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Doctor insights on: Cholangiogram Percutaneous Transhepatic Pthc

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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

Percutaneous (Definition)

In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more


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

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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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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Before I have cholecystectomy, do I have to ask my surgeon to do intra-operative cholangiography, or is this standard procedure during surgery?

Yes, ask: There is still substantial debate whether intraoperative cholangiography (ioc) should be routine or selective. There are clear indications for ioc, such as having elevated bilirubin and common bile duct stone on ultrasound - while having a history of gallstone pancreatitis is a relative indication. If a stone is seen on ioc, some surgeons are facile in removing them, otherwise endoscopic removal. ...Read more

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If my surgeon sees a stone in the pancreatic duct or common bile duct during intra-operative cholangiography, can he remove the stone during surgery?

CBD stones: It depends on the surgeon. If intra-operative cholangiogram is done and showed a stone most would defer it to the GI specialist to do a procedure called ERCP to remove the stones. ...Read more

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Is pthc able to remove gallstones?

Is pthc able to remove gallstones?

Not exactly: Pthc stands for percutaneous transhepatic cholangiography.Translated: a radiologist puts a needle thru the skin into the liver, finds a bile duct (must be dilated), and can inject dye to take a picture of the biliary tree. They can also pass a catheter into this tract and, in extreme situations, use dissolving agents or a basket to remove a bile duct stone (better route via the mouth by ercp). ...Read more

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What are the health risks of percutaneous nephrolithotomy?

What are the health risks of percutaneous nephrolithotomy?

Precut neprolith: Discuss with your team as they know you best. 1. You die from bleeding. 2. You lose the kidney(s) 3. You lose the terrible pain you are having from kidney stones. 4. You live longer because you do not develop renal failure. ...Read more

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How do they do a percutaneous discectomy?

How do they do a percutaneous discectomy?

Through the skin: Percutaneous discectomy is a minimally invasive treatment option for certain types of bulging intervetebral discs that are causing nerve root compression and sciatica. As opposed to open discectomy, which requires general anesthesia and lengthier recovery, percutaneous discectomy can be performed under local anesthesia and light sedation on an outpatient basis with a quick recovery period. ...Read more

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Can you explain a percutaneous discectomy?

Can you explain a percutaneous discectomy?

Minimally invasive: Way of removing a disc thru a small skin incision done as an outpatient without general anesthesia using imaging and special tools like doung a joint arthroscopy. ...Read more

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Why might someone need a percutaneous nephrostomy tube?

Why might someone need a percutaneous nephrostomy tube?

Nephrostomy tube: A percutaneous nephrostomy tube is indicated to drain an obstructed kidney. Decision to place a nephrostomy tube is usually selected when placement of a ureteral stent bridging the ureteral obstruction is not possible and / or one wants to minimize urine draining into the bladder. Another reason for a nephrostomy tube is to provide access to treat a very large kidney stone. www.peedoc.com @drhtay. ...Read more

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Could a percutaneous discectomy make your disk stronger?

Could a percutaneous discectomy make your disk stronger?

Perc discectomy: Indications for this procedure is a symptomatic disc herniation with appropriate nerve pain advantages include sparing the surronding musculature from surgical trauma the disc has already weakened by the disc injury removing thextruded piece won't strenghthen the injured disc. ...Read more

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