Percutaneous transhepatic biliary drainage (PTBD) is an established procedure for biliary obstruction. However, duodenobiliary or jejunobiliary reflux of the intestinal contents through a PTBD catheter sometimes causes recurrent catheter obstruction or cholangitis. A 64-year-old female patient with a history of choledochojejunostomy was referred to our department with acute cholangitis due to c...

S29 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Noble Gatro Hospital, Ahmedabad, Gujarat, India Endoscopic ultrasound (EUS)-guided pelvic abscess drainage though uncommon modality for definite treatment of pelvic abscess is an effective method of treatment for pelvic abscess due to its proximity to rectal wall. We performed drainage of pelvic abscess in a 65-year-old male with...

S29 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Noble Gatro Hospital, Ahmedabad, Gujarat, India Endoscopic ultrasound (EUS)-guided pelvic abscess drainage though uncommon modality for definite treatment of pelvic abscess is an effective method of treatment for pelvic abscess due to its proximity to rectal wall. We performed drainage of pelvic abscess in a 65-year-old male with...

BACKGROUND Peritoneal dialysis (PD) for acute kidney injury (AKI) of newborns has been performed safely. AKI occurs in 8 to 24% of extremely low birth weight (ELBW) infants. Although PD has only been used occasionally in ELBW infants, prognosis is poor for ELBW infants with AKI. Several reports have described successful PD in these infants, but no guideline-based evidence concerning indications...

Pancreatic pseudocysts (PPs) comprise more than 80% of the cystic lesions of the pancreas and cause complications in 7-25% of patients with pancreatitis or pancreatic trauma. The first step in the management of PPs is to exclude a cystic tumor. A history of pancreatitis, no septation, solid components or mural calcification on CT scan and high amylase content at aspiration favor a diagnosis of ...

The purpose of this article is to compare the complication rates of imaging-guided percutaneous cholecystostomy (PC) between transperitoneal and transhepatic approaches. We performed a database search for patients who underwent imaging-guided percutaneous cholecystostomy from Dec., 2009 to Jun., 2012. Four hundred sixty-five patients were included in our study. These patients were subdivided in...

BACKGROUND Infected pancreatic necrosis (IPN) is a serious local complication of acute pancreatitis, with high mortality. Minimally invasive therapy including percutaneous catheter drainage (PCD) has become the preferred method for IPN instead of traditional open necrosectomy. However, the efficacy of double-catheter lavage in combination with percutaneous flexible endoscopic debridement after ...

Percutaneous transhepatic biliary decompression is a preoperative surgical adjunct in patients with obstructive jaundice that has been in use since 1973. It is recommended that this procedure be adopted for both palliative treatment in unresectable patients and as a preoperative means of lowering serum bilirubin in patients with potentially resectable malignancies of the pancreas or biliary tra...