What are absolute and relative contraindications to portal vein
embolization?
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,Bismuth-Corlette classification for perihilar cholangiocarcinomas:
Type I : common hepatic duct
Type II : hepatic bifurcation
Type III : secondary hepatic ducts on ONE side
Type IV : secondary hepatic ducts on BOTH sides
Biliary calculi
Malignancy
Benign strictures
E coli is the most common bacterial isolate
Klebsiella
Enterobacter
Enterococcus
*Typically treat with piperacillin-tazobactam in order to have Pseudomonas
coverage
Replaced right hepatic artery off the SMA
Replaced left hepatic artery arising from the left gastric
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, 2 of 37
Term
What is the definitive management for primary sclerosing cholangitis
and what is the 5-year survival?
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Computed tomography (CT) based
Medial to the portal triad
volumetry to assess and calculate
unlikely to be encountered during
whole liver volume, tumor volume,
routine cholecystectomy
and FLR volume
Orthotopic liver
transplantation is the only
lifesaving option for > or equal to 6mmHg
advanced PSC clinically significant at 12mmHg
5-year survival rates range
from 75-85%
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3 of 37
Term
What are the parameters for portal venous hypertension? And when
does it become clinically significant?
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, True cyst of the distal common bile duct thus patients present with biliary colic,
cholangitis, or pancreatitis
Treatment is not endoscopic sphincterotomy
No longer is the treatment to do transdudodenal cyst excision to eliminate the
abnormal biliary tissue and the risk of malignancy (management shifted because
the risk of cholangiocarcinoma is exceedingly rare)
Medial to the portal triad
unlikely to be encountered during routine cholecystectomy
> or equal to 6mmHg
clinically significant at 12mmHg
Replaced right hepatic artery off the SMA
Replaced left hepatic artery arising from the left gastric
Don't know?
4 of 37
Term
If you have elevated Alanine aminotransferase (ALT) what are the
associated disease pathologies?
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Myocardial infarction Viral hepatitis (Hep C, B)
Acute pancreatitis Diabetes
Acute hemolytic anemia Congestive heart failure
Severe burns Liver damage
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