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antibiotics and choledocholithiasis

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https://www.readbyqxmd.com/read/27188119/-serious-coagulation-dysfunction-in-a-patient-with-gallstone-related-cholecystitis-successfully-treated-with-vitamin-k
#1
Saki Shimamoto, Akiko Tanaka, Keiichiro Tsuchida, Kazuko Hayashi, Teiji Sawa
An 85-year-old woman with a diagnosis of choledocholithiasis due to common duct stones gradually developed severe coagulation dysfunction over the course of 27 days after hospitalization. Initial clinical findings were fever, general malaise, and obstructive jaundice. She was treated with fasting, and received cephem antibiotics containing N-methyl-thio-tetrazole. Because the common duct stones were not removed endoscopically, cholecystectomy was scheduled. Coagulation on admission was normal, but gradually became impaired...
April 2016: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26962768/microbiological-assessment-of-bile-and-corresponding-antibiotic-treatment-a-strobe-compliant-observational-study-of-1401-endoscopic-retrograde-cholangiographies
#2
Christian Rupp, Konrad Bode, Karl Heinz Weiss, Gerda Rudolph, Janine Bergemann, Petra Kloeters-Plachky, Fadi Chahoud, Wolfgang Stremmel, Daniel Nils Gotthardt, Peter Sauer
The aim of this study was to determine the antibiotic susceptibility profiles of bacteria in bile samples and to analyze the clinical relevance of the findings as only limited information about risk factors for elevated frequence of bacterial and fungal strains in routinely collected bile samples has been described so far.A prospective cohort study at a tertiary care center was conducted. Seven hundred forty-four patients underwent 1401 endoscopic retrograde cholangiographies (ERCs) as indicated by liver transplantation (427/1401), primary sclerosing cholangitis (222/1401), choledocholithiasis only (153/1401), obstruction due to malignancy (366/1401), or other conditions (233/1401)...
March 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26895121/microbiological-study-and-antimicrobial-susceptibility-of-bile-in-biliary-therapeutic-endoscopy
#3
Dalila Gargouri, Asma Ouakaa-Kchaou, Asma Kochlef, Héla Elloumi, Norsaf Bibani, Dorra Trad, Mohamed Zili, Jamel Kharrat
BACKGROUND: Biliary obstruction together with bacterial colonization of the bile duct may lead to development of acute cholangitis. The reported incidence of infectious complications may reach up to 10%. Nevertheless, no antibiotic prophylaxis is administered routinely, prior to endoscopic therapeutic procedures. AIM: To investigate the presence and degree of biliary bacterial colonization during endoscopic retrograde cholangiopancreatography (ERCP) in patients with biliary obstruction...
October 2015: La Tunisie Médicale
https://www.readbyqxmd.com/read/26483868/training-vs-practice-a-tale-of-opposition-in-acute-cholecystitis
#4
REVIEW
Purvi P Patel, Shaun C Daly, Jose M Velasco
Acute cholecystitis is one of the most common surgical diagnoses encountered by general surgeons. Despite its high incidence there remains a range of treatment of approaches. Current practices in biliary surgery vary as to timing, intraoperative utilization of biliary imaging, and management of bile duct stones despite growing evidence in the literature defining best practice. Management of patients with acute cholecystitis with early laparoscopic cholecystectomy (LC) results in better patient outcomes when compared with delayed surgical management techniques including antibiotic therapy or percutaneous cholecystostomy...
October 18, 2015: World Journal of Hepatology
https://www.readbyqxmd.com/read/26468310/acute-bacterial-cholangitis
#5
REVIEW
Vincent Zimmer, Frank Lammert
BACKGROUND: Acute bacterial cholangitis for the most part owing to common bile duct stones is common in gastroenterology practice and represents a potentially life-threatening condition often characterized by fever, abdominal pain, and jaundice (Charcot's triad) as well as confusion and septic shock (Reynolds' pentad). METHODS: This review is based on a systematic literature review in PubMed with the search items 'cholangitis' 'choledocholithiasis' 'gallstone disease' 'biliary infection', and 'biliary sepsis'...
June 2015: Viszeralmedizin
https://www.readbyqxmd.com/read/26278661/prophylactic-laparoscopic-cholecystectomy-in-adult-sickle-cell-disease-patients-with-cholelithiasis-a-prospective-cohort-study
#6
Mirko Muroni, Valeria Loi, François Lionnet, Robert Girot, Sidney Houry
INTRODUCTION: Prophylactic laparoscopic cholecystectomy remains controversial and has been discussed for selected subgroups of patients with asymptomatic cholelithiasis who are at high risk of developing complications such as chronic haemolytic conditions. Cholelithiasis is a frequent condition for patients with sickle cell disease (SCD). Complications from cholelithiasis may dramatically increase morbidity for these patients. Our objective was to evaluate the effectiveness of prophylactic cholecystectomy in SCD patients with asymptomatic gallbladder stones...
October 2015: International Journal of Surgery
https://www.readbyqxmd.com/read/26076512/-quality-and-competence-in-endoscopic-cholangiography-towards-certainty
#7
Martín Guidi, Hui Jer Hwang, Cecilia Curvale, Gonzalo Souto, Julio De María, Fernando Ragone, Esteban Promenzio, Raúl Matano
INTRODUCTION: The American Society of Gastroenterology (ASGE) and the American College of Gastroenterolog (ACG) have established indicators to recognize high-quality studies in endoscopic retrograde cholagiopancreatography (ERCP). The indicators were: a) Pre-procedure: adequate indication, informed consent, assessment of the degree of difficulty of the procedure and antibiotic prophylaxis. b) Intraprocedure: cannulation, choledocholithiasis extraction and stents placement rates. c) Postprocedure: full documentation and complications rates...
March 2015: Acta Gastroenterologica Latinoamericana
https://www.readbyqxmd.com/read/25916074/evaluation-of-antibiotic-use-to-prevent-post-endoscopic-retrograde-cholangiopancreatography-pancreatitis-and-cholangitis
#8
Takashi Ishigaki, Tamito Sasaki, Masahiro Serikawa, Kenso Kobayashi, Michihiro Kamigaki, Tomoyuki Minami, Akihito Okazaki, Masanobu Yukutake, Yasutaka Ishii, Keiichi Kosaka, Teruo Mouri, Satoshi Yoshimi, Kazuaki Chayama
BACKGROUND/AIMS: The purpose of this study was to evaluate the relationship between prophylactic antibiotic use and complications following endoscopic retrograde cholangiopancreatography (ERCP). METHODOLOGY: We retrospectively evaluated 605 consecutive patients who underwent ERCP in our hospital between September 2009 and November 2011. The antibiotic group included patients who underwent their procedure before October 2010, while the control group included patients after October 1, 2010, who did not receive antibiotics...
March 2015: Hepato-gastroenterology
https://www.readbyqxmd.com/read/25783306/clinical-management-of-infantile-cholelithiasis
#9
Cerine Jeanty, S Christopher Derderian, Jesse Courtier, Shinjiro Hirose
PURPOSE: Infantile cholelithiasis is a rare disease process, and management strategies are poorly defined. We therefore examined the risk factors, complications, and management of this disease at our institution. METHODS: We retrospectively reviewed infants with cholelithiasis diagnosed on ultrasound between 1997 and 2013. Details of the patient's medical history, presentation, imaging findings, laboratory values, and treatment were reviewed and analyzed. RESULTS: Over the 16-year period, 50 infants were evaluated for cholelithiasis...
August 2015: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/25320159/evidence-based-management-of-common-gallstone-related-emergencies
#10
REVIEW
Farokh R Demehri, Hasan B Alam
Gallstone-related disease is among the most common clinical problems encountered worldwide. The manifestations of cholelithiasis vary greatly, ranging from mild biliary colic to life-threatening gallstone pancreatitis and cholangitis. The vast majority of gallstone-related diseases encountered in an acute setting can be categorized as biliary colic, cholecystitis, choledocholithiasis, and pancreatitis, although these diagnoses can overlap. The management of these diseases is uniquely multidisciplinary, involving many specialties and treatment options...
January 2016: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/25298761/endoscopic-sphincterotomy-using-the-rendezvous-technique-for-choledocholithiasis-during-laparoscopic-cholecystectomy-a-case-report
#11
Takayuki Tanaka, Masashi Haraguchi, Hirotaka Tokai, Shinichiro Ito, Masachika Kitajima, Tsuyoshi Ohno, Shinya Onizuka, Keiji Inoue, Yasuhide Motoyoshi, Tamotsu Kuroki, Takashi Kanemastu, Susumu Eguchi
A 50-year-old male was examined at another hospital for fever, general fatigue and slight abdominal pain. He was treated with antibiotics and observed. However, his symptoms did not lessen, and laboratory tests revealed liver dysfunction, jaundice and an increased inflammatory response. He was then admitted to our hospital and underwent an abdominal computed tomography scan and magnetic resonance cholangiopancreatography (MRCP), which revealed common bile duct (CBD) stones. He was diagnosed with mild acute cholangitis...
May 2014: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/24958584/caroli-disease-associated-with-vein-of-galen-malformation-in-a-male-child
#12
Dominik Grieb, Axel Feldkamp, Thomas Lang, Michael Melter, Christian Stroszczynski, Friedhelm Brassel, Dan Meila
We report the first case of a male child with both Caroli disease and vein of Galen malformation. The neonate presented to our department with congestive heart failure as a result of the intracranial arteriovenous high-flow shunt. Over time, several endovascular embolizations led to a complete angiographic occlusion of the shunt. Additionally, the diagnosis of Caroli disease was made at the age of 2 months. He developed choledocholithiasis necessitating endoscopic sphincterotomy and stone extraction. As a prolonged medical treatment he received ursodeoxycholic acid and antibiotics...
July 2014: Pediatrics
https://www.readbyqxmd.com/read/24859881/endoscopic-management-of-choledochocele-complicated-with-choledocholithiasis-and-pancreatitis-in-an-old-patient
#13
Liang Zhu, Hao Zeng, You-Xiang Chen, Nong-Hua Lu
Choledochocele, or type III choledochal cyst, is a rare congenital disease and is even less common among adults compared with children. In this case, a 75-year-old female was admitted to our hospital presented with epigastric pain and vomiting for one day. Abdominal computed tomography revealed dilated common bile duct, pancreatitis and peripancreatic effusion. The patient was treated with fasting, fluid resuscitation, anti-acid agents, somatostatin and antibiotics. Endoscopic retrograde cholangiopancreatography was employed for the further diagnosis of choledochocele, choledocholithiasis and biliary stenosis...
February 2015: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/24617771/expanding-endourology-for-biliary-stone-disease-the-efficacy-of-intracorporeal-lithotripsy-on-refractory-biliary-calculi
#14
Brian C Sninsky, Priyanka D Sehgal, J Louis Hinshaw, John C McDermott, Stephen Y Nakada
BACKGROUND AND PURPOSE: We evaluated the efficacy of ureteroscopic therapy (electrohydraulic lithotripsy [EHL] and intraductal laser lithotripsy [ILL]) in patients with challenging biliary stones secondary to anatomic variations resulting from a previous surgical procedure, including liver transplantation. PATIENTS AND METHODS: A retrospective chart review was performed for all patients with previous surgical alteration of the gastrointestinal (GI) tract who underwent EHL or ILL via peroral or percutaneous access for choledocholithiasis by a single surgeon at our institution from 2000 to 2012...
July 2014: Journal of Endourology
https://www.readbyqxmd.com/read/24303455/endoscopic-papillary-balloon-dilation-for-difficult-common-bile-duct-stones-our-experience
#15
Maddalena Zippi, Isabella De Felici, Roberta Pica, Giampiero Traversa, Giuseppe Occhigrossi
AIM: To evaluate the efficacy and safety of endoscopic balloon dilation (EBD) performed for common bile duct (CBD) stones. METHODS: From a computer database, we retrospectively analyzed the data relating to EBD performed in patients at the gastrointestinal unit of the Sandro Pertini Hospital of Rome (small center with low case volume) who underwent endoscopic retrograde cholangiopancreatography (ERCP) for CBD from January 1, 2010 to February 29, 2012. All patients had a proven diagnosis of CBD stones studied with echography, RMN-cholangiography and, when necessary, with computed tomography of the abdomen (for example, in cases with pace-makers)...
April 16, 2013: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/23810155/management-of-complicated-duodenal-diverticula
#16
REVIEW
N Oukachbi, S Brouzes
The duodenum is the second most common location of intestinal diverticula after the colon. Duodenal diverticulum (DD) is usually located in the second portion of the duodenum (D2), close to the papilla. Most duodenal diverticula are extraluminal and acquired rather than congenital; more rare is the congenital, intraluminal diverticulum. DD is usually asymptomatic and discovered incidentally, but can become symptomatic in 1% to 5% of cases when complicated by gastroduodenal, biliary and/or pancreatic obstruction, by perforation or by hemorrhage...
June 2013: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/23605831/a-rare-late-complication-of-laparoscopic-cholecystectomy
#17
Mhairi Little, Phanibhushana C Munipalle, Omar Nugud
An 86-year-old woman presented three years after laparoscopic cholecystectomy with right upper quadrant pain and raised inflammatory markers. Liver function tests were normal; however, a previous ultrasound scan suggested a common bile duct stone so she was treated for cholangitis secondary to choledocholithiasis. Repeat ultrasound scan again showed a common bile duct (CBD) stone and also a subdiaphragmatic abscess. CT scan confirmed the abscess, associated with a surgical clip from her previous surgery. There was no evidence of a persistent CBD stone on the CT scan...
2013: BMJ Case Reports
https://www.readbyqxmd.com/read/23307003/tg13-flowchart-for-the-management-of-acute-cholangitis-and-cholecystitis
#18
Fumihiko Miura, Tadahiro Takada, Steven M Strasberg, Joseph S Solomkin, Henry A Pitt, Dirk J Gouma, O James Garden, Markus W Büchler, Masahiro Yoshida, Toshihiko Mayumi, Kohji Okamoto, Harumi Gomi, Shinya Kusachi, Seiki Kiriyama, Masamichi Yokoe, Yasutoshi Kimura, Ryota Higuchi, Yuichi Yamashita, John A Windsor, Toshio Tsuyuguchi, Toshifumi Gabata, Takao Itoi, Jiro Hata, Kui-Hin Liau
We propose a management strategy for acute cholangitis and cholecystitis according to the severity assessment. For Grade I (mild) acute cholangitis, initial medical treatment including the use of antimicrobial agents may be sufficient for most cases. For non-responders to initial medical treatment, biliary drainage should be considered. For Grade II (moderate) acute cholangitis, early biliary drainage should be performed along with the administration of antibiotics. For Grade III (severe) acute cholangitis, appropriate organ support is required...
January 2013: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/23112558/clostridium-perfringens-bacteremia-caused-by-choledocholithiasis-in-the-absence-of-gallbladder-stones
#19
REVIEW
Antwan Atia, Tejas Raiyani, Pranav Patel, Robert Patton, Mark Young
A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens. Computed tomogram scan of the abdomen and abdominal ultrasound showed normal gallbladder and common bile duct (CBD). Subsequently magnetic resonance cholangiopancreaticogram showed choledocholithiasis. Endoscopic retrograde cholangiopancreaticogramwith sphincterotomy and CBD stone extraction was performed. The patient progressively improved with antibiotic therapy Choledocholithiasis should be considered as a source of clostridium perfringens bacteremia especially in the setting of elevated liver enzymes with cholestatic pattern...
October 21, 2012: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/23063084/routine-use-of-antibiotic-prophylaxis-in-low-risk-laparoscopic-cholecystectomy-is-unnecessary-a-randomized-clinical-trial
#20
RANDOMIZED CONTROLLED TRIAL
Jay Narayan Shah, Shanta Bir Maharjan, Sanjay Paudyal
BACKGROUND: Laparoscopic cholecystectomy uses smaller incision and trocars that lessen the contamination and exposure of wound, resulting in less infection. However, the antibiotic prophylaxis is still widely practiced, like in our institute, a continuation of the era of open surgery. Recent studies reveal no advantage of routine use of antibiotic, and there is growing consensus against it. Besides cost, antibiotic increases emergence of multidrug resistance. Because of the controversies, we conducted this clinical trial...
October 2012: Asian Journal of Surgery
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