Therapeutic challenge of ERCP for biliary decompression in a patient with autosomal dominant polycystic kidney disease and polycystic liver disease and pancreaticoduodenectomy anatomy

Figurelli, Heather; Laurie, Timothy; Kenneth, D.

doi:10.1016/j.gie.2011.11.015

Gastrointestinal Endoscopy

2012

DOI: 10.1016/j.gie.2011.11.015

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Therapeutic challenge of ERCP for biliary decompression in a patient with autosomal dominant polycystic kidney disease and polycystic liver disease and pancreaticoduodenectomy anatomy

Heather Figurelli

Timothy Laurie

D. Kenneth

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“…Autosomal recessive polycystic kidney disease is associated with nonobstructive intrahepatic bile duct dilatation (Caroli disease) and recurrent cholangitis 5 . Cholangitis has not been recognized traditionally as a consequence of PLD, with descriptions in ADPKD limited to case reports 6, 7, 8, 9. Alterations in extrahepatic bile duct diameter, despite a similar prevalence of gallstones to non-ADPKD controls, are recognized as part of the phenotype of ADPKD 10 .…”

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confidence: 99%

Bacterial Cholangitis in Autosomal Dominant Polycystic Kidney and Liver Disease

Martin

Vaughan

Yoshida

et al. 2019

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

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Objective To describe first episodes of bacterial cholangitis complicating autosomal dominant polycystic kidney disease (ADPKD) and autosomal dominant polycystic liver disease (ADPLD) and to identify risk factors for cholangitis episodes among patients with ADPKD-associated polycystic liver disease (PLD). Patients and Methods We searched the electronic medical records at our tertiary referral center for episodes of cholangitis in patients with ADPKD or ADPLD from January 1, 1996, through June 30, 2017. Cases were categorized as suspected or definite cholangitis by expert review. Clinical, laboratory, and radiologic data were manually abstracted. A nested case-control study was conducted to investigate risk factors for cholangitis in patients with ADPKD. Results We identified 29 cases of definite or suspected cholangitis complicating PLD (24 with ADPKD-associated PLD and 5 with ADPLD). Among patients with definite cholangitis in ADPKD-associated PLD (n=19) vs ADPLD (n=4), the mean ± SD age was 62.4±12.2 vs 55.1±8.6 years, and 9 (47.4%) vs 0 (0%), respectively, were male. The odds of gallstones (odds ratio [OR], 21.6; 95% CI, 3.17-927; P <.001), prior cholecystectomy (OR, 12.2; 95% CI, 1.59-552; P =.008), duodenal diverticulum (OR, 13.5; 95% CI, 2.44 to not estimable; P =.004), type 2 diabetes mellitus (OR, 6.41; 95% CI, 1.01 to not estimable; P =.05), prior endoscopic retrograde cholangiopancreatography (OR, 14.0; 95% CI, 1.80-631; P =.005), and prior kidney transplant (OR, 8.06; 95% CI, 1.72-76.0; P =.004) were higher in patients with ADPKD-associated PLD with definite cholangitis compared to controls. Conclusion Gallstones, prior cholecystectomy, duodenal diverticulosis, type 2 diabetes mellitus, prior endoscopic retrograde cholangiopancreatography, and prior kidney transplant constituted risk factors for cholangitis among patients with ADPKD-associated PLD.

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mentioning

confidence: 99%

Bacterial Cholangitis in Autosomal Dominant Polycystic Kidney and Liver Disease

Martin

Vaughan

Yoshida

et al. 2019

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

View full text Add to dashboard Cite

show abstract

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Therapeutic challenge of ERCP for biliary decompression in a patient with autosomal dominant polycystic kidney disease and polycystic liver disease and pancreaticoduodenectomy anatomy

Cited by 1 publication

References 0 publications

Bacterial Cholangitis in Autosomal Dominant Polycystic Kidney and Liver Disease

Bacterial Cholangitis in Autosomal Dominant Polycystic Kidney and Liver Disease

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