Biliary
Choledochal Cyst:
A choledochal cyst is a congenital anomaly of the duct (tube) that carries bile from the liver to the gall bladder and small intestine. The liver produces bile that is required to digest food. When a patient has a choledochal cyst, it results in cystic dilatation of that duct, forcing the bile to back up in the liver.
Commonly, in paediatric patients, there are complaints of abdominal pain, jaundice, and right upper quadrant mass.
Choledochal cysts are generally treated by a laparoscopic procedure. This involves the surgical removal of the cyst, thereby ensuring the smooth flow of bile from the liver to the small intestine.
Bile duct stricture and Bile duct cancer treatment in Bangalore
Cholangiocarcinoma:
Cholangiocarcinoma is a cancer, also called bile duct cancer, that forms in the bile ducts.
Cholangiocarcinoma is classified into two types.
Hilar cholangiocarcinoma, which occurs in the bile ducts just outside of the liver, This type is also called perihilar cholangiocarcinoma.
Distal cholangiocarcinoma, which occurs in the portion of the bile duct nearest the small intestine. This type is also called extrahepatic cholangiocarcinoma. Bile duct strictures, often benign, may be treated with endoscopy or surgery. On the other hand, bile duct cancer demands a more aggressive approach, involving surgery, chemotherapy, or radiation, so meet an expert and get a consultation for bile duct stricture and bile duct cancer treatment in Bangalore.
Signs and symptoms of cholangiocarcinoma include:
- Yellowing of your skin and the whites of your eyes (jaundice)
- Intensely itchy skin
- White-coloured stools
- Fatigue
- Abdominal pain on the right side, just below the ribs
- Losing weight without trying
- Fever
- Night sweats
- Dark urine
Complex Bile Duct Injuries :
Laparoscopic cholecystectomy is the present treatment of choice for patients with gallbladder stones. Though it is a safe procedure, either due to significant inflammation around the gallbladder or due to the variable anatomy of the biliary system, bile duct injury can occur in around 0.6% of the cases, i.e., 6 in 1000 cases. Most bile duct injuries are complex for the non-specialised HPB surgeon, i.e., surgeons who are specialised in HPB surgery obtain better results in the treatment of this pathology than those who are not.
Choledochal cysts are generally treated by a laparoscopic procedure. This involves the surgical removal of the cyst, thereby ensuring the smooth flow of bile from the liver to the small intestine.
Complex Bile duct injury is defined by
a.Injuries that involve the hepatic duct confluence
b.High stenosis with previous repair attempts.
c.Any biliary injury associated with a vascular injury.
d.Biliary injuries associated with portal hypertension or secondary biliary cirrhosis.
These lesions represent an intricate disease that is difficult to diagnose and treat. Inadequate procedures, multiple interventions performed by inexperienced surgeons, and delayed referrals to specialised centres may result in late complications, sometimes requiring liver transplantation as the only possible treatment.
Understanding the impact of rare yet complex biliary injuries and their efficient management is thus crucial to attaining optimal patient outcomes when these injuries are encountered. Early identification and specialised repair of complex biliary injuries is essential to minimising patient morbidity.
Understanding the impact of rare yet complex biliary injuries and their efficient management is thus crucial to attaining optimal patient outcomes when these injuries are encountered. Early identification and specialised repair of complex biliary injuries is essential to minimising patient morbidity.