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gallstone OR cholelithiasis

A V Pugaev, K A Pokrovsky, E E Achkasov, S V Kalachev, L V Aleksandrov, V I Posudnevsky, O A Kalachev, D M Pugaev
AIM: To evaluate bile ducts injuries and effect of biliary decompression technique on the outcomes of reconstructive surgery. MATERIAL AND METHODS: There were 21 patients with biliary injury during cholecystectomy, 20 patients with cholelithiasis, and 1 patient after surgery for perforated duodenal ulcer. Their age was 22-81 years (mean 54.3 years). Primary surgery through median laparotomy was followed by biliary injury in 12 patients, laparoscopic cholecystectomy - in 6 patients, open laparoscopy - in 3 patients...
2018: Khirurgiia
L Creedon, H Boyd-Carson, J Lund
Gallstone ileus is an uncommon cause of bowel obstruction that involves cholecystoenteric fistulation and resultant passage of gallstones into the bowel. In the vast majority of cases, the fistula forms between the gallbladder and duodenum leading to small bowel obstruction. We report a case of cholecystocolic fistulation and subsequent large-bowel obstruction in a 75-year-old woman who presented acutely after taking a bowel preparation for an outpatient colonoscopy during the course of an investigation of anaemia and nonspecific abdominal pain...
August 16, 2018: Annals of the Royal College of Surgeons of England
Richard Hilsden, Rob Leeper, Jennifer Koichopolos, Jeremy Derek Vandelinde, Neil Parry, Drew Thompson, Frank Myslik
Background: Patients with uncomplicated biliary disease frequently present to the emergency department for assessment. To improve bedside clinical decision making, biliary point-of-care ultrasound (POCUS) in the emergency department has emerged as a diagnostic tool. The purpose of this study is to analyze the usefulness of POCUS in predicting the need for surgical intervention in biliary disease. Methods: A retrospective study of patients visiting the emergency department who received a biliary POCUS from December 1, 2016 to July 15, 2017 was performed...
2018: Trauma surgery & acute care open
Gang Wang, Tao Han, ShiJia Wang, Min Chen, Yueming Sun, Zan Fu
To investigate the role of the peroxisome proliferator-activated receptor- γ (PPAR γ ) in the progression of cholesterol gallstone disease (CGD), C57bl/6J mice were randomized to the following groups (n=7/group): L (lithogenic diet, LGD), LM (LGD+pioglitazone), CM (chow diet+pioglitazone), and NC (normal control, chow diet). Gallbladder stones were observed by microscopy. Histological gallbladder changes were assessed. Bile acids (BA) and cholesterol were measured in the serum, bile, and feces. Proteins and mRNA expression of genes involved in BA metabolism and enterohepatic circulation were assessed by western blotting and real-time RT-PCR...
2018: BioMed Research International
Łukasz Dobosz, Jarek Kobiela, Roman Danielewicz, Zbigniew Śledziński, Alicja Dębska-Ślizień
BACKGROUND In patients with end-stage renal disease, cholelithiasis is observed with an increased frequency. In transplant recipients, symptoms might be obscured, which may delay the diagnosis and lead to complications. The aim of our study was to evaluate the frequency of gallbladder pathologies in kidney transplant recipients (KTRs) in the Caucasian population, and to discuss the potential benefits of prophylactic cholecystectomy before kidney transplantation (KT). MATERIAL AND METHODS Data from 434 patients who underwent KT was analyzed...
August 14, 2018: Annals of Transplantation: Quarterly of the Polish Transplantation Society
Carsten Gutt, Christian Jenssen, Ana-Paula Barreiros, Thorsten O Götze, Caroline S Stokes, Petra Lynen Jansen, Michael Neubrand, Frank Lammert
This guideline provides evidence-based key recommendations for the prevention, diagnosis and therapy of gallstones and upgrades the 2007 version. The guideline was developed by an interdisciplinary team of gastroenterologists and surgeons, and patient support groups under the auspice of the German Society for Gastroenterology and Metabolic Diseases and the German Society for General Surgery and Surgery of the Alimentary Tract. The guideline used structural S3 consensus-based methodology and includes statements on clinical practice, medical education, prevention, quality assurance, outcome analysis, and integration of outpatient and inpatient care for patients with gallstone diseases...
August 2018: Zeitschrift Für Gastroenterologie
Ashish Gupta, Amit Gupta, Sweety Gupta, Udit Chauhan, Lokavarapu Manoj Joshua
Gallbladder cancer (GBC) is a rare gastrointestinal tumour. It occurs in women with pre-existing cholelithiasis. These tumours pose therapeutic as well as diagnostic challenges to treating clinicians. Early suspicion and optimal surgery for suspected GBC results in the best outcome. We describe two cases of metastatic GBC initially treated by simple cholecystectomy for gallstone despite disease pointers towards a malignant pathology. Subsequent presentation was with histopathologically proven metastatic GBC...
August 8, 2018: Tropical Doctor
Gi Hyeon Seo, Chang-Sup Lim, Young Jun Chai
Purpose: Gallstone formation is one of the most common problems after gastrectomy. This retrospective cohort study used the South Korean nationwide claims database to evaluate the incidence and risk factors of gallstone after gastrectomy for gastric cancer. Methods: All consecutive patients who underwent gastrectomy for gastric cancer in South Korea in 2008-2010 were identified. Incidence of gallstone formation 5 years after gastrectomy in males and females, in various age groups, and after different types of gastrectomy was determined...
August 2018: Annals of Surgical Treatment and Research
Carlos Mendoza-Calderón, Jose William Sotelo, Aldo Roberto Dávila-Arriaga
INTRODUCTION: Gallbladders located to the left of falciform ligament, without situs inversus, are denominated sinistroposition or true left-sided gallbladders; it is considered a rare anatomic anomaly with a prevalence in between 0.1% and 0.7%. Left-sided gallbladder usually occur as a component of situs inversus. PRESENTATION OF CASES: We report a case series of two patients of true left-sided gallbladder that were found at our institution from 2015 to 2017; the anatomic anomalies were discovered during the performance of mini-laparoscopic cholecystectomy due to acute cholecystitis with cholelithiasis in both cases...
June 27, 2018: International Journal of Surgery Case Reports
E Dumange Chapuis-Roux, K Allart, R Delcenserie, F Brazier, J-M Regimbeau
No abstract text is available yet for this article.
July 30, 2018: Journal of Visceral Surgery
Fernando Sommerfleck, Emilce Schneeberger, Gustavo Citera
OBJECTIVE: The objective of this study was to compare the frequency of comorbidities among patients with ax-SpA in the general population and to evaluate the impact of these comorbidities on the functional status and quality of life. METHODS: Patients with ax-SpA fulfilling the modified New York 1984 criteria for Ankylosing Spondylitis (AS) and/or Assessment of SpondyloArthritis International Society (ASAS ) 2009 criteria for patients with ax-SpA belonging to the ESPAXIA cohort ("Estudio de eSPondiloartritis Axial Irep Argentina") were included...
June 22, 2018: European Journal of Rheumatology
Sana Chams, Skye El Sayegh, Mulham Hamdon, Sarwan Kumar, Vesna Tegeltija
BACKGROUND: Acute pancreatitis is an acute inflammation of the pancreas that varies in severity from mild to life threatening usually requiring hospitalization. The true incidence of drug-induced pancreatitis (DIP) is indeterminate due to the inadequate documentation of case reports of DIP. Here we present the case of amoxicillin/clavulanic acid-induced pancreatitis in a previously healthy male after excluding all other causes of pancreatitis. CASE PRESENTATION: A 58-year-old Caucasian man presenting for acute sharp abdominal pain with associated nausea and heaves...
August 2, 2018: BMC Gastroenterology
Chien-Hua Chen, Cheng-Li Lin, Chung-Y Hsu, Chia-Hung Kao
PURPOSE: Parasite infestation (PI) is reportedly related to intrahepatic stones (IHSs) and common bile duct (CBD) stones. We assessed the association of clonorchiasis and helminthiasis with the subtypes of cholelithiasis. METHODS: The study cohort consisted of 713 patients who aged ≥20 years with clonorchiasis or helminthiasis for the first time between 2000 and 2010 from the National Health Insurance Research Database. The controls without clonorchiasis and helminthiasis were randomly selected with a 1:1 propensity score matching...
August 3, 2018: Current Medical Research and Opinion
Geofery Luntsi, Charles Ugwoke Eze, Muhammad Sani Ahmadu, Audu Abdullahi Bukar, Kalu Ochie
Background: Sonographic evaluation of abdominal organs is an important work up in managing sickle cell disease (SCD) patients. This study aimed at evaluating abdominal organs by sonography among SCD patients. Methodology: A cross-sectional study was carried out in Maiduguri, Nigeria from April 2014 to July 2015. Two hundred and fifty-two patients participated in the study, with 126 controls and 126 SCD patients. There were 131 (52%) males, and 121 (48%) females, with age range 3-38 years...
January 2018: Journal of Medical Ultrasound
Mohammed Azfar Siddiqui, Syed Amjad A Rizvi, Sara Sartaj, Ibne Ahmad, Syed Wajahat A Rizvi
Purpose: Laparoscopic cholecystectomy (LC) has become the treatment of choice for cholelithiasis. Still some patients required conversion to open cholecystectomy (OC). Our aim was to develop a standardized Ultrasound based scoring system for preoperative prediction of difficult LC. Methods and materials: Ultrasound findings of 300 patients who underwent LC were reviewed retrospectively. Four parameters (time taken, biliary leakage, duct or arterial injury, and conversion) were analyzed to classify LC as easy or difficult...
October 2017: Journal of Medical Ultrasound
Sandra R DiBrito, Christine E Haugen, Courtenay M Holscher, Israel O Olorundare, Yewande Alimi, Dorry L Segev, Jacqueline Garonzik-Wang
We hypothesized that cholecystectomy may be riskier for kidney transplant recipients (KTR) given their lifelong immunosuppression, physiologic impact of renal failure, and increased risk of gallstone and biliary disease. Using NIS, we compared mortality, morbidity, length of stay and cost in KTR vs non-KTR following cholecystectomy in the US from 2000 to 2011, adjusting for patient and hospital level factors, including transplant center status. Mortality was higher (OR 2.4), morbidity was higher (OR 1.3), LOS was longer (ratio 1...
July 19, 2018: American Journal of Surgery
Jin-Seok Park, Seok Jeong, Don Haeng Lee
Benign biliary strictures (BBSs) arise from a diversity of etiologies, which included surgery-induced injury, inflammatory conditions, cholelithiasis, trauma and infections of the biliary tract.1 Fully covered self-expandable metal stents (FCSEMSs) are currently used for management of BBS.2 However, refractory BBS after FCSEMS sclerotherapy remains problematic. This article is protected by copyright. All rights reserved.
July 30, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
Yasuo Tsuchiya, Kumudesh Mishra, Vinay K Kapoor, Ruchira Vishwakarma, Anu Behari, Toshikazu Ikoma, Takao Asai, Kazuo Endoh, Kazutoshi Nakamura
Objective: Gallbladder cancer is the commonest gastrointestinal cancer in northern Indian women. Some studies have examined the association between Helicobacter pylori infection and gallbladder cancer risk, but findings have been inconsistent. We aimed to examine the association between H. pylori infection and gallbladder cancer in Indian people. Materials and Methods: We conducted a hospital-based case-control study including 100 gallbladder cancer patients with gallstones who were 32 to 79 years old (cases; 72 women and 28 men), and 100 cholelithiasis patients aged 14 to 75 years (controls; 65 women and 35 men)...
July 27, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
Ilan Shimon, Zaina Adnan, Alexander Gorshtein, Lior Baraf, Nariman Saba Khazen, Michal Gershinsky, Yulia Pauker, Ali Abid, Mark J Niven, Carmela Shechner, Yona Greenman
INTRODUCTION: Pasireotide, a multi-somatostatin receptor (SSTR)-ligand with high affinity for SSTR5 was recently approved for acromegaly treatment. PATIENTS AND METHODS: A retrospective multicenter study investigating the efficacy and safety of long-acting (LAR) pasireotide treatment in 35 patients (20 males) with active acromegaly (28 macroadenomas). RESULTS: Mean baseline insulin-like growth factor-1 (IGF-1) at diagnosis was 3.1 ± 1...
July 26, 2018: Endocrine
Giancarlo Schiappacasse, Pablo Soffia, Claudio Silva, Fabian Villacrés
Acute cholecystitis (AC) is a frequent complication of biliary cholelithiasis. Although ultrasound is the first diagnostic imaging procedure, frequently the initial imaging modality is computed tomography (CT). Therefore, familiarization of CT findings in AC and potential related complications are extremely important. This pictorial essay reviews a broad spectrum of complications related to AC and its key findings in CT.
April 2018: Indian Journal of Radiology & Imaging
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