GALL BLADDER AND BILIARY SYSTEM PROCEDURES MEAAD AL-MUSINED.

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Presentation transcript:

GALL BLADDER AND BILIARY SYSTEM PROCEDURES MEAAD AL-MUSINED

ANATOMY

OPERATIVE (IMMEDIATE) CHOLANGIOGRAM Definition During surgery, During Cholecystectomy Indication If the surgeon may suspect that residual stones are located in the biliary ducts.

OPERATIVE (IMMEDIATE) CHOLANGIOGRAM Rt hepatic duct Lt hepatic duct Common hepatic duct Common bile duct catheter

POST OPERATIVE (T-TUBE) CHOLANGIOGRAPHY

The CM injected fractionated under fluroscopic control. Spot radiographs are taken in AP and varying degrees of obliquety

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

Catheter T-shape Endoscope Summery

THANK YOU