In a prospective, randomized, multicenter study, the efficacy and safety of cefoperazone and the combination ampicillin-tobramycin as initial therapy for patients with severe acute biliary tract infections were compared. Of 77 patients initially entered in the study, definite severe biliary tract infection was confirmed in 67. Sixty-four patients completed treatment. At the end of treatment, 35...

OBJECTIVE To study the clinical treatment features of biliary tract and pancreatic surgery complicated by acute pancreatitis. METHODS A retrospective analysis of 21 cases of biliary tract and pancreatic surgery complicated by acute pancreatitis in the Department of General Surgery in our hospital during May 2005 to July 2011 was performed; the clinical treatment features were analyzed in term...

Endoscopic retrograde cholangiopancreatography (ERCP) has been a significant development in gastrointestinal endoscopy. I did my first ERCP at SKIMS on December 5, 1982, and over the last 40 years, have performed 10,100 procedures, including 600 Sphincter of Oddi manometries (SOM), 3,200 therapeutic ERCPs. We were confronted with many clinical challenges that needed answers by applying as prima...

BACKGROUND Biliary tract cancer is a rare malignancy that carries poor prognosis. Complete surgical resection is the only curable treatment. However, biliary tract cancer patients are often diagnosed with advanced stages and treated in systemic chemotherapy or palliative treatment settings rather than curative surgery. CASE PRESENTATION This case report describes a pathological complete respo...

Diseases of the gall bladder in childhood are of great interest. Recently, Forshall and Rickham (1954) and previously Potter (1938) drew attention to cholecystitis associated with gall stones. The majority of such cases do not present as acute emergencies. Fevre (1933) states that diseases of the biliary tract presenting as surgical emergencies are usually a perforation or volvulus of the gall ...

Biliary fistulas are rare complications of gallstone. They can affect either the biliary or the gastrointestinal tract and are usually classified as primary or secondary. The primary fistulas are related to the biliary lithiasis, while the secondary ones are related to surgical complications. Laparoscopic surgery is a therapeutic option for the treatment of primary biliary fistulas. However, it...

The changes in the RS-T segment and T wave are not infrequently observed in electrocardiograms of various gastrointestinal diseases. The nature and the clinical significance of these findings were discussed in this report. The RS-T and T changes observed in gastrointestinal cancer, liver cirrhosis and hepatitis are considered to be ascribed to the hypalbuminemia and/or the hypopotassemia. In th...

Pyogenic liver abscess are macroscopic collections of pus within the hepatic parenchyma after a bacterial infection. These infections are usually polymicrobial in nature, and in most occasions due to biliary tract diseases or cryptogenetic in origin. Monomicrobial hepatic abscess caused by Klebsiella pneumoniae are uncommon lesions in western countries. These lesions are associated with underly...

The presence of regional lymph node metastasis is one of the most significant poor-prognosis factors in patients with biliary tract carcinoma. To establish a sensitive reverse transcription (RT)-PCR assay to detect micrometastases in lymph nodes of biliary tract carcinoma, we first investigated the optimal markers in biliary tract carcinoma. The expressions of the six candidates for a suitable ...