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pancreatitis cholecystectomy

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https://www.readbyqxmd.com/read/30195479/the-role-of-linear-endosonography-for-the-diagnosis-of-acute-pancreatitis-when-other-methods-failed
#1
César Vivian Lopes, Júlio Pereira-Lima, Antônio Atalíbio Hartmann
BACKGROUND AND STUDY AIMS: Acute pancreatitis has no obvious cause after clinical, laboratory and radiologic investigation in 10%-30% of patients, and the diagnosis of idiopathic pancreatitis is given. This study investigated the role of linear EUS for identification of possible causes for acute pancreatitis when other investigative methods failed. PATIENTS AND METHODS: Between June 2012 and March 2017, 35 patients [25 women; mean age: 51.9 + 17.8 years] with idiopathic acute pancreatitis underwent linear EUS for investigation...
September 5, 2018: Clinics and Research in Hepatology and Gastroenterology
https://www.readbyqxmd.com/read/30180812/multivisceral-igg4-related-disease-presenting-as-recurrent-massive-gastrointestinal-bleeding-a-case-report-and-literature-review
#2
Xuexue Deng, Ronghua Fang, Jianshu Zhang, Rongqiong Li
BACKGROUND: IgG4-related disease (IgG4-RD) is a newly recognized autoimmune systemic disorder characterized by elevated levels of serum IgG4 and abundant infiltration of IgG4-positive plasmacytes in the affected organs. The liver, biliary system and pancreas are the most commonly affected organs. However, involvement of the digestive tract is very rare. To date, only a few cases of isolated gastric IgG4-RD have been reported. CASE PRESENTATION: We present a case of IgG4-RD of the liver, gallbladder, pancreas and duodenum, which was clinically misinterpreted and thereafter over-treated...
September 4, 2018: BMC Gastroenterology
https://www.readbyqxmd.com/read/30157063/acute-biliary-pancreatitis-is-associated-with-adverse-outcomes-in-the-elderly-a-propensity-score-matched-analysis
#3
Kishan Patel, Feng Li, Anjuli Luthra, Alice Hinton, Luis Lara, Royce Groce, Amy Hosmer, Sean T McCarthy, Sebastian Strobel, Darwin L Conwell, Somashekar G Krishna
GOALS AND BACKGROUND: In the elderly (age, 65 y or older), acute pancreatitis is most frequently because of gallstones; however, there is a paucity of national estimates evaluating outcomes of acute biliary pancreatitis (ABP). Hence, we utilized a representative population database to evaluate the outcomes of ABP among the elderly. STUDY: The National Readmission Database provides longitudinal follow-up of inpatients for 1 calendar-year. All adult inpatients (18 y or older) with an index primary admission for ABP between 2011 and 2014 were evaluated for clinical outcomes of mortality, severe acute pancreatitis (SAP), and 30-day readmission...
August 28, 2018: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/30140844/association-of-early-vs-delayed-cholecystectomy-for-mild-gallstone-pancreatitis-with-perioperative-outcomes
#4
Emily D Dubina, Christian de Virgilio, Eric R Simms, Dennis Y Kim, Ashkan Moazzez
No abstract text is available yet for this article.
August 15, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/30115707/acute-biliary-pancreatitis-masking-haemobilia-due-to-a-false-aneurysm-of-the-right-hepatic-artery-after-laparoscopic-cholecystectomy
#5
Sjaak Pouwels, Corne Kanters, Pum A le Haen, Marijn Poelman
Laparoscopic cholecystectomy is a commonly performed surgical procedure. The postoperative course is often uncomplicated; however, complications like infection, biliary leakage, and bleeding and bile duct injury can occur. Here we report on a patient with common bile duct obstruction and haemobilia due to a false aneurysm of the right hepatic artery after laparoscopic cholecystectomy, masked by biliary pancreatitis, complicated by an infarction of the liver after embolisation. The aetiology of upper gastrointestinal bleeding greatly varies...
August 16, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/30106423/heterotopic-pancreatic-tissue-in-the-gallbladder
#6
Shashi P Sharma, Shahzada K Sohail, Salah Makkawi, Emadeldien Abdalla
Heterotopic pancreas is defined as aberrantly located pancreatic tissue without anatomical, vascular, or neural connection to the pancreas. Usual sites include the stomach, duodenum, jejunum, and spleen; in rare cases, heterotopic pancreas can be found in the lungs, gallbladder, Meckel's diverticulum, and the mediastinum. In most cases, it is an insignificant, incidental finding. Pre-operative diagnosis is not possible, and histopathological examination is mandatory for establishing a definite diagnosis. Less than 40 cases of heterotopic pancreas in the gallbladder have been reported worldwide...
August 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/30059472/incidence-and-predictors-of-30-day-readmission-among-patients-hospitalized-for-chronic-pancreatitis
#7
Sushil K Garg, Shashank Sarvepalli, James P Campbell, Chimaobi Anugwom, Dupinder Singh, Vaibhav Wadhwa, Rajeshwar Singh, Madhusudhan R Sanaka
OBJECTIVES: Chronic pancreatitis (CP) hospitalizations along with associated morbidity and costs are increasing. The goal of this study was to use the National Readmission Database to identify the incidence and risk factors for 30-day readmissions among patients with CP. METHODS: We performed a retrospective analysis of National Readmission Database from January 2013 to December 2013 to determine patient demographic and clinical characteristics predictive of 30-day hospital readmission for adult patients (aged >18 years) discharged with a principle diagnosis of CP...
September 2018: Pancreas
https://www.readbyqxmd.com/read/30044307/in-hospital-pediatric-ercp-is-associated-with-shorter-hospitalization-for-children-with-choledocholithiasis
#8
Patrick C Bonasso, Lori A Gurien, Jessica Staszak, Marie E Gowen, David M Troendle, Eliane Odiase, Lauren Lazar, Wenly Ruan, Bradley A Barth, Regan F Williams, Melvin S Dassinger
OBJECTIVES: Children with choledocholithiasis are frequently managed at tertiary children's hospitals that do not have available endoscopic retrograde cholangiopancreatography (ERCP) proceduralists. We hypothesized that patients treated at hospitals without ERCP proceduralists would have a longer hospital length of stay than those with ERCP proceduralists. METHODS: Charts were reviewed for patients who underwent cholecystectomy and ERCP at three tertiary children's hospitals over ten years...
July 17, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/30028444/cholecystectomy-during-index-admission-for-acute-biliary-pancreatitis-lowers-30-day-readmission-rates
#9
Somashekar G Krishna, Andrew J Kruger, Nishi Patel, Alice Hinton, Dhiraj Yadav, Darwin L Conwell
OBJECTIVES: Few studies have evaluated national readmission rates after acute pancreatitis (AP) in the United States. We sought to evaluate modifiable factors impacting 30-day readmissions after AP hospitalizations. METHODS: We used the Nationwide Readmission Database (2013) involving all adults with a primary discharge diagnosis of AP. Multivariable logistic regression models assessed independent predictors for specific outcomes. RESULTS: Among 180,480 patients with AP index admissions, 41,094 (23%) had biliary AP, of which 10...
September 2018: Pancreas
https://www.readbyqxmd.com/read/30026919/recent-advances-in-understanding-and-managing-acute-pancreatitis
#10
REVIEW
Amar Mandalia, Erik-Jan Wamsteker, Matthew DiMagno
This review highlights advances made in recent years in the diagnosis and management of acute pancreatitis (AP). We focus on epidemiological, clinical, and management aspects of AP. Additionally, we discuss the role of using risk stratification tools to guide clinical decision making. The majority of patients suffer from mild AP, and only a subset develop moderately severe AP, defined as a pancreatic local complication, or severe AP, defined as persistent organ failure. In mild AP, management typically involves diagnostic evaluation and supportive care resulting usually in a short hospital length of stay (LOS)...
2018: F1000Research
https://www.readbyqxmd.com/read/30013753/post-pancreatitis-cholecystectomy-gluten-intolerance
#11
Ivan Tang, George MacFaul, Ravi Madhotra, Kamran Rostami
This case report describes the journey of a patient who suffered from life-limiting gastrointestinal symptoms after an acute bout of pancreatitis following ERCP for cholelithiasis bile following a ductal stone, and subsequent cholecystectomy. She was diagnosed and treated for IBS with medication without significant improvement. On implementation of a simple gluten and lactose exclusion diet she recovered to her premorbid state, and trials of gluten challenge triggered flares of symptoms. This case report will go on to discuss current evidence for use of gluten and lactose exclusion diets in some gluten sensitive patients misdiagnosed with IBS...
2018: Gastroenterology and Hepatology From Bed to Bench
https://www.readbyqxmd.com/read/30010262/an-evaluation-of-mini-laparotomy-cholecystectomy-in-the-laparoscopic-era-a-rural-experience
#12
A Balasubramanian, S Cheddie, N M Naidoo, B Singh
BACKGROUND: Laparoscopic cholecystectomy (LC) is the gold standard for the management of symptomatic cholelithiasis and complications of gallstone disease. Mini laparotomy cholecystectomy (MOC) may be a more appropriate option in the resource constrained rural setting due to its widespread applicability and comparable outcome with LC. The study aimed to provide an epidemiological analysis of gallstone disease in the rural population and to evaluate the outcome of MOC in a rural hospital...
June 2018: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/30001844/risk-factors-for-surgical-site-infection-after-major-hepatobiliary-and-pancreatic-surgery
#13
Yoshiko Takahashi, Yoshio Takesue, Masami Fujiwara, Sumiyo Tatsumi, Kaoru Ichiki, Jiro Fujimoto, Takeshi Kimura
Major hepatobiliary and pancreatic (HP) surgeries are complex procedures associated with a high incidence of surgical site infection (SSI) and are commonly performed in patients with cancer in Japan. This study was performed to investigate the risk factors for SSI, including incisional and organ/space SSI, in HP surgery. The following procedures were included in the study: hepatectomy with and without biliary tract resection, pancreatectomy [pancreaticoduodenectomy (PD), others], and open cholecystectomy. In total, 735 patients were analyzed...
September 2018: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://www.readbyqxmd.com/read/29995741/cumulative-financial-burden-of-readmissions-for-biliary-pancreatitis-in-pregnant-women
#14
Yen-Yi Juo, Usah Khrucharoen, Yas Sanaiha, Young-Ji Seo, Erik Dutson, Peyman Benharash
OBJECTIVE: To evaluate the cumulative hospitalization cost differences between routine cholecystectomy and an observational approach during index hospitalization for pregnant patients. METHODS: A retrospective cohort study of 1,245 pregnant women with biliary pancreatitis across the United States between 2010 and 2014 was performed using the Nationwide Readmissions Database. Cumulative costs and complications were compared between patients with and without cholecystectomy during both initial and subsequent hospitalizations...
August 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29993317/selective-antegrade-biliary-stenting-aids-emergency-laparoscopic-cholecystectomy
#15
Sheik Fazal Ur Rehman, Laura Ballance, Anthony Rate
BACKGROUND: Symptomatic gall stone disease requires early emergency treatment to prevent complications. This early treatment is often delayed due to difficulty in the diagnosis and management of concomitant choledocholithiasis. Intervention with preoperative endoscopic retrograde cholangiopancreatography (ERCP) is associated with complications and known to be unnecessary in most cases. We follow a strategy of providing early cholecystectomy with selective utility of antegrade stent in cases of choledocholithiasis...
July 11, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29992010/gallbladder-duplication-and-cholecystitis
#16
Erik Xavier Apolo Romero, Patricio Fernando Gálvez Salazar, Jorge Abdón Estrada Chandi, Fabricio González Andrade, Gabriel Alejandro Molina Proaño, Fanny Carolina Mesías Andrade, Juan Carlos Cadena Baquero
Cholecystitis is a common gallbladder pathology characterized by abdominal pain, positive Murphy sign and elevated white blood count. Abdominal ultrasound usually gives a definite diagnosis. Duplication of the gallbladder is a rare congenital anomaly that can either be asymptomatic or and can present with symptoms associated with cholelithiasis, cholecystitis, cholangitis or pancreatitis. Clinically indistinguishable from regular gallbladder pathologies. The management of duplicated gallbladder is similar to that of other gallbladder diseases, if one or both gallbladders cause symptoms, cholecystectomy should be done for both gallbladders...
July 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29981674/cystic-dystrophy-of-the-duodenal-wall-in-heterotopic-pancreas-with-groove-pancreatitis-a-diagnostic-and-therapeutic-challenge
#17
Sorin T Barbu, Dragos Valeanu, Alexandrina Muresan, Doru Munteanu, Florin Casoinic
Background: Cystic dystrophy of heterotopic pancreas is a benign, rare disease characterized by development of true cysts into the duodenal wall. Non-specific clinical manifestations and difficult to interpret imaging provide a diagnostic challenge, especially when pancreatic cancer is suspected. Surgical treatment (pancreatoduodenectomy) offer best outcomes. CASE REPORT: A 48 years-old man, chronic alcohol consumer, with a history of recurrent mild acute pancreatitis episodes, was diagnosed in 2010 with segmental chronic pancreatitis complicated by a 4cm pseudocyst in the pancreatic head...
May 2018: Chirurgia
https://www.readbyqxmd.com/read/29981617/correlation-of-biliary-colic-in-the-absence-of-cholelithiasis-with-pancreaticobiliary-obstruction
#18
Neal Bhutiani, Amber N Brown, Eric G Davis, Christopher M Jones, Gary C Vitale, Charles R Scoggins, Robert C G Martin, Matthew C Bozeman
A small fraction of patients undergoing cholecystectomy for biliary colic are subsequently diagnosed with an obstructive pancreatic head mass. We review our experience with such patients to provide insight into improving evaluation before cholecystectomy. Retrospective chart review of patients undergoing cholecystectomy from 2004 to 2015 identified six patients who underwent laparoscopic cholecystectomy for biliary colic before being diagnosed with a pancreatic head neoplasm within six months after cholecystectomy...
June 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29957661/management-of-acute-pancreatitis-in-the-first-72-hours
#19
Theodore W James, Seth D Crockett
PURPOSE OF REVIEW: Acute pancreatitis is a common condition that affects patients with varying degrees of severity and may lead to significant morbidity and mortality. The present article will review the current paradigm in acute pancreatitis management within the first 72 h of diagnosis. RECENT FINDINGS: Patients presenting with acute pancreatitis should be evaluated clinically for signs and symptoms of organ failure in order to appropriately triage. Initial management should focus on fluid resuscitation, with some data to support Ringer's lactate over physiological saline...
September 2018: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/29953458/feasibility-benefit-and-risk-of-systematic-intraoperative-cholangiogram-in-patients-undergoing-emergency-cholecystectomy
#20
Pouya Iranmanesh, Olivier Tobler, Sandra De Sousa, Axel Andres, Jean-Louis Frossard, Philippe Morel, Christian Toso
BACKGROUND: The role of intraoperative cholangiogram (IOC) during cholecystectomy is debated. The aim of the present study was to evaluate the feasibility, benefit and risk of performing systematic IOC in patients undergoing cholecystectomy for acute gallstone-related disease. METHODS: Between July 2013 and January 2015, all patients admitted for an acute gallstone-related condition and undergoing same-hospital-stay cholecystectomy were prospectively followed. IOC was systematically attempted and predictors of IOC failure were analyzed...
2018: PloS One
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