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Doctor insights on: Biliary Decompression

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Biliary atresia treatment?

Biliary atresia treatment?

Kasai procedure: Biliary atresia is most often diagnosed in the neonates. The first line treatment is a surgical procedure called portoenterotomy (kasai) in which a loop of intestine is connected to the liver to act as a conduit for bile drainage in place of the missing bile ducts. The beneficial effects of this procedure, however, is often short-lived many children went on to require liver transplantation. ...Read more

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Decompression (Definition)

Decompression (surgery), a procedure used to treat spinal stenosis (in spinal decompression), carotid artery stenosis or any condition where a ...Read more


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Whats percutaneous cholecystectomy? Whats transhepatic biliary catheter? Whats biliary stent? Are they effective alternatives to a cholecystectomy?

Possibly: Percutaneous cholecystostomy is a tube placed through the skin into the gb for drainage. Thbc is a tube passed through the skin, the liver, and into the bile duct system, a form of biliary stent. Some stents can be passed into the lower duct using an endoscope through the stomach. Any may be necessary in some cases, but cholecystectomy would be the gold standard in most cases. Good luck. ...Read more

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I have chiari malformation. Decompressed 2012, CSF leak surgery 2012, vp shunt 2013. Carpal tunnel result of chiari? Only small relief after surgeries

I have chiari malformation. Decompressed 2012, CSF leak surgery 2012, vp shunt 2013. Carpal tunnel result of chiari? Only small relief after surgeries

No relationship: Compression of the median nerve at the carpal tunnel has no relationship to the chiari malformation. Patients with chiari i malformation may have syringomyelia, which can cause neck and arm symptoms. However, carpal tunnel syndrome is very specific to the nerve at the wrist. Your neurosurgeon can help distinguish between the two conditions, and explain why you still have symptoms. ...Read more

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What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...Read more

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Hows spinal decompression done?

Surgical: If you have spinal stenosis that require surgery, then a laminectomy is usually the type of surgery that would resolve the tightness. If you have a room that is full of people, and you want to make the room bigger you take the roof off. Essentially the lamina is the roof of the spinal canal and this can be removed to make more room for the spinal nerve elements. ...Read more

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Is surgery for thoracic outlet syndrome curative?

Is surgery for thoracic outlet syndrome curative?

Type of TOS?: Patients with cervical rib, arterial TOS, or Venous TOS may require surgery. Only about 10-15% of patients with symptomatic TOS come to surgery. Success rate somewhere in the 90% range for appropriately chosen patients. Most patients respond to therapy and/or medications. ...Read more

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What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

Need further testing: even though you have had your gallbladder removed . you still can form stones within the common bile duct. which will cause billiary pain. Have your doctor check your liver function tests---if elevated do an ultrasound of the liver ...Read more

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Can biliary hyperkinesia damage gallbladder, pancreas, liver, or biliary tree? My ultrasound was normal, but ejection fraction=91%.

Yes, biliary: Dyskinesia can cause damage, and it can also be a result of pathology in pancreas, liver or biliary tree. Byt 91% ejection is normal. Consult with a surgeon or GI specialist for specific recommendation. ...Read more

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Right upper quadrant pain post gall bladder surgery. Sphincter of Oddi dysfunction or adhesions? Conflicting physician opinion.Need specialty care.

Right upper quadrant pain post gall bladder surgery.  Sphincter of Oddi dysfunction or adhesions? Conflicting physician opinion.Need specialty care.

Can be both: Sphincter of Odi dysfunction can cause gall bladder like pain. Drugs like Morphine Sulfate can cause spasm of the sphincter of Odi with similar pain. Adhesions can also cause similar pain, so both opinions may be correct. A more detailed history will likely help answer your question ...Read more

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Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

C4/5 surgery risks: Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery? ANS: Only you and your team in LA can properly assess risks and benefits of surgery vs watchful waiting in you. You may want to get second opinion as well. Sounds serious to me though. So work with them now. ...Read more

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Biliary dyskinesia--diagnosis and treatment?

Biliary dyskinesia--diagnosis and treatment?

HIDA scan: Diagnosis is made to confirm non function of the gallbladder.An ultrasound will show no stones and be normal. A hida scan will demonstrate decreased function or decreased ejection fraction and most likely produce pain if cck is used. The treatment is gallbladder removal. ...Read more

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What is mild intra and extrahepatic biliary ductal dilatation?

Widened biliary duct: This term comes from the radiologist and GI doctors who look for a dilated biliary duct as evidence of obstruction or blockage of the biliary duct. The intra- and extra- descriptors just refer to where along the rout of the duct they notice the dilation. ...Read more

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Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

GallBladder: "Post- most often relates to "AFTER" and cholecystectomy to the surgical procedure to remove the gallbladder. Post-cholecystectomy = their has been surgical removal of the gallbladder. This term may be used in the patient history or as part of radiology reporting. The common bile duct diameter of 7mm is normal for your age. See http://www.ncbi.nlm.nih.gov/pubmed/21144686 for publication. ...Read more

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Is first rib resection statistically successful for fixing neurogenic thoracic outlet syndrome?

Is first rib resection statistically successful for fixing neurogenic thoracic outlet syndrome?

Yes: It is important that the diagnosis be correct and be confirmed with muscle blocks and the appropriate nerve test. surgery requires that the scalene muscles in the neck be released. this can be done by removing the muscles through the neck, sometimes with rib removal, but rib removal is not always necessary. Success rate is about 90 percent some improvement; 75 percent good improvement. ...Read more

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What is 'pancreas biliary system'?

Pancrease (pancrelipase) and biliar: The biliary system is a collection of tubes that end in gall bladder. The panreatic duct arises in pancreazse and joins common bile duct. This tube empties into small intestine just past end of stomach. ...Read more

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Is surgery effective for thoracic outlet syndrome ?

Is surgery effective for thoracic outlet syndrome ?

Maybe: Before surgery, one should do everything they can to reconstitute the muscle and skeletal systems of the shoulder. My clinical findings implicate weakened muscles that hold up the shoulder and keep the collar bone from collapsing toward the first rib; thereby constricting the space between these two bones. Trapezius muscle strength is of utmost concern, and a good physical therapist can help. ...Read more

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Is transaxillary first rib resection effective and safe for neurogenic thoracic outlet syndrome?

Is transaxillary first rib resection effective and safe for neurogenic thoracic outlet syndrome?

Rob resection: its not a brand new procedure. Your thoracic surgeon will answer your questions about potential outcome and complications. This procedure is done to relieve significant complications of the syndrome. How safe is it to continue with the first rib compression? You must weigh pros and cons of the procedure vs syndrome. ALL surgery is dangerous with potential for significant complications. ...Read more

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Is the recovery from the neurogenic thoracic outlet syndrome surgery hard?

Is the recovery from the neurogenic thoracic outlet syndrome surgery hard?

Sometimes: You should definitely do some physical therapy. Sometimes the nerve discomfort may take some time to resolve. In rare cases it may persist. ...Read more

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Dr. Krishna Kumar
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Biliary (Definition)

Biliary means anything related to the production, storage, secretion, or flow of bile, whether in the liver, bile ducts, gallbladder, ...Read more


Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more