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roentgenographic examination of the bile ducts after a contrast medium has been injected

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/12/09 14:44:49」(JST)

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Percutaneous transhepatic cholangiography (PTHC or PTC) or percutaneous hepatic cholangiogram is a radiologic technique used to visualize the anatomy of the biliary tract. A contrast medium is injected into a bile duct in the liver, after which X-rays are taken. It allows access to the biliary tree in cases where endoscopic retrograde cholangiopancreatography (ERCP) has been unsuccessful. Initially reported in 1937, the procedure became popular in 1952.^[1]^[2]

It is predominantly now performed as a therapeutic technique. There are less invasive means of imaging the biliary tree including transabdominal ultrasound, magnetic resonance cholangiopancreatography, computed tomography and endoscopic ultrasound. If the biliary system is obstructed, PTC may be used to perform biliary drainage until a more permanent solution for the obstruction is performed (e.g. surgery). Additionally, self expanding metal stents can be placed across malignant biliary strictures to allow palliative drainage. Percutaneous placement of metal stents can be utilised when therapeutic ERCP has been unsuccessful, anatomy is altered precluding endoscopic access to the duodenum, or where there has been separation of the segmental biliary drainage of the liver, allowing more selective placement of metal stents. It is generally accepted that percutanous biliary procedures have higher complication rates than therapeutic ERCP. Complications encountered include infection, bleeding and bile leaks.

References[edit]

^ Carter RF, Saypol GM (1952). "Transabdominal cholangiography". Journal of the American Medical Association 148 (4): 253–5. PMID 14888454.
^ Atkinson M, Happey MG, Smiddy FG (1960). "Percutaneous transhepatic cholangiography". Gut 1 (4): 357–65. doi:10.1136/gut.1.4.357. PMC 1413224. PMID 13684978.

External links[edit]

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1. 経皮経肝胆管造影 percutaneous transhepatic cholangiography
2. 黄疸または無症候性高ビリルビン血症患者に対する診断的アプローチ diagnostic approach to the patient with jaundice or asymptomatic hyperbilirubinemia
3. 腹腔鏡下胆嚢摘出術の合併症 complications of laparoscopic cholecystectomy
4. 総胆管結石症が疑われる患者に対するアプローチ approach to the patient with suspected choledocholithiasis
5. 腹腔鏡下胆嚢摘出術の合併症の内視鏡管理 endoscopic management of complications from laparoscopic cholecystectomy

English Journal

Imaging of choledochal cysts.

Lewis VA1, Adam SZ, Nikolaidis P, Wood C, Wu JG, Yaghmai V, Miller FH.
Abdominal imaging.Abdom Imaging.2015 Feb 15. [Epub ahead of print]
Choledochal cysts are rare cystic dilatations of the intrahepatic and/or extrahepatic biliary tree, which may be mistaken for other cystic lesions if their characteristic features are not recognized. The etiology is unknown, and likely multifactorial, and it is uncertain whether they are congenital
PMID 25682292

Long-term outcome after early repair of iatrogenic bile duct injury. A national Danish multicentre study.

Stilling NM1, Fristrup C, Wettergren A, Ugianskis A, Nygaard J, Holte K, Bardram L, Sall M, Mortensen MB.
HPB : the official journal of the International Hepato Pancreato Biliary Association.HPB (Oxford).2015 Jan 12. doi: 10.1111/hpb.12374. [Epub ahead of print]
BACKGROUND: The aim of this retrospective study was to evaluate the peri-operative and long-term outcome after early repair with a hepaticojejunostomy (HJ).METHODS: Between 1995 and 2010, a nationwide, retrospective multi-centre study was conducted. All iatrogenic bile duct injury (BDI) sustained du
PMID 25582034

Percutaneous biliary interventions through the gallbladder and the cystic duct: What radiologists need to know.

Hatzidakis A1, Venetucci P2, Krokidis M3, Iaccarino V2.
Clinical radiology.Clin Radiol.2014 Dec;69(12):1304-11. doi: 10.1016/j.crad.2014.07.016. Epub 2014 Aug 27.
Percutaneous cholecystostomy is an established drainage procedure for the management of high-risk patients with acute cholecystitis. However, percutaneous image-guided access to the gallbladder may not be limited to the simple placement of a drain, but may also be used as an alternative approach to
PMID 25172204

Japanese Journal

Percutaneous transhepatic electrohydraulic lithotripsy for intrahepatic bile duct stones after choledochal cyst excision

Obatake Masayuki/Inamura Yukio.et.al.
Acta Medica Nagasakiensia 56(3), 99-102, 2012-01
… We report a case in which percutaneous transhepatic electrohydraulic lithotripsy (EHL) was used in the treatment of bile duct stones that developed after choledochal cyst excision. … Percutaneous transhepatic cholangiography showed packed stones distal to the right hepatic duct and stenosis of the right hepatic duct; …
NAID 110008767604

Rendezvous technique により採石しえた胃全摘 Roux-en-Y 再建術後総胆管結石の1例

二川康郎,齋藤晃,阿南匡,百瀬邦雄,小田木勲,中川良,宮崎民浩,竿代丈夫,池内健二,矢永勝彦
日本消化器内視鏡学会雑誌 = Gastroenterological endoscopy 52(9), 2713-2719, 2010-09-20
症例は54歳男性．53歳時胃癌に対して胃全摘Roux-en-Y再建されている．胆石胆嚢炎の診断にて緊急入院しPTGBDが施行されたが，同時に総胆管結石嵌頓が認められた．総胆管結石に対し経乳頭的内視鏡治療が試みられたが，困難であったためPTGBDルートと内視鏡的ルートを併用したRendezvous techniqueを用いて採石した．同法が内視鏡下採石困難な胃全摘術後総胆管結石症例に対し，有効な治療 …
NAID 10026911126

Related Pictures

Transhepatic pancreato-cholangiography | definition of Transhepatic pancreato Percutaneous Transhepatic Cholangiography Technique: Percutaneous Cholangiography Primary biliary cholangitis (cirrhosis) vs primary sclerosing cholang… Biliary tract 2011 Teknik Radiografi PTC (Percutaneous Transhepatic Cholangiography) ~ Catatan Radiograf

★リンクテーブル★

リンク元	「PTC」「経皮経肝胆道造影法」「経皮経肝胆管造影」「経皮経肝胆管撮影」
関連記事	「percutaneous」「cholangiography」

「PTC」

Percutaneous transhepatic cholangiography
	Intervention
	; Percutaneous transhepatic cholangiography
ICD-9-CM	87.51
OPS-301 code:	3-13c.1

　　[★]

エドマン分解の中間産物。フェニルチオカルバミル化合物

「経皮経肝胆道造影法」

　　[★]

英: percutaneous transhepatic cholangiography PTC

[show details]

経皮経肝胆道造影 : 約 8,350 件
経皮経肝胆道造影法 : 59 件

「経皮経肝胆管造影」

　　[★]

英: percutaneous transhepatic cholangiography PTC
関: 経皮経肝胆道造影法

「経皮経肝胆管撮影」

　　[★]

英: percutaneous transhepatic cholangiography

「percutaneous」

　　[★]

adj.

経皮的な、経皮の

関: dermal、dermally、percutaneously、transcutaneous、transcutaneously、transdermal、transdermally、transepidermal

「cholangiography」

　　[★]

胆道造影、胆道造影法、胆管造影、胆管造影法

関: cholangiographic

[1] Carter RF, Saypol GM (1952). "Transabdominal cholangiography". Journal of the American Medical Association 148 (4): 253–5. PMID 14888454.

[2] Atkinson M, Happey MG, Smiddy FG (1960). "Percutaneous transhepatic cholangiography". Gut 1 (4): 357–65. doi:10.1136/gut.1.4.357. PMC 1413224. PMID 13684978.

匿名

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案内

案内

percutaneous transhepatic cholangiography