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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
136 articles
Newest firstBackground/objectives Post-cholecystectomy syndrome (PCS) remains diagnostically challenging due to overlapping biliary and non-biliary causes. This study aimed to evaluate whether common bile duct (CBD) diameter measured by MRCP can serve as a practical triage parameter in symptomatic PCS patients and to define a data-supported threshold for predicting clinically relevant biliary pathology. Secondary objectives i…
Open article record in new tab ↗Purposes Chronic pancreatitis (CP), a progressive inflammatory disorder characterized by pancreatic fibrosis and degeneration, often leads to common bile duct (CBD) strictures. However, the optimal management of CBD strictures remains controversial. Methods We retrospectively analyzed 16 patients with CP and CBD strictures who underwent surgery at our institution between January 2007 and December 2024. Clinical ch…
Background Dilatation of the common bile duct (CBD) after cholecystectomy is frequently observed during follow-up imaging; however, its extent and clinical implications remain incompletely defined. Distinguishing physiological postoperative ductal enlargement from pathological dilatation is essential to avoid unnecessary diagnostic evaluation. This study aimed to compare CBD diameter in post-cholecystectomy patien…
Open article record in new tab ↗Isolated neurofibromas of the gallbladder (GB) and common bile duct (CBD) are exceptionally rare benign tumors, often mimicking malignancies and posing diagnostic challenges. This paper reports the unique case of a 32-year-old male presenting with right upper quadrant pain, jaundice, and clay-colored stools. Imaging revealed a septate GB with mural thickening, a gallstone, and distal CBD annular thickening, indica…
Aim and background The pancreaticobiliary junction (PBJ) is a complex anatomical location where the pancreatic duct and distal common bile duct (CBD) join. Surgical procedures near the PBJ are challenging, and inadvertent injury to either of these ducts can increase postoperative morbidity. Choledochal cyst (CDC) excision involves securing the distal bile duct near the PBJ. The surgical morbidity in these patients…
Open article record in new tab ↗Purpose This study aims to detect common bile duct (CBD) dilatation using deep learning methods from artificial intelligence algorithms. Methods To create a convolutional neural network (CNN) model, 77 magnetic resonance cholangiopancreatography (MRCP) images without CBD dilatation and 70 MRCP images with CBD dilatation were used. The system was developed using coronal maximum intensity projection reformatted 3D-M…
Rationale Adenomyomatosis is a rare benign condition characterized by epithelial proliferation and diverticular formation in the gastrointestinal tract, most commonly affecting the gallbladder. Its occurrence in the bile duct is uncommon but significant, as it can cause biliary obstruction, cholestasis, and abdominal pain-symptoms that closely mimic early-stage cholangiocarcinoma. This overlap creates diagnostic c…
Open article record in new tab ↗Background According to a retrospective study at Zhongshan Hospital, external drainage of the main pancreatic duct (MPD) and common bile duct (CBD) is potentially superior over internal drainage. As yet there is no consensus regarding the optimal drainage strategy, and previous studies have not adequately addressed risk stratification for postoperative pancreatic fistula (POPF). The aim of this study is to determi…
Injuries to the common bile duct (CBD) have been reported in 0.4-0.5% of penetrating trauma cases across several series. Gunshot wounds pose unique challenges due to the thermal injury caused by the projectile, combined with the close anatomical proximity of the CBD, portal vein, and hepatic artery within the hepatoduodenal ligament. This proximity often results in combined injuries to these vital structures, whic…
Purpose Common bile duct (CBD) stone recurrence after laparoscopic CBD exploration (LCBDE) is relatively common. No studies have been conducted evaluating the safety and feasibility of re-do LCBDE in the treatment of recurrent CBD stones. Methods This single-center retrospective study reviewed 340 consecutive patients who underwent LCBDE for CBD stones between January 2004 and December 2020. Patients with pancreat…
Open article record in new tab ↗Introduction and importance Biliary tuberculosis is a rare form of Mycobacterium tuberculosis infection, accounting for only 0.0-0.1% of all TB cases in certain settings. Its preoperative diagnosis is difficult due to nonspecific symptoms and the lack of specific imaging criteria. Often, it mimics other diseases like cancers and infections, complicating early detection. Case presentation A 51-year-old female with…
Open article record in new tab ↗Introduction Common bile duct (CBD) calculi are typically managed by either laparoscopic CBD exploration (LCBDE) or endoscopic retrograde cholangiopancreatography (ERCP). The superiority of one method over the other remains a matter of debate. This study was designed to compare the efficacy and morbidity profile of LCBDE and ERCP in the management of CBD calculi. Materials and methods This analytical cross-section…
The antibiotic combination of piperacillin/tazobactam (TZP) is commonly utilized for preventing and treating infections in the biliary system, with piperacillin being the primary agent. Its effectiveness is closely related to the time with concentrations above the minimal inhibitory concentration (T > MIC) of the bacteria involved. The most frequently encountered bacteria associated with biliary system infections…
Introduction The American Society for Gastrointestinal Endoscopy (ASGE) guidelines for common bile duct (CBD) stone management were created to risk stratify patients into low, intermediate, and high-risk groups to optimize interventions. Low-risk patients typically proceed to cholecystectomy with or without Intra-operative cholangiogram (IOC) whereas high-risk patients typically proceed to common duct clearance. T…
Open article record in new tab ↗Gallbladder agenesis is a rare congenital anomaly that is often asymptomatic but may present with clinical features mimicking biliary tract disease. The absence of the gallbladder is frequently undetected by abdominal ultrasound, leading to diagnostic uncertainty and potential surgical dilemmas. Accurate preoperative diagnosis is essential to avoid unnecessary surgical exploration and iatrogenic complications. We…
Open article record in new tab ↗Foreign body ingestion is common, but penetration into the common bile duct (CBD) and pancreas is exceptionally rare. A 74-year-old woman presented with 4 weeks of intermittent left upper abdominal pain and normal laboratory results. Computed tomography showed a linear hypodensity traversing the ampulla and pancreatic duct. Endoscopic ultrasound confirmed a hyperechoic linear object in the CBD. Endoscopic retrogra…
Open article record in new tab ↗Background Common bile duct (CBD) stones are a frequent cause of biliary obstruction and may lead to life-threatening complications such as cholangitis, pancreatitis, and obstructive jaundice if not promptly managed. Endoscopic retrograde cholangiopancreatography (ERCP) has largely replaced open and laparoscopic bile duct exploration as the preferred therapeutic approach due to its minimally invasive nature, short…
Open article record in new tab ↗Introduction Gallstone disease is extremely prevalent in Western society, and the prevalence of common bile duct (CBD) stones with concomitant cholelithiasis increases significantly in the elderly. Different variants influence the treatment of this pathological entity, such as the origin of the stones, their location and quantity, comorbidities of the patient, impaction, and size of the lithos, the latter being an…
Background Dilatation of common bile duct (CBD) is mostly pathological and mainly occurs secondary to mechanical causes. We aimed to explore the prevalence of CBD dilatation in Intraductal Papillary Mucinous Neoplasms of the pancreas (IPMN) among patients referred to EUS. Methods A retrospective study of all patients who had an EUS diagnosis of IPMN from 2011 to 2019 at Galilee Medical Center were extracted. Contr…
Open article record in new tab ↗Background This study investigated the clinical application of the indocyanine green (ICG) fluorescence navigation technique in bile duct identification during laparoscopic common bile duct exploration (LCBDE) for complex hepatolithiasis. Methods Eighty patients with complex hepatolithiasis were admitted to our department between January 2022 and June 2023 and randomly divided into control and observation groups.…