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 17 November 2017

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GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

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Bile duct stricture

This 53-year old woman underwent a cholecystectomy in 1977 and was found to have a bile duct stricture with a grossly dilated bile duct. She was given a diagnosis of Caroli's disease. During the subsequent 10 years she had numerous episodes of cholangitis with fever and leukocytosis, which responded to antibiotics. When she was evaluated in 1985, a CT scan showed a massively dilated common bile duct (6-cm) and an ERCP confirmed the diagnosis of choledocholithiasis with massive dilatation of the extra and intrahepatic bile ducts. In view of the intrahepatic bile ducts it was appreciated how the prior diagnosis of Caroli's disease might have been made. The key point here is to exclude extrahepatic obstruction in all cases of this type.

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Roy Pounder (London)

Peter Cotton (Charleston)
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Walter Peterson (Dallas)

Guido
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Tytgat (Amsterdam)

Gastroenterology

Miles Allison (Newport)
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Peter Devitt (Adelaide)

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Michael Farthing (Glasgow)

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Stephen Hanauer (Chicago)

Chris
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Hawkey (Nottingham)

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Colin Howden (Chicago)

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Richard Hunt (Hamilton)

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Samuel Klein (St Louis)

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Richard Logan (Nottingham)

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Irvin Modlin (New Haven)

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Nick Talley (Sydney)

Hepatology

William Balistreri (Cincinnati)
Andrew
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Burroughs (London)

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Amar Dhillon (London)

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John Gollan (Omaha)

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Ray Koff (Framingham)

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Juan Rodés (Barcelona)

Endoscopy

Sydney Chung
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Rob Hawes (Charleston)

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Charlie Lightdale (New York)

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Thomas Röesch (Munich)

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Brian Saunders (London)

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Joseph Sung

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Jerome Waye (New York)

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