Role of liver function tests (LFT) and ultrasound scan in identifying choledocholithiasis in patients with prior endoscopic sphincterotomy (ES)

2000 ◽  
Vol 95 (9) ◽  
pp. 2478-2478
Author(s):  
Seth Gendler ◽  
Piyush K. Dhanuka ◽  
Mechery Davis
2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Jayapal Ramesh ◽  
Nipun Reddy ◽  
Hwasoon Kim ◽  
Klaus Mönkemüller ◽  
Shyam Varadarajulu ◽  
...  

Background. Abnormal liver enzymes postorthotopic liver transplant (OLT) may indicate significant biliary pathology or organ rejection. There is very little known in the literature regarding the current role of diagnostic ERCP in this scenario. Aim. To review the utility of diagnostic ERCP in patients presenting with abnormal liver function tests in the setting of OLT. Methods. A retrospective review of diagnostic ERCPs in patients with OLT from 2002 to 2013 from a prospectively maintained, IRB approved database. Results. Of the 474 ERCPs performed in OLT patients, 210 (44.3%; 95% CI 39.8–48.8) were performed for abnormal liver function tests during the study period. Majority of patients were Caucasian (83.8%), male (62.4%) with median age of 55 years (IQR 48–62 years). Biliary cannulation was successful in 99.6% of cases and findings included stricture in 45 (21.4 %); biliary stones/sludge in 23 (11%); biliary dilation alone in 31 (14.8%); and normal in 91 (43.3%). Three (1.4%) patients developed mild, self-limiting pancreatitis; one patient (0.5%) developed cholangitis and two (1%) had postsphincterotomy bleeding. Multivariate analyses showed significant association between dilated ducts on imaging with a therapeutic outcome. Conclusion. Diagnostic ERCP in OLT patients presenting with liver function test abnormalities is safe and frequently therapeutic.


Author(s):  
Javier Mateu‐de Antonio ◽  
María Teresa Miana‐Mena ◽  
Eva Martínez‐Bernabé ◽  
Juan González‐Valdivieso ◽  
David Berlana ◽  
...  

CNS Drugs ◽  
1998 ◽  
Vol 10 (5) ◽  
pp. 321-328 ◽  
Author(s):  
Dieter Schmidt ◽  
Hartmut Siemes

2003 ◽  
Vol 163 (5) ◽  
pp. 615 ◽  
Author(s):  
Robert P. Baughman ◽  
Allison Koehler ◽  
Pablo A. Bejarano ◽  
Elyse E. Lower ◽  
Fredrick L. Weber

2019 ◽  
Vol 5 (4) ◽  
pp. 20180123
Author(s):  
Chhaya Keshvala ◽  
Leena Naidu

A 25-year-old female presented with a sore throat, fever and epigastric pain after coming from India. She had an obstructive pattern of liver function tests and an ultrasound scan abdomen showed features suggestive of acute cholecystitis and pancreatitis, with no obvious gallstones. She made no improvement with intravenous antibiotics. Subsequently, a contrast CT demonstrated a curvilinear structure within a thickened gallbladder and common bile duct. After input from multiple specialities, she had a MR cholangiopancreatography (MRCP) which further confirmed the curvilinear filling defect impacted in the gallbladder neck and proximal common bile duct. Biliary ascariasis with mild pancreatitis was diagnosed and was successfully treated with mebendazole. At one-month outpatient follow-up, her liver function tests and ultrasound scan had returned to normal. This case report discusses the radiological findings seen with biliary ascariasis using a range of imaging modalities. It also highlights the importance of the multidisciplinary team in managing a patient who presents a diagnostic challenge, in order to achieve the best patient outcome.


2012 ◽  
Vol 675 (1-3) ◽  
pp. 1-5 ◽  
Author(s):  
Bruno Stieger ◽  
Michal Heger ◽  
Wilmar de Graaf ◽  
Gustav Paumgartner ◽  
Thomas van Gulik

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