Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Purpose: The purpose of this study was to present the institutional experience of performing endoscopy, cholangiography, and biliary interventions through the modified Hutson loop by interventional radiology.
Materials And Methods: A total of 61 of 64 modified Hutson loop access procedures were successful. This single-center retrospective study included 61 successful procedures of biliary interventions using existing modified Hutson loops (surgically affixed subcutaneous jejunal limb adjacent to biliary anastomosis or anastomoses) for diagnostic or therapeutic purposes in 21 patients. Seventeen of 21 patients (81%) had undergone liver transplantation. Indications included biliary strictures (n = 18) and biliary leaks (n = 3). The clinical success and complications were evaluated.
Results: There were 3 of 26 modified Hutson loop retrograde biliary intervention failures (12%) before introduction of endoscopy and no failures (0 of 38 [0%]) subsequently (P = .06). Endoscopy or cholangioscopy was performed in 19 procedures by interventional radiologists. Retrograde biliary interventions included diagnostic cholangiography (n = 26), cholangioplasty (n = 25), stent placement (n = 29), stent retrieval (n = 25), and biliary drainage catheter placement (n = 5). No procedure-related mortality occurred. There was 1 major complication (duodenal perforation) (1.6%) and 12 minor complications (19%). In the 9 patients undergoing therapeutic interventions for biliary strictures, there was a significant decrease in median alkaline phosphatase (288.5 to 174.5 U/L; P = .03). There was a trend toward decrease in median bilirubin levels (1.7 to 1 mg/dL; P = .06) at 1 month post-intervention.
Conclusions: The modified Hutson loop provided interventional radiologists a safe and effective alternative access to manage biliary complications in patients with biliary-enteric anastomoses. Introduction of the endoscope in interventional radiology has improved the success rate of these procedures.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jvir.2020.06.011 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Artificial Intelligence and Competency-Based Education: A Rapid Scoping Review.
J Midwifery Womens Health
August 2025
School of Nursing, Texas Tech University Health Sciences Center, Dallas, Texas.
Introduction: Artificial intelligence (AI) presents unique opportunities to enhance student learning and assessment, faculty teaching, and faculty support. Midwifery education is based on competency-based learning and AI has potential to either enhance or detract from achieving this outcome.
Methods: We conducted a rapid scoping review guided by 3 questions aimed to explore the use of AI to facilitate competency-based education (CBE) relevant to midwifery faculty and students.
Since the worldwide eradication of smallpox in 1980, orthopoxvirus vaccines had been used nearly exclusively by persons at risk for occupational exposure to orthopoxviruses, including Monkeypox virus, the virus that causes mpox. However, during recent years, the epidemiology of mpox has been changing in countries where the animal reservoirs are believed to live and where endemic transmission has been known to occur for decades. CDC issues outbreak-specific vaccination recommendations based on the epidemiology at the time specific cases or clusters are identified; however, because of the increased risk for U.
View Article and Find Full Text PDFIsolation, culture, and optimal growth conditions for the shellfish protozoan parasite, Perkinsus olseni.
Int J Parasitol
June 2025
Cawthron Institute, Nelson, New Zealand; Centre for Sustainable Tropical Fisheries and Aquaculture, College of Science and Engineering, James Cook University, Townsville, Queensland, Australia.
Aquatic parasite cultures are a significant asset to improve our understanding of organism biology, transmission and disease progression, and evaluation of preventative and treatment measures. We adapted and optimized international standard methods for the isolation and culture of Perkinsus spp. for Perkinsus olseni.
View Article and Find Full Text PDFCommentary on Percutaneous Biliary Interventions via the Modified Hutson Loop in Patients with Biliary-Enteric Anastomoses: A Retrospective Study.
Cardiovasc Intervent Radiol
August 2024
Queen Elizabeth Hospital, Birmingham, United Kingdom.
Simulated Target Attainment of Multidose Regimens of Dalbavancin for Prolonged Durations of Therapy.
Open Forum Infect Dis
June 2024
Pharmacy Practice and Translational Research Division, School of Pharmacy, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Background: Dalbavancin is a long-acting lipoglycopeptide antibiotic that is increasingly utilized for infections that require prolonged treatment durations despite the lack of Food and Drug Administration approval for these indications. There is no consensus regarding optimal dosing of dalbavancin for these infections and no available pharmacokinetic studies to identify optimal dosing for long-term use.
Methods: An in silico pharmacokinetic simulation was performed to assess the predicted dalbavancin concentration resulting from commonly utilized dosing regimens, in addition to modified regimens.