What is a Operative cholangiogram?
What is a Operative cholangiogram?
An intraoperative cholangiogram is a special kind of X-ray imaging that shows those bile ducts. It’s used during surgery. With a typical X-ray, you get one picture. But a cholangiogram shows your doctor a live video of your bile ducts so they can see what’s happening in real-time.
Why is an operative cholangiogram performed?
Operative cholangiogram can effectively identify incidental choledocholithiasis or anatomic variation in the biliary system that may significantly influence the surgical approach or postoperative management of the patient.
What does the cholangiogram test determine?
Cholangiography means looking at the structure of the bile ducts and gallbladder. It can help to find the size of a gallbladder cancer and whether it has spread.
What are the indications of cholangiography?
The indications for selective intraoperative cholangiography (IOC) include a clinical history of jaundice, pancreatitis, elevated bilirubin level, abnormal liver function test results, increased amylase levels, a high lipase level, or dilated common bile duct on preoperative ultrasonography.
What is the difference between cholangiogram and Cholangiography?
Cholangiography is performed to identify patency of the bile ducts and is necessary if the diagnosis is uncertain. Usually, an intraoperative cholangiogram is performed so that if EHBA is diagnosed, it is possible to proceed to hepatoportoenterostomy.
What are the types of cholangiogram?
There are at least four types of cholangiography:
- Percutaneous transhepatic cholangiography (PTC): Examination of liver and bile ducts by x-rays.
- Endoscopic retrograde cholangiopancreatography (ERCP).
- Primary cholangiography (or perioperative): Done in the operation room during a biliary drainage intervention.