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A CT scan or a fistulogram (an x-ray procedure used to investigate any abnormalities in the anastomosis) can be used to determine whether there is an increased bilirubin concentration within the intra-abdominal fluid. Given there is no blockage downstream of the anastomosis, most bile leakages will heal on their own.
Fluoroscopic image of self-expandable metallic stent in the esophagus. The black solid structure is the endoscope used to place the stent. Self-expandable metallic stents are typically inserted at the time of endoscopy, usually with assistance with fluoroscopy or x-ray images taken to guide placement. Prior to the development of SEMS small ...
Endoscopic stenting is a medical procedure by which a stent, a hollow device designed to prevent constriction or collapse of a tubular organ, is inserted by endoscopy. They are usually inserted when a disease process has led to narrowing or obstruction of the organ in question, such as the esophagus or the colon .
Endoscopic image of a biliary stent seen protruding from the ampulla of Vater at the time of duodenoscopy. Pancreatic and biliary stents provide pancreatic and bile drainage from the gallbladder, pancreas, and bile ducts to the duodenum in conditions such as ascending cholangitis due to obstructing gallstones. Pancreatic and biliary stents can ...
Other procedures associated with ERCP include the trawling of the common bile duct with a basket or balloon to remove gallstones and the insertion of a plastic stent to assist the drainage of bile. [11] Also, the pancreatic duct can be cannulated and stents be inserted. The pancreatic duct requires visualisation in cases of pancreatitis.
Like metal stents, placement of a bioresorbable stent will restore blood flow and support the vessel through the healing process. However, in the case of a bioresorbable stent, the stent will gradually resorb and be benignly cleared from the body, enabling a natural reconstruction of the arterial wall and restoration of vascular function.
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