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Doctor insights on: Percutaneous Transhepatic Cholangiogram

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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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What's percutaneous cholecystectomy? What's transhepatic biliary catheter? What's biliary stent? Are they effective alternatives to a cholecystectomy?

What's percutaneous cholecystectomy? What's transhepatic biliary catheter? What's 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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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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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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How much it will hurt to have a percutaneous discectomy?

How much it will hurt to have a percutaneous discectomy?

Varies: Most patients who undergo a percutaneous discectomy do not report much discomfort. Be aware that most surgeons do not advocate these procedures due to consistent reproducable results. Make sure your doctor has hospital, not just ambulatory, privileges to perform these procedures and is qualified to take care of any complications. ...Read more

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What does it mean to have percutaneous thoracic discectomy?

What does it mean to have percutaneous thoracic discectomy?

Cool way to operate: Minimally invasive way to remove a portion of a herniated disc in the mid back region. I found a great website with explanation and quote part below in comments. ...Read more

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What is the procedure for removal of a percutaneous nephrostomy tube?

What is the procedure for removal of a percutaneous nephrostomy tube?

Very simple: Generally the procedure is simple and painless. The doctor will usually cut the catheter on the outside of the body. Once that is done, the locking loop on the inside is "unlocked" which allows the tube to slide right out. ...Read more

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What is percutaneous nephrolithotomy or nephrolithotripsy like? I might need it.

Kidney stones: Under anesthetic, a needle is passes through the skin to the site of kidney stone, either to remove it or to shoot it woth a form of energy that lakes it break into smaller pieces that can pass in the urine. ...Read more

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If alcohol is carcinogenic then how does percutaneous ethanol injections kill tumor cells? It seems counterintuitive

If alcohol is carcinogenic then how does percutaneous ethanol injections kill tumor cells? It seems counterintuitive

Concentration: Its the concentration that matters. A small amount could be carcinogenic. A large amount is lethal to cells. ...Read more

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What is the definition or description of: percutaneous?

See below: 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 to a blood vessel. ...Read more

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Can you tell me about percutaneous angioplaste with a stint?

It is: A semi-invasive treatment for coronary artery narrowings of certain kinds and locations. A baloon dilates the artery and a stent (small tube) keeps it open.

Hope this helps
BTW the procedure is a lot more cmplex but will be explained in detail to patients prior to it being done!!! ...Read more

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How healthy is percutaneous cholecystostomy?

Why?: Percutaneous cholecystostomy is usually reserved for people too ill to have a laparoscopic cholecystectomy. Why can't you have surgery. ...Read more

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What is percutaneous nephrolithotomy?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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How is a percutaneous nephrolithotomy done?

How is a percutaneous nephrolithotomy done?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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What is pcnl (percutaneous nephrolithotomy)?

What is pcnl (percutaneous nephrolithotomy)?

PCNL: Minimally invasive surgery for removal of large kidney stone/s. Nephrostomy tube (catheter) is placed in kidney thru skin in back or flank, either under local anesthetic & with sedation or general anesthesia day before or day of procedure. Then nephroscope (kidney telescope) passed thru catheter channel, stone is visualized & broken up with laser or percussion "gun" & fragments are irrigated out. ...Read more

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What are risks of percutaneous nephrolithotomy?

See list: Bleeding
infection (sepsis)
damage to internal organs
lung collapse/fluid in chest cavity
loss of kidney. ...Read more

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Can you tell me how is a percutaneous nephrolithotomy performed?

Keyhole: PCNL is performed through a tiny puncture in the back which allows a scope to be passed directly into the kidney. This is done under anesthesia and usually requires less than2 days in the hospital ...Read more

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What is the expected recovery time and lifting limitation following a PNL (percutaneous nephrolithotomy) assuming no complications?

Depends: Depends on the skill of the urologist and type of anesthesia used and other medical conditions you may have. Ask this question of your urologist who knows you best. ...Read more

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Is lithotripsy better or percutaneous nephrolithotomy better?

Is lithotripsy better or percutaneous nephrolithotomy better?

It depends: Larger (>20 mm or >10-15 mm in lower pole) stones are probably best treated via percutaneous approach (pcnl). Shockwave lithotripsy (swl) may be less invasive for smaller stones. Swl (and ureteroscopy) may be combined with pcnl to remove all stone material.

Pcnl typically requires inpatient hospitalization, more pain, risk of bleeding, but is more likely to result in complete stone clearance. ...Read more

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Can you explain percutaneous transluminal coronary angioplasty?

Can you explain percutaneous transluminal coronary angioplasty?

Catheter based: A catheter is placed in an artery leg or arm a ballon expands and dilates the blood vessel to correct the narrowing. ...Read more

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Will the needle or i.V. Hurt during the percutaneous discectomy?

Yes: A percutaneous discectomy is a surgical procedure in which the central portion of an intervertebral disc is accessed and removed through a cannula. ...Read more

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How long does the percutaneous transluminal coronary angioplasty take?

How long does the percutaneous transluminal coronary angioplasty take?

Until done.: The time varies by the ease of vascular access, the quality of the vessels, the lenght and diameter of the lesion and until revascularization goal is accomplished. This may take a few minutes to several hours. Talk to your cardiologist. ...Read more