Q) After treatment of carcinoma gall bladder, most common site of recurrence is a) Lung b) Liver c) GB fossa d) Local lymph nodes
Bile duct
Etiology Of Cholangiocarcinoma
Q) Etiology associated with cholangiocarcinoma is ( JIPMER Onco)
a) Smoking
b) Ulcerative colitis
c) Crohn disease
d) Benign cysts
EHPVO with Portal Hypertension
Q) An young male with cholangitis, EHPVO + Portal Biliopathy was drained with a plastic biliary stent next step?
a) Repeat biliary Stenting every 3 months then followed up
b) Replace plastic to bare metal stent
c) Prepare for Lineorenal shunt surgery
d) Do MRCP and proceed accordingly
Points about Portal Biliopathy
Portal biliopathy (PB) is a clinical condition defined as the presence of abnormalities in the biliary tree (including biliary tree and gallbladder) in patients with non-cirrhotic/non-neoplastic extrahepatic portal vein obstruction (EHPVO) and portal cavernoma.
The spectrum of biliary abnormalities include both intra- and extra-hepatic biliary stenosis (single or multiple)
With or without consensual above dilation
Bile duct wall irregularity or thickening
Bile duct angulation
Varicose veins located at the ductular walls and gallbladder
Bile duct blood supppy
Q) Blood supply of Supra duodenal bile duct, what is false? ( CBD Questions) ( AIIMS 2020)
a) 2% Non Axial
b) Downward 38% from RHA
c) Gb venous drainage directly to PV
d) Main artery supply to retro pancreatic CBD is retroduodenal artery
Extra hepatic bile duct drainage
Q) Which portion of biliary tract has poorest blood supply ( # CBD Questions 31-40)
a) Hilar
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Blood supply of bile duct
Q)Blood supply of biliary tract? Which is false
a) 2% blood supply is nonaxial
b) Downward 38% from RHA
c) GB venous drainage directly to Portal vein
d) Main artery supply to retro pancreatic CBD is retroduodenal artery