2024年9月28日 · The Bismuth-Corlette classification is a classification system for extrahepatic bile duct obstruction. The Bismuth-Corlette classification is commonly used in cases of perihilar cholangiocarcinomas, reflects the extent of ductal infiltration and impacts resection and reconstruction options 1,2.

2024年4月3日 · There is scant evidence that bismuth, even in high doses, causes serum aminotransferase elevations or clinically apparent liver injury. Bismuth is a brittle, silvery-white metal that is used in paints, cosmetics, electronics, and a few over-the-counter pharmaceuticals, usually as bismuth subsalicylate or subcitrate, primarily to treat diarrhea ...

We present a case report of coagulopathy from BSS poisoning in a patient with underlying cirrhosis. The patient’s high prothrombin time suggests inhibition of vitamin K-dependent coagulation factors. The patient had decreased factor V activity, which is responsible for converting prothrombin to thrombin.

2024年4月3日 · Currently, the major medical use of bismuth is as a component of quadruple therapy of Helicobacter pylori infection. There is scant evidence that bismuth, even in high doses, causes serum aminotransferase elevations or clinically apparent liver injury.

2015年1月1日 · Absorbed bismuth is distributed throughout the soft tissues and bone, the highest concentrations being found in the kidney and liver. Absorbed bismuth is excreted primarily through the urine. The biological half-time for whole-body retention is about 5 days, but intranuclear inclusions containing bismuth seem to remain for years in the kidneys ...

Indeed, bismuth poisoning typically disturbs the kidney, liver, and bladder, among other organs. Interestingly, nephrotoxicity is mainly attributed to acute toxicity, while chronic exposure to high levels of bismuth compounds can often result in encephalopathy .

The effect of liver disease on total body handling of bismuth was studied in normal and cirrhotic rats to test the hypothesis that hepatic function can be a significant determinant of heavy metal handling. Excretion and tissue distribution of bismuth were investigated in …

Bismuth subcitrate, metronidazole and tetracycline in combination is a rare cause of drug-induced liver injury (DILI). DILI is an exclusion diagnosis. Liver biopsy has an important role in the diagnosis of DILI.

Background: In patients with Bismuth type I and II hilar cholangiocarcinoma (HCCA), bile duct resection alone has been the conventional approach. However, many authors have reported that concomitant liver resection improved surgical outcomes.

The morphologic anatomy of the liver is described as 2 main and 2 accessory lobes. The more recent functional anatomy of the liver is based on the distribution of the portal pedicles and the location of the hepatic veins.