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Doctor insights on: Is The Percutaneous Transhepatic Cholangiography A Risky Thing To Do

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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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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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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?

Needle is inserted: Into your biliary system and they inject a radioopaque dye. They take xray pictures. ...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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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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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 ?

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