Hemobilia: Diagnosis and Management

Hemobilia is an uncommon cause of gastrointestinal hemorrhage and difficult to diagnosis. Clinical presentations are upper gastrointestinal hemorrhage, abdominal pain and obstructive jaundice. There are various mechanisms of hemobilia such as bleeding tumor of bile duct, ductal tear, a communication...

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Main Author: Tanawat Pattarapuntakul
Format: Article
Language:English
Published: Prince of Songkla University 2017-04-01
Series:Journal of Health Science and Medical Research (JHSMR)
Subjects:
Online Access:https://www.jhsmr.org/index.php/jhsmr/article/view/125
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spelling doaj-2956d2d20f2e4b9d8149bdcfdfa9d1432020-11-25T01:31:35ZengPrince of Songkla UniversityJournal of Health Science and Medical Research (JHSMR)2586-99812630-05592017-04-01352177186139Hemobilia: Diagnosis and ManagementTanawat Pattarapuntakul0Nanthana-Kriangkrai Chotiwattanaphan Institute of Gastroenterology and Hepatology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Hemobilia is an uncommon cause of gastrointestinal hemorrhage and difficult to diagnosis. Clinical presentations are upper gastrointestinal hemorrhage, abdominal pain and obstructive jaundice. There are various mechanisms of hemobilia such as bleeding tumor of bile duct, ductal tear, a communication or fistula between the biliary tract and vascular system resulting from iatrogenic, trauma, tumor, gallstone, inflammation and vascular disorder. Urgent investigation should be done by endoscopy, computerized angiography and angiography for definite diagnosis and plan of treatment. The principle of therapy are resuscitation, control hemorrhage and restoration bile flow from obstruction. Multimodality approach is the mainstay of treatment including medical therapy, endoscopy, intervention radiology and surgery.https://www.jhsmr.org/index.php/jhsmr/article/view/125controlling hemorrhagehemobilia
collection DOAJ
language English
format Article
sources DOAJ
author Tanawat Pattarapuntakul
spellingShingle Tanawat Pattarapuntakul
Hemobilia: Diagnosis and Management
Journal of Health Science and Medical Research (JHSMR)
controlling hemorrhage
hemobilia
author_facet Tanawat Pattarapuntakul
author_sort Tanawat Pattarapuntakul
title Hemobilia: Diagnosis and Management
title_short Hemobilia: Diagnosis and Management
title_full Hemobilia: Diagnosis and Management
title_fullStr Hemobilia: Diagnosis and Management
title_full_unstemmed Hemobilia: Diagnosis and Management
title_sort hemobilia: diagnosis and management
publisher Prince of Songkla University
series Journal of Health Science and Medical Research (JHSMR)
issn 2586-9981
2630-0559
publishDate 2017-04-01
description Hemobilia is an uncommon cause of gastrointestinal hemorrhage and difficult to diagnosis. Clinical presentations are upper gastrointestinal hemorrhage, abdominal pain and obstructive jaundice. There are various mechanisms of hemobilia such as bleeding tumor of bile duct, ductal tear, a communication or fistula between the biliary tract and vascular system resulting from iatrogenic, trauma, tumor, gallstone, inflammation and vascular disorder. Urgent investigation should be done by endoscopy, computerized angiography and angiography for definite diagnosis and plan of treatment. The principle of therapy are resuscitation, control hemorrhage and restoration bile flow from obstruction. Multimodality approach is the mainstay of treatment including medical therapy, endoscopy, intervention radiology and surgery.
topic controlling hemorrhage
hemobilia
url https://www.jhsmr.org/index.php/jhsmr/article/view/125
work_keys_str_mv AT tanawatpattarapuntakul hemobiliadiagnosisandmanagement
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