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Francesco A Polistina, Mauro Frego, Marco Bisello, Emy Manzi, Antonella Vardanega, Bortolo Perin
AIM: To compare diagnostic sensitivity, specificity and accuracy of magnetic resonance cholangiopancreatography (MRCP) without contrast medium and endoscopic ultrasound (EUS)/endoscopic retrograde cholangiopancreatography (ERCP) for biliary calculi. METHODS: From January 2012 to December 2013, two-hundred-sixty-three patients underwent MRCP at our institution, all MRCP procedure were performed with the same machinery. In two-hundred MRCP was done for pure hepatobiliary symptoms and these patients are the subjects of this study...
April 28, 2015: World Journal of Radiology
Fabiano Timbó Barbosa, Luciano Timbó Barbosa, Jadielson Higino de Almeida, Kleyner Leão Gomes da Silva, Roberta Ribeiro Marques Brandão, Leyna Leite Santos
BACKGROUND AND OBJECTIVES: Negative pressure pulmonary edema after acute upper airway obstruction is a well-described event, thought infrequently diagnosed and reported. This report aimed at presenting a case of postextubation negative pressure pulmonary edema refractory to use of diuretics and with successful therapeutic after using positive pressure noninvasive mechanic ventilation. CASE REPORT: A 22-year-old-woman underwent an operation to opened colecistectomy...
March 2007: Revista Brasileira de Terapia Intensiva
Edluza Maria Viana Bezerra de Melo, Cristiano de Souza Leão, Luciana Marques Andreto, Maria Júlia Gonçalves de Mello
OBJECTIVE: To determine the frequency of surgical site infection in patients undergoing laparoscopic cholecystectomy with instruments sterilized by peracetic acid. METHODS: We conducted a retrospective, cohort, descriptive, cross-sectional study. Peracetic acid has been used for sterilization following the protocol recommended by the manufacturer. We observed the criteria and indicators of process and structure for preventing surgical site infection pre and intraoperatively...
May 2013: Revista do Colégio Brasileiro de Cirurgiões
A Panebianco, A Volpi, C Lozito, A Prestera, P Ialongo, N Palasciano
Aim. Gallbladder carcinoma is an uncommon cancer with a poor prognosis. In the era of laparoscopic cholecistectomy for treatment of benign diseases incidental gallbladder carcinoma has dramatically increased and now constitutes the major way patients present with gallbladder cancer and allows to detect cancer at early stages with a better prognosis. In this single-center study we report our experience with gallbladder carcinoma incidentally diagnosed during or after laparoscopic colecistectomy performed for cholelithiasis...
May 2013: Il Giornale di Chirurgia
Silvio Ungania, Nives Barletta
The authors refer to three cases of congenital dilatation of the biliary system in an adult, an extremely rare pathology in the West, with no specific symptomatology, and therefore often discovered accidentally and unexpectedly The first patient had suffered from unexplained periods of fever since childhood, the second had only complained of vague abdominal pains a years before diagnosis; for the third, a Romanian woman, it was the first time she complained of a biliary colic. All the patients had an Ultrasound, a CT scan and a MRCP (magnetic resonance cholangiopancretography)...
November 2011: Annali Italiani di Chirurgia
José Torres Solis, J Celis, E Ruiz, E Payet, I Chavez, F Berrospi, F Young, C Luque
SUBJECT: To determinate the frecuency and the time of development of the gallbladder stones in gastrectomy post-operated patients with stomach adenocarcinoma at The National Cancer Institute in Lima, Peru. METHODS: In an observational, descriptive and retrospective case series design, 148 patiens' files who underwent gastrectomy for stomach adenocarcinoma in the National Cancer Institue of Lima during 1990 and 2000, have been reviewed looking for the development of gallbladder stones...
April 2011: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Mariela Varsavsky, Rebeca Reyes-García, Guillermo Alonso García, Manuel Muñoz-Torres
Multiple Endocrine Neoplasia type 1 is an autonomic dominant disease with a high degree of penetrance. It is characterized by combinations of over 20 different endocrine and nonendocrine tumors. A 25-year-old woman was referred for 1 year-evolution amenorrhea and bilateral galactorrhea. She also had fasting hypoglycaemia and hypercalcemia, and she was diagnosed of Multiple Endocrine Neoplasia type 1A. Resection of three parathyroid glands was performed showing hyperplasia of principal cells. Post-parathyroidectomy serum levels of calcium and intact PTH were normal but 3 years later serum calcium levels rose again...
September 2012: Pituitary
O A Castillo, M Díaz, L Arellano
INTRODUCTION: primary hyperaldosteronism is one of the few potentially curable causes of secondary arterial hypertension. One of the most important variants is the adenoma of the adrenal cortex that produces aldosterona (Conn's Syndrome). The treatment of choice in this subgroup of patients was the removal of the lesion. An initial series of patients with aldosteronoma subjected to partial laparoscopic adrenalectomy is presented. MATERIALS AND METHOD: We examined the case selection and methods applied to hypertensive patients subjected to partial laparoscopic adrenalectomy between November 2001 and March 2004 due to primary hyperaldosteronism...
February 2011: Actas Urologicas Españolas
E Spaziani, V Petrozza, A Di Filippo, M Picchio, F Ceci, A Miraglia, V Moretti, M Briganti, E Greco, G Pattaro, F De Angelis, C Salvadori, F Stagnitti
INTRODUCTION: Gallbladder polypoid lesions occur in 1.3%-6.9% of cases. The preoperative diagnosis between benign, malignant and potentially malignant lesions is difficult. Therefore it is not possible any. PATIENTS AND METHODS: The Authors describe three cases. The case 1 was a gallbladder diffuse adenomyomatosis; the ultrasound and the CT were of little help in defining preoperatively the nature and the gravity of the thickening. Case 2 was an adenomyomatosis of the fundus: the ultrasound examinations were not able to establish preoperatively lesion's nature, site and dimensions...
October 2010: Il Giornale di Chirurgia
D Oprea, A Maier, P Costea
Gall blader abnormalities are very rare. The diagnosis is difficult, more often appears during operation or necropsy. The authors present a clinical case with double gall blader, into a 50 years old man. The diagnosis appeared during laparoscopic cholecystectomy. The colecistectomy was performed for chronic cholelithiasis. Even it is rare, this pathology should be known, to avoid biliary ducts iatrogenic injuries during operations. The authors made a mustering of literature.
March 2010: Chirurgia
Pierpaolo Caputo, Giorgio Rossi, Massimo Faccini, Pierluigi Carzaniga
AIM: To demonstrate the overcoming of a surgical dogma related to acute cholecystitis treatment, in particular to the timing of the operation. METHODS: One hundred cases of observed acute cholecystitis, submitted to an emergency postponed laparoscopic cholecystectomy surgery and histological control of specimens to evaluate rate of surgical complications and rate of reconver-tion to open surgery RESULTS: The complications rate observed and the surgical conversion to open technique was only 1% where in 96% of the cases the histological examination of the specimen confirmed the state of acute inflammation...
July 2009: Annali Italiani di Chirurgia
Alessandra Isola, Davide Cattano, Stefano Madrigali, Antonio Marioni, Piero Buccianti
The introduction of new surgical techniques, that allow rapid functional recovery, and short-lasting anesthetics has made it possible to include a wider range of procedures in day surgery regimes. Videolaparoscopic colecistectomy (VLC) , a video-assisted surgical model, is one of these. The University Hospital of Pisa has responded to the growing needs of clients by creating an autonomous unit for this purpose, the Day Surgery Service for general surgery, in order to identify an efficient model in terms of organization, management and quality...
October 2008: Professioni Infermieristiche
Mario Sianesi, Paolo Soliani, Paolo Dell'Abate, Maria Francesca Arcuri, Giovanni Ferreri, Paolo Del Rio
BACKGROUND: Mirizzi syndrome is one possible complication of the gallstones. The incidence in patients treated with cholecystectomy is 0.7-1.1%. MATERIALS AND METHODS: We have analyzed on 4123 colecistectomie conduct in Unit of General Surgery and Organ Transplantation of the University of Parma from January 1992 to October 2006, 46 cases of syndrome of Mirizzi (1.1%) with age comprised between 29-82 years (medium 67.8 years) were 28 women (60.9%) and 18 men (39...
September 2007: Annali Italiani di Chirurgia
Carolina Buitrago Salassa, Pablo Javier Lespi
BACKGROUND/AIM: In this paper we present a histological and histochemical study about the metaplastic changes in the gallbladder, and discussed the participation of the antral metaplasia in the genesis of gallbladder cancer. METHODS: We collected 43 pieces of colecistectomy whit antral metaplasia, intestinal metaplasia and displasia. Presence of mucins were demonstrated by the alcian blue stain to ph 3 and ph 0.5 ph. RESULTS: We found sulphated and not sulphated acid mucins...
March 2007: Acta Gastroenterologica Latinoamericana
Marina Davoli, Laura Amato, Silvia Minozzi, Anna Maria Bargagli, Simona Vecchi, Carlo A Perucci
BACKGROUND: Improving quality and effectiveness of health care is one of the priorities of health policies. Hospital or physician volume of activity may be a measurable variable with a relevant impact on effectiveness of health care. There are several studies and systematic reviews evaluating the association between volume and outcome of health care. The aim of this review is to identify: areas, clinical conditions or interventions (prevention, diagnostic, therapeutic, surgical or clinical) for which an association between volume and outcome has been investigated; those for which an association between volume and outcome has been proved METHODS: Overview of systematic reviews and Health Technology Assessment reports; search of MEDLINE, EMBASE, The Cochrane Library, Web sites of Health Technology Assessment, other HTA Agencies, National guideline Clearinghouse, National Health Care quality tools (1995-february 2005)...
May 2005: Epidemiologia e Prevenzione
L Izzo, U Costi, M Adduci, S Gazzanelli, A Casullo, Z Kharrub, Ph G Sassayanis, M Marini, A Stasolla, V Pulcinelli, M Meucci, M Caputo
Primary sclerosing cholangitis (PSC) is an idiopathic chronic inflammatory condition affecting intra- and extra-hepatic biliary system. The aim of this study is to stress the importance of cholecystectomy in patients with PSC. Consideration should be given to performing a cholecystectomy in PSC patients with gallbladder adenomyomas or calculi, even asymptomatic; this happens in approximately 15% of cases.
January 2005: Il Giornale di Chirurgia
I N Mateş, Daniela Dinu, Luminiţa Popescu, Cristina Iosif
We report on a cirrhotic patient, with history of colecistectomy, admitted for acute digestive bleeding. Esogastric causes were excluded by endoscopy; due to continuous hemorrhage, the patient was operated in the next 20 hours. The cause was established during the operation; solitary omfalo-enteric varices, with active vascular fistula. Preoperative etiology of acute intestinal bleeding may be difficult to establish, sometimes even during the surgical intervention. We comment upon rare causes of acute intestinal bleeding, mainly ectopic varices determined by portal hypertension...
May 2003: Chirurgia
F Borda, S Oquiñena, E Borobio, J Vila, A Frauca, B Martínez
In the present paper, we evaluate the possible reduction in the rate of relapses in acute biliary pancreatitis through treatment with ursodeoxycholic acid (UCA), between the episode of pancreatitis and the moment of cholecystectomy. We studied 72 consecutive first episodes of acute biliary pancreatitis, in patients who had not yet undergone colecistectomy, followed up until surgery. The cases were divided into group A (n=30), treated with ursodeoxycholic acid 10 mg/kg/day, until surgery, and group B or control (n=42)...
May 2003: Anales del Sistema Sanitario de Navarra
F Quartieri, M Bindi, F Sconosciuto
No abstract text is available yet for this article.
January 1997: Recenti Progressi in Medicina
E Pérez Torres, V A García Guerrero, S Sobrino Cossío, M Abdo Francis
We present two years of our surgical experience in the Gastroenterologic department of General Hospital of Mexico city; we studied prospectively 23 patients with choledocholithiasis diagnosed preoperatively and postoperatively, 18 females (78%) and 5 males (22%). Diagnosis were performed preoperatively by sonogram, intravenous cholangiography and/or endoscopic retrograde pancreatocholangiography in 19 cases, and postoperatively in four cases. In 22 cases we performed colecistectomy with choledocotomy, extraction of calculi and placement of a "T" biliary catheter...
July 1991: Revista de Gastroenterología de México
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