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Topic: Biliary tract

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	Biliary Tract Dysmotility (Site not responding. Last check: 2007-10-29)
		Biliary pain resulting from motility disorders is common and may be overlooked due to the difficulty of diagnosing the presence of these disorders.
		Because the tests used to evaluate biliary function are technically difficult and not well standardized, the characterization of biliary motor disorders and their associated clinical syndromes remains controversial.
		A recent report demonstrated that significant bacterial contamination of bile and the presence of inflammation and fibrosis in the proximal extrahepatic biliary tree were common in patients studied 15 to 17 years after sphincterotomy [24].
	www.treatment-options.com /article.cfm?PubID=GA01-1-1-05&Type=Article&KeyWords= (4004 words)

	Home \| aHealthyme.com
		This disease is characterized by extensive scarring of the biliary tract, sometimes associated with inflammatory bowel disease.
		Occasionally, if obstruction of the biliary tract causes the gallbladder to swell enormously yet without causing pain, the physician may be able to feel the gallbladder during a physical examination.
		Tumors of the lower end of the biliary tract may require extensive resection of part of the pancreas, small intestine, and stomach to ensure complete resection.
	www.ahealthyme.com /article/gale/100084927 (1566 words)

	Cholangiocarcinoma of the Biliary Tract
		The V599E somatic mutation of the BRAF gene is absent in biliary tract cancers, at least in the two geographic populations (United States and Chile) examined.
		Activation of the RAS/RAF/MAP kinase pathway in biliary tract cancers is likely to be secondary to oncogenic RAS mutations, or due to mutations of the BRAF gene at nucleotide positions not explored in the current study.
		Intraductal papillary neoplasms of the biliary tree are unusual lesions characterized by solitary or diffuse growth along the intra- and/or extrahepatic biliary tract.
	www.thedoctorsdoctor.com /diseases/biliary_cholangioca.htm (11986 words)

	CHID Document (Site not responding. Last check: 2007-10-29)
		Cystic lesions of the liver and bile ducts are increasingly being diagnosed.
		Anatomy, Histology, Embryology, Developmental Anomalies, and Pediatric Disorders of the Biliary Tract.
		The author then considers biliary tract disease in infants and children, because many of the disorders occurring early in life are caused by abnormal morphogenesis or adversely affect the process of development.
	chid.nih.gov /netacgi/nph-brs?d=NKDD&s1=@YR%3E%3D1992+or+199X.&co1=and&s2=&co2=and&s3=&co3=and&l=24&Sect1=FINK&op4=adj&s4=primary+sclerosing+cholangitis&pg4=all&co4=and&op5=and&s5=&pg5=all&co5=and&op6=and&s6=&pg6=all&co6=and&op7=and&s7=&pg7=all&Sect2=IMAGE&Sect3=THESOFF&Sect3=PLUROFF&Sect4=HITOFF&p=1&u=%2Fdetail%2Fdetail.html&r=0&f=S (4624 words)

	Biliary Tract Cancer International Workshop - Office of Rare Diseases (Site not responding. Last check: 2007-10-29)
		The Biliary Tract Cancer International Workshop, held in July 2004 in Shanghai and sponsored by the National Cancer Institute (NCI), Office of Rare Diseases of the National Institutes of Health, Shanghai Cancer Institute (SCI), and the Shanghai Medical Association, was a great success.
		The workshop was the culmination of a long-term collaboration between NCI and SCI and showcased novel results of a 4-year collaborative population-based study of biliary tract cancer, the largest and most comprehensive study ever.
		DCEG scientists presented two talks and nine posters at the Workshop, reporting positive associations of biliary tract cancer with gallstones, obesity, parity (among women), cholecystitis, chronic infection with hepatitis B virus, a family history of gallstones, a history of liver cirrhosis, and consumption of preserved foods, as well as an inverse association with NSAID use.
	rarediseases.info.nih.gov /html/workshops/workshops/biliary20040714.html (490 words)

	Imaging Tests: Diagnostic Tests for Liver and Gallbladder Disorders: Merck Manual Home Edition
		A radiopaque dye is then injected into the bile ducts, and x-rays are taken of the biliary tract and pancreatic duct and its tributaries.
		In these procedures, a radiopaque dye (a dye visible on x-rays) is injected in the biliary tract, then x-rays are taken.
		In operative cholangiography, a radiopaque dye is injected directly into the biliary tract during gallbladder surgery.
	www.merck.com /mrkshared/mmanual_home2/sec10/ch134/ch134b.jsp (875 words)

	Biliary Tract Disorders, Gallbladder Disorders And Gallstone Pancreatitis - Patients - American College of ...
		If gallstones form in the biliary system they can cause blockage of the bile ducts, which normally drain bile from the gallbladder and liver.
		Biliary dyskinesia may develop after the gallbladder has been removed, hence the name post-cholecystectomy syndrome.
		In patients with severe symptoms that cannot be tolerated, the sphincter muscle may be cut open using the ERCP scope and a special plastic tube with a small wire attached to the side (called a “sphincterotome”).
	www.acg.gi.org /patients/gihealth/biliary.asp (2139 words)

	biliary tract obstruction - General Practice Notebook (Site not responding. Last check: 2007-10-29)
		The source of the interference may reside in the main bile ducts - extrahepatic cholestasis - or within the liver - intrahepatic cholestasis.
		Morphologically, cholestasis is characterised by the accumulation of bile in liver cells and biliary passages; biochemically, by the retention of all substances normally excreted in the bile.
		Presentation is usually with pruritus and the slow onset of jaundice.
	www.gpnotebook.co.uk /cache/-1221263328.htm (153 words)

	CHID Document (Site not responding. Last check: 2007-10-29)
		Abstract (AB): Primary biliary cirrhosis (PBC, scarring of the bile tract) is a disease of unknown cause in which intra-hepatic (in the liver) bile ducts are progressively destroyed.
		Abstract (AB): Primary biliary cirrhosis (PBC) is an autoimmune liver disease that generally affects middle-aged women and that is characterized by ongoing inflammatory destruction of the bile ducts.
		This chapter on PBC is from a comprehensive and authoritative textbook that covers disorders of the gastrointestinal tract, biliary tree, pancreas, and liver, as well as the related topics of nutrition and peritoneal disorders.
	chid.nih.gov /netacgi/nph-brs?d=NKDD&s1=@YR%3E%3D1992+or+199X.&co1=and&s2=&co2=and&s3=&co3=and&l=19&Sect1=FINK&op4=adj&s4=primary+biliary+cirrhosis&pg4=all&Sect2=IMAGE&Sect3=THESOFF&Sect3=PLUROFF&Sect4=HITOFF&p=1&u=%2Fdetail%2Fdetail.html&r=0&f=S (2740 words)

	SSAT - 2002 Abstract: 104795 Abstract ID: 104795 Genetic Lymph Node Staging for Biliary Tract Cancer (Site not responding. Last check: 2007-10-29)
		RESULTS: Of 30 biliary tract cancer tissues, CEA, CK20, PSA, MAGE-1, MAGE-3, and MMGB was expressed in 20 (67%), 11 (37%), 3 (10%), 5 (17%), 6 (20%), and 25 (83%), respectively.
		In 13 patients with intrahepatic biliary cancer in the left hepatic lobe, genetical lymph node metastasis in pericardiac area of the stomach was found in seven patients (54%).
		Lymph node in pericardiac area of the stomach should be considered to be regional lymph node in biliary cancer in the left hepatic lobe since frequent nodal metastasis in this area was genetically detected.
	www.ssat.com /cgi-bin/abstracts/02ddw/104795.cgi?affiliation= (436 words)

	eMedicine - Biliary Atresia : Article by Steven M Schwarz, MD, FAAP, FACN (Site not responding. Last check: 2007-10-29)
		Patients with biliary atresia may be subdivided into 2 distinct forms, which are (1) those with isolated biliary atresia (postnatal form), accounting for 65-90% of cases, and (2) patients with associated situs inversus or polysplenia/asplenia with or without other congenital anomalies (fetal/embryonic form), comprising 10-35% of cases.
		In cases in which biliary patency is associated with ductal hypoplasia, further surgical intervention is not indicated, and bile may be collected to evaluate for disorders of bile acid metabolism.
		Although their role in the postoperative management of biliary atresia has never been established, some centers have found that short-term, high-dose therapy in the immediate postoperative period may improve the likelihood of achieving adequate bile drainage, particularly for infants in whom bile flow is not immediately apparent following portoenterostomy.
	www.emedicine.com /ped/topic237.htm (4405 words)

	Billiary Tract
		Joseph McLaughlin, Ph.D. Little is known about the etiology of biliary tract cancer, which includes cancers of the gallbladder and extrahepatic bile ducts.
		Extrahepatic bile duct cancer is the primary tumor included among "other biliary tract cancers." Men predominate in this uncommon cancer, with an incidence rate among whites of l.5 for men compared with l.0 for women.
		Incidence rates for other biliary tract cancers have not changed appreciably in the last 20 years.
	rex.nci.nih.gov /NCI_Pub_Interface/raterisk/risks111.html (617 words)

	[No title]
		When you are not actively involved in a biliary procedure or consultation you should be in the unit assisting with cases and with the flow of the unit.
		The patient may be triaged to the biliary fellow, the manometry fellow, the endoscopy fellow, or the backup fellow depending on the problem.
		The biliary fellow also assists with routine endoscopy whenever a biliary case is not in progress.
	www.med.unc.edu /gi/DLs/Rotation.doc (4263 words)

	Instructional Objectives & Goals (Site not responding. Last check: 2007-10-29)
		In this training module, users will learn some basic information about pancreatic and biliary tract cancers: statistics related to pancreatic and biliary cancers, the anatomy of pancreas, liver, gallbladder, and biliary tract.
		In addition, risk factors, treatment methods, and survival rates of pancreatic and biliary tract cancers will also be briefly covered.
		Use relevant information in the module to correctly abstract, code, and stage pancreatic and biliary tract cancers.
	www.training.seer.cancer.gov /ss_module13_biliary_tract/01_objectives.html (157 words)

	Gallbladder and Biliary Tract Disease
		Some patients experience biliary colic, an intermittent and often severe pain in the epigastrium or right upper quadrant and at times between the scapula caused by temporary obstruction of the cystic duct with a gallstone.
		One of the most common causes of extrahepatic biliary obstruction is choledocholithiasis with one or more stones in the common bile duct or common hepatic duct causing biliary obstruction.
		Once biliary dilatation or the presence of a common duct stone is noted on an imaging study, or biliary obstruction is strongly suspected on clinical grounds despite negative imaging studies, endoscopic retrograde cholangiopancreatography (ERC) is recommended.
	www.clevelandclinicmeded.com /diseasemanagement/gastro/gallbladder/gallbladder.htm (2701 words)

	SAGES Publication: Guidelines for the Clinical Application of Laparoscopic Biliary Tract Surgery
		Since preoperative and intraoperative variables may mandate open cholecystectomy in some patients, laparoscopic biliary tract surgery should be restricted to surgeons with sufficient technical skills and clinical judgment to secure and maintain privileges in open biliary tract surgery.
		Laparoscopic biliary tract surgery should be performed in the operating room with appropriate equipment and personnel for both laparoscopic and open operations.
		Biliary tract imaging should be applied liberally to identify surgically important anomalies, clarify difficult anatomy, and detect common bile duct stones
	www.sages.org /sagespublication.php?doc=06 (1594 words)

	Search Results for biliary - Encyclopædia Britannica
		Cancer of the biliary tract is rare but may occur in almost any structure, including the gallbladder, the hepatic ducts, the common bile duct, or the hepatopancreatic ampulla (ampulla of Vater).
		X ray of the gallbladder and biliary channels, following the administration of a radiopaque dye, one of the techniques of diagnostic imaging (q.v.).
		Hepatocellular jaundice, present in all types of hepatitis and cirrhosis and in congestive liver disease, is characterized by dark amber urine and normal or slightly paler than normal stools.
	www.britannica.com /search?query=biliary&submit=Find&source=MWTEXT (357 words)

	Directory of open access journals
		As the study of mortality trends may yield clues to possible etiological factors, we analyzed worldwide time trends in mortality from biliary tract malignancies.
		Annual age-standardized rates for individual countries were compiled for deaths from biliary tract malignancies using the WHO database.
		In contrast, mortality rates for extrahepatic biliary tract malignancies showed a decreasing trend in most countries, with an overall average EAPC of -0.3 ± 0.4 for males, but -1.3 ± 0.4 for females.
	www.doaj.org /abstract?id=81056&toc=y (223 words)

	Concordance of Second-Order Portal Venous and Biliary Tract Anatomies on MDCT Angiography and MDCT Cholangiography -- ...
		Concordance of Second-Order Portal Venous and Biliary Tract Anatomies on MDCT Angiography and MDCT Cholangiography -- Chen et al.
		tract anatomies were categorized as conventional or variant.
		biliary tract imaging in patients before liver donation.
	www.ajronline.org /cgi/content/abstract/184/1/70 (266 words)

	BioMed Central \| Abstract \| Phase II trial of weekly 24-hour infusion of gemcitabine in patients with advanced ...
		Patients with advanced gallbladder and biliary tract carcinoma face a dismal prognosis, as no effective palliative chemotherapy exists.
		We evaluated the activity of a prolonged infusion of gemcitabine in advanced gallbladder and biliary tract carcinomas.
		However, the objective response rate of this regimen in gallbladder and biliary tract carcinomas was limited.
	www.biomedcentral.com /1471-2407/5/61/abstract (319 words)

	Surgery of the Liver and Biliary Tract, 3rd edition
		This is the third edition of a classic text on surgery of the liver and biliary tract.
		New coverage of the management of tumors of the liver and biliary tract and of benign diseases of the liver and biliary tract.
		Accompanied by a CD-ROM incorporating video sequences of operative techniques, and a library of many of the line diagrams in full colour, Surgery of the Liver and Biliary Tract 3/e is the definitive reference source for the specialist surgeon.
	intl.elsevierhealth.com /catalogue/title.cfm?ISBN=0702025011 (338 words)

	Disorders of the Biliary Tract
		Although disorders of the biliary tract don’t garner as much attention as other conditions, they are common.
		The diagnosis of biliary atresia occurs usually in neonates who remain jaundiced for six weeks or more after birth and have pale stool and dark urine.
		A questionnaire for the assessment of biliary symptoms.
	www.endonurse.com /articles/3a1feat3.html (1705 words)

	Pancreatic and Biliary Diseases - Treatments/Programs (Site not responding. Last check: 2007-10-29)
		The Pancreatic and Biliary Diseases Program at Cedars-Sinai is dedicated to fighting conditions such as acute and chronic pancreatitis, pancreatic cancer and gallstones.
		The biliary tract is comprised of the organs and ducts that make, store and deliver bile into the duodenum.
		The pancreas and biliary tract are so key to digestion that when they don't work properly, it affects the entire body.
	www.csmc.edu /pf_2200.html (308 words)

	Lapatinib in Treating Patients With Locally Advanced or Metastatic Biliary Tract...
		PURPOSE: This phase II trial is studying how well lapatinib works in treating patients with locally advanced or metastatic biliary tract or liver cancer that cannot be removed by surgery.
		Determine the objective response rate in patients with locally advanced or metastatic unresectable biliary tract or hepatocellular cancer treated with lapatinib.
		Biliary cancer (gallbladder, ampullary, or intrahepatic or extrahepatic bile duct cancer)
	goldbamboo.com /topic-t3050-a115990.html (817 words)

	biliary tract surgery - General Practice Notebook (Site not responding. Last check: 2007-10-29)
		Biliary tract surgery is surgery performed on the gall bladder and/or its ducts.
		The information provided herein should not be used for diagnosis or treatment of any medical condition.
		Oxbridge Solutions Ltd® is an independent company owned by the authors which does not receive income from any other organisation or individual.
	www.gpnotebook.co.uk /cache/-637140966.htm (80 words)

	Gale Encyclopedia of Medicine: Biliary tract cancer
		Biliary duct cancer, also termed cholangiocarcinoma, may occur in various locations in and around the liver.
		Biliary cancer typically occurs in individuals aged 50-70 years old.
		Abdominal ultrasound of the gall bladder and bile ducts may reveal enlargement as a result of increased pressure in the biliary tract due to an obstruction.
	www.findarticles.com /p/articles/mi_g2601/is_0001/ai_2601000196 (556 words)

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