AIM: To review the usefulness of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma and identify problems that may need to be addressed.
AIM: To investigate preoperative differential diagnoses made between intrahepatic biliary cystadenoma and intrahepatic biliary cystadenocarcinoma. METHODS: A retrospective analysis of patient data was performed, which...AIM: To investigate preoperative differential diagnoses made between intrahepatic biliary cystadenoma and intrahepatic biliary cystadenocarcinoma. METHODS: A retrospective analysis of patient data was performed, which included 21 cases of intrahepatic biliary cystadenoma and 25 cases of intrahepatic biliary cystadenocarcinoma diagnosed between April 2003 and April 2013 at the General Hospital of PLA. Potential patients were excluded whose diagnoses were not confirmed pathologically. Basic information (including patient age and gender), clinical manifestation, duration of symptoms, serum assay results (including tumor markers and the results of liver function tests), radiological features and pathological results were collected. All patients were followed up. RESULTS: Preoperative levels of cancer antigen 125 (12.51 +/- 9.31 vs 23.20 +/- 21.86, P < 0.05) and carbohydrate antigen 19-9 (22.56 +/- 26.30 vs 72.55 +/- 115.99, P < 0.05) were higher in the cystadenocarcinoma subgroup than in the cystadenoma subgroup. There were no statistically significant differences in age or gender between the two groups, or in pre- or post-operative levels of alanine aminotransferase, aspartate aminotransferase, total bilirubin (TBIL), and direct bilirubin (DBIL) between the two groups. However, eight of the 21 patients with cystadenoma and six of the 25 patients with cystadenocarcinoma had elevated levels of TBIL and DBIL. There were three cases in the cystadenoma subgroup and six cases in the cystadenocarcinoma subgroup with postoperative complications. CONCLUSION: Preoperative differential diagnosis relies on the integration of information, including clinical symptoms, laboratory findings and imaging results. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.展开更多
Intraductal papillary mucinous neoplasm of the bile duct(IPNB)is recognized as a precancerous lesion;however,both its pathogenesis and progression remain unclear.We present here a case of IPNB arising from the gallbla...Intraductal papillary mucinous neoplasm of the bile duct(IPNB)is recognized as a precancerous lesion;however,both its pathogenesis and progression remain unclear.We present here a case of IPNB arising from the gallbladder accompanied by bile duct tumor thrombus in a 79-year-old female.The resected specimen revealed a tubulopapillary adenoma with no malignant cells.This case suggests that even in the absence of malignant cells,these tumors can behave as malignant tumors requiring aggressive treatment.Even if no malignant cells are present,intraepithelial neoplasms occurring in the ampullopancreatobiliary tract can behave as malignant tumors.展开更多
The number of bariatric operations,as well as the incidence of perioperative complications,has risen sharply in the past ten years.Perioperative acute portal vein thrombosis is an infrequent and potentially severe pos...The number of bariatric operations,as well as the incidence of perioperative complications,has risen sharply in the past ten years.Perioperative acute portal vein thrombosis is an infrequent and potentially severe postoperative complication that has not yet been reported after biliopancreatic diversion(BPD).Three cases are presented of portal vein thrombosis that occurred following BPD treatment for morbid obesity and type 2 diabetes.The thromboses were detectedby abdominal ultrasound and computed tomography with intravenous contrast.The portomesenteric venous thromboses in all three cases presented as unexpected abdominal pain several days after discharge from the hospital.The complications occurred despite adequate perioperative prophylaxis and progressed to bowel gangrene in the diabetic patients only.These cases demonstrate the occurrence of this rare type of complication,which may be observed by physicians that do not routinely treat bariatric patients.Awareness of this surgical complication will allow for early diagnosis and prompt initiation of adequate therapy.展开更多
In modern Uygur dictionary the words with "bil" as the root usually mean "know" or "knowledge", while the words that denote "responsibility" or "assume" seldom contain...In modern Uygur dictionary the words with "bil" as the root usually mean "know" or "knowledge", while the words that denote "responsibility" or "assume" seldom contain the root "bil" in their composition. However, ancient Uygur contracts indicate that, the root "bil", originating from "zhi" (知) in ancient Chinese contracts, did have the meaning of responsibility in ancient Uygur language. The use of "bil" in ancient Uygur contracts was a trace left by the ancient Uygur people who absorbed the Han culture of Gaochang region after they migrated to Turpan region and changed their nomadism into the agricultural way of subsistence.展开更多
文摘AIM: To review the usefulness of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma and identify problems that may need to be addressed.
文摘AIM: To investigate preoperative differential diagnoses made between intrahepatic biliary cystadenoma and intrahepatic biliary cystadenocarcinoma. METHODS: A retrospective analysis of patient data was performed, which included 21 cases of intrahepatic biliary cystadenoma and 25 cases of intrahepatic biliary cystadenocarcinoma diagnosed between April 2003 and April 2013 at the General Hospital of PLA. Potential patients were excluded whose diagnoses were not confirmed pathologically. Basic information (including patient age and gender), clinical manifestation, duration of symptoms, serum assay results (including tumor markers and the results of liver function tests), radiological features and pathological results were collected. All patients were followed up. RESULTS: Preoperative levels of cancer antigen 125 (12.51 +/- 9.31 vs 23.20 +/- 21.86, P < 0.05) and carbohydrate antigen 19-9 (22.56 +/- 26.30 vs 72.55 +/- 115.99, P < 0.05) were higher in the cystadenocarcinoma subgroup than in the cystadenoma subgroup. There were no statistically significant differences in age or gender between the two groups, or in pre- or post-operative levels of alanine aminotransferase, aspartate aminotransferase, total bilirubin (TBIL), and direct bilirubin (DBIL) between the two groups. However, eight of the 21 patients with cystadenoma and six of the 25 patients with cystadenocarcinoma had elevated levels of TBIL and DBIL. There were three cases in the cystadenoma subgroup and six cases in the cystadenocarcinoma subgroup with postoperative complications. CONCLUSION: Preoperative differential diagnosis relies on the integration of information, including clinical symptoms, laboratory findings and imaging results. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
基金Supported by Yamamoto Memorial Hospital,Imari City,Saga,Japan
文摘Intraductal papillary mucinous neoplasm of the bile duct(IPNB)is recognized as a precancerous lesion;however,both its pathogenesis and progression remain unclear.We present here a case of IPNB arising from the gallbladder accompanied by bile duct tumor thrombus in a 79-year-old female.The resected specimen revealed a tubulopapillary adenoma with no malignant cells.This case suggests that even in the absence of malignant cells,these tumors can behave as malignant tumors requiring aggressive treatment.Even if no malignant cells are present,intraepithelial neoplasms occurring in the ampullopancreatobiliary tract can behave as malignant tumors.
文摘The number of bariatric operations,as well as the incidence of perioperative complications,has risen sharply in the past ten years.Perioperative acute portal vein thrombosis is an infrequent and potentially severe postoperative complication that has not yet been reported after biliopancreatic diversion(BPD).Three cases are presented of portal vein thrombosis that occurred following BPD treatment for morbid obesity and type 2 diabetes.The thromboses were detectedby abdominal ultrasound and computed tomography with intravenous contrast.The portomesenteric venous thromboses in all three cases presented as unexpected abdominal pain several days after discharge from the hospital.The complications occurred despite adequate perioperative prophylaxis and progressed to bowel gangrene in the diabetic patients only.These cases demonstrate the occurrence of this rare type of complication,which may be observed by physicians that do not routinely treat bariatric patients.Awareness of this surgical complication will allow for early diagnosis and prompt initiation of adequate therapy.
文摘In modern Uygur dictionary the words with "bil" as the root usually mean "know" or "knowledge", while the words that denote "responsibility" or "assume" seldom contain the root "bil" in their composition. However, ancient Uygur contracts indicate that, the root "bil", originating from "zhi" (知) in ancient Chinese contracts, did have the meaning of responsibility in ancient Uygur language. The use of "bil" in ancient Uygur contracts was a trace left by the ancient Uygur people who absorbed the Han culture of Gaochang region after they migrated to Turpan region and changed their nomadism into the agricultural way of subsistence.
