Endoscopic Biliary Drainage in Surgically Altered Anatomy

Marco Spadaccini, Carmelo Marco Giacchetto, Matteo Fiacca, Matteo Colombo, Marta Andreozzi, Silvia Carrara, Roberta Maselli, Fabio Saccà, Alessandro De Marco, Gianluca Franchellucci, Kareem Khalaf, Glenn Koleth, Cesare Hassan, Andrea Anderloni, Alessandro Repici, Alessandro Fugazza, Keisuke Iwata · 2023

Read Endoscopic Biliary Drainage in Surgically Altered Anatomy by Marco Spadaccini, Carmelo Marco Giacchetto, Matteo Fiacca, Matteo Colombo, Marta Andreozzi, Silvia Carrara, Roberta Maselli, Fabio Saccà, Alessandro De Marco, Gianluca Franchellucci, Kareem Khalaf, Glenn Koleth, Cesare Hassan, Andrea Anderloni, Alessandro Repici, Alessandro Fugazza, Keisuke Iwata (2023) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-10742737.txt.

Description

Draining a blocked bile duct through an endoscope is standard care, unless surgery has rearranged the gut. Marco Spadaccini and co-authors review that harder problem in a 2023 article. Weight-loss operations and pancreas surgery increasingly leave anatomies where the usual side-viewing scope cannot reach the duct's opening.

The review walks through the work-arounds. Forward-viewing scopes with caps and long enteroscopes can sometimes complete the classic procedure, but they are slow and technically demanding. Ultrasound-guided approaches have changed the field most, letting doctors drain the duct through new routes, including a rendezvous method where two approaches meet. Older fallbacks, drainage through the skin or open surgery, remain in reserve. The authors map which technique fits which altered anatomy.

Catalog record

CREATORMarco Spadaccini, Carmelo Marco Giacchetto, Matteo Fiacca, Matteo Colombo, Marta Andreozzi, Silvia Carrara, Roberta Maselli, Fabio Saccà, Alessandro De Marco, Gianluca Franchellucci, Kareem Khalaf, Glenn Koleth, Cesare Hassan, Andrea Anderloni, Alessandro Repici, Alessandro Fugazza, Keisuke Iwata
YEAR2023
COLLECTIONPAPERS
FORMATTXT
FILE SIZE37 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC10742737

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