MyMedR

Fulltext Biliary ascariasis: extraction

Rahimi M, Mohamad IS, Yahya MM, Mohammad Azmi MAF, Voon Meng L

Endoscopy, 2024 Dec;56(S 01):E195-E196.

PMID: 38388953 DOI: 10.1055/a-2258-8436

Matched MeSH terms: Biliary Tract Diseases*

EUS and hepatobiliary disease

Ponnudurai R

Med J Malaysia, 2005 Jul;60 Suppl B:81-2.

PMID: 16108181

Matched MeSH terms: Biliary Tract Diseases/ultrasonography*

Fulltext Ultrasound diagnosis of liver and biliary tract lesions

Md Alif AK

Med J Malaysia, 1981 Jun;36(2):100-3.

PMID: 7343816

Over a two year period, 323 livers were examined using ultrasound. Majority of these cases were icteric and ultrasound could distinguish obstructive from non-obstructive jaundice. Primary and secondary liver tumours were also detected. Liver abscesses, and radiolucent gallstones were picked up by ultrasound, the areas under study being scanned using standard methods as outlined by various ultrasonographists.

Matched MeSH terms: Biliary Tract Diseases/diagnosis*

Biliary cystadenoma: A rare occurrence

Peh KH, Eugene Chan BT

Med J Malaysia, 2020 05;75(3):307-308.

PMID: 32467552

Biliary cystadenoma is a rare benign tumour with the potential to transform into malignant carcinoma of the biliary ductal system. There is difficulty in differentiating a benign one from a malignant biliary cystadenoma, and therefore these lesions should always be completely resected. We report a case of biliary cystadenoma which underwent a complete resection.

Matched MeSH terms: Biliary Tract/physiopathology*

STUDIES ON ECHINOSTOMATIDAE IN MALAYA. IV. THE ANIMAL HOSTS OF ECHINOSTOMA MALAYANUM LEIPER, 1911 (TREMATODA)

JOE LK

Z Parasitenkd, 1963 Aug 12;23:136-40.

PMID: 14047085

Matched MeSH terms: Biliary Tract*

Fulltext Portal biliopathy

Ho C, Gunn A, Noordin M

Med J Malaysia, 2014 Oct;69(5):236-7.

PMID: 25638241 MyJurnal

Portal biliopathy is a term to describe the spectrum of abnormalities of the entire biliary tract or gallbladder associated with portal hypertension. The most common cause of portal biliopathy is extra-hepatic portal vein obstruction (EHPVO). We report a case of patient with portal biliopathy presenting with bleeding varices.

Matched MeSH terms: Biliary Tract

Fulltext Biliary ascariasis

Ding PH

Med J Malaysia, 1995 Mar;50(1):118-9.

PMID: 7752968

Matched MeSH terms: Biliary Tract Diseases/diagnosis*; Biliary Tract Diseases/drug therapy; Biliary Tract Diseases/surgery

Fulltext Biliary cystadenoma - computed tomography findings

Ariff A, Hassan H, John G

Malays J Med Sci, 2002 Jan;9(1):49-51.

PMID: 22969318

Biliary cystadenoma is a rare neoplasm of the biliary ductal system. Surgical management yields an excellent result. We present a case of recurrent biliary cystadenoma in the left lobe of the liver. The cyst was successfully treated with hepatic segmentectomy. The lobulated smoothly marginated septated cystic lesion noted on computed tomography (CT) were highlighted and the other imaging studies, differential diagnosis and management were reviewed.

Matched MeSH terms: Biliary Tract

Biliary-tract disease in Malaya

King MS

Br J Surg, 1971 Nov;58(11):829-32.

PMID: 5124853

Matched MeSH terms: Biliary Tract Diseases/epidemiology*; Biliary Tract Diseases/surgery

Fulltext Choledochal cyst and aberrant biliary configuration along with situs inversus totalis: a case report

Gan DEY, Alagoo D, Chan KH, Choi RXY, Sellappan H, Sharif MS, et al.

Pan Afr Med J, 2021;38:398.

PMID: 34381542 DOI: 10.11604/pamj.2021.38.398.29228

Situs inversus totalis is the complete transpositioning of thoracoabdominal viscera into a mirror image of the normal configuration. Choledochal cyst is the congenital cystic dilation of the biliary tract. Both these conditions coexisting in a patient is extremely rare. We hereby present a case of type IC choledochal cyst in a patient with situs inversus totalis presenting with biliary sepsis secondary to choledocholithiasis. Also detailed are the management and operative strategies employed to deal with this rare entity.

Matched MeSH terms: Biliary Tract Diseases/diagnosis; Biliary Tract Diseases/pathology

Fulltext Dilated common bile duct in opium addicts with and without biliary symptoms --implication for research in AIDS cholangiopathy

Chuah SY, Leong CK, Pang CW

Singapore Med J, 2003 May;44(5):261-7.

PMID: 13677363

Opium addicts (OA) with no biliary symptoms have been shown to have dilated common bile duct (CBD). Endoscopic retrograde cholangio-pancreatography (ERCP) without biliary drainage in such asymptomatic OA is hazardous. Hence it is not indicated unless there are clear clinical and laboratory evidences of biliary stasis.

Matched MeSH terms: Biliary Tract Diseases/chemically induced*; Biliary Tract Diseases/diagnosis*

Fulltext Observational study on cannulation rate during ERCP at hospital alor setar

Sivasubramaniam M, Naidu RR

Malays J Med Sci, 2001 Jan;8(1):25-30.

PMID: 22973152 MyJurnal

ERCP (Endoscopic Retrograde Cholangiopancreaticography) was introduced in this hospital in late 1995. Since then, a lot of improvement have been achieved in the management of biliary tract diseases. Various general surgeons posted to this hospital have been trained in this procedure. A study was done to include all patients admitted for ERCP from August 1998 to July 1999. A total of 322 new patients with a mean of 26.9 cases a month had underwent this procedure. The duration of cannulation varied from 2 minutes to 45 minutes with a mean of 12 minutes. Cannulation rate by various surgeons differed. Overall success rate was 80%. Mortality was 0.6 % and morbidity was 0.9%. ERCP is safe and it takes at least 6 months of regular duodenoscopy before one can master the technique. Achieving 80% cannulation rate, has definitely reduced unnecessary common bile duct (CBD) explorations. During this study we have trained various surgeons in this procedure and at least 2 surgeons could be credentialled according to the guidelines provided by the Malaysian Society of Gastroenterology and Hepatology. During this study we have identified various reasons for the failure of cannulation which are useful for future training of endoscopists.

Matched MeSH terms: Biliary Tract Diseases

A computer-aided multidisease diagnostic system using MRCP

Logeswaran R

J Digit Imaging, 2008 Jun;21(2):235-42.

PMID: 17345003

Automated computer analysis of magnetic resonance cholangiopancreatography (MRCP) (a focused magnetic resonance imaging sequence for the pancreatobiliary region of the abdomen) images for biliary diseases is a difficult problem because of the large inter- and intrapatient variations in the images, varying acquisition settings, and characteristics of the images, defeating most attempts to produce computer-aided diagnosis systems. This paper proposes a system capable of automated preliminary diagnosis of several diseases affecting the bile ducts in the liver, namely, dilation, stones, tumor, and cyst. The system first identifies the biliary ductal structure present in the MRCP images, and then proceeds to determine the presence or absence of the diseases. Tested on a database of 593 clinical images, the system, which uses visual-based features, has shown to be successful in delivering good performance of 70-90% even in the presence of multiple diseases, and may be useful in aiding medical practitioners in routine MRCP examinations.

Matched MeSH terms: Biliary Tract Diseases/diagnosis*

Fulltext Hepatic calculi

Balasegaram M

Ann Surg, 1972 Feb;175(2):149-54..

PMID: 5059599

Matched MeSH terms: Biliary Tract Diseases/complications

Fulltext Biliary ascariasis from a rural setting: a case study

Sai Sanjeev M., Lum, L.C.

Medicine & Health, 2012;7(2):102-106.

MyJurnal

Ascariasis is a common helminthic infestation in Malaysia, particularly in rural settings. Ascariasis lumbricoides normally lives in the upper small bowel without causing symptoms. Complications arise when these worms migrate into the bile duct (biliary ascariasis). A case of biliary ascariasis presenting as biliary colic is described. Patient presented with 2 days duration of right upper quandrant pain at the district hospital. Initial investigations were suggestive of acute cholecystitis and patient was treated with empirical antibiotics. However, due to worsening symptoms, she was transferred to the nearest tertiary setting. The diagnosis of helminthic biliary infestation was established using both ultrasound of the hepato-biliary system (HBS), CT-Scan abdomen and endoscopic retrograde cholangio-pancreatography (ERCP). Endoscopic removal of the worm led to rapid resolution of symptoms and patient was discharged home well.

Matched MeSH terms: Biliary Tract; Biliary Tract Diseases

Fulltext Circulating copper and zinc levels and risk of hepatobiliary cancers in Europeans

Stepien M, Hughes DJ, Hybsier S, Bamia C, Tjønneland A, Overvad K, et al.

Br J Cancer, 2017 Feb 28;116(5):688-696.

PMID: 28152549 DOI: 10.1038/bjc.2017.1

BACKGROUND: Copper and zinc are essential micronutrients and cofactors of many enzymatic reactions that may be involved in liver-cancer development. We aimed to assess pre-diagnostic circulating levels of copper, zinc and their ratio (Cu/Zn) in relation to hepatocellular carcinoma (HCC), intrahepatic bile duct (IHBD) and gall bladder and biliary tract (GBTC) cancers.

METHODS: A nested case-control study was conducted within the European Prospective Investigation into Cancer and Nutrition cohort. Serum zinc and copper levels were measured in baseline blood samples by total reflection X-ray fluorescence in cancer cases (HCC n=106, IHDB n=34, GBTC n=96) and their matched controls (1:1). The Cu/Zn ratio, an indicator of the balance between the micronutrients, was computed. Multivariable adjusted odds ratios and 95% confidence intervals (OR; 95% CI) were used to estimate cancer risk.

RESULTS: For HCC, the highest vs lowest tertile showed a strong inverse association for zinc (OR=0.36; 95% CI: 0.13-0.98, Ptrend=0.0123), but no association for copper (OR=1.06; 95% CI: 0.45-2.46, Ptrend=0.8878) in multivariable models. The calculated Cu/Zn ratio showed a positive association for HCC (OR=4.63; 95% CI: 1.41-15.27, Ptrend=0.0135). For IHBC and GBTC, no significant associations were observed.

CONCLUSIONS: Zinc may have a role in preventing liver-cancer development, but this finding requires further investigation in other settings.

Matched MeSH terms: Biliary Tract Neoplasms/epidemiology*

Prospective association of liver function biomarkers with development of hepatobiliary cancers

Stepien M, Fedirko V, Duarte-Salles T, Ferrari P, Freisling H, Trepo E, et al.

Cancer Epidemiol, 2016 Feb;40:179-87.

PMID: 26773278 DOI: 10.1016/j.canep.2016.01.002

INTRODUCTION: Serum liver biomarkers (gamma-glutamyl transferase, GGT; alanine aminotransferase, ALT; aspartate aminotransferase, AST; alkaline phosphatase, ALP; total bilirubin) are used as indicators of liver disease, but there is currently little data on their prospective association with risk of hepatobiliary cancers.

METHODS: A nested-case control study was conducted within the prospective EPIC cohort (>520,000 participants, 10 European countries). After a mean 7.5 mean years of follow-up, 121 hepatocellular carcinoma (HCC), 34 intrahepatic bile duct (IHBC) and 131 gallbladder and biliary tract (GBTC) cases were identified and matched to 2 controls each. Circulating biomarkers were measured in serum taken at recruitment into the cohort, prior to cancer diagnosis. Multivariable adjusted conditional logistic regression was used to calculate odds ratios and 95% confidence intervals (OR; 95%CI).

RESULTS: In multivariable models, 1SD increase of each log-transformed biomarker was positively associated with HCC risk (OR(GGT)=4.23, 95%CI:2.72-6.59; OR(ALP)=3.43, 95%CI:2.31-5.10;OR(AST)=3.00, 95%CI:2.04-4.42; OR(ALT)=2.69, 95%CI:1.89-3.84; OR(Bilirubin)=2.25, 95%CI:1.58-3.20). Each liver enzyme (OR(GGT)=4.98; 95%CI:1.75-14.17; OR(AST)=3.10, 95%CI:1.04-9.30; OR(ALT)=2.86, 95%CI:1.26-6.48, OR(ALP)=2.31, 95%CI:1.10-4.86) but not bilirubin (OR(Bilirubin)=1.46,95%CI:0.85-2.51) showed a significant association with IHBC. Only ALP was significantly associated with GBTC risk (OR(ALP)=1.59, 95%CI:1.20-2.09).

CONCLUSION: This study shows positive associations between circulating liver biomarkers in sera collected prior to cancer diagnoses and the risks of developing HCC or IHBC, but not GBTC.

Matched MeSH terms: Biliary Tract Neoplasms/metabolism; Biliary Tract Neoplasms/epidemiology*; Biliary Tract Neoplasms/pathology

Fulltext Choledochal cyst in pregnancy

Koh KS, Bickle I, Mathew VV, Chong VH

Malays Fam Physician, 2016;11(2-3):27-29.

PMID: 28491243

INTRODUCTION: Biliary diseases during pregnancy are not uncommon and are frequently due to cholelithiasis. Choledochal cyst during pregnancy is rare. The management of biliary pathologies during pregnancy poses a challenge as the window of opportunity to carry out any interventions with minimal risk is small.

CASE REPORT: We report the case of a lady who was diagnosed with a large type I choledochal cyst during the second trimester of pregnancy. Due to increasing symptoms and recurrent cholangitis, she was managed with antibiotics and surgical resection. She remained well and delivered a healthy baby boy.

CONCLUSION: Clinicians need to consider choledochal cyst as a differential in pregnant patients presenting with upper abdominal fullness.

Matched MeSH terms: Biliary Tract

Improved biliary detection and diagnosis through intelligent machine analysis

Logeswaran R

Comput Methods Programs Biomed, 2012 Sep;107(3):404-12.

PMID: 21194781 DOI: 10.1016/j.cmpb.2010.12.002

This paper reports on work undertaken to improve automated detection of bile ducts in magnetic resonance cholangiopancreatography (MRCP) images, with the objective of conducting preliminary classification of the images for diagnosis. The proposed I-BDeDIMA (Improved Biliary Detection and Diagnosis through Intelligent Machine Analysis) scheme is a multi-stage framework consisting of successive phases of image normalization, denoising, structure identification, object labeling, feature selection and disease classification. A combination of multiresolution wavelet, dynamic intensity thresholding, segment-based region growing, region elimination, statistical analysis and neural networks, is used in this framework to achieve good structure detection and preliminary diagnosis. Tests conducted on over 200 clinical images with known diagnosis have shown promising results of over 90% accuracy. The scheme outperforms related work in the literature, making it a viable framework for computer-aided diagnosis of biliary diseases.

Matched MeSH terms: Biliary Tract/pathology*

Radiology and disease patterns in Malaysia

Wastie ML

Trop Geogr Med, 1975 Mar;27(1):17-24.

PMID: 1138449

The organisation of the radiological services in Malaysia is described and those diseases in which radiology plays an important part in diagnosis are discussed. As radiology embraces all specialities a pattern of diseases emerges which is different from that seen in the West. The control of infectious diseases, the general improvement in health care and the more sophisticated radiological investigations now available mean that in future radiology will play a much more important part in diagnosis and management of patients.

Matched MeSH terms: Biliary Tract Diseases/radiography

Displaying publications 1 - 20 of 23 in total