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J W Du, J H Jin, W X Hu, Z X Wang, H P Zhao
Objective: To investigate the clinical efficiencies of the three surgical patterns in the treatment of cholecysto-choledocholithiasis (CCL). Methods: A total of 157 patients with CCL, during the period from Janury 2012 to Janury 2016 at the Affiliated Hospital of Inner Mongolia Medical University, were divided into three groups according to surgical patterns: LC-LCBDE Group (laparoscopic cholecystectomy+ laparoscopic common bile duct exploration, n=49), ERCP-LC Group (endoscopic retrograde cholangiopancreatography+ laparoscopic cholecystectomy, n=51) and OC-OCBDE Group (open cholecystectomy+ open common bile duct exploration, n=57)...
January 24, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Mukesh Surya, Pawan Soni, Kshama Nimkar
BACKGROUND: Though cholelithiasis and cholecystitis are common clinical problems, spontaneous cholecysto-cutaneous fistula is a rare complication of cholelithiasis in present-day practice. Very few cases have been reported in literature after 1950s. CASE REPORT: A 60-year-old male presented with pain and discharging sinus in the upper abdomen. Ultrasonography and computed tomography confirmed the presence of perforation of the gall bladder and cholecysto-cutaneous fistula...
2016: Polish Journal of Radiology
Varun Hathiramani, Janani Krishnan, Vinod Raj, Rajeev G Redkar
No abstract text is available yet for this article.
October 2016: Journal of Indian Association of Pediatric Surgeons
Daniel Gavrila, Cosmin Galusca, Madalina Berbecel, Mirela Boros, Traian Dumitrascu
The Bouveret syndrome is an exceptional complication of the gallbladder lithiasis. Hereby it is described the case of a patient with a history of gallstones complicated on the long-term outcome with gastric outlet obstruction, due to a large gallstone of the duodenum, migrated via a cholecysto-duodenal fistula. The clinical, radiological features and the patient management are described.
May 2016: Chirurgia
Meng Wang, Yufei Xing, Quangen Gao, Zhiqiang Lv, Jianmao Yuan
Mirizzi syndrome (MS) is a rare complication of chronic cholelithiasis, which is always caused by a calculus in the cystic duct or neck of the gallbladder, resulting in mechanical compression of common bile duct and the gallbladder. It is clinically characterized by abdominal pain, fever, as well as obstructive jaundice. During cholecystectomy, MS is seen as a dangerous adherent and inflammatory tissue in the area of Calot's triangle. In the general population, aberrant right posterior hepatic duct, one of the causes of bile duct injury during duct surgery, is present in 4...
2016: International Medical Case Reports Journal
Saif Al-Mudares, Mohamed Kurer, Renol M Koshy, Ayman El-Menyar
BACKGROUND: Gallstone ileus is a rare complication of chronic calcular cholecystitis and an uncommon etiological entity responsible for mechanical intestinal obstruction. The most common obstructed part is the narrow terminal ileum, whereas the jejunum is rarely affected. The gallstone is postulated to reach the small bowel by gradual erosion from the gall bladder, most commonly into the duodenum, forming a cholecysto-duodenal fistula. CASE REPORT: Herein, we report a 72-year-old male who presented with intestinal obstruction of a 5-day duration, with a clinical diagnosis of an irreducible inguinal hernia...
May 2, 2016: American Journal of Case Reports
Vinay K Kapoor, Rakesh Singh, Anu Behari, Supriya Sharma, Ashok Kumar, Anand Prakash, Rajneesh Kumar Singh, Ashok Kumar, Rajan Saxena
BACKGROUND: Gall stones (GS) cause inflammation of the gall bladder (GB) i.e., chronic cholecystitis (CC) and xantho-granulomatous cholecystitis (XGC) which can result in a thick walled GB (TWGB). Gall bladder cancer (GBC) may also present as TWGB. While CC and XGC can be treated with simple cholecystectomy (SC), GBC merits extended cholecystectomy (EC). We propose a new surgical approach, anticipatory extended cholecystectomy (AEC), for doubtful TWGB in the belief that AEC would not violate the sacrosanct cholecysto-hepatic plane in doubtful cases and thereby not ruin the chances of cure for a patient whose GB demonstrates malignancy on frozen section histopathology...
February 2016: Chinese Clinical Oncology
Anthony Yuen Teoh, Enders Kwok Ng, Shannon Melissa Chan, Mona Lai, Stuart Moran, Kenneth Frank Binmoeller, Jong Ho Moon, Khek Yu Ho
BACKGROUND AND AIMS: Several EUS-specific stents have become available. It has been claimed that some of these stents have lumen-apposing properties, but objective data measuring such properties are not available. The aim of this study is to measure the lumen-apposing force (LAF) of these stents. METHODS: The LAF of 3 EUS-specific metallic stents (stents A, N, and S) were compared in an ex vivo setting. Four types of anastomoses were performed with the stents including cholecysto-duodenal, cholecysto-gastric, gastro-gastric, and gastro-jejunal and compared with a hand-sewn (HS) equivalent of the anastomosis...
July 2016: Gastrointestinal Endoscopy
Jose Manuel Ramia, Roberto de la Plaza, Aylhin López Marcano, Carmen Ramiro, Jose C Valenzuela Torres
No abstract text is available yet for this article.
November 2016: Gastroenterología y Hepatología
Yu-Yin Liu, Seong-Ho Kong, Michele Diana, Andras Lègner, Chun-Chi Wu, Noriaki Kameyama, Bernard Dallemagne, Jacques Marescaux
BACKGROUND: Biliary injuries remain a major concern in laparoscopic cholecystectomy. New intraoperative guidance modalities, including near-infrared fluorescence cholangiography, are under evaluation. Initial results showed limitations in visualizing the biliary tree in specific clinical situations. The aim of this study was to examine the feasibility and potentiality of fluorescence cholecysto-cholangiography performed with a direct injection of indocyanine green (ICG) in the gallbladder and to compare it to systemic injection in such situations...
September 2016: Surgical Endoscopy
Woohyung Lee, Sung-Sik Han, Seung Duk Lee, Young-Kyu Kim, Seong Hoon Kim, Sang Myung Woo, Woo Jin Lee, Young Whan Koh, Eun Kyung Hong, Sang-Jae Park
Bouveret's syndrome is a gastric outlet obstruction caused by an impacted gallstone that passes through a cholecysto-gastric or cholecysto-duodenal fistula. An elderly woman visited a local clinic with nausea and abdominal pain. Abdominal computed tomography revealed a stone that was impacted in the duodenal lumen and a fistula between the gallbladder and duodenum. Malignancy could not be excluded due to the mass in the cystic duct showing enhancement and the presence of enlarged lymph nodes on computed tomography, and increased fludeoxyglucose uptake in the cystic duct on positron emission tomography...
May 2012: Korean Journal of Hepato-biliary-pancreatic Surgery
Mithat Gunaydin, Burak Tander, Dilek Demirel, Gonul Caltepe, Ayhan Gazi Kalayci, Esra Eren, Unal Bicakcı, Riza Rizalar, Ender Ariturk, Ferit Bernay
BACKGROUND: Progressive familial intrahepatic cholestasis (PFIC) is a cholestatic liver disease of childhood. Pruritus resulting from increased bile salts in serum might not respond to medical treatment, and internal or external biliary drainage methods have been described. In this study, we aimed to evaluate different internal drainage techniques in patients with PFIC. PATIENTS AND METHODS: Between 2009 and 2014, seven children (4 male, 3 female, 3months-5years old), (median 2years of age) with PFIC were evaluated...
March 2016: Journal of Pediatric Surgery
Siong-Seng Liau, Andrew Bamber, Malcolm MacFarlane, Justin Alberts
Cholecysto-duodenal fistula and gallstone ileus are well-recognised complications of gallstone disease. However, small bowel necrosis is a rare complication of gallstone disease. We describe a case of gallstone-induced ileal necrosis presenting with symptoms and signs resembling acute appendicitis. A 79-year-old woman presented to the surgical team with central abdominal pain which subsequently shifted to the right iliac fossa. Clinically, the patient had localised perotinism in the right iliac fossa with high inflammatory markers...
June 2009: Clinical Journal of Gastroenterology
Rami Bonam, Zahid Vahora, Glenn Harvin, William Leland
Bouveret's syndrome is a rare variant of gallstone ileus with an overall incidence of 1-3%. It is a rare cause of gastric outlet obstruction resulting from the passage and impaction of a large gallstone through a cholecysto-duodenal fistula. A combination of diagnostic modalities is often required for a diagnosis. Management options include endoscopy and surgery. The most commonly performed procedures are enterolithotomy or gastrostomy, either alone or with cholecystectomy and fistula repair. We describe a unique variant of chronic Bouveret's syndrome with the unusual associations of severe esophagitis and a purulent fistula...
April 2014: ACG Case Reports Journal
A Tonouchi, N Yokoyama, H Hashidate, N Matsuzawa, N Katayanagi, T Otani
No abstract text is available yet for this article.
July 2015: Journal of Gastroenterology and Hepatology
C Månsson, O Norlén
Gallstone ileus is a rather rare condition and in most cases it involves a cholecysto-enteric fistula, through which a gallstone passes into the bowel. If the gallstone is large enough it may obstruct the bowel and a gallstone ileus emerges. In the presented case, the patient was subjected to a cholecystectomy over 40 years ago, but despite this, he developed a gallstone ileus. A gallstone that obstructed the small bowel was suspected with computed tomography and confirmed with exploratory laparotomy. Although a few cases of gallstone ileus after cholecystectomy are described in the literature, our case describes a unique pathogenic mechanism...
March 2015: Acta Chirurgica Belgica
Hong-Yi Zhu, Ming Xu, Huo-Jian Shen, Chao Yang, Fu Li, Ke-Wei Li, Wei-Jin Shi, Fu Ji
OBJECTIVE: To conduct a randomized controlled trial (RCT) meta-analysis to evaluate the safety and effectiveness of single-stage [laparoscopic cholecystectomy (LC)+laparoscopic common bile duct exploration (LCBDE)] vs. two-stage management [preoperative endoscopic retrograde cholangiopancreatography (ERCP)+LC] for concomitant gallstones and common bile duct stones. METHODS: RCTs that met the inclusion criteria for data extraction were identified from electronic databases (PubMed, Embase, Science Citation Index, and the Cochrane Library) up to August 2014...
October 2015: Clinics and Research in Hepatology and Gastroenterology
M Sipahi, M F Erkoç, H I Serin, H Börekçi, O Banlı
OBJECTIVE: Many etiological factors such as glad bladder motility disorders, chemical component of bile and chemical content of bile have been accepted on gallstone formation; but anatomic variations of bile duct has been never discussed before. The aim of this study was to assess whether the anatomical measurements of cystic canal length, common bile duct length, choledoc length and the angle between the cystic duct and common bile duct junction (sistocholedochal angle: SCA) affects the gallstone formation...
2015: European Review for Medical and Pharmacological Sciences
F Stagnitti, A Tudisco, F Ceci, S Nicodemi, S Orsini, M Avallone, V Di Girolamo, F Stefanelli, Francesco De Angelis, C Di Grazia, B Cipriani, F Aiuti, A Napoleoni, R Mosillo, S Corelli, G Casciaro, A Costantino, A Martellucci, E Spaziani
The biliodigestive fistula is not a rare affection in the context of acute pathology of the gastrointestinal tract. It often affects patients between 63 and 85 years old , particularly the female sex, and the most common cause is acute or chronic cholecystolithiasis. Open issues are the delayed in the pre-operative diagnosis, and controversies exist regarding the best surgical approach. The choice of treatment options is influenced by the age of the patients and their clinical conditions and also by the presence of comorbidities and of a delayed right diagnosis...
September 2014: Il Giornale di Chirurgia
Ahmed AbdelRaouf ElGeidie
Up to 18% of patients submitted to cholecystectomy had concomitant common bile duct stones. To avoid serious complications, these stones should be removed. There is no consensus about the ideal management strategy for such patients. Traditionally, open surgery was offered but with the advent of endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) minimally invasive approach had nearly replaced laparotomy because of its well-known advantages. Minimally invasive approach could be done in either two-session (preoperative ERCP followed by LC or LC followed by postoperative ERCP) or single-session (laparoscopic common bile duct exploration or LC with intraoperative ERCP)...
November 7, 2014: World Journal of Gastroenterology: WJG
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