Background Death occurring in hospital is medically certified by attending physicians with cause of death. In developing countries such as Nepal, limited resources are available related to the pattern of deaths that occur in hospitals, so that the health priorities can be selected wisely. Objective The objective of this study was to determine the pattern, frequency and causes of inpatient morta...

Most of the noninvasive techniques used in evaluating the feline patient with suspected hepatobiliary disease, such as hepatic enzymology, liver function tests, and hepatobiliary imaging are useful in localizing disease to the liver or biliary system, however, they can rarely be used to establish a definitive diagnosis or an accurate prognosis. Invasive techniques are usually required for this ...

CEA, CA19-9 and CA50 are tumour associated antigens defined by monoclonal antibodies which have been raised against adenocarcinoma cell lines. The aim of this study was to determine whether their combined use could improve diagnostic accuracy in patients with primary and secondary liver tumours. An immunoradiometric assay was used for the detection of CEA and CA19-9 and the Delfia system for CA...

Uncontrolled arterial bleeding during laparoscopic cholecystectomy is a serious problem and may increase the risk of bile duct damage. Therefore, accurate identification of the anatomy of the cystic artery is very important. Cystic artery is notoriously known to have a highly variable branching pattern. We reviewed the anatomy of the cystic artery and its branch to cystic duct as seen through t...

Published articles have been reprinted with the permission of the copyright holder. Abstract ABSTRACT The studies presented here evaluate the biliary, parenchymal and vascular enhancement effects of two T1-shortening liver-specific contrast agents, Gd-BOPTA and Gd-EOB-DTPA, in Magnetic Resonance Imaging (MRI) of healthy subjects and of patients. Ten healthy volunteers were examined with both co...

Intraductal papillary neoplasm of the bile duct (IPNB) is classified as a biliary cystic tumor with a tendency of causing obstruction. Neoplastic cases involving hemobilia are rarely reported. We herein describe a case of biliary cystic tumor with repeated hemobilia. A 57-year-old woman was histologically diagnosed with cavernous hemangioma. During the follow-up period after transcatheter arter...

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepa...

Cholangiocarcinoma is an adenocarcinoma that appears from the epithelium of the bile ducts [1,2], being the second most common hepatobiliary primary malignant tumor, after just the hepatobiliary carcinoma [2] responding by approximately 15% of the cases of hepatic neoplasia’s, having a challenging diagnosis and poor uniformly prognosis [3]. It presents major prevalence in the south-east Asia [4...

A fuzzy MLP model, developed by the author, is used as a connectionist expert system for diagnosing hepatobiliary disorders. It can handle uncertainty and/or impreciseness in the input as well as the output. The input to the network is modelled in terms of linguistic pi-sets whose centres and radii along each feature axis are determined from the distribution of the training data. In case of par...