Titre : Maladies des canaux biliaires

Maladies des canaux biliaires : Questions médicales fréquentes

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Maladies des canaux biliaires", "description": "Comment diagnostiquer une maladie des canaux biliaires ?\nQuels tests sanguins sont utiles ?\nQuels symptômes indiquent une maladie biliaire ?\nQuelle imagerie est la plus précise ?\nQuand faire une biopsie ?", "url": "https://questionsmedicales.fr/mesh/D001649?page=2#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Maladies des canaux biliaires", "description": "Quels sont les symptômes courants ?\nLa démangeaison est-elle fréquente ?\nComment se manifeste la jaunisse ?\nY a-t-il des signes d'infection ?\nLes nausées sont-elles un symptôme ?", "url": "https://questionsmedicales.fr/mesh/D001649?page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Maladies des canaux biliaires", "description": "Comment prévenir les maladies biliaires ?\nLe surpoids est-il un facteur de risque ?\nFaut-il éviter certains aliments ?\nL'exercice physique 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"position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs abdominales, jaunisse et démangeaisons peuvent indiquer une maladie biliaire." } }, { "@type": "Question", "name": "Quelle imagerie est la plus précise ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'IRM cholangiopancréatographie est très précise pour visualiser les canaux biliaires." } }, { "@type": "Question", "name": "Quand faire une biopsie ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Une biopsie est envisagée si une tumeur ou une lésion suspecte est détectée." } }, { "@type": "Question", "name": "Quels sont les symptômes courants ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur abdominale, jaunisse, et urine foncée." } }, { "@type": "Question", "name": "La démangeaison est-elle fréquente ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les démangeaisons cutanées sont fréquentes en cas de cholestase." } }, { "@type": "Question", "name": "Comment se manifeste la jaunisse ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "La jaunisse se manifeste par une coloration jaune de la peau et des yeux." } }, { "@type": "Question", "name": "Y a-t-il des signes d'infection ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, fièvre et frissons peuvent indiquer une infection des voies biliaires." } }, { "@type": "Question", "name": "Les nausées sont-elles un symptôme ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les nausées et vomissements peuvent accompagner les maladies biliaires." } }, { "@type": "Question", "name": "Comment prévenir les maladies biliaires ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation équilibrée et une hydratation adéquate aident à prévenir ces maladies." } }, { "@type": "Question", "name": "Le surpoids est-il un facteur de risque ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le surpoids augmente le risque de développer des maladies des canaux biliaires." } }, { "@type": "Question", "name": "Faut-il éviter certains aliments ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Il est conseillé de limiter les graisses saturées et les aliments transformés." } }, { "@type": "Question", "name": "L'exercice physique aide-t-il ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'exercice régulier contribue à maintenir un poids santé et à prévenir les maladies." } }, { "@type": "Question", "name": "Les bilans de santé sont-ils importants ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des bilans réguliers permettent de détecter précocement des problèmes biliaires." } }, { "@type": "Question", "name": "Quels traitements sont disponibles ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent médicaments, interventions endoscopiques ou chirurgie." } }, { "@type": "Question", "name": "Quand utiliser des antibiotiques ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les antibiotiques sont prescrits en cas d'infection des voies biliaires." } }, { "@type": "Question", "name": "Qu'est-ce que la cholécystectomie ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "C'est l'ablation de la vésicule biliaire, souvent pratiquée pour des calculs biliaires." } }, { "@type": "Question", "name": "Comment se déroule une endoscopie ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "L'endoscopie permet de visualiser et traiter les obstructions des canaux biliaires." } }, { "@type": "Question", "name": "Y a-t-il des traitements naturels ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Certains remèdes naturels peuvent soulager, mais il est essentiel de consulter un médecin." } }, { "@type": "Question", "name": "Quelles sont les complications possibles ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent infections, obstruction et cirrhose du foie." } }, { "@type": "Question", "name": "Comment l'obstruction affecte-t-elle la santé ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "L'obstruction peut entraîner une accumulation de bile, provoquant douleur et jaunisse." } }, { "@type": "Question", "name": "La cirrhose est-elle une complication ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la cirrhose peut résulter de maladies biliaires non traitées sur le long terme." } }, { "@type": "Question", "name": "Les infections peuvent-elles être graves ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les infections des voies biliaires peuvent être graves et nécessitent un traitement urgent." } }, { "@type": "Question", "name": "Y a-t-il un risque de cancer ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines maladies biliaires augmentent le risque de cancer des voies biliaires." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les antécédents familiaux, l'obésité et certaines maladies hépatiques augmentent le risque." } }, { "@type": "Question", "name": "Le tabagisme est-il un facteur de risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme est associé à un risque accru de maladies des canaux biliaires." } }, { "@type": "Question", "name": "Les maladies auto-immunes sont-elles concernées ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines maladies auto-immunes peuvent affecter les canaux biliaires." } }, { "@type": "Question", "name": "L'âge joue-t-il un rôle ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque de maladies biliaires augmente avec l'âge." } }, { "@type": "Question", "name": "Les infections antérieures influencent-elles le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des infections antérieures des voies biliaires peuvent augmenter le risque de récidive." } } ] } ] }

Sources (10000 au total)

Impact of AI system on recognition for anatomical landmarks related to reducing bile duct injury during laparoscopic cholecystectomy.

According to the National Clinical Database of Japan, the incidence of bile duct injury (BDI) during laparoscopic cholecystectomy has hovered around 0.4% for the last 10 years and has not declined. On... We prepared a 20-s intraoperative video before the serosal incision of Calot's triangle dissection and created a short video with landmarks overwritten by AI. The landmarks were defined as landmark (L... In 43 of 160 (26.9%) images, the subjects transformed their annotations. Annotation changes were primarily observed in the gallbladder line of the LM-EHBD and LM-CD, and 70% of these shifts were consi... The AI system provided significant awareness to beginners and experts and prompted them to identify anatomical landmarks linked to reducing BDI....

Bile duct injury following cholecystectomy: delayed referral to a tertiary care center is strongly associated with malpractice litigation.

Bile duct injury (BDI) following cholecystectomy is associated with malpractice litigation. Aim of this study was to evaluate risk factors for litigation in patients with BDI referred in a tertiary ca... Patients treated for BDI between 1994 and 2016. Stabilized inverse probability therapy weighting was used and multivariable logistic regression analysis identified risk factors for malpractice litigat... Of the 211 treated patients, 98 met the inclusion criteria: early-referral group (<20 days; 51.0%), late-referral (≥20 days; 49.0%). 36 patients (36.7%) initiated malpractice litigation with verdict i... Litigation rate after BDI was 37%. Delayed referral to tertiary care center was one of the strongest predictors for litigation. Prompt referral to tertiary experienced centers without any attempt at r...

Post-cholecystectomy major bile duct injury: ideal time to repair based on a multicentre randomized controlled trial with promising results.

Bile duct injury (BDI) is one of the serious complications of cholecystectomy procedures, which has a disastrous impact on long-term survival, health-related quality of life (QoL), healthcare costs as... This is a multicenter, multi-arm, parallel-group, randomized trial that included all consecutive patients treated with HJ for major post-cholecystectomy BDI from February 2014 to January 2022. Patient... Three hundred twenty one patients from three centres were randomized into three groups. Forty-four patients were excluded from the analysis, leaving 277 patients for intention to treat analysis. With ... Early reconstruction after abdominal sepsis control can be done safely at any time with comparable results for delayed reconstruction in addition to decreased total cost and improved patient QoL....

Online calculators for predicting the risk of anastomotic stricture after hepaticojejunostomy for bile duct injury after cholecystectomy: a multicenter retrospective study.

Anastomotic stricture is a common underlying cause of long-term morbidity after hepaticojejunostomy (HJ) for bile duct injury (BDI) following cholecystectomy. However, there are no methods for predict... The clinicopathological characteristics and follow-up information of patients who underwent HJ for BDI after cholecystectomy from a multi-institutional database were reviewed. Univariate and multivari... Among 220 screened patients, 41 (18.64%) experienced anastomotic strictures after a median follow-up of 110.7 months. Using multivariate analysis, four variables, including previous repair, sepsis, HJ... The two easy-to-use online calculators demonstrated optimal predictive performance for identifying patients at high risk for ASO and with dismal SFS. The estimation of individual risks will help guide...

Waiting for bile duct dilation before repair of bile duct injury: a worthwhile strategy?

Hepaticojejunostomy (HJ) is the gold standard procedure for repairing major bile duct injury (BDI). Dilation status of the BD before repair has not been assessed as a risk factor for anastomotic stric... This retrospective single-centre study was performed on a population of 87 patients with BDI repaired by HJ between 2007 and 2021. Dilation status was assessed preoperatively, and dilation was defined... Before final repair, the BDs were dilated (dBD) in 56.3% of patients and not dilated (ND) in 43.7%. Patients with ND at the time of repair had more severe BDI injury than those with dBD (94.7% vs. 77.... Dilation status of the BD before HJ for BDI seemed to have no impact on short- or long-term outcomes. Both surgical and radiological external biliary drainages after BDI appear to be acceptable option...