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Gall Bladder and Biliary System Procedures

Gall Bladder and Biliary System Procedures. MEAAD AL-MUSINED. Anatomy. Anatomy. Operative (Immediate) Cholangiogram. Definition During surgery, During Cholecystectomy Indication If the surgeon may suspect that residual stones are located in the biliary ducts . .

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Gall Bladder and Biliary System Procedures

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  1. Gall Bladder and Biliary System Procedures MEAAD AL-MUSINED

  2. Anatomy

  3. Anatomy

  4. Operative (Immediate) Cholangiogram • Definition During surgery, During Cholecystectomy • Indication If the surgeon may suspect that residual stones are located in the biliary ducts .

  5. Operative (Immediate) Cholangiogram Lt hepatic duct Rt hepatic duct Common hepatic duct Common bile duct catheter

  6. Post Operative (T-Tube) Cholangiography

  7. Post Operative (T-Tube) Cholangiography

  8. Post operative ( T-Tube ) cholangiography • The CM injected fractionated under fluroscopic control . • Spot radiographs are taken in AP and varying degrees of obliquety

  9. Endoscopic retrograde cholangiopancreaography ERCP It is a combined radiological and endoscopical procedure aiming at obtaining radiographs on the bile and pancreatic ducts through a retrograde injection of contrast medium via the ampula of Vater

  10. Summery Catheter T-shape Endoscope

  11. Thank You

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