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Pneumobilia

MedGen UID:
1053587
•Concept ID:
CN377286
•
Finding
Synonyms: Aerobilia; Air in the biliary system
 
HPO: HP:6000454

Definition

Accumulation of gas in the biliary tree. [from HPO]

Professional guidelines

PubMed

A multi-institutional study designed by members of Tokyo Guidelines (TG) Core Meeting to elucidate the clinical characteristics and pathogenesis of acute cholangitis after bilioenteric anastomosis and biliary stent insertion with a focus on biliary obstruction: Role of transient hepatic attenuation difference (THAD) and pneumobilia in improving TG diagnostic performance.
Kato H, Takada T, Strasberg S, Isaji S, Sano K, Yoshida M, Itoi T, Okamoto K, Kiriyama S, Yagi S, Matsubara T, Higuchi R, Ohyama T, Misawa T, Mukai S, Mori Y, Asai K, Mizuno S, Abe Y, Suzuki K, Homma Y, Hata J, Tsukiyama K, Kumamoto Y, Tsuyuguchi T, Maruo H, Asano Y, Hori S, Shibuya M, Mayumi T, Toyota N, Umezawa A, Gomi H, Horiguchi A
J Hepatobiliary Pancreat Sci 2024 Jan;31(1):12-24. Epub 2023 Oct 26 doi: 10.1002/jhbp.1368. PMID: 37882430
Gallstone ileus: demographic and clinical criteria supporting preoperative diagnosis.
Gürleyik G, Gürleyik E
Ulus Travma Derg 2001 Jan;7(1):32-4. PMID: 11705170
The internal biliary fistula--reappraisal of incidence, type, diagnosis and management of 33 consecutive cases.
Yamashita H, Chijiiwa K, Ogawa Y, Kuroki S, Tanaka M
HPB Surg 1997;10(3):143-7. doi: 10.1155/1997/95363. PMID: 9174858Free PMC Article

Recent clinical studies

Etiology

Long-term prognosis and risk factors associated with post-ERCP pneumobilia in patients with common bile duct stones.
Dong H, Zhang W, Lyu X, Li X, Wang J, Feng Y, Zhao C, Chai N, Linghu E
Gastrointest Endosc 2024 Apr;99(4):577-586.e1. Epub 2023 Nov 19 doi: 10.1016/j.gie.2023.11.016. PMID: 37989466
A multi-institutional study designed by members of Tokyo Guidelines (TG) Core Meeting to elucidate the clinical characteristics and pathogenesis of acute cholangitis after bilioenteric anastomosis and biliary stent insertion with a focus on biliary obstruction: Role of transient hepatic attenuation difference (THAD) and pneumobilia in improving TG diagnostic performance.
Kato H, Takada T, Strasberg S, Isaji S, Sano K, Yoshida M, Itoi T, Okamoto K, Kiriyama S, Yagi S, Matsubara T, Higuchi R, Ohyama T, Misawa T, Mukai S, Mori Y, Asai K, Mizuno S, Abe Y, Suzuki K, Homma Y, Hata J, Tsukiyama K, Kumamoto Y, Tsuyuguchi T, Maruo H, Asano Y, Hori S, Shibuya M, Mayumi T, Toyota N, Umezawa A, Gomi H, Horiguchi A
J Hepatobiliary Pancreat Sci 2024 Jan;31(1):12-24. Epub 2023 Oct 26 doi: 10.1002/jhbp.1368. PMID: 37882430
Risk factors for recurrent common bile duct stones: a systematic review and meta-analysis.
Wen N, Wang Y, Cai Y, Nie G, Yang S, Wang S, Xiong X, Li B, Lu J, Cheng N
Expert Rev Gastroenterol Hepatol 2023 Jul-Dec;17(9):937-947. Epub 2023 Aug 3 doi: 10.1080/17474124.2023.2242784. PMID: 37531090
Gallstone Ileus. What therapeutic options are there?
Vasilescu AM, Tarcoveanu E, Bradea C, Lupascu C, Stagnitti F
Ann Ital Chir 2022;92:300-306. PMID: 35122424
Post-cholecystectomy Gallstone Ileus.
Meier J, Guzzetta AA, Huerta S
Am Surg 2020 Jun;86(6):675-684. doi: 10.1177/0003134820923296. PMID: 32683979

Diagnosis

Imaging of benign biliary pathologies.
Sundaram KM, Morgan MA, Itani M, Thompson W
Abdom Radiol (NY) 2023 Jan;48(1):106-126. Epub 2022 Feb 24 doi: 10.1007/s00261-022-03440-5. PMID: 35201397
Successful gallstone ileus treatment by endoscopy.
Guerro Moya A, Couto Wörner I, Alonso Aguirre PA
Rev Esp Enferm Dig 2022 Dec;114(12):754-755. doi: 10.17235/reed.2022.8898/2022. PMID: 35638775
Post-cholecystectomy Gallstone Ileus.
Meier J, Guzzetta AA, Huerta S
Am Surg 2020 Jun;86(6):675-684. doi: 10.1177/0003134820923296. PMID: 32683979
Spontaneous Pneumobilia and Hematemesis.
Jacobs JD, Kaplan SJ, Chiorean M
Gastroenterology 2019 Aug;157(2):e8-e9. Epub 2019 Apr 5 doi: 10.1053/j.gastro.2019.03.053. PMID: 30959037
Pneumobilia: benign or life-threatening.
Sherman SC, Tran H
J Emerg Med 2006 Feb;30(2):147-53. doi: 10.1016/j.jemermed.2005.05.016. PMID: 16567248

Therapy

Long-term prognosis and risk factors associated with post-ERCP pneumobilia in patients with common bile duct stones.
Dong H, Zhang W, Lyu X, Li X, Wang J, Feng Y, Zhao C, Chai N, Linghu E
Gastrointest Endosc 2024 Apr;99(4):577-586.e1. Epub 2023 Nov 19 doi: 10.1016/j.gie.2023.11.016. PMID: 37989466
Risk factors for recurrent common bile duct stones: a systematic review and meta-analysis.
Wen N, Wang Y, Cai Y, Nie G, Yang S, Wang S, Xiong X, Li B, Lu J, Cheng N
Expert Rev Gastroenterol Hepatol 2023 Jul-Dec;17(9):937-947. Epub 2023 Aug 3 doi: 10.1080/17474124.2023.2242784. PMID: 37531090
Successful gallstone ileus treatment by endoscopy.
Guerro Moya A, Couto Wörner I, Alonso Aguirre PA
Rev Esp Enferm Dig 2022 Dec;114(12):754-755. doi: 10.17235/reed.2022.8898/2022. PMID: 35638775
Post-cholecystectomy Gallstone Ileus.
Meier J, Guzzetta AA, Huerta S
Am Surg 2020 Jun;86(6):675-684. doi: 10.1177/0003134820923296. PMID: 32683979
Spontaneous Pneumobilia and Hematemesis.
Jacobs JD, Kaplan SJ, Chiorean M
Gastroenterology 2019 Aug;157(2):e8-e9. Epub 2019 Apr 5 doi: 10.1053/j.gastro.2019.03.053. PMID: 30959037

Prognosis

Long-term prognosis and risk factors associated with post-ERCP pneumobilia in patients with common bile duct stones.
Dong H, Zhang W, Lyu X, Li X, Wang J, Feng Y, Zhao C, Chai N, Linghu E
Gastrointest Endosc 2024 Apr;99(4):577-586.e1. Epub 2023 Nov 19 doi: 10.1016/j.gie.2023.11.016. PMID: 37989466
Risk factors for recurrent common bile duct stones: a systematic review and meta-analysis.
Wen N, Wang Y, Cai Y, Nie G, Yang S, Wang S, Xiong X, Li B, Lu J, Cheng N
Expert Rev Gastroenterol Hepatol 2023 Jul-Dec;17(9):937-947. Epub 2023 Aug 3 doi: 10.1080/17474124.2023.2242784. PMID: 37531090
Imaging of benign biliary pathologies.
Sundaram KM, Morgan MA, Itani M, Thompson W
Abdom Radiol (NY) 2023 Jan;48(1):106-126. Epub 2022 Feb 24 doi: 10.1007/s00261-022-03440-5. PMID: 35201397
Surgical approaches to chronic pancreatitis: indications and imaging findings.
Hafezi-Nejad N, Singh VK, Johnson SI, Makary MA, Hirose K, Fishman EK, Zaheer A
Abdom Radiol (NY) 2016 Oct;41(10):1980-96. doi: 10.1007/s00261-016-0775-y. PMID: 27207476
Resolution of pneumobilia as a predictor of biliary stent occlusion.
Thomas S, Patel RP, Oto A
Clin Imaging 2015 Jul-Aug;39(4):650-3. Epub 2015 Apr 6 doi: 10.1016/j.clinimag.2015.03.010. PMID: 25892599

Clinical prediction guides

Long-term prognosis and risk factors associated with post-ERCP pneumobilia in patients with common bile duct stones.
Dong H, Zhang W, Lyu X, Li X, Wang J, Feng Y, Zhao C, Chai N, Linghu E
Gastrointest Endosc 2024 Apr;99(4):577-586.e1. Epub 2023 Nov 19 doi: 10.1016/j.gie.2023.11.016. PMID: 37989466
Successful gallstone ileus treatment by endoscopy.
Guerro Moya A, Couto Wörner I, Alonso Aguirre PA
Rev Esp Enferm Dig 2022 Dec;114(12):754-755. doi: 10.17235/reed.2022.8898/2022. PMID: 35638775
Interpreting body MRI cases: classic findings in abdominal MRI.
Kania L, Guglielmo F, Mitchell D
Abdom Radiol (NY) 2018 Oct;43(10):2790-2808. doi: 10.1007/s00261-018-1551-y. PMID: 29594465
Surgical approaches to chronic pancreatitis: indications and imaging findings.
Hafezi-Nejad N, Singh VK, Johnson SI, Makary MA, Hirose K, Fishman EK, Zaheer A
Abdom Radiol (NY) 2016 Oct;41(10):1980-96. doi: 10.1007/s00261-016-0775-y. PMID: 27207476
Resolution of pneumobilia as a predictor of biliary stent occlusion.
Thomas S, Patel RP, Oto A
Clin Imaging 2015 Jul-Aug;39(4):650-3. Epub 2015 Apr 6 doi: 10.1016/j.clinimag.2015.03.010. PMID: 25892599

Recent systematic reviews

Risk factors for recurrent common bile duct stones: a systematic review and meta-analysis.
Wen N, Wang Y, Cai Y, Nie G, Yang S, Wang S, Xiong X, Li B, Lu J, Cheng N
Expert Rev Gastroenterol Hepatol 2023 Jul-Dec;17(9):937-947. Epub 2023 Aug 3 doi: 10.1080/17474124.2023.2242784. PMID: 37531090
Colonic gallstone ileus: a systematic literature review with a diagnostic-therapeutic algorithm.
Augustin G, Bruketa T, Kunjko K, Romić I, Mikuš M, Vrbanić A, Tropea A
Updates Surg 2023 Aug;75(5):1071-1082. Epub 2023 May 20 doi: 10.1007/s13304-023-01537-0. PMID: 37209317
Post-cholecystectomy Gallstone Ileus.
Meier J, Guzzetta AA, Huerta S
Am Surg 2020 Jun;86(6):675-684. doi: 10.1177/0003134820923296. PMID: 32683979

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