Ischemic mass effect from biliary surgical clips
Migrating surgical clips in the hepatic hilum are known causes of biliary stricture or obstruction, most often due to direct intraluminal obstruction or secondary stone formation. Two cases are reported on patients with previous cholecystectomies presenting with delayed symptoms of biliary tract str...
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| Veröffentlicht in: | Journal of laparoendoscopic & advanced surgical techniques. Part A 2008-02, Vol.18 (1), p.84-87 |
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| container_title | Journal of laparoendoscopic & advanced surgical techniques. Part A |
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| creator | Mateo, Rod Tsai, Steven Stapfer, Maria V Sher, Linda S Selby, Rick Genyk, Yuri S |
| description | Migrating surgical clips in the hepatic hilum are known causes of biliary stricture or obstruction, most often due to direct intraluminal obstruction or secondary stone formation. Two cases are reported on patients with previous cholecystectomies presenting with delayed symptoms of biliary tract stricture. Both patients were successfully treated with a resection of the strictured area and a Roux-en-Y hepatico-jejunostomy. Resected specimens grossly demonstrated surgical clips adjacent to the stricture, but not directly within the lumen, suggestive of an ischemic mass effect, which was supported by histology. In addition to the direct intraluminal obstruction and lithogenic effects of migratory surgical clips, "clipomas" due to an ischemic mass effect can also lead to biliary tract strictures. |
| doi_str_mv | 10.1089/lap.2006.0188 |
| format | Article |
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Two cases are reported on patients with previous cholecystectomies presenting with delayed symptoms of biliary tract stricture. Both patients were successfully treated with a resection of the strictured area and a Roux-en-Y hepatico-jejunostomy. Resected specimens grossly demonstrated surgical clips adjacent to the stricture, but not directly within the lumen, suggestive of an ischemic mass effect, which was supported by histology. In addition to the direct intraluminal obstruction and lithogenic effects of migratory surgical clips, "clipomas" due to an ischemic mass effect can also lead to biliary tract strictures.</description><identifier>ISSN: 1092-6429</identifier><identifier>EISSN: 1557-9034</identifier><identifier>DOI: 10.1089/lap.2006.0188</identifier><identifier>PMID: 18266581</identifier><language>eng</language><publisher>United States</publisher><subject>Cholangiopancreatography, Endoscopic Retrograde ; Cholecystectomy ; Common Bile Duct Diseases - etiology ; Common Bile Duct Diseases - pathology ; Common Bile Duct Diseases - surgery ; Female ; Foreign-Body Migration ; Humans ; Ischemia - etiology ; Ischemia - pathology ; Middle Aged ; Postoperative Complications ; Surgical Instruments - adverse effects</subject><ispartof>Journal of laparoendoscopic & advanced surgical techniques. 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In addition to the direct intraluminal obstruction and lithogenic effects of migratory surgical clips, "clipomas" due to an ischemic mass effect can also lead to biliary tract strictures.</description><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Cholecystectomy</subject><subject>Common Bile Duct Diseases - etiology</subject><subject>Common Bile Duct Diseases - pathology</subject><subject>Common Bile Duct Diseases - surgery</subject><subject>Female</subject><subject>Foreign-Body Migration</subject><subject>Humans</subject><subject>Ischemia - etiology</subject><subject>Ischemia - pathology</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Surgical Instruments - adverse effects</subject><issn>1092-6429</issn><issn>1557-9034</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkDFPwzAQhS0EoqUwsqJMbCl3dhzbI6ooVKrE0t1yXBuMHBLsZODfk6iVuOXd8Onp6SPkHmGNINVTNP2aAtRrQCkvyBI5F6UCVl1OPyha1hVVC3KT8xdMp1h1TRYoaV1ziUsCu2w_XRts0ZqcC-e9s0PhU9cWTYjBpN8ij-kjWBMLG0Ofb8mVNzG7u3OuyGH7cti8lfv3193meV9aqnAoj8JL0QAqw5W0VjprjHLKV7QxnnF2FIp5zpRHMECZREMFYOWwFuAEZyvyeKrtU_czujzoNmTrYjTfrhuzFkAlKkYnsDyBNnU5J-d1n0I77dYIejakJ0N6NqRnQxP_cC4em9Yd_-mzEvYHfmBgUQ</recordid><startdate>200802</startdate><enddate>200802</enddate><creator>Mateo, Rod</creator><creator>Tsai, Steven</creator><creator>Stapfer, Maria V</creator><creator>Sher, Linda S</creator><creator>Selby, Rick</creator><creator>Genyk, Yuri S</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200802</creationdate><title>Ischemic mass effect from biliary surgical clips</title><author>Mateo, Rod ; Tsai, Steven ; Stapfer, Maria V ; Sher, Linda S ; Selby, Rick ; Genyk, Yuri S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c291t-d7f87b019a598cc8ecaa9e9f42baf353d793f539f10a02381a27014e1670e753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Cholecystectomy</topic><topic>Common Bile Duct Diseases - etiology</topic><topic>Common Bile Duct Diseases - pathology</topic><topic>Common Bile Duct Diseases - surgery</topic><topic>Female</topic><topic>Foreign-Body Migration</topic><topic>Humans</topic><topic>Ischemia - etiology</topic><topic>Ischemia - pathology</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Surgical Instruments - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mateo, Rod</creatorcontrib><creatorcontrib>Tsai, Steven</creatorcontrib><creatorcontrib>Stapfer, Maria V</creatorcontrib><creatorcontrib>Sher, Linda S</creatorcontrib><creatorcontrib>Selby, Rick</creatorcontrib><creatorcontrib>Genyk, Yuri S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laparoendoscopic & advanced surgical techniques. 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| ispartof | Journal of laparoendoscopic & advanced surgical techniques. Part A, 2008-02, Vol.18 (1), p.84-87 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Cholangiopancreatography, Endoscopic Retrograde Cholecystectomy Common Bile Duct Diseases - etiology Common Bile Duct Diseases - pathology Common Bile Duct Diseases - surgery Female Foreign-Body Migration Humans Ischemia - etiology Ischemia - pathology Middle Aged Postoperative Complications Surgical Instruments - adverse effects |
| title | Ischemic mass effect from biliary surgical clips |
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