Hemobilia: Perspective and Role of the Advanced Endoscopist
Joint Authors
Tabibian, James H.
Han, James Y.
Berry, Rani
Girotra, Mohit
Source
Gastroenterology Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-12
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Hemobilia refers to bleeding from and/or into the biliary tract and is an uncommon cause of gastrointestinal hemorrhage.
Hemobilia has been documented since the 1600s, but due to its relative rarity, it has only been more critically examined in recent decades.
Most cases of hemobilia are iatrogenic and caused by procedures involving the liver, pancreas, bile ducts, and/or the hepatopancreatobiliary vasculature, with trauma and malignancy representing the two other major causes.
A classic triad of right upper quadrant pain, jaundice, and overt upper gastrointestinal bleeding has been described, but this is present in only 25–30% of patients with hemobilia.
Historically, the gold standard for diagnosis and treatment has been angiography and interventional radiologic intervention, respectively.
However, the paradigm is shifting, at least in select cases, towards first-line reliance on noninvasive imaging (e.g., computed tomography) and therapeutic endoscopy, owing to advances in and the less invasive nature of both, while saving interventional radiological and/or surgical intervention for refractory or imminently life-threatening cases.
American Psychological Association (APA)
Berry, Rani& Han, James Y.& Girotra, Mohit& Tabibian, James H.. 2018. Hemobilia: Perspective and Role of the Advanced Endoscopist. Gastroenterology Research and Practice،Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1159542
Modern Language Association (MLA)
Berry, Rani…[et al.]. Hemobilia: Perspective and Role of the Advanced Endoscopist. Gastroenterology Research and Practice No. 2018 (2018), pp.1-12.
https://search.emarefa.net/detail/BIM-1159542
American Medical Association (AMA)
Berry, Rani& Han, James Y.& Girotra, Mohit& Tabibian, James H.. Hemobilia: Perspective and Role of the Advanced Endoscopist. Gastroenterology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1159542
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159542