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Fausto Catena, Rita Maria Melotti, Daniel Louis, Daniela Fortuna, Luca Ansaloni, Federico Coccolini, Salomone Di Saverio, Massimo Sartelli, Antonio Tarasconi, Gianluca Baiocchi, Nazario Portolani, Josephine Napoli, Belinda De Simone, Rodolfo Catena, Rossana De Palma
BACKGROUND: The aim of this study was to ascertain the variability and to identify a trend for the outcome of cholecystectomy surgery when used to treat cholelithiasis and acute cholecystitis. METHODS: This was a large retrospective cohort study following patients up to 11 years post surgery, based on administrative data collected from 2002 to 2012 in the Emilia-Romagna Region (Northern Italy) and comparing the effectiveness and efficiency of surgical activity (laparoscopic (LC) and open cholecystectomy (OC))...
2017: Annali Italiani di Chirurgia
Alberto Martini, Donata Villari, Giulio Nicita
After radical cystectomy or pathologies affecting the ureter(s), bowel segments can be employed to restore the natural urine flow or to create an external urinary diversion. Nevertheless, the interposition of bowel segments in the urinary tract is not devoid of complications. In fact, bowel's microstructure differs from the urothelium; specifically its mucosa is aimed at reabsorption, rather than storage. The aim of this paper is to revise the pathophysiology of complications related to bowel's mucosal properties...
August 2017: International Journal of Surgery
R H Gundogdu, M Oduncu, B O Bozkirli, M O Yazicioglu, S Akbaba
OBJECTIVES: This study reports the results of a single center experience on the use of pharmacological venous thromboembolism (VTE) prophylaxis in laparoscopic cholecystectomy patients. BACKGROUND: The prevention of VTE is of crucial importance in surgical practice. However, the severity of thromboembolism risk and the necessity of thromboprophylaxis for laparoscopic cholecystectomy is still being debated. METHODS: The data of the patients, who underwent laparoscopic cholecystectomy for symptomatic cholelitiasis in a single center between the years 2005 and 2015 were analysed retrospectively for incidents of symptomatic VTE and bleeding complications...
2017: Bratislavské Lekárske Listy
Rubens Antonio Aissar Sallum, Eduardo Messias Hirano Padrão, Sergio Szachnowicz, Francisco C B C Seguro, Edno Tales Bianchi, Ivan Cecconello
BACKGROUND: Association between esophageal achalasia/ gastroesophageal reflux disease (GERD) and cholelithiasis is not clear. Epidemiological data are controversial due to different methodologies applied, the regional differences and the number of patients involved. Results of concomitant cholecistectomy associated to surgical treatment of both diseases regarding safety is poorly understood. AIM: To analyze the prevalence of cholelithiasis in patients with esophageal achalasia and gastroesophageal reflux submitted to cardiomyotomy or fundoplication...
April 2015: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
E V Shutova
The article is devoted to actual issues of diagnostics of the initial stage of cholelithiasis in children. Special attention is paid to the role of functional disorders of the biliary tract as factors in the pathogenesis of metabolic pathology of the hepatobiliary system. According to the results of the study highlighted the predominant types of functional disorders of the gallbladder and biliary tract stone disease in children. Highlighted the role of diagnostics of the initial manifestations ECB in the prevention of progression and formation of calculous stage of the disease...
November 2014: Likars'ka Sprava
Baha T Demirbas, Bahadir M Gulluoglu, A Ozdemir Aktan
AIM: The aim of this study is to make a systematic review of high-quality published trails regarding the complications of retained gallstones after laparoscopic cholecystectomy for cholelitiasis. MATERIALS AND METHODS: Medline search from 1987 to 2013 was done. Nine studies with >500 LCs which reported retained gallstones and perforated gallbladders were analyzed systematically. RESULTS: Of 536 listed reports including case reports, clinical trials, reviews, journal articles, and meta-analytic reports; 9 studies each reporting >500 LCs which reported the incidence of perforated gallbladders and spilled stones were found...
April 2015: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
M Cofini, P Favoriti, S Pietrantoni, F Quadrozzi
AIM: The aim of this retrospective study was to report our experience about characteristics of clinical presentation, etiologies, diagnosis and medical or surgical treatment of pediatric cholelitiasis. METHODS: Twenty-four children, ranging from 7 to 17 years of age (14 females and 10 males), with diagnosis of cholelitiasis were studied from 2008 through 2011. Exclusion criteria included: active infection, cholangitis, severe anemia or thrombocytopenia in cases with hemolytic diseases...
August 2014: Minerva Pediatrica
Alessia G Ferrarese, Mario Solej, Stefano Enrico, Alessandro Falcone, Silvia Catalano, Giada Pozzi, Silvia Marola, Valter Martino
BACKGROUND: We aimed to analyze outcomes of early and delayed laparoscopic cholecystectomy in the elderly in our General Surgery Division. METHODS: We analyzed 114 LC performed from the 1st of January 2008 to the 31st of December 2012 in our General Surgery division: 67 LC were performed for gallbladder stones and 47 for acute cholecystitis. RESULTS AND DISCUSSION: Comparison between Ordinary and Emergency groups showed that drain placement and post-operative hospital stay were significatively different...
2013: BMC Surgery
R Vecchio, Eva Intagliata, F Ferla, S Marchese, R R Cacciola, E Cacciola
Hereditary spherocytosis is an inherited hemolytic anemia caused by a deficiency in erythrocyte membrane proteins. Removal of the spleen may reduce the intra-splenic hemolytic process of the disease and, therefore, may correct the anemia. Furthermore, it seems to decrease the levels of serum bilirubin, thus reducing the formation of gallbladder stones. Indications and timing of splenectomy, however, are still debated. Twelve patients with severe hereditary spherocytosis operated on with laparoscopic splenectomy were retrospectively reviewed...
December 2013: Updates in Surgery
Marcel Tantau, Voicu Mercea, Dana Crisan, Alina Tantau, Gabriela Mester, Stefan Vesa, Zeno Sparchez
BACKGROUND & AIMS: Endoscopic Retrograde Cholangio-Pancreatography (ERCP) is the standard method of treatment for choledocholithiasis. We evaluated the diagnostic success rate and the outcomes of therapeutic ERCP for bile duct stones, in relation to the anatomical variants. METHOD: A total of 3,097 consecutive ERCPs were performed in 2,986 patients during a 10-year period (2002-2011) in our endoscopy department. The analysis of the results of therapy was performed in relation to the anatomical variants, patients' age, opacification of the Wirsung duct and recurrent lithiasis...
June 2013: Journal of Gastrointestinal and Liver Diseases: JGLD
Sidney Pinheiro-Júnior, Marcela A S Pinhel, Marcelo A Nakazone, Anielli Pinheiro, Gisele F S Amorim, Greiciane M S Florim, Camila M Mazeti, Michele L Gregório, Marina G Moschetta, Gilberto B Brito, Sérgio L A Brienze, Carla B Nonino, Antonio C Brandão, Dorotéia R S Souza
BACKGROUND: The manifestation of cholelithiasis after bariatric surgery may depend on genetic factors related to lipid metabolism, including apolipoprotein E (APOE) and cholesteryl ester transfer protein (CETP) gene polymorphisms. METHODS: We investigated the association between APOE HhaI and CETP TaqIB polymorphisms [PCR-RFLP] and occurrence of cholelithiasis over up to 8 months of follow-up after gastroplasty to Roux-en-Y gastric bypass in 220 patients distributed in Group 1 (G1) 114 with cholelithiasis postoperatively and Group 2 (G2) 106 without cholelithiasis, including biochemical and anthropometric profiles analyses...
April 2012: Obesity Surgery
Joaquim Polido-Pereira, Ana Maria Rodrigues, Helena Canhão, Fernando Saraiva, José Alberto Pereira da Silva, João Eurico Fonseca
Primary biliary cirrhosis (PBC) is an autoimmune disease in which intrahepatic bile ducts are targeted by an immune-mediated injury. This disease tends to progress to fibrosis and cirrhosis with hepatic failure. The authors report a case of a 50-year-old rheumatoid arthritis (RA) patient, with erosions and seropositive for rheumatoid factor and anti-citrullinated peptide antibodies, with 18 years disease duration refractory to prednisolone and several disease-modifying antirheumatic drugs, either conventional or biological (adalimumab and etanercept)...
February 2012: Clinical Rheumatology
A I Pal'tsev, A A Eremina, E N Gorbunova, M N Torgashov
The biliary tract pathology gains the increasing distribution.So cholelitiasis in different camps is registered from 7.8 to 38%. In Russia the given indicator from 3 to 12%. Special importance cholelitiasis and chronic cholecystitis without cholelitiasis get at persons of the advanced age, connected as with morfofunkcional'nymi changes in an organism of senior citizens, and with a wrong way of life. All it demands the differentiated approach to treatment of this group of patients and includes change of a way of life, a dietotherapy, farmako- and physiotherapeutic treatment...
2011: Experimental & Clinical Gastroenterology
M V Kostiuchenko, V S Shvidko, A M Abdurakhmanov, R M Gabibov, A A Iuanov, B M Bekerov, M P Gazimagomedov, I E Rodionov, M D Dibirov
We examined the resultants of treatment of 268 old patients. RESULTATES: The global demographic transition to an older population effects developing as well as developed coutries. Cganges in mitochondria with age, in body composition, in biliary tract gives to start for many diseases such as cholelitiasis. It has recommended the special surgic tactict of treatment such situations.
2010: Experimental & Clinical Gastroenterology
M Rampa, P Boati, L Battaglia, E Leo, A Vannelli
Laparoscopic technique in elective cholecystectomy is the last step in an evolutive time to minimize the abdominal access. From 1st January 2004 to 31th December 2006 we analyzed 5515 cholecystectomy procedures: 4877 laparoscopic cholecystectomy, 635 open cholecystectomy. Complications and supplementary diagnosis have been identified in SDO Lombardia's country database. Morbidity occurred in 82 patients (12.9%) with open technique and 109 patients (2.23%) with laparoscopic technique; mortality occurred in 11 patients (1...
January 2011: Il Giornale di Chirurgia
F Selvaggi, G Cappello, A Astolfi, P Di Sebastiano, N Del Ciotto, N Di Bartolomeo, P Innocenti
Anatomical variations of the cystic duct are well-defined. The presence of short or absent cystic duct is unusual and represents a co-factor of biliary injury especially during laparoscopic cholecystectomy. Thus, its knowledge is important to avoid ductal injury in hepato-biliary surgery. We experienced the case of a 40-year-old woman with symptomatic cholelitiasis, who underwent to laparoscopic cholecystectomy. At surgery, an accidental bile duct lesion was carried, during Calot's triangle dissection, due the particular difficulties in dissecting an extremely short cystic duct found at the junction of the common hepatic duct and common bile duct...
May 2010: Il Giornale di Chirurgia
G Merra, A Dal Lago, D Roccarina, M C Santoro, G Gasbarrini, G Ghirlanda, A Gasbarrini, N Gentiloni Silveri
No abstract text is available yet for this article.
December 2009: Minerva Gastroenterologica e Dietologica
I N Grigor'eva, T M Nikitenko, A V Tikhonov
Blood serum Lp (a) level's increasing accompanied significant rising of gallbladder bile lithogenicity in the women with gallstone disease (GSD) with verified cholesterol gallstones. Apolipoprotein (a) (Apo (a)) isoforms B, S1 (most atherogenic) frequency in the women with GSD was significantly higher, and isoforms Apo (a) 0, S4 - significantly lower than in the women in control group without GSD. Gallbladder bile was significantly more lithogenic in the women with GSD who had Apo (a) B and S1 isoforms than in women with GSD with isoforms Apo (a) 0 and S4...
2009: Experimental & Clinical Gastroenterology
Paolo Orizio, Vincenzo Villanacci, Gabrio Bassotti, Diego Falchetti, Fabio Torri, George Ekema
Heterotopic gastric mucosa in the gallbladder is rare (with about 100 reported cases), and its occurrence is even rarer in the biliary ductal system.The authors report a pediatric case of heterotopic gastric mucosa in the cystic duct associated with cholelitiasis.
June 2011: International Journal of Surgical Pathology
S M Tenconi, L Boni, E M Colombo, G Dionigi, F Rovera, E Cassinotti
AIM OF THE STUDY: To review the current indications, to establish predictive factors of success and the safety of LC as a day-surgery procedure. METHODS: Randomized clinical trials were searched on PubMed between January 2000 and June 2008 using "laparoscopic cholecystectomy", "day-surgery" as keywords. RESULTS: A total of 20 trials was identified and analyzed. The indications for LC in day-surgery unit were symptomatic and chronic cholelitiasis without evidence of common bile duct stones; acute cholecystitis and pancreatitis cases were excluded...
2008: International Journal of Surgery
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