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Cholecystitis

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https://www.readbyqxmd.com/read/30006843/bile-duct-injuries-bdi-in-the-advanced-laparoscopic-cholecystectomy-era
#1
Christopher W Mangieri, Bryan P Hendren, Matthew A Strode, Bradley C Bandera, Byron J Faler
BACKGROUND: Laparoscopic cholecystectomy is the most commonly performed laparoscopic procedure. It is superior in nearly every regard compared to open cholecystectomies. The one significant aspect where the laparoscopic approach is inferior regards the association with bile duct injuries (BDI). The BDI rate with laparoscopic cholecystectomy is approximately 0.5%; nearly triple the rate compared to the open approach. We propose that 0.5% BDI rate with the laparoscopic approach is no longer accurate...
July 13, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/30001868/the-association-between-bowel-obstruction-and-the-management-of-cholelithiasis-and-cholecystitis-in-elderly-patients-a-population-based-cohort-study
#2
Yen-Chun Peng, Cheng-Li Lin, Hong-Zen Yeh, Chi-Sen Chang, Chia-Hung Kao
AIMS: This study aimed to evaluate the risk of bowel events among elderly patients treated using only PTGBD (Percutaneous Gallbladder Drainage), or a cholecystectomy on its own, or PTGBD combined with a subsequent cholecystectomy. METHODS: A retrospective population-based cohort study was conducted with newly diagnosed cholelithiasis and cholecystitis patients who had no bowel obstruction history and were aged over 65 years during the period of January 1, 2000 to December 31, 2010...
July 9, 2018: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29998172/an-uncommon-cause-of-cholangitis-and-cholecystitis
#3
João Sebastião Lopes Dias Pinto, Richard José Lopes Azevedo, António José Duarte Banhudo
No abstract text is available yet for this article.
June 2018: GE Portuguese Journal of Gastroenterology
https://www.readbyqxmd.com/read/29997079/hepatobiliary-diseases-in-people-with-hiv-infection-at-the-lome-togo-university-hospital-epidemiologic-and-diagnostic-aspects
#4
O Bouglouga, A Bagny, L M Lawson-Ananissoh, R El-Hadji Yakoubou, L Kaaga, M A Djibril, D Redah
PURPOSE: To determine the epidemiological and diagnostic aspects of hepatobiliary diseases in people with HIV infection at the Lomé University Hospital. METHODS AND PATIENTS: This 5-year retrospective descriptive and analytic study included all people with HIV infection aged 15 years and older of either sex admitted with a hepatobiliary disease. RESULTS: Among all patients admitted for hepatobiliary diseases, people with HIV infection accounted for 2%...
May 1, 2018: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/29995741/cumulative-financial-burden-of-readmissions-for-biliary-pancreatitis-in-pregnant-women
#5
Yen-Yi Juo, Usah Khrucharoen, Yas Sanaiha, Young-Ji Seo, Erik Dutson, Peyman Benharash
OBJECTIVE: To evaluate the cumulative hospitalization cost differences between routine cholecystectomy and an observational approach during index hospitalization for pregnant patients. METHODS: A retrospective cohort study of 1,245 pregnant women with biliary pancreatitis across the United States between 2010 and 2014 was performed using the Nationwide Readmissions Database. Cumulative costs and complications were compared between patients with and without cholecystectomy during both initial and subsequent hospitalizations...
July 10, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29992010/gallbladder-duplication-and-cholecystitis
#6
Erik Xavier Apolo Romero, Patricio Fernando Gálvez Salazar, Jorge Abdón Estrada Chandi, Fabricio González Andrade, Gabriel Alejandro Molina Proaño, Fanny Carolina Mesías Andrade, Juan Carlos Cadena Baquero
Cholecystitis is a common gallbladder pathology characterized by abdominal pain, positive Murphy sign and elevated white blood count. Abdominal ultrasound usually gives a definite diagnosis. Duplication of the gallbladder is a rare congenital anomaly that can either be asymptomatic or and can present with symptoms associated with cholelithiasis, cholecystitis, cholangitis or pancreatitis. Clinically indistinguishable from regular gallbladder pathologies. The management of duplicated gallbladder is similar to that of other gallbladder diseases, if one or both gallbladders cause symptoms, cholecystectomy should be done for both gallbladders...
July 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29991675/practical-suggestions-for-prevention-of-complications-arising-from-oxidized-cellulose-retention-a-case-report-and-review-of-the-literature
#7
Guglielmo Niccolò Piozzi, Elisa Reitano, Valerio Panizzo, Barbara Rubino, Davide Bona, Domenico Tringali, Giancarlo Micheletto
BACKGROUND Bleeding is a major intraoperative complication during surgical procedures. When conventional methods such as ligature and diathermocoagulation are ineffective for bleeding management, hemostatic agents should be used. Oxidized cellulose is one of the major hemostatic agents used worldwide. Oxidized cellulose is often left in situ after hemostasis because of its high level of reabsorption that lasts up to 8 weeks. However, 38 cases of retaining-associated complications are reported in the literature...
July 11, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29988637/fitz-hugh-curtis-syndrome-a-diagnostic-challenge
#8
Wei Jia, Fiqry Fadhlillah
Diagnosis of Fitz-Hugh-Curtis is challenging due to its rarity and its similar presentation to common intra-abdominal conditions, such as cholecystitis or appendicitis. In our case, the adherent cecal and omental mass felt on examination were thought to be an appendiceal mass secondary to perforation, hence the patient underwent a diagnostic laparoscopy.
July 2018: Clinical Case Reports
https://www.readbyqxmd.com/read/29988510/cholecystectomy-damages-aging-associated-intestinal-microbiota-construction
#9
Wenxue Wang, Junfeng Wang, Julan Li, Pingping Yan, Yun Jin, Ruyi Zhang, Wei Yue, Qiang Guo, Jiawei Geng
The intestinal microbiome is essential in humans to maintain physiological balance and nutrition metabolism. Laparoscopic cholecystectomy due to gallstone disease and cholecystitis can cause intestinal microbial dysbiosis, and following bile acid metabolism dysfunction, positions the patient at high risk of colorectal cancer. However, little is known regarding intestinal microbiota characteristics in post-cholecystectomy patients. Here, we compared the microbial composition of cholecystectomy patients with that of a healthy population...
2018: Frontiers in Microbiology
https://www.readbyqxmd.com/read/29981641/the-role-of-noncontrast-ct-in-the-evaluation-of-surgical-abdomen-patients
#10
Pei-Hua Li, Yu-San Tee, Chih-Yuan Fu, Chien-Hung Liao, Shang-Yu Wang, Yu-Pao Hsu, Chun-Nan Yeh, En-Haw Wu
Acute surgical abdomen is commonly encountered in the ED and CT is widely used as an informative diagnostic tool to evaluate potential surgical indications. However, the adverse effects of contrast material used in CT scanning have been documented. We sought to delineate the role of noncontrast CT in the evaluation of patients with acute surgical abdomen. Between August 2015 and December 2015, patients with nontraumatic surgical abdomen who underwent preoperative CT were enrolled in the current study. The patients for whom the CT results permitted surgical decision-making were the focus of this study...
June 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29981632/a-calculated-risk-performing-laparoscopic-cholecystectomy-for-acute-cholecystitis-on-patients-with-end-stage-renal-disease
#11
Paul J Chung, Michael C Smith, Valery Roudnitsky, Jun Seon Lee, Antonio E Alfonso, Gainosuke Sugiyama
End-stage renal disease (ESRD) is a multifactorial disease linked to socioeconomic status and associated with worse surgical outcomes. We explore intraoperative and postoperative outcomes in patients with cholecystitis undergoing laparoscopic cholecystectomy (LC). The Nationwide Inpatient Sample from 2005 to 2012 was used to identify patients undergoing LC for cholecystitis using ICD-9 codes. Outcomes of interest were mortality, common bile duct injury, conversion to open, intraoperative complications, postoperative complications, length of stay (LOS), and total charge...
June 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29981617/correlation-of-biliary-colic-in-the-absence-of-cholelithiasis-with-pancreaticobiliary-obstruction
#12
Neal Bhutiani, Amber N Brown, Eric G Davis, Christopher M Jones, Gary C Vitale, Charles R Scoggins, Robert C G Martin, Matthew C Bozeman
A small fraction of patients undergoing cholecystectomy for biliary colic are subsequently diagnosed with an obstructive pancreatic head mass. We review our experience with such patients to provide insight into improving evaluation before cholecystectomy. Retrospective chart review of patients undergoing cholecystectomy from 2004 to 2015 identified six patients who underwent laparoscopic cholecystectomy for biliary colic before being diagnosed with a pancreatic head neoplasm within six months after cholecystectomy...
June 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29973169/green-dialysate-and-gallbladder-perforation-in-a-peritoneal-dialysis-patients-a-case-report-and-literature-review
#13
Yueh-Lin Wu, Yi-Sheng Lin, Thomas Yu-Ren Hsueh, Wen-Ching Lo, Kuo-Chou Peng, Mu-Jung Kao
BACKGROUND: Gallbladder perforation is a rare but lethal condition and its diagnosis is usually difficult and delayed. Frequently, gallbladder rupture is associated with cholecystitis, but spontaneous perforation was ever described. However, spontaneous rupture of gallbladder has never been reported in patients underwent peritoneal dialysis. CASE PRESENTATION: We report a 62-year-old man who presented with abdominal pain for 2 days to clinic. Peritoneal dialysis-related peritonitis was diagnosed initially...
July 4, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/29968897/schistosomiasis-as-a-cause-of-acute-cholecystitis
#14
Shaker A Majrashi, Ohoud M Al Amoodi
Schistosomal cholecystitis is remarkably uncommon disease which is associated with concomitant gallstone disease. The disease prevails with low socio-economic conditions of population. It is still not clear that the widespread fibrocalcific reaction in the wall of gallbladder and the cystic duct, observed for all the reports, predisposes to cholelithiasis or gallstones coexist. In the present study, we report a case of the Saudi male patient affected with schistosomal granulomatous lithiasic cholecystitis. The patient's  gallbladder was badly inflamed therefore performing a safe cholecystectomy in the patient was extremely difficult...
July 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29965896/management-after-percutaneous-cholecystostomy-what-should-we-do-with-the-catheter
#15
Thibaut Charrier, Vahan Kepenekian, Arnaud Muller, Pierre-Jean Valette, Olivier Glehen, Eddy Cotte, Guillaume Passot
BACKGROUND: Percutaneous cholecystostomy (PC) is an alternative to cholecystectomy for acute calculous cholecystitis (ACC) in patients with high mortality risk, but the catheters' and patients' management remains unclear. This study aimed to determine outcomes after PC and to define surgical strategy. METHODS: All patients who underwent PC between 2009 and 2014 for ACC in a single institution were reviewed for outcomes and postdrainage management. RESULTS: Forty-one patients underwent PC with a median age of 77 years...
June 30, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/29962866/percutaneous-metallic-stent-placement-for-palliative-management-of-malignant-biliary-hilar-obstruction
#16
Dong Jae Shim, Dong Il Gwon, Kichang Han, Yook Kim, Gi-Young Ko, Ji Hoon Shin, Heung Kyu Ko, Jin Hyoung Kim, Jong Woo Kim, Hyun-Ki Yoon, Kyu-Bo Sung
Objective: To investigate the outcomes of percutaneous metallic stent placements in patients with malignant biliary hilar obstruction (MBHO). Materials and Methods: From January 2007 to December 2014, 415 patients (mean age, 65 years; 261 men [62.8%]) with MBHO were retrospectively studied. All the patients underwent unilateral or bilateral stenting in a T, Y, or crisscross configuration utilizing covered or uncovered stents. The clinical outcomes evaluated were technical and clinical success, complications, overall survival rates, and stent occlusion-free survival...
July 2018: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://www.readbyqxmd.com/read/29953458/feasibility-benefit-and-risk-of-systematic-intraoperative-cholangiogram-in-patients-undergoing-emergency-cholecystectomy
#17
Pouya Iranmanesh, Olivier Tobler, Sandra De Sousa, Axel Andres, Jean-Louis Frossard, Philippe Morel, Christian Toso
BACKGROUND: The role of intraoperative cholangiogram (IOC) during cholecystectomy is debated. The aim of the present study was to evaluate the feasibility, benefit and risk of performing systematic IOC in patients undergoing cholecystectomy for acute gallstone-related disease. METHODS: Between July 2013 and January 2015, all patients admitted for an acute gallstone-related condition and undergoing same-hospital-stay cholecystectomy were prospectively followed. IOC was systematically attempted and predictors of IOC failure were analyzed...
2018: PloS One
https://www.readbyqxmd.com/read/29952986/clinical-aspects-of-bile-culture-in-patients-undergoing-laparoscopic-cholecystectomy
#18
Sung Pil Yun, Hyung-Il Seo
Bile is aseptic; under conditions of no external influx, there is a less than 30% chance of isolating bacteria even in acute cholecystitis. This study was conducted to evaluate the incidence of biliary microflora and most common biliary microflora and resistance to antibiotics in patients with cholecystitis, as well as predict situations that do not require the use of prophylactic antibiotics.Bile samples were collected for culture using standard methods during all cholecystectomies performed from January 2015 to December 2015 in the Department of Surgery, Pusan National University Hospital...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29950798/optimizing-hospital-resource-utilization-in-bariatric-readmission
#19
Jerome R Lyn-Sue, Justin A Doble, Ryan M Juza, Vamsi V Alli
Background and Objectives: The prevalence of patients with a history of bariatric surgery is climbing. Medical and surgical questions arising in this patient population may prompt them to present to the nearest emergency department (ED), irrespective of that facility's experience with bariatric surgery. The emergency physician is the first to evaluate patients with a history of bariatric surgery who present with abdominal symptoms. As a quality improvement project aimed at reducing resource utilization, we sought to determine which patients presenting to the ED could be treated in an outpatient setting in lieu of hospital admission...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29942748/-salmonella-enteritidis-cholecystitis-with-chronic-granulomatous-disease
#20
Yuki Yamashita, Takefumi Kimura, Naoki Tanaka, Masahide Yazaki, Tadashi Itagaki, Satoru Joshita, Takeji Umemura, Akihiro Matsumoto, Hiromitsu Mori, Shuichi Wada, Eiji Tanaka
We describe a 40-year-old woman with Salmonella cholecystitis complicating adult-onset X-linked chronic granulomatous disease (CGD) caused by a de novo mutation in the paternal-origin CYBB gene. CGD was diagnosed by familial genetic analysis of the CYBB gene encoding NADPH oxidase gp91phox after detection of a refractory subcutaneous abscess at the age of 28. At age 40, she began experiencing frequent fever and diarrhea over a period of 3 months that were refractory to antibacterial treatment. Cholecystitis was evident...
2018: IDCases
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