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Magnetic resonance cholangiopancreatography (MRCP) is a medical imaging technique. It uses magnetic resonance imaging to visualize the biliary and pancreatic ducts non-invasively. This procedure can be used to determine whether gallstones are lodged in any of the ducts surrounding the gallbladder.
Cholescintigraphy or hepatobiliary scintigraphy is scintigraphy of the hepatobiliary tract, including the gallbladder and bile ducts.The image produced by this type of medical imaging, called a cholescintigram, is also known by other names depending on which radiotracer is used, such as HIDA scan, PIPIDA scan, DISIDA scan, or BrIDA scan.
Trans T-tube technique of stone extraction also known as Burhene technique. This procedure is done after 5 to 8 weeks post abdominal operation for the maturation of the T-tube tract when fibrous tissue is formed at its walls to support the tract and keep the tract open. [11] Guidewire is then advanced through the T-tube before the T-tube is ...
Fluoroscopy is used to look for blockages, or other lesions such as stones. [8] [9] When needed, the sphincters of the ampulla and bile ducts can be enlarged by a cut (sphincterotomy) with an electrified wire called a sphincterotome for access into either so that gallstones may be removed or other therapy performed. [10]
[27] Removal of the gallbladder with surgery, known as a cholecystectomy, is the definitive surgical treatment for biliary colic. [28] A 2013 Cochrane review found tentative evidence to suggest that early gallbladder removal may be better than delayed removal. [29] Early laparoscopic cholecystectomy happens within 72 hours of diagnosis. [13]
Treatment is usually with laparoscopic gallbladder removal, within 24 hours if possible. [7] [10] Taking pictures of the bile ducts during the surgery is recommended. [7] The routine use of antibiotics is controversial. [5] [11] They are recommended if surgery cannot occur in a timely manner or if the case is complicated. [5]
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Diagnosis is typically by ultrasound or CT imaging. Upon histopathology of resected gallbladders, gallbladder polyps may be classified into the following main types: [4] Non-neoplastic polyps: Cholesterol, hyperplastic, and inflammatory polyps, adenomyomas, leiomyomas, fibromas, and lipomas