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Doctor insights on: Cholangiogram

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What does a percutaneous cholangiogram feel like?

What does a percutaneous cholangiogram feel like?

Not much really: You should be somewhat sedated for the procedure and if not then (of course) there is going to be local anesthetic administered. You should feel very little discomfort. ...Read more

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What happens during a percutaneous cholangiogram?

What happens during a percutaneous cholangiogram?

Cholangiogram: Percutaneous means through the skin. Cholangiogram means they are putting a contrast into the billiary tree/ ducts to check for obstruction.Definition: an x-ray film of the bile ducts produced after injection of a radiopaque contrast medium. A cholangiogram is routinely performed before or after biliary tract surgery. A postoperative radiogram may be made after injecting an iodinated contrast. ...Read more

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What problem does a t-tube cholangiogram diagnose?

What problem does a t-tube cholangiogram diagnose?

Retained Stones: In the era prior to ercps, stones that left the gallbladder and entered into the common bile duct (cbd) had to be surgically removed by opening the cbd. At the end of the cbd exploration, a t-shaped tube is placed into the bile duct to prevent bile leakage from the duct and to allow a portal of entry into the cbd to retrieve any cbd stones left behind. The t-tube 'gram searches for these stones. ...Read more

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When t tube cholangiogram usually performed, i mean at which day postoperatively ?

When t tube cholangiogram usually performed, i mean at which day postoperatively ?

Any day: but usually before your discharge from hospital , when you are fully ambulatory and eating , for a routine post O P .\ T tube cholangiogram. ...Read more

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I had my gallbladder removed & cholangiogram. It showed minimal mucosal irregularity of cbd due to inflammation. GB had mucosal fibrosis.Advice?

I had my gallbladder removed & cholangiogram.  It showed  minimal mucosal irregularity of cbd due to inflammation.  GB had mucosal fibrosis.Advice?

Asked your surgeon?: Have you asked your surgeon about it? Are you having any symptoms? Usually people with those findings get better after GB removal, but if you are still having problems, you need to talk to your surgeon about it. Sometimes a surgical complication can cause continued or delayed symptoms. ...Read more

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36 year old with cholestasis of pregnancy during 2nd pregnancy. 6 months after delivery liver enzymes were still elevated, but GB been removed.....?

36 year old with cholestasis of pregnancy during 2nd pregnancy.  6 months after delivery liver enzymes were still elevated, but GB been removed.....?

Unexplained weight loss: Assessment and Plan: 36 yo woman G2P2 with PMH sig for intrahepatic cholestasis of pregnancy, cholecystitis, s/p cholycystecomy presents with unexplained weight loss, elevated transaminases of unknown level >6 mo,polyarthralgia, fatigue,nausea, and dysmenorrhea. You need to be referred to multiple specialists for evaluation of your medical problems. 1. Gastroenterology/Hepatology- CT/MRI scan of liver indicated ,repeat ERCP if indicated. Consider liver biopsy since liver enzymes elevated >6 months. Evaluate all meds, alcohol use, family history of hemochromatosis, NASH. Serology for TSH, Iron, Ferritin, TIBC, alpha-1 antitrypsin, liver function, Hepatitis serologies, ANA, H. Pylori test, and other labs as indicated. 2. OB/GYN- Your painful periods/ dysmenorrhea can be best evaluated by a OB/GYN specialist. 3. Internal Medicine-workup other causes wt. loss, fatigue, joint pain based on med history/ meds. These referrals should be a good start. Good luck. ...Read more

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27 yr-old woman with 2 yrs of bad intermittent epigastric pain, persisting after cholecystectomy, without a clear diagnosis, after evaluation.....?

27 yr-old woman with 2 yrs of bad intermittent epigastric pain, persisting after cholecystectomy, without a clear diagnosis, after evaluation.....?

May be gluten sensitivity: although celiac disease is relatively uncommon, gluten sensitivity appears to be relatively common. I am surprised that this diagnosis does not appear to have been considered. ...Read more

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Can you describe what cholangiography is?

Can you describe what cholangiography is?

Bile Duct X-ray: A cholangiogram is an x-ray of the bile duct utilizing an injection of dye in order to look for abnormalities such as bile duct stones, strictures, tumors, etc. The injection may be performed by a surgeon at the time of gallbladder surgery, by a gastroenterologist at the time of an ercp, or by a radiologist, by using ct- or ultrasound guidance, to inject through the liver. ...Read more

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Are there any risks of percutaneous cholangiography?

Are there any risks of percutaneous cholangiography?

Several: Bile may leak out of the bile ducts, infection an bleeding are the most common. ...Read more

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Is the percutaneous transhepatic cholangiography a risky thing to do?

Is the percutaneous transhepatic cholangiography a risky thing to do?

No, but...: There are less invasive ways to image the biliary tree, like ultrasound, ERCP (by a gastroenterologist) and mrcp (mri). If there is some blockage, drainage can usually be achieved by a gastroenterologist, with percutaneous drainage reserved for cases that cannot be treated by a gastroenterologist. While percutaneous biliary imaging and interventions do not have high risk, less risky options exist. ...Read more