Doctor insights on:
What Happens During A Percutaneous Cholangiogram
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
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
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
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
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 moreSee 2 more doctor answers
27 yr-old woman with 2 yrs of bad intermittent epigastric pain, persisting after cholecystectomy, without a clear diagnosis, after evaluation.....?
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 moreSee 1 more doctor answer
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