BACKGROUND Magnetic resonance cholangiopancreatography (MRCP) is one of many newer noninvasive tests that can image the biliary tree. PURPOSE To precisely estimate the overall sensitivity and specificity of MRCP in suspected biliary obstruction and to evaluate clinically important subgroups. DATA SOURCES MEDLINE search (January 1987 to March 2003) for studies in English or French, bibliogra...

Background: Malignant biliary and/or pancreatic obstruction has often encountered in the advanced stages of periampullary and cholangicarcinomas. HabibTM Radiofrequency (RF) ablation has been successfully used in the management of various cancers of liver and pancreas. Percutaneous HPB probe (EMcision Ltd, London, UK) is a new addition to this class of tools. It is an endoluminal Radiofrequency...

fascioliasis is a health problem in several countries including the islamic republic of iran.  in a review of the medical publications during 1990-2002, only 22 cases of biliary tract obstruction by fasciola hepatica have been reported.  herein, we are adding a new case of fasciola hepatica causing bile duct obstruction and presenting with intermittent colicky pain, eosinophilia and bile duct d...

Patient A 45-year-old healthy male presents to urgent care clinic with acute right upper quadrant (RUQ) abdominal pain without fevers. The patient’s exam confirms a tender RUQ without rebound or guarding. He is found to have a white blood cell count of 15,000 with normal liver function and biliary tests. He is clinically diagnosed with biliary colic and an abdominal ultrasound is ordered to eva...

The Jirgl flocculation test has been compared with the combination of the thymol reactions and serum alkaline phosphatase determination recommended by Maclagan in the investigation of 68 patients with jaundice. The test was found to be of value in distinguishing biliary obstruction from other causes of jaundice, but failed to distinguish between extrahepatic and intrahepatic biliary obstruction...

Biliary ileusis a uncommon cause of mechanical bowel obstruction, affecting older adult patients who often have other significant medical conditions. It is caused by intestinal impaction of a gallstone that enters the bowel via a cholecysto-enteric fistula. The mortality rate is considerable, ranging between 12 and 27%. Treatment in most cases is surgical, aimed at the resolution of the intesti...

Background. There is little prospective data on whether bigger plastic stents are better for patients with malignant biliary obstruction with jaundice. Goals. Multicenter prospective study to compare technical success, clinical response, stent occlusion, and patient survival in patients with malignant biliary obstruction randomized to 10-French or 11.5-French plastic stent. Study. Patients with...