Background and Aim: Hepatocellular-Cholangiocarcinoma Collision tumor (cHCC-CC) is a rare variant of primary hepatic malignancy. The prevalence varies between 0.1 -2 % in various studies. postulated origin by subsequent de-differentiation hepatocellular or cholangiocarcinoma into the other forms, from same progenitor cells incidental coexistence both types malignancies. 1 Case Report: 66 years ...

Bilioenteric anastomosis strictures are a serious complication of biliary surgery, and often result in recurrent cholangitis, choledocholithiasis, biliary cirrhosis, and hepatic failure. Bilioenteric reconstructive surgery is the standard treatment of choice for such complications. However, percutaneous transhepatic cholangioscopy (PTCS), also known as per-oral endoscopic-guided intervention, i...

Longitudinal cancer spread is very important for staging of resectability in bile duct cancer. We verified the difference in methylene blue staining properties between cancerous and noncancerous epithelia that are usually observed by cholangioscopy. We obtained 45 biopsy specimens from the common bile duct of 20 patients with bile duct disease using percutaneous transhepatic cholangioscopy (PTC...

Biliary complications are the most common post-liver transplant (LT) complications with an incidence of 15%-45%. Furthermore, such complications are reported more frequently in patients who undergo a living-donor LT compared to a deceased-donor LT. Most post-LT biliary complications involve biliary strictures, bile leakage, and biliary stones, although many rarer events, such as hemobilia and f...

Common bile duct (CBD) injury, ranging from a partial tear to a complete transection, is a major surgical complication of cholecystectomy with significant morbidity and mortality. Proper management of these complex injuries depends on the type and extent of injury and time of recognition. Identifying and repairing injuries during cholecystectomy can prevent development of complications, but thi...

Interventional therapy of hepatic biliary stones is challenging if the patient has been subject to previous gastric or biliary surgery. Several variations have been reported for the endoscopic and endoscopic ultrasound (EUS)-guided transgastric approach to the biliary tract as salvage techniques after the failure of peroral endoscopic drainage [1]. A success rate of 89% has been reported, with ...