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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?

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

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.....?

Consult doctor: As you mention that you are having nausea ,may be you are not eating enough to avoid nausea . are you taking any medicine for it .discuss with doctorYour consistent persisting problem is loss of weight ,while your present test -ALT, AST and alkaline phosphatase result are almost O.K..It may be good idea to rule out -any gastrointestinal disorder which is affecting your digestive process or to test for chronic viral disease and to be tested autoimmune diseases . Better discuss with your doctoryour doctor . parasitic infection are also known for weight loss , get your stool examination .Hope you get better ,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.....?

Even with the fact-: -that Ur GB has been removed, U R still susceptible 2 ulcers both gastric & duodenal. Also esophageal reflux disease, all of which fit Ur complaints ...Read more

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