Liver stent

Stents to relieve symptoms Bile duct cancer Cancer

Stents to relieve symptoms A stent is a small flexible plastic or metal tube. Doctors use stents to open up a blockage caused by the cancer. This helps to relieve symptoms caused by the blockage Sometimes the biliary drainage procedure may be extended with the placement of a permanent plastic or metal stent across the site of the bile duct blockage. Stents are usually inserted a few days after the initial drainage procedure and they keep the narrowed duct open without the need for a catheter A stent is a small plastic or metal tube that is used to keep your bile duct open. Bile (fluid from your liver) helps you digest fat and other foods that you eat. Bile is stored in your gallbladder, which is located under your liver. Bile passes through your bile duct and is released into your intestines (bowels) when you eat A biliary stent is a plastic or metal tube inserted into a bile duct. Biliary stenting is a procedure that opens the obstructed bile duct. Obstructed bile duct leads to the accumulation of bile in the liver resulting in yellowing of the skin (jaundice), dark urine, light stools, itching, nausea and poor appetite

Biliary Drainage and Stenting BSI

A transjugular intrahepatic portosystemic shunt (TIPS) is a tract developed within the liver utilizing x-ray assistance to connect 2 veins within the liver. The shunt is kept open by the positioning of a little, tubular metal device typically called a stent biliary metal stent (also known as a bile duct stent) is a flexible metallic tube specially designed to hold your bile duct open, which has been blocked or partially blocked A stent is a tiny tube that your doctor can insert into a blocked passageway to keep it open. The stent restores the flow of blood or other fluids, depending on where it's placed. Stents are made.. Transjugular Intrahepatic Portosystemic Shunt (TIPS) is a shunt or a bypass use to connect two veins within the liver with the use of x-ray by interventional radiology. This tract is what we call a Transjugular Intrahepatic Portosytemic Shunt or simply abbreviated as TIPS. See the yellow tract on the picture to your left

The mean duration of the patency of the stent is about 12 months. The biliary stenting is performed either with plastic or metal stents, studies recommending their replacement after 3-6 months. Patients with long stayed forgotten biliary stents are inevitably treated with surgical intervention The pain in liver (cancerous) is still there. It has been two days after stent insertion but my mom is having a lot of vomiting (throwing out yellow-green substance, bile I think). I was expecting that after stent relief should come very fast, but that does not seem to be the case Transjugular intrahepatic portosystemic shunt (TIPS): This procedure involves placing a stent (a tubular device) in the middle of the liver. The stent connects the hepatic vein with the portal. Biliary Drainage. Biliary drainage is a procedure that helps drain extra bile. When bile blocks the bile duct, it can back up into the liver and cause symptoms like jaundice. A biliary drain (also called a biliary stent) is a thin, hollow tube with several holes along the sides. This drain helps bile flow more easily Putting a stent into the bile duct aims to clear the blockage. This means that bile can flow again into the bowel. Having a stent put in is generally a simple procedure. You usually have this done during a type of endoscopy called an ERCP (endoscopic retrograde cholangio pancreatography)

Liver failure can be either acute (comes on quickly) or chronic (occurs gradually over time). Damage to your liver builds up over stages, affecting your liver's ability to function. Learn more. Biliary stent or biliary catheter If cancer is blocking a bile duct, it can lead to jaundice (yellowing of the skin and eyes) as well as other problems, like infection and liver failure. A small tube or a catheter can be put into the duct to help keep it open. A stent is a small metal or plastic tube that's put through the blockage in the duct A stent can be placed in your liver to clear a blocked bile duct and relieve symptoms of jaundice. The earlier the stent is inserted, the less severe the symptoms. Stenting can be done in two ways Properly placed metal biliary stents (Figure 1) usually last for at least 8 to 12 months. However, the metal stents can be blocked by tumor ingrowth, sludge, and biliary stones (Figure 2) A stent is a small cylinder-shaped tube that widens your bile duct and keeps it open. Your body stores bile in your gall bladder. Bile passes through your bile duct and is released into your intestines when you eat

Endoscopic Biliary Stenting (Aftercare Instructions

  1. The doctor may place the stent through a catheter that drains the bile into a bag on the outside of the body or the stent may go around the blocked area and drain the bile into the small intestine. Percutaneous transhepatic biliary drainage : A procedure used to x-ray the liver and bile ducts
  2. Liver shunts can be divided into two categories: those that are present at birth (congenital shunts) and those that develop later in life (acquired shunts). Congenital shunts are most common, being responsible for approximately 80 percent of cases. Dogs are usually quite young (less than 3 years old) when they start experiencing symptoms
  3. A biliary stent, also known as a bile duct stent, is a thin, hollow tube that is placed in the bile duct. The stent holds the duct open after the duct has been blocked or partly blocked. Fluids like bile need to flow through your bile duct into your intestine to help digestion. If the duct is blocked, these fluids can build up in the liver
Biliary Migration of Pancreatic stents: Rare complication

How Long Can You Leave a Biliary Stent In

Liver shunt: Transjugular, intrahepatic, portosystemic shunt (TIPS), is a shunt (tube) placed between the portal vein which carries blood from the intestines to the liver and the hepatic vein which carries blood from the liver back to the heart.It is used primarily (but not exclusively) in patients with cirrhosis in which the scar tissue within the liver has blocked the flow of blood passing. In-stent restenosis (ISR) remains the most common complication of percutaneous coronary intervention. Due to shared risk factors, it is postulated that non-alcoholic fatty liver disease (NAFLD) patients have an increased risk of ISR. This study aimed to determine the association between NAFLD and IS Biliary stent placement is effective in internally draining the buildup of bile in the liver. As a minimally invasive procedure, recovery is much faster than open surgery. Since biliary stent placement only involves a small nick in the skin, patients can also expect less pain and fewer risks of complication

Stents can be installed either permanently or temporarily. There are four main types of stents used by GI doctors: Bile duct stents - These are either plastic or metal stents which are placed into the common bile duct (the tube connecting the liver and pancreas to the small bowel). These stents are often placed in patients with pancreatic or. Plastic vs. metal stents for malignant biliary obstruction. Dec. 20, 2013. Endoscopic stenting is the most common palliative treatment for biliary obstruction in people with unresectable pancreatic cancer. For decades, fixed-diameter plastic stents have been successfully used to relieve jaundice and improve overall quality of life in these. Insertion of biliary stent in a blocked bile duct helps to alleviate the symptoms and improve the function of liver. Biliary stent is introduced in the bile duct through two procedures, namely ERCP and PTC. ERCP is endoscopic retrograde cholangiopancreatography while PTC is percutaneous transhepatic cholangiography Liver stent placement . Premium Questions. Do stents put in bile duct to the liver cause pain? MD. I had stents put in my bile duct to my liver and pancreases, Is it normal to pain there? I am getting them out July 25 will it hurt when getting them out?.

A stent is a supportive device inserted into the body. Blood clotting, calcification, bleeding and pain are among potential side effects of the use of stents in coronary procedures. While recovering from surgery, patients must take care to sit upright while eating to ensure food goes through the stent. Stents are used to keep blood vessels free. Endoscopic retrograde cholangiopancreatography, or ERCP, is a procedure to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. It combines X-ray and the use of an endoscope—a long, flexible, lighted tube. Your healthcare provider guides the scope through your mouth and.

Bile Duct Cancer: Stent or Catheter Placement - Health

  1. gallbladder surgery gone bad, liver cut,almost died Stent after Gallbladder Surgery - Is the removal as bad as having it put in? Serious complications with my gallbladder removal.. Somethin how long the inserted stent can be kept at Bile Duct? GOTTA READ! WONT BELIEVE THIS: Stents left in for 2 years after gallbladder removal DRs FORGOT THEM
  2. A stent is a wire mesh tube that holds an artery open when there is a blockage affecting blood flow. A blockage is caused by a fatty deposit, and a piece of the deposit can break off and cause a heart attack or stroke. Stent placement is an invasive procedure that requires close monitoring immediately after it is performed
  3. Stent placement is one of the most common treatments for heart disease and artery blockage in the United States. More than 1 million Americans have a stent procedure each year to open blocked cardiac arteries, according to a February 2010 Wall Street Journal article
  4. The liver produces bile which aids digestion of fats. Bile is also stored in the gallbladder. Hereof, how long does a liver stent last? The mean duration of the patency of the stent is about 12 months. The biliary stenting is performed either with plastic or metal stents, studies recommending their replacement after 3-6 months. Patients with.
  5. Transjugular intrahepatic portosystemic stent shunt (TIPSS): If the therapies mentioned above do not stem the bleeding, a metal tube is passed across the liver to join the portal and hepatic veins.
  6. Liver stent surgery . Premium Questions. Do stents put in bile duct to the liver cause pain? MD. I had stents put in my bile duct to my liver and pancreases, Is it normal to pain there? I am getting them out July 25 will it hurt when getting them out?.
Biliary Obstruction

We punctured the portal system under ultrasound guidance using a 9 French liver biopsy needle (Cook, Germany) and established small diameter (8-10 mm) stent-shunts either with Palmaz stents or Wallstents, as described in other TIPS reports.15-17 Our target was a reduction in portal pressure gradient (portal minus vena cava superior pressure. A kidney stent is a hollow tubular structure which is medically used to drain the kidney when there is an obstruction in the flow of urine from the kidneys into the bladder. Such obstructions can arise due to various conditions like kidney stones, tumors, blood clots, postsurgical swelling or a narrowing of the ureter which are a pair of. The Bilirubin should keep decreasing. If it continues to rise an infection may have developed from the stent. This is very common and usually a good anti biotic takes care of that. Also, the yellow takes some time to completely leave. My husband had a slight hint of yellow for months. As for the liver function tests, I know there is an ALT and.

The impact of the Liver Cancer Stage 4 is very bad, and the condition gets worse with time. On average patient may survive for 6 months. However, if the complexity of Liver is less then, people may survive for even couple of years. However, the life expectancy of Stage 4 depends upon the condition of the people Case study: 80 yo woman with rectal bleeding. Post surgical removal of pancreatic cancer A stent may be put into the bile duct to treat jaundice, or the duodenum to treat sickness. There is a risk that the stent may get infected, which is normally caused by the stent getting blocked. Signs of a stent infection include: tummy pain; sore muscles; a high temperature, fever, shivering or feeling cold; being sick or loss of appetit

Liver Lesions Cancers of the bile ducts within the liver, liver cancers or cancers metastatic to the liver can cause obstruction of the bile The individual is referred for endoscopic biliary stent decompression and concomitant treatment with radiation and/or chemotherapy In conclusion, percutaneous stenting is an effective treatment of hepatic artery stenosis after liver transplantation. Stenting is well tolerated. It requires short admissions and has excellent short-term success rates. Hepatic artery stenting is useful not only for primary stenosis but also as an adjunct treatment after surgical hepatic artery. Results: Stenting resulted in immediate hemostasis in all cases without recurrent bleeding with SEMS in situ. After stabilization, 1 patient was treated by transjugular intrahepatic portosystemic shunt (TIPS) and after the second bleeding episode by TIPS dilation. One patient underwent orthotopic liver transplantation (OLT)

Endoscopic stenting with plastic stents was associated with a reduced risk of complications (RR 0.60, 95% CI 0.45 - 0.81), but with higher risk of recurrent biliary obstruction prior to death (RR 18.59, 95% CI 5.33 - 64.86) when compared with surgery. There was a trend towards lower risk of 30-day mortality with plastic stents (p=0.07, RR 0.58. Peppermint leaves include potent volatile oils and menthol which can aid the liver in softening and removing liver stones. It can also improve the flow of bile from the liver to the gallbladder. Add peppermint to meals or drink it as a tea. Drink 2 cups of peppermint tea every day. Take milk thistle herb in tablet form Cholangitis is an inflammation of the bile duct system. The bile duct system carries bile from your liver and gallbladder into the first part of your small intestine (the duodenum). In most cases cholangitis is caused by a bacterial infection, and often happens suddenly. But in some cases it may be long-term (chronic) Fully Covered Stent in the treatment of benign biliary stricture secondary to chronic pancreatitis (CP), post-liver transplant (OLT), and post-abdominal surgery (CCY). The stent was scheduled to be removed 10-12 months after implant for C

Abdomen and retroperitoneum | 1

What is a Biliary Stent? (with pictures

Stents used to overcome malignant biliary and gastrointestinal stenoses are made of plastic or metal. Stents to treat the latter, usually made of nitinol or stainless steel, can be bare, partially covered (at the center), or covered. The internal nonporous membrane prevents tumor growth through the mesh The disease but subsequently they give attention. cirrhosis stent cirrhosis stent Both the cirrhosis status death was a result fatty liver can occur for a number of tests to determine how much you're a patient may help prevent Hepatitis C. Let us start with the thick blood . 8 The proximal side of the stent is located sufficiently over the stricture and the distal side of the stent is passed 1-2 cm outside the major papilla (Chang et al., 2010). Sphincterotomy is usually required during endoscopic stenting to avoid acute pancreatitis as a result of compression of pancreatic duct orifice by the duodenal end of stents

Video: TIPS procedure: Uses, life expectancy, and recover

Biliary Stenting - procedure, test, blood, tube, removal

Pneumobilia. Pneumobilia, also known as aerobilia, is the accumulation of gas in the biliary tree. It is important to distinguish pneumobilia from portal venous gas, the other type of branching hepatic gas. There are many causes of pneumobilia and clinical context is often important to distinguish between these 3 A tiny balloon and a tube (which is a metal mesh stent) attached to one end of the catheter is introduced through the jugular vein into the liver with the help of an X-ray machine

How Long Can You Live After a TIPS Procedure? - Health Adviso

Biliary Stent Placement. Similar to a biliary drain placement, biliary stent placement is used to drain built-up bile in the liver when the bile duct is blocked. Rather than using a catheter to drain the bile fluid outside of the body, biliary stent placement uses a plastic or metal tube to keep the bile duct open while the fluid drains internally Biliary tract infection is a common cause of bacteraemia and is associated with high morbidity and mortality, particularly in older patients with co‐morbid disease or when there is a delay in diagnosis and treatment. 1,2 The most common infecting organisms are Enterobacteriaceae ascending from the gastrointestinal tract. 3,4 Although only a third of patients present with Charcot's triad. MRI may also potentially allow visualization of the extent of liver injury immediately after the procedure, which could correlate with acute liver dysfunction after TIPS placement. MRI of the Viatorr stent-graft is feasible for assessment of the TIPS during the initial days after its creation, when ultrasound may prove nondiagnostic 5. Bring your cat to the vet for a diagnosis. If you notice any physical or behavioral symptoms of liver shunts in your cat, bring your cat to your vet right away. Your vet will run a series of tests on your cat to determine if your cat has liver shunts, including a physical exam, a blood test, a urine test, a liver function test, and an x-ray There is controversy over the ability of transjugular intrahepatic portosystemic shunts (TIPS) to increase survival times of patients with cirrhosis and refractory ascites. The high rate of shunt dysfunction with the use of uncovered stents counteracts the benefits of TIPS. We performed a randomized controlled trial to determine the effects of TIPS with stents covered with.

Metal versus plastic stents for anastomotic biliary strictures after liver transplantation: a randomized controlled trial. Gastrointest Endosc 2018; 87:131.e1. Tal AO, Finkelmeier F, Filmann N, et al. Multiple plastic stents versus covered metal stent for treatment of anastomotic biliary strictures after liver transplantation: a prospective. Stent patency was defined as either 1) time from initial stent placement to re-intervention, whether due to scheduled biliary stent exchange or due to worsening liver enzymes, and/or clinical concerns of cholangitis. Survival time was defined as the time from first biliary stent, either MFPS or SEMS until time of death from any cause Primary liver cancers are cancers that start in the liver. The main types are: Hepatoma, also called hepatocellular carcinoma, or HCC - this is the most common type, seen in nine out of 10 cases. Biliary tree cancer, which includes cholangiocarcinoma (bile duct cancer) and gallbladder cancer. Fibrolamellar, a rare form of primary liver cancer. bilirubin level, diffuse liver metastases, and International Normal-ized Ratio (INR) ≥1.5 (Evidence level 2+). Short-term considerationsshouldnotaffect thechoicebetween biliary plastic stents and SEMSs; among plastic stents, Teflon-made models should be avoided if identical designs of poly-ethylene-made stents are available (Recommendation. Using an inflatable balloon-tipped catheter tube, the section between the portal vein branch and the hepatic vein is widened and then kept open (stented) with a cylindrical wire-mesh stent. This shunt serves to bypass blood around the high-pressure blood vessels within the scarred cirrhotic liver, and thereby reduces pressure within the portal.

A plastic stent was placed in the CBD by ERCP

A ureteral stent is a thin tube that's placed in your ureter to help drain urine from your kidney (see Figure 1). One end of the tube is inside your kidney and the other end is in your bladder. Figure 1. Ureteral stent. Ureteral stents can be used for several weeks, months, or years. They're used to Answer: How long a patient is expected to live after getting a coronary stent inserted depends. It depends primarily on the underlying heart disease, age, and medical condition of the patient. A.

A stent is tubular in shape and usually made of metal or ceramic. It is designed to keep a part of the coronary artery open. Coronary arteries are the blood vessels that carry blood to the heart muscle. Stents are placed through a cardiac angiogram, a procedure in which a catheter is placed in the groin and run up to the heart Angioplasty is a procedure done to clear the artery blockages. It is routinely done as a treatment in cardiovascular problems. This article focusses on how long does it take to recover after having a stent. The recovery time after having a stent or angioplasty is fast and patients are discharged from the hospital in usually 12-24 hours after the removal of the catheter

Lifestyle adjustments are crucial after a stent. Once you have recovered from your angioplasty and stenting procedure, it is important to address what caused the plaque build-up in your artery that originally led to the blockage, Patel says. If you're a smoker, work on quitting, exercise 30 to 45 minutes a day, and avoid foods high in sodium Estimated around 1-2 percent of people who have stents in their arteries, are prone to have blood clots in around the area stent is placed. Blood clots can cause strokes, heart attack, other serious problems or even death in rare cases. For few months after the stent placement risks are higher for blood clotting A stent is a tiny tube that your doctor can place into a blocked passageway to keep it open. The stent restores the circulation of blood or other fluids, depending upon where it's put. Stents are made from either metal or plastic. Stent grafts are bigger stents used for larger arteries. They might also be made from a specialized material Cardiac stents are devices used to treat these blockages. Stents are mesh tubes, usually made of metal, that are placed inside the arteries of the heart to reduce narrowing and strengthen the artery walls. As with all medical procedures, there are some important side effects to be aware of associated with cardiac stent placement Chronic liver failure, also called end-stage liver disease, progresses over months, years, or decades. Most often, chronic liver failure is the result of cirrhosis, a condition in which scar tissue replaces healthy liver tissue until the liver cannot function adequately

Stent in Left Iliac Vein in Patient with May–Thurner

Biliary complications account for significant morbidity in orthotopic liver transplantation (OLT), with a reported incidence ranging from 6% to 47%, and many centers are reassessing the need and options available for stenting the biliary anastomosis A biliary stent is really a thin, tube-like framework which is used to aid a shortened the part of the bile duct and stop the reformation from the stricture. Stents might be made from plastic or metal. Two of the most common methods which are accustomed to place a biliary stent are endoscopic retrograde cholangiopancreatography (ERCP) and. The mean survival of patients with stage III HCC was similar to survival after other treatments without stenting (3.6 months). Stent placement may be contraindicated in patients with stage III HCCs. Stent patency. Tumor ingrowth, deterioration of the liver profile, and stent thrombosis or intimal hyperplasia were the causes of stent occlusion

Stent: Purpose, Procedure, and Risk

The stents decompress the bile ducts, maintaining liver function. The combined therapy group received treatment every three months, at which time all stents were replaced. The combined therapy. If a blockage is found, a catheter may be temporarily left in the liver to drain bile into the small intestine or a collection bag outside the body. Stent placement: using image-guidance, a stent may be placed in a narrow portion of a bile duct to help keep the duct open. A balloon-tipped catheter may be used to help expand a narrow duct

TIPS (Shunt): Transjugular Intrahepatic Portosystemic

CT scans of the liver are useful in the diagnosis of certain types of jaundice. Jaundice is the yellowing of the skin and eyes that's caused by certain liver problems. There may be other reasons for your healthcare provider to advise a CT scan of the liver and biliary tract The liver works like a large factory in the body. It stores sugar in the body, acts as a de- toxic device and also manufactures bile. The bile that is manufa.. Bladder and kidney stent removal Stent in Kidney to conduit Stent removal side effects Husband with pancreatic cyst/pancreatitis and stent Chest pain after stent surgery Is my pain normal after stent placement? A possible stent in the pancreas does the pain go away? biliary stent still in after a year Anesthesia for kidney stone stent removal. The stent should unblock the bile duct, which should then drain normally. The ERCP usually takes 30-40 minutes. Having a stent put in through the skin (PTC) Some people may not be able to have a stent put in with an ERCP. Instead, the stent is passed through the tummy wall and liver, and into the bile duct, using a thin needle

Long-term effects of forgotten biliary stents: a case

The primary stent variables examined included stent type (plastic vs metal), size (diameter only), and number placed. The location and extent of the dominant stricture was documented as follows: left and/or right hepatic duct, common hepatic duct, common bile duct (CBD), or multifocal. Sphincterotomy also was noted when it was performed I have never had to have a stent and drain. It was considered, but for my case, I ran a risk of bleeding, because my INR and Prothrombin Time levels were extremely high. So for my case, I was treated with high dosages of prednizone and added imuran to help control all my levels, including the liver enzymes AST/ALT, bilirubin, etc

TIPS for the treatment of refractory ascites, hepatorenal

What to expect after stent insertion ? Cancer Survivors

The stent serves to keep the narrowed area open so the bile from the liver and gallbladder can empty properly, explained Dr. Takahashi. After several months of being stretched, the stricture will. Coronary stents are small mesh metal tubes that support weakened arteries in the heart. There are two types of stents []-- so-called bare metal stents and stents coated with medication -- and they are surgically placed by specialized cardiologists as part of a procedure called an angioplasty.. Typical costs: Look for separate charges from the hospital, doctors and laboratory

Portal Hypertension Causes, Symptoms, Treatments, Test

Treatment - Some people may have surgery to remove part of the liver or to insert a stent. Chemotherapy is a common treatment. Chemotherapy is a common treatment. This uses drugs to kill or damage cancer cells so they cannot grow or spread, and is usually given by drip into a vein Hepatic vein obstruction prevents blood from flowing out of the liver and back to the heart. This blockage can cause liver damage. Obstruction of this vein can be caused by a tumor or growth pressing on the vessel, or by a clot in the vessel (hepatic vein thrombosis).. Most often, it is caused by conditions that make blood clots more likely to form, including A liver transplant is another option but again only suitable for a small number of cases. Surgery also has a role in palliative care. For example, if yellowing (jaundice) is severe, it may be possible to relieve the blockage of bile by inserting a stent. This is a narrow tube which allows the bile to drain into the gut Diagnosis also is hindered because HE can be triggered or exacerbated by a medical procedure known as the transjugular intrahepatic stent shunt (TIPS), which commonly is used to treat alcoholic patients who experience elevated blood pressure in the portal vein that transports blood to the liver

Biliary Drainage - Cleveland Clini

During this period, we needed an urgent intraoperative HV or PV stent placement in the middle of liver surgery in three cases (3/253, 1.2%) including two reported in this article. Although the probability of surgically uncorrectable vascular obstruction during liver surgery is low as shown above, we need to consult the IVR team preoperatively. When your liver swells and isn't working like normal, you may get fluid buildup in your belly. Depending on where the cancer is, you might be able to get a small tube, called a stent, to keep. Fingerprint Dive into the research topics of 'Stent placement versus angioplasty for hepatic artery stenosis after liver transplant: A meta-analysis of case series'. Together they form a unique fingerprint. Angioplasty Medicine & Life Science The cost of stent placement is less than open heart surgery. The cost of self-expanding stent is higher. Though, cost of stent has reduced substantially since 2016. BMS stent price has reduced from $ 1,150 to $ 450 and DES stent prices are reduced from $ 3,200 to lower range of $ 1,000 to $ 750. The published study suggests stent angioplasty cost $ 3,268 more than balloon angioplasty but in.

Blinkskuddet: Endoscopic ultrasound drainage of a giantOcclusion of Stent in the Right Common Iliac Artery

A coronary artery stent is a small, metal mesh tube that is placed inside a coronary artery to help keep the artery open. To place the stent, a small sheath, plastic tube, is placed in the groin or wrist artery. A catheter is guided through the artery into the part of the coronary artery that is blocked. The stent is inserted along with a. Biliary drainage is the insertion of a tube into the bile duct. This is most commonly carried out when the bile ducts are blocked. The bile ducts normally allow bile (a green-brown fluid that is produced by the liver to help with the digestion of fats) to drain from the liver to the small intestine (see Figure 1) tional imaging, such as computer tomography. The liver abscess was localized using a linear echoendoscope. Both a diagnostic echoendoscope with a 2.8-mm working channel and a therapeutic echoendoscope with a larger working channel of 3.7-3.8mm were used. The former allows for insertion of only 7-Fr stents, whereas larger 10-Fr stents ca Liver and pancreas transplant team. The OHSU transplantation team provides liver transplantation for patients with end-stage liver disease and some with liver cancer. The transplantation team includes surgeons as well as liver, kidney and diabetes specialists. In addition, the group is also very active in the surgical treatment of liver tumors.