Flashcards in Biliary Tract Disease Deck (22):
What two substances, in excess, can cause gallstones?
Bilirubin and cholesterol
What are the four types of gallstones, most common first?
Primary Bile Duct Stones
What IBD can cause bile salt loss leading to gallstones?
What are the five Fs for gallstone risk factors?
Forty, female, fatty diet, fat, foetus
What does a gallstone impacting in a cystic duct lead to?
What biliary colic, where does the pain ratiate to?
What is acute cholescystitis?
Inflammation in GB, obstruction of cystic duct
What three ways can diagnose gallstones?
What are the 4 steps for treating acute cholecystitis?
1. IV antibiotics and IV fluids
2. Nil by Mouth
3. US to confirm
4. Urgent cholecystectomy
What are three complications of gallstones, if they migrate into CBD?
3. Acute pancreatitis
What investigation is used for diagnosing CBD pathology?
What technique is used to remove stones?
What part of the biliary tree is affect if there is itch, nausea, anorexia, jaundice and abnormal LFTs?
What is gallstone ileus?
Gallstone impacted in distal ileum
How does gallstone ileus arrive?
Fistula between gallbladder and duodenum
What are the two treatments for gallstone ileus?
What is the second most common hepatobiliary cancer?
What three investigations are done to stage/assess cholangiocarcinoma?
What treatment is the only chance for cure with cholangiocarcinoma?
Surgical resection of bile duct and liver
What is palliation treatment for cholangiocarcinoma?
Biliary stent - ERC/PTC
What is the name of the complete resection surgery in cholagniocarcinoma?