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Post cholecystectomy syndrom

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https://www.readbyqxmd.com/read/29849374/post-cholecystectomy-syndrome
#1
Tami Moore, Manish Amin
No abstract text is available yet for this article.
November 2017: Clinical practice and cases in emergency medicine
https://www.readbyqxmd.com/read/29735491/a-case-of-platypnoea-orthodeoxia-following-laproscopic-cholecystectomy
#2
Timothy Riddles, James Brown, Daniel Judge
Platypnoea Orthodeoxia syndrome is defined by dyspnoea and hypoxaemia exacerbated by orthostatic positioning and alleviated in recumbency. This condition has been reported in association with pulmonary, hepatic and cardiac disease. We describe a case herein of a 79 year old female who developed severe hypoxaemia and dyspnoea post laparoscopic cholecystectomy. A difference in arterial blood gas oxygen tension was demonstrated in the supine and erect positions on arterial blood gas analysis. A Patent Foramen Ovale (PFO) with a right to left shunt was evident on echocardiogram employing colour doppler and agitated normal saline studies...
May 7, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29730174/a-systematic-review-of-the-aetiology-and-management-of-post-cholecystectomy-syndrome
#3
REVIEW
Jennifer Isherwood, Kathryn Oakland, Achal Khanna
BACKGROUND: 10% of patients who undergo a cholecystectomy go on to develop post-cholecystectomy syndrome (PCS). The majority of these patients may suffer from extra-biliary or unrelated organic disorders that may have been present before cholecystectomy. The numerous aetiological causes of PCS result in a wide spectrum of management options, each with varying success in abating symptoms. This systematic review aims to provide a summary of the causative aetiologies of post cholecystectomy syndrome, their incidences and efficacy of available management options...
May 2, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29536062/restoring-one-way-traffic-across-the-roux-loop-the-nakajo-value
#4
Ashwin Rammohan, Sripriya Srinivas, Yahya Al Azri, Mettu Srinivas Reddy, Mohamed Rela
Roux-en-Y (RY) hepaticojejunostomy (HJ) is a critical component of complex hepatobiliary operations, and it is the treatment of choice for post-cholecystectomy biliary strictures (PCBS). Complications related to the Roux limb, particularly those leading to cholangitis, can severely compromise outcomes. We present a case of a 54-year-old lady who had previously undergone two HJ procedures for recurrent PCBS. The same Roux limb had been used in each of the operations. Short Roux/Roux reflux syndrome led to recurrent cholangitis in this patient, as proven by the reflux of oral contrast into the biliary tree on imaging...
February 2018: Annals of Hepato-Biliary-Pancreatic Surgery
https://www.readbyqxmd.com/read/29536054/management-of-residual-gall-bladder-a-15-year-experience-from-a-north-indian-tertiary-care-centre
#5
Ashish Singh, Abhimanyu Kapoor, Rajneesh Kumar Singh, Anand Prakash, Anu Behari, Ashok Kumar, Vinay Kumar Kapoor, Rajan Saxena
Backgrounds/Aims: A residual gallbladder (RGB) following a partial/subtotal cholecystectomy may cause symptoms that require its removal. We present our large study regarding the problem of a RGB over a 15 year period. Methods: This study involved a retrospective analysis of patients managed for symptomatic RGB from January 2000 to December 2015. Results: A RGB was observed in 93 patients, who had a median age of 45 (25-70) years, and were comprised of 69 (74...
February 2018: Annals of Hepato-Biliary-Pancreatic Surgery
https://www.readbyqxmd.com/read/29247966/post-cholecystectomy-syndrome-need-to-redo-laparoscopic-completion-surgery-a-case-report
#6
Ali Zahedian, Sekineh Kamali Ahangar, Yasser Asghari
INTRODUCTION: Cholecystectomy is the standard treatment for symptomatic gallbladder stone disease. However, symptoms such as abdominal pain and dyspepsia may persist even after surgery, if the gallbladder is incompletely removed known as postcholecystectomy syndrome. CASE PRESENTATION: A 55-year-old man with a history of open cholecystectomy presented with a complaint of recurrent pain on his upper abdomen. Abdominal ultrasonography and magnetic resonance cholangiopancreatography revealed a cystic structure in the gallbladder fossa, with a filling defect at the midpoint of the cystic duct, suggesting a retained stone in the cystic duct and residual gallbladder...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29190631/a-retrospective-review-of-the-diagnostic-and-management-challenges-of-mirizzi-syndrome-at-the-singapore-general-hospital
#7
Wei Ming Seah, Ye Xin Koh, Peng Chung Cheow, Pierce K H Chow, Chung Yip Chan, Ser Yee Lee, London L P J Ooi, Alexander Y F Chung, Brian K P Goh
BACKGROUND: Mirizzi syndrome (MS) occurs when gallstone impaction in Hartmann's pouch results in extrinsic obstruction of the common bile duct, and fistulation may occur. METHODS: We retrospectively reviewed electronic records of patients surgically treated for MS from November 2001 to June 2012. Patient presentations, diagnostic methods, treatments and complications were recorded. RESULTS: Sixty-four patients were grouped according to a classification proposed by Beltran et al...
November 30, 2017: Digestive Surgery
https://www.readbyqxmd.com/read/29132116/the-outcome-of-laparoscopic-subtotal-cholecystectomy-in-difficult-cases-a-case-series
#8
Caroline Supit, Tommy Supit, Yarman Mazni, Ibrahim Basir
INTRODUCTION: Laparoscopic subtotal cholecystectomy (LSC) is a widely used technique for managing cholelithiasis with severe cholecystitis. The increasing popularity its utilization is due to the good safety profile and acceptable results. This case series evaluates the short- and long-term results of Indonesian patients who underwent LSC with an objective to determine whether the procedure can be a standard approach for difficult cholecystectomy in our institution. PRESENTATION OF CASE: Thirty-four Indonesian patients (26 men, 8 women) with the mean age of 54...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29067945/post-cholecystectomy-syndrome-a-new-look-at-an-old-problem
#9
Divya Arora, Robin Kaushik, Ravinder Kaur, Atul Sachdev
BACKGROUND: Despite being the most commonly performed operations, sometimes cholecystectomy fails to relieve symptoms; this is now a well-recognised clinical entity termed 'post-cholecystectomy syndrome' (PCS). Very few studies from India deal with PCS, and the present study was carried out to find the incidence and risk factors for PCS in patients undergoing elective laparoscopic cholecystectomy (LC). MATERIALS AND METHODS: The records of 207 patients undergoing elective LC were prospectively maintained for 6 months after surgery...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28521679/diet-after-cholecystectomy
#10
Donato F Altomare, Maria T Rotelli, Nicola Palasciano
Patients with gallstones are often affected by alimentary disorders contributing to the onset of gallstones disease. Cholecystectomy can have nutritional and metabolic consequences in the short-term (diarrhea, abdominal pain and bloating) and in the long-term (increased Body Mass Index with metabolic syndrome, gastritis, liposoluble vitamin deficiency). Pathogenic mechanisms behind these disturbances are reviewed and the need for an early post-operative nutritional intervention based on low-lipid, high-fibers diet, is highlighted...
May 17, 2017: Current Medicinal Chemistry
https://www.readbyqxmd.com/read/28188572/gastroparesis-post-laparoscopic-cholecystectomy-in-diabetic-patients
#11
Abdulrahman Saleh Al-Mulhim
Impairment of gastric emptying is well recognized in patients with diabetes mellitus. The aim of this study was to investigate the influencing factors for gastroparesis syndrome development after laparoscopic cholecystectomy in diabetic patients. This is a case-control study. Clinical data were collected retrospectively for 462 diabetic patients who underwent laparoscopic cholecystectomy from 2008 to 2013. We retrospectively analyzed the incidence of gastroparesis syndrome, clinical features, course of disease, and risk factors...
March 2017: Updates in Surgery
https://www.readbyqxmd.com/read/28050668/antibiotics-may-be-safely-discontinued-within-one-week-of-percutaneous-cholecystostomy
#12
Tyler J Loftus, Scott C Brakenridge, Camille G Dessaigne, George A Sarosi, William J Zingarelli, Frederick A Moore, Janeen R Jordan, Chasen A Croft, R Stephen Smith, Phillip A Efron, Alicia M Mohr
BACKGROUND: For patients with acute cholecystitis managed with percutaneous cholecystostomy (PC), the optimal duration of post-procedural antibiotic therapy is unknown. Our objective was to compare short versus long courses of antibiotics with the hypothesis that patients with persistent signs of systemic inflammation 72 h following PC would receive prolonged antibiotic therapy and that antibiotic duration would not affect outcomes. METHODS: We performed a retrospective cohort analysis of 81 patients who underwent PC for acute cholecystitis at two hospitals during a 41-month period ending November 2014...
May 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/27888858/novel-findings-in-the-management-of-acute-pancreatitis
#13
Federico Bolado, Enrique de-Madaria
Acute pancreatitis (AP) is a potentially serious disease whose incidence is on the increase. Pancreas divisum does not meet the required criteria to be considered an aetiological factor. Sphincter of Oddi dysfunction may be another cause of idiopathic AP. Less invasive methods cannot replace Sphincter of Oddi manometry in diagnosis. Almost half of patients with systemic inflammatory response syndrome develop organ failure, but the mechanisms involved are not completely understood. Obesity is a risk factor for severity in AP; the cause could be the presence of free unsaturated fatty acids, which have pro-inflammatory activity...
September 2016: Gastroenterología y Hepatología
https://www.readbyqxmd.com/read/27762149/post-cholecystectomy-syndrome-and-sphincter-of-oddi-dysfunction-past-present-and-future
#14
REVIEW
Paul R Tarnasky
Post-cholecystectomy syndrome and the concept of a causal relationship to sphincter of Oddi dysfunction, despite the controversy, has presented a clinically relevant conflict for decades. Historically surgeons, and now gastroenterologists have expended tremendous efforts towards trying to better understand the dilemma that is confounded by unique patient phenotypes. Areas covered: This review encompasses the literature from a century of experience on the topic of post-cholecystectomy syndrome. Relevant historical and anecdotal experiences are examined in the setting of insights from evaluation of recently available controlled data...
December 2016: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27387334/post-laparoscopic-cholecystectomy-mirizzi-syndrome-induced-by-polymeric-surgical-clips-a-case-report-and-review-of-the-literature
#15
Eleni-Aikaterini Nagorni, Georgios Kouklakis, Alexandra Tsaroucha, Soultana Foutzitzi, Nikos Courcoutsakis, Konstantinos Romanidis, Konstantinos Vafiadis, Michael Pitiakoudis
BACKGROUND: Laparoscopic cholecystectomy is the gold standard treatment of gallbladder disease. Post-cholecystectomy syndrome is a severe postoperative complication which can be caused by multiple mechanisms and can present with multiple disorders. The wide use of laparoscopy induces the need to understand more clearly the presentation and pathophysiology of this syndrome. Post-cholecystectomy Mirizzi syndrome is one form of this syndrome and, according to literature, this is the first report that clearly describes it...
May 27, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27241560/the-impact-of-frailty-syndrome-and-risk-scores-on-emergency-cholecystectomy-patients
#16
Laura Lorenzon, Gianluca Costa, Giulia Massa, Barbara Frezza, Francesco Stella, Genoveffa Balducci
PURPOSE: Cholecystectomy, which is one of the most common surgical procedures, is also performed in the emergency setting. A number of risk scores have been introduced in recent studies; moreover, over the last few years literature has focused on surgical patients with frailty syndrome. The aim of the present study is to evaluate whether frailty syndrome and the risk scores are correlated with morbidity, post-operative hospital stay and the ICU admission rate following emergency cholecystectomy...
January 2017: Surgery Today
https://www.readbyqxmd.com/read/27144629/rome-iv-gallbladder-and-sphincter-of-oddi-disorders
#17
P B Cotton, G H Elta, C R Carter, P J Pasricha, E S Corazziari
The concept that motor disorders of the gallbladder, cystic duct and sphincter of Oddi can cause painful syndromes is attractive and popular, at least in the USA. However, the results of commonly performed ablative treatments (cholecystectomy and sphincterotomy) are not uniformly good. The predictive value of tests that are often used to diagnose dysfunction (dynamic gallbladder scintigraphy and sphincter manometry) is controversial. Evaluation and management of these patients is made difficult by the fluctuating symptoms and the placebo effect of invasive interventions...
February 19, 2016: Gastroenterology
https://www.readbyqxmd.com/read/26987672/hemobilia-following-laparoscopic-cholecystectomy-computed-tomography-findings-and-clinical-outcome-of-transcatheter-arterial-embolization
#18
Wen Feng, Dong Yue, Lu ZaiMing, Liu ZhaoYu, Li Wei, Guo Qiyong
BACKGROUND: Hemobilia following laparoscopic cholecystectomy (LC) can occur in the early or late postoperative course and poses a diagnostic and therapeutic challenge. PURPOSE: To assess computed tomography (CT) findings and clinical outcomes after transcatheter arterial embolization (TAE) in patients presenting with hemobilia following LC. MATERIAL AND METHODS: Fourteen patients treated for hemobilia following LC were included in the study...
January 2017: Acta Radiologica
https://www.readbyqxmd.com/read/26961117/is-there-a-difference-between-the-stop-bang-and-the-berlin-obstructive-sleep-apnoea-syndrome-questionnaires-for-determining-respiratory-complications-during-the-perioperative-period
#19
COMPARATIVE STUDY
Pervin Gokay, Sevinc Tastan, Mehmet Emin Orhan
AIMS AND OBJECTIVES: This study aimed to compare the efficiency of the STOP-BANG and Berlin Obstructive Sleep Apnoea Syndrome questionnaires for evaluating potential respiratory complications during the perioperative period. BACKGROUND: Questionnaires that are used to determine obstructive sleep apnoea risk are not widely used for surgical patients. Among the questionnaires that are commonly used for obstructive sleep apnoea screening, it remains unclear whether the STOP-BANG or Berlin Obstructive Sleep Apnoea Syndrome questionnaire is more effective in terms of ease of use, usage period and diagnosis of surgical patients with obstructive sleep apnoea risk...
May 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/26622110/residual-gallbladder-stones-after-cholecystectomy-a-literature-review
#20
REVIEW
Pradeep Chowbey, Anil Sharma, Amit Goswami, Yusuf Afaque, Khoobsurat Najma, Manish Baijal, Vandana Soni, Rajesh Khullar
BACKGROUND: Incomplete gallbladder removal following open and laparoscopic techniques leads to residual gallbladder stones. The commonest presentation is abdominal pain, dyspepsia and jaundice. We reviewed the literature to report diagnostic modalities, management options and outcomes in patients with residual gallbladder stones after cholecystectomy. MATERIALS AND METHODS: Medline, Google and Cochrane library between 1993 and 2013 were reviewed using search terms residual gallstones, post-cholecystectomy syndrome, retained gallbladder stones, gallbladder remnant, cystic duct remnant and subtotal cholecystectomy...
October 2015: Journal of Minimal Access Surgery
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