of transhepatic tract dilatation are required. Endoscopic ultrasound (EUS)-guided choledochoduodenostomy (CDS) has been recently used to approach IHD to remove difficult bile duct stones. We recently experienced EUS-guided CDS performed with metal stent. Common bile duct or IHD stones were removed by retrieval accessories after initial failed or inadequate ERCP in three patients. Serious complications including bleeding, infection, and perforation were not noted. The duration of hospital stay from EUS-guided procedure to discharge ranged from 10 to 14 days. Although this result is interim and ongoing, it suggests that EUS-guided CDS might be an effective and safe procedure after failed ERCP to remove difficult bile duct stones through the tract.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Three Cases of Difficult Bile Duct Stone Removal by EUS-guided Choledochoduodenostomy

Jeong¹,

Choi²,

Hong³

2020

Korean J Pancreas Biliary Tract

View full text Add to dashboard Cite

show abstract

“…A single surgical procedure and avoiding repeated manipulation of biliary tract is necessary to achieve optimal outcome. The atrophied liver should be resected and the bile duct explored to avoid residual stone 5 , 7 , 9 , 16 , 18 .…”

Section: Discussionmentioning

confidence: 99%

Liver Resection for Non-Oriental Hepatolithiasis

Ojm

Linhares

Ramos

et al. 2019

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

Background: Primary intrahepatic lithiasis is defined when the stones are formed in the liver and associated with local dilatation and biliary stricture. Liver resection is the ideal procedure. Aim: To evaluate the results of liver resection in the treatment of non-oriental intrahepatic lithiasis. Methods: Fifty-one patients with symptomatic benign non-oriental hepatolithiasis underwent surgical resection in six institutions in Brazil. Demography data, clinical symptoms, classification, diagnosis, management and postoperative course were analyzed. Results:Of the 51 patients, 28 were male (54.9%), with a mean age of 49.3 years. History of cholangitis was observed in 15 (29.4%). The types of intrahepatic lithiasis were type I in 39 (76.5%) and type IIb in 12 (23.5%), with additional type Ea in six (11.8%). Liver function test were normal in 42 patients (82.4%). Segmental atrophy was observed in 12 (23.5%). Treatments included left lateral sectionectomy in 24 (47.1%), left hepatectomy in 14 (27.5%) and right hepatectomy in eight (15.7%), with associated hepaticojejunostomy in four (7.8%). Laparoscopic liver resection was performed in eight (15.7%). Postoperative complications were observed in 20 (39.2%) with no mortality. Conclusion:Liver resection in patients with hepatolithiasis is the ideal procedure as it removes stones, stricture, atrophic parenchyma, and minimizes the risk of cholangiocarcinoma.

show abstract

“…The left liver lobe is often the most frequent location of hepatolithiasis. 20 The acute angle taken by the left hepatic duct when it reaches the confluence resulting in biliary stasis, especially in the background of biliary stenosis. Some studies have shown a higher frequency of right side involvement, especially in the posterior segments of postcholecystectomy patients.…”

Section: Surgical Managementmentioning

confidence: 99%

“…Due to the expected need for long term access to the intrahepatic biliary ducts, procedures such as hepaticocutaneous jejunostomy with subcutaneous access loop, were favoured subsequently. 20 In case of large calculi (especially in the left lobe), hepatic atrophy, abscesses, suspected cholangiocarcinoma or failure of other therapeutic modes, surgical resection may be considered appropriate.…”

Section: Surgical Managementmentioning

confidence: 99%

Approach and management considerations in low phospholipid associated cholelithiasis (LPAC) syndrome

Suresh¹,

Lokesh²,

Nanaiah³

et al. 2018

Int J Res Med Sci

View full text Add to dashboard Cite

Low phospholipid associated cholelithiasis (LPAC) syndrome, first described in 2001, could be the causality in a significant number of young patients with cholelithiasis, who have a recurrence of symptoms despite cholecystectomy. A mutation of the ABCB4/MDR3 gene, causes a disruption in the translocation of phosphatidylcholine, resulting in bile acid mediated biliary tract injury. The ABCB4 gene is also implicated in other diseases such as progressive familial intrahepatic cholestasis type 3, which is greater in severity and tools like genotyping can aid the physician in prognostication, as well as determining the response to medical therapy. A few symptomatic patients develop features of biliary obstruction due to intrahepatic calculi, and they require interventions-which may be endoscopic or surgical in nature. Although a majority of patients with LPAC syndrome respond well to ursodeoxycholic acid (UDCA) therapy, close monitoring is warranted to keep a check on disease progression.

show abstract

Management of intrahepatic stones: The role of subcutaneous hepaticojejunal access loop. A prospective cohort study

Cited by 16 publications

References 48 publications

Three Cases of Difficult Bile Duct Stone Removal by EUS-guided Choledochoduodenostomy

Three Cases of Difficult Bile Duct Stone Removal by EUS-guided Choledochoduodenostomy

Liver Resection for Non-Oriental Hepatolithiasis

Approach and management considerations in low phospholipid associated cholelithiasis (LPAC) syndrome

Contact Info

Product

Resources

About