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pancreatitis cholecystectomy

David Aranovich, Veacheslav Zilbermints, Natalia Goldberg, Oleg Kaminsky
Background: All patients with mild acute biliary pancreatitis should undergo early cholecystectomy. Whether routine common bile duct (CBD) imaging should be employed before the surgical procedure in these patients is a matter of current controversy. The aim of this study was to investigate the rate of detection of CBD stones using magnetic resonance cholangiopancreatography (MRCP) at different time intervals from admission. Methods: From January 1, 2011, through December 31, 2016, 72 patients with acute biliary pancreatitis underwent MRCP...
2018: Surgery Research and Practice
Atsushi Nanashima, Naoya Imamura, Masahide Hiyoshi, Koichi Yano, Takeomi Hamada, Teru Chiyotanda, Kenzo Nagatomo, Rouko Hamada, Hiroshi Ito
INTRODUCTION: This case report describes a successful radical operation for a patient with extensive advanced cholangiocarcinoma who had previously undergone intra-abdominal poly-surgery for advanced gall bladder carcinoma. Careful diagnosis to define the adequate division of the right hepatic duct was performed, and the operation was completed without postoperative complications. CASE PRESENTATION: A 61-year-old woman was admitted to a hospital for obstructive jaundice, and extra-hepatic cholangiocarcinoma was found...
October 26, 2018: International Journal of Surgery Case Reports
Massimo Tonolini, Anna Maria Ierardi, Francesca Patella, Gianpaolo Carrafiello
Performed on either an elective or urgent basis, cholecystectomy currently represents the most common abdominal operation due to the widespread use of laparoscopy and the progressively expanded indications. Compared to traditional open surgery, laparoscopic cholecystectomy minimised the duration of hospitalisation and perioperative mortality. Albeit generally considered safe, cholecystectomy may result in adverse outcomes with non-negligible morbidity. Furthermore, the incidence of worrisome haemorrhages and biliary complications has not been influenced by the technique shift...
November 2, 2018: Insights Into Imaging
M Bougard, L Barbier, B Godart, A-G Le Bayon-Bréard, F Marques, E Salamé
Acute pancreatitis is a frequent pathology with 11,000 to 13,000 new cases per year in France. A biliary origin (30 to 70% of the cases) should be suspected when alanine amino-transferases are elevated during the first 48 hours, and it is confirmed by the presence of gallstones at trans abdominal ultrasound. Abdominal computed-tomography scan is performed around the fifth day, and is repeated according to clinical and biological evolution. Management of acute biliary pancreatitis varies according to its severity, which should be assessed according to systemic inflammatory response syndrome and organ failures...
October 29, 2018: Journal of Visceral Surgery
Gustavo Angel Gómez-Torres, Jaime González-Hernández, Carlos Rene López-Lizárraga, Eliseo Navarro-Muñiz, Odeth Sherlyne Ortega-García, Francisco Manuel Bonnet-Lemus, Francisco Manuel Abarca-Rendon, Liliana Faviola De la Cerda-Trujillo
Cholecystectomy is the only definitive management of pancreatitis secondary to gallstone disease. Approximately 20% to 30% of patients with acute biliary pancreatitis (ABP) will have persistent common bile duct (CBD) stones. Therefore, choosing a method for the early diagnosis of choledocholithiasis is essential to reduce waiting days for surgery and hospital stay in these patients.The aim of this study was to compare the use of magnetic resonance cholangiography (MRC) and intraoperative cholangiography (IOC), and its impact on the length of the hospital stay in patients with mild ABP and an intermediate probability of choledocholithiasis...
November 2018: Medicine (Baltimore)
Iain McPherson, Stephen T McSorley, Elizabeth Cannings, Christopher J Shearer, Andrew Bc Crumley
INTRODUCTION: Dropped gallstones are gallstones lost in the abdominal cavity during cholecystectomy. They are a rare occurrence and often cause minimal long-term issues. However, it is recognised that dropped stones can cause intra- or extra-abdominal sepsis. We present three cases below which highlight this. CASES: All three cases describe patients presenting for laparoscopic cholecystectomy, Cases 1 and 2 post-gallstone pancreatitis and Case 3 for gallbladder stones...
October 29, 2018: Scottish Medical Journal
M T Mita, G Dalmonte, A Gnocchi, F Marchesi
The incidence of biliary lithiasis after gastric surgery seems to be higher than in the general population. Endoscopic retrograde cholangiopancreatography (ERCP) allows several biliary and pancreatic pathologies to be dealt with; however, in patients with an altered anatomy of the upper and mid gastrointestinal tract, this endoscopic manoeuvre can be extremely challenging. We report a case of a 79-year-old woman with previous subtotal gastrectomy and Roux-en-Y reconstruction, admitted with a diagnosis of cholecystitis and choledocolithiasis...
October 24, 2018: Annals of the Royal College of Surgeons of England
Christoforos Kosmidis, Nikolaos Varsamis, Georgios Anthimidis, Sofia Baka, Dimitrios Valoukas, Triantafyllia Koletsa, Katerina Zarampouka, Georgios Koimtzis, Eleni Georgakoudi, Paul Zarogoulidis, Christoforos Efthymiadis
Introduction: Breast cancer is the most common malignancy in women worldwide. Long-term survivors among patients treated for breast cancer are at a high risk for developing a second primary malignancy. Hepatocellular carcinoma is the most frequent primary hepatic malignancy and should be ruled out in breast cancer patients who are diagnosed with solitary hepatic lesions. False diagnosis may lead to inappropriate oncologic staging and treatment of the disease. Case presentation: We present the case of a 73-year-old female patient who had been treated for invasive ductal breast cancer 7 years ago and was diagnosed with a solid hepatic lesion at segments VI and VII and a small, calcified lesion at the tail of the pancreas on follow-up with an abdominal computed tomography...
2018: International Journal of General Medicine
Mafalda Sousa, Rolando Pinho, Luísa Proença, Jaime Rodrigues, João Silva, Catarina Gomes, João Carvalho
INTRODUCTION: Along with increased life expectancy, the proportion of elderly patients with choledocholithiasis will increase and with this, the need for endoscopic cholangiopancreatography (ERCP). Current recommendations suggest laparoscopic cholecystectomy in all patients with choledocholithiasis to prevent biliary events. However, adherence to these recommendations is low, especially in older patients. METHODS: Retrospective study that included non-cholecystectomized patients aged > =75 years who underwent ERCP for choledocholithiasis from 2013-2016 (n = 131)...
October 10, 2018: Scandinavian Journal of Gastroenterology
Mohammad Tayeb, Fozia Rauf, Nasir Bakhtiar
OBJECTIVE: To have an audit of the outcome of laparoscopic cholecystectomy for acute cholecystitis at a tertiary care centre. STUDY DESIGN: An observational study. PLACE AND DURATION OF STUDY: Department of Surgery, Prime Teaching Hospital, Peshawar Medical College, Peshawar, KPK, Pakistan, from January 2011 to December 2015. METHODOLOGY: Patients with acute cholecystitis undergoing laparoscopic cholecystectomy were evaluated for conversion rate, morbidity and hospital stay...
October 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Kevin Bain, Andrew Lelchuk, David Parizh, Vadim Meytes, Sampath Kumar
Splenic abscess is a rare disease that has several predisposing factors. Case reports have documented post-surgical development of splenic abscesses, most commonly after laparoscopic sleeve gastrectomy. We present the case of a 69-year-old female with gallstone pancreatitis who underwent an uncomplicated laparoscopic cholecystectomy. The hospital course was complicated by persistent postoperative leukocytosis with a CT scan demonstrating a moderate sized splenic abscess. Interventional radiology was consulted for percutaneous drainage, and the patient was subsequently discharged home in stable condition...
2018: AME case reports
Lapo Bencini, Alberto Marchet, Sergio Alfieri, Fausto Rosa, Giuseppe Verlato, Daniele Marrelli, Franco Roviello, Fabio Pacelli, Luigi Cristadoro, Antonio Taddei, Marco Farsi
BACKGROUND: The incidence of cholelithiasis has been shown to be higher for patients after gastrectomy than for the general population, due to vagal branch damage and gastrointestinal reconstruction. The aim of this trial was to evaluate the need for routine concomitant prophylactic cholecystectomy (PC) during gastrectomy for cancer. METHODS: A multicenter, randomized, controlled trial was conducted between November 2008 and March 2017. Of the total 130 included patients, 65 underwent PC and 65 underwent standard gastric surgery only for curable cancers...
September 22, 2018: Gastric Cancer
Miguel A Freiria-Eiras, Cristina Varela-Lamas
El síndrome de Fitz-Hugh-Curtis (FHCS) es la inflamación de la cápsula hepática sin afectación del parénquima asociada a una enfermedad pélvica inflamatoria. Hay muy pocos casos descritos en varones. El síntoma característico es el dolor abdominal en el cuadrante superior derecho, que hace que se confunda el cuadro con una enfermedad de la vía biliar. Son características las adherencias fuertes entre el diafragma y el hígado en forma de «cuerda de violín». Presentamos el caso de un varón de 81 años que se somete a una colecistectomía laparoscópica por pancreatitis de repetición...
2018: Cirugia y Cirujanos
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
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
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
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
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
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
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
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