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antibiotic cholecystectomy

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https://www.readbyqxmd.com/read/27895353/bacterobilia-in-acute-cholecystitis-bile-cultures-isolates-antibiotic-sensitivities-and-antibiotic-usage-a-study-on-a-pakistani-population
#1
Yousaf Bashir Hadi, Muhammad Waqas, Hafiz Muhammad Umer, Ammar Alam, Abdul Rehman Alvi, Muhammad Rizwan Khan
Acute cholecystitis is one of the most common acute surgical conditions. Laparoscopic cholecystectomy remains the mainstay of treatment. In patients managed non-operatively, antibiotics play an important role in the treatment of cholecystitis. The current retrospective observational study was conducted at a tertiary care hospital in Karachi, and comprised medical records of patients admitted between 2008 and 2014with acute cholecystitis and in whom bile cultures were obtained. Of the 509 patients with a mean age of 51...
October 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27858922/emphysematous-cholecystitis-in-a-young-male-without-predisposing-factors-a-case-report
#2
Ming-Yu Chen, Chen Lu, Yi-Fan Wang, Xiu-Jun Cai
This report describes the diagnosis and treatment for Emphysematous cholecystitis (EC) without predisposing factors, and reviews the current literature.A 49-year-old male without predisposition presented to emergency department with a two-day history of sudden onset abdominal pain, hypertension and received empirical antibiotics with Imipenem/Cilastatin 0.5 g via intravenous route every 8 hours. Computed tomography (CT)-scan revealed that air encircling gallbladder is the most important and accurate evidence for EC diagnosis...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27819646/from-laparoscopic-cholecystectomy-to-liver-transplantation-when-the-gallbladder-becomes-the-pandora-s-box
#3
Georgios C Sotiropoulos, Peter Tsaparas, Stylianos Kykalos, Nikolaos Machairas, Ernesto P Molmenti, Andreas Paul
Bile duct injuries (BDI) tend to be more complex in laparoscopic than in open cholecystectomy procedures, and frequently involve young adults with benign pathologies. The ultimate consequence may be a liver transplantation (LT), making this situation one of the most rare transplant indications. Fatal post-transplant outcome is extreme infrequently reported. Aim of this study is to report on our single-case experience and to review the literature concerning lethal outcome after LT for major BDI following cholecystectomy...
2016: Chirurgia
https://www.readbyqxmd.com/read/27770497/hospital-wide-implementation-of-an-electronic-workflow-solution-aiming-to-make-surgical-practice-improvement-easy
#4
Magdalena M Sakowska, Megan V Thomas, Saxon Connor, Ross Roberts
BACKGROUND: In measuring quality of health-care delivery, digital infrastructure is essential. The aim at this tertiary centre was to create a hospital-wide workflow system that collected data prospectively as part of daily practice. METHODS: In moving towards an electronic health record, a hospital-wide integrated workflow system was introduced in 2013, which electronically managed the perioperative patient journey while simultaneously facilitating surgical audit...
October 21, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27759780/antibiotic-prophylaxis-in-laparoscopic-cholecistectomy-is-it-worth-doing
#5
Márcio Alexandre Terra Passos, Pedro Eder Portari-Filho
Background: Elective laparoscopic cholecystectomy has very low risk for infectious complications, ranging the infection rate from 0.4% to 1.1%. Many surgeons still use routine antibiotic prophylaxis. Aim: Evaluate the real impact of antibiotic prophylaxis in elective laparoscopic cholecystectomies in low risk patients. Method: Prospective, randomized and double-blind study. Were evaluated 100 patients that underwent elective laparoscopic cholecystectomy divided in two groups: group A (n=50), patients that received prophylaxis using intravenous Cephazolin (2 g) during anesthetic induction and group B (n=50), patients that didn't receive any antibiotic prophylaxis...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27741006/early-versus-delayed-cholecystectomy-for-acute-cholecystitis-are-the-72-hours-still-the-rule-a-randomized-trial
#6
Didier Roulin, Alend Saadi, Luca Di Mare, Nicolas Demartines, Nermin Halkic
OBJECTIVE: The aim of this study was to compare clinical outcomes of early versus delayed laparoscopic cholecystectomy (LC) in acute cholecystitis with more than 72 hours of symptoms. BACKGROUND: LC is the treatment of acute cholecystitis, with consensus recommendation that patients should be operated within 72 hours of evolution. Data however remain weak with no prospective study focusing on patients beyond 72 hours of symptoms. METHODS: Patients with acute cholecystitis and more than 72 hours of symptoms were randomly assigned to early LC (ELC) or delayed LC (DLC)...
November 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27721726/acute-cholecystitis-with-significantly-elevated-levels-of-serum-carbohydrate-antigen-19-9
#7
Shuji Akimoto, Masataka Banshodani, Masahiro Nishihara, Junko Nambu, Yasuo Kawaguchi, Fumio Shimamoto, Kiyohiko Dohi, Keizo Sugino, Hideki Ohdan
Serum carbohydrate antigen 19-9 (CA 19-9), a marker of malignant tumors, is generally slightly elevated in benign conditions. We report a case of acute cholecystitis with a significantly elevated level of serum CA 19-9 based on positron emission tomography (PET)-computed tomography (CT) findings. A 65-year-old woman presented with abdominal pain and fever. A CT image revealed an enlarged gallbladder without tumor shadows. The C-reactive protein (CRP) level was elevated to 7.66 mg/dl. Moreover, the serum CA 19-9 level was significantly elevated to 19,392 U/ml...
May 2016: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/27695167/percutaneous-gallbladder-aspiration-for-acute-cholecystitis
#8
Supannee Rassameehiran, Pakpoom Tantrachoti, Kenneth Nugent
Early cholecystectomy for patients with acute cholecystitis may not be possible in some clinical settings. Percutaneous gallbladder aspiration (PGBA) offers an alternative approach, but the benefits and risks of this procedure are unclear. We synthesized data on the outcomes of PGBA in acute cholecystitis patients using data sources from online databases, including MEDLINE and EMBASE, and bibliographies of included studies from January 2000 through December 2015. Two reviewers independently reviewed and critiqued the quality of each study...
October 2016: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/27693543/clostridium-difficile-a-rare-cause-of-pyogenic-liver-abscess
#9
Nurver Ulger Toprak, Gulcin Balkose, Deniz Durak, Ender Dulundu, Tolga Demirbaş, Cumhur Yegen, Guner Soyletir
Extra-intestinal infections due to Clostridium difficile have been reported rarely. Herein we report a case of pyogenic liver abscess from toxigenic C. difficile in an 80-year-old non-hospitalized woman with diabetes mellitus, cerebrovascular and cardiovascular diseases. The patient was admitted to the emergency department with fever and abdominal pain. There was no history of diarrhea or use of antibiotics. Laboratory parameters revealed signs of inflammation and elevated AST and ALT levels. Abdominal ultrasound and computer tomography showed multiple focal lesions in the bilateral liver lobes and hydropic gallbladder with stones...
September 28, 2016: Anaerobe
https://www.readbyqxmd.com/read/27546364/early-versus-delayed-laparoscopic-cholecystectomy-in-treatment-of-acute-cholecystitis
#10
M Rajcok, V Bak, L Danihel, M Kukucka, M Schnorrer
BACKGROUND: Acute cholecystitis is one of the most frequent diseases occurring in the developed countries of the world. Since the advent of laparoscopic cholecystectomy there has been a lack of agreement regarding the timing of the operation in the treatment of acute cholecystitis. METHODS: From September 2012 to January 2015 we carried out a prospective randomized trial at the IIIrd Surgical Department of University Hospital Milosrdní bratia in Bratislava. The aim of the trial was to compare the two basic approaches of the treatment of acute cholecystitis...
2016: Bratislavské Lekárske Listy
https://www.readbyqxmd.com/read/27529970/-a-case-of-acute-acalculous-cholecystitis-during-infectious-mononucleosis-caused-by-the-epstein-barr-virus-in-a-young-woman
#11
Shiro Ono, Tadanao Kobayashi, Kenji Nishio
Infection with the Epstein-Barr virus (EBV) is a common disease and is mainly asymptomatic during childhood, whereas infectious mononucleosis with clinical signs such as fever, pharyngitis, lymphadenopathy and hepatosplenomegaly often occurs in adolescents and adults with primary infection. Acalculous cholecystitis has been reported as a rare complication. We report herein a case of acalculous cholecystitis accompanied by infectious mononucleosis by EBV, which was treated successfully by medical treatment. A 33-year-old woman who had been admitted by fever, pharyngitis and lymphadenopathy developed a right upper quadrant pain, that was diagnosed as acalculous cholecystitis based on an imaging study...
May 2016: Kansenshōgaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
https://www.readbyqxmd.com/read/27528821/laparoscopic-partial-cholecystectomy-a-safe-and-effective-alternative-surgical-technique-in-difficult-cholecystectomies
#12
Fatih Kulen, Deniz Tihan, Uğur Duman, Emrah Bayam, Gökhan Zaim
OBJECTIVE: Laparoscopic cholecystectomy has become the "gold standard" for benign gallbladder diseases due to its advantages. In the presence of inflammation or fibrosis, the risk of bleeding and bile duct injury is increased during dissection. Laparoscopic partial cholecystectomy (LPC) is a feasible and safe method to prevent bile duct injuries and decrease the conversion (to open cholecystectomy) rates in difficult cholecystectomies where anatomical structures could not be demonstrated clearly...
2016: Ulusal Cerrahi Dergisi
https://www.readbyqxmd.com/read/27461231/recommendations-of-%C3%A2-not-to-do%C3%A2-proposals-of-the-spanish-association-of-surgeons-to-the-project-%C3%A2-commitment-to-quality-of-scientific-societies%C3%A2
#13
Víctor Soria-Aledo, Manuel Romero Simó, José M Balibrea, Josep M Badia
INTRODUCTION: The initiative of the Spanish Ministry of Health «Commitment to quality of scientific societies», aims to reduce unnecessary interventions of healthcare professionals. METHODS: The Spanish Association of Surgeons has selected 22 experts from the different sections that have participated in the identification of 26 proposals «do not do» to be ordered by the expected impact its implementation would have according to the GRADE methodology. From these proposals, the Delphi technique was used to select 5 recommendations presented in more detail in this article...
October 2016: Cirugía Española
https://www.readbyqxmd.com/read/27429137/management-of-acute-cholecystitis
#14
Prabhava Bagla, Juan C Sarria, Taylor S Riall
PURPOSE OF REVIEW: Various aspects of the management of acute calculous cholecystitis, including type and timing of surgery, role of antibiotics, and nonoperative management, remain controversial. This review focuses on recently published studies addressing the timing of cholecystectomy, use of cholecystostomy tubes, and role of antibiotics in this condition. RECENT FINDINGS: In most cases, the diagnosis of acute cholecystitis can be initially confirmed with an abdominal ultrasound...
October 2016: Current Opinion in Infectious Diseases
https://www.readbyqxmd.com/read/27429026/early-versus-delayed-cholecystectomy-for-acute-cholecystitis-are-the-72-%C3%A2-hours-still-the-rule-a-randomized-trial
#15
Didier Roulin, Alend Saadi, Luca Di Mare, Nicolas Demartines, Nermin Halkic
OBJECTIVE: The aim of this study was to compare clinical outcomes of early versus delayed laparoscopic cholecystectomy (LC) in acute cholecystitis with more than 72 hours of symptoms. BACKGROUND: LC is the treatment of acute cholecystitis, with consensus recommendation that patients should be operated within 72 hours of evolution. Data however remain weak with no prospective study focusing on patients beyond 72 hours of symptoms. METHODS: Patients with acute cholecystitis and more than 72 hours of symptoms were randomly assigned to early LC (ELC) or delayed LC (DLC)...
July 15, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27385144/emphysematous-cholecystitis-due-to-clostridium-perfringens-successfully-treated-by-cholecystectomy
#16
Simone Nienke Koole, Bjorn Gerardus Petrus Maria Lohman, Josephus Marinus Jacobus van Unen
Emphysematous Cholecystitis is life threatening if left untreated. It is associated with arteriosclerosis, embolic events, and diabetes mellitus. In this report, a patient was presented with an early diagnosis of Emphysematous Cholecystitis and was treated by cholecystectomy without complications. A 46-year-old male presented at the emergency department. Laboratory results as well as the abdominal ultrasound showed no abnormalities. One day after admission, infection parameters started rising. A computed tomography (CT) showed cholecystitis with a circular gas pattern in bile ducts and gallbladder...
February 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27382438/the-effect-of-prophylactic-antibiotics-on-post-laparoscopic-cholecystectomy-infectious-complications-a-double-blinded-clinical-trial
#17
Ali Asghar Darzi, Alieh Nikmanesh, Farhad Bagherian
BACKGROUND: Laparoscopic cholecystectomy (LC) is one of the most common surgeries in laparoscopic surgery. Although, it is believed that LC has low-risk for post-operative infectious complications, the use of a prophylactic antibiotic is still controversial in elective LC. OBJECTIVE: To determine the impact of prophylactic antibiotics on postoperative infection complications in elective laparoscopic cholecystectomy. METHODS: In this double-blind, placebo-controlled, randomized, clinical trial, patients who were candidates for elective LC, from March 2012 to 2015, in four hospitals in Babol, Iran, were studied...
May 2016: Electronic Physician
https://www.readbyqxmd.com/read/27351713/the-value-of-abdominal-drainage-after-laparoscopic-cholecystectomy-for-mild-or-moderate-acute-calculous-cholecystitis-a-post-hoc-analysis-of-a-randomized-clinical-trial
#18
Flavien Prevot, David Fuks, Cyril Cosse, Karine Pautrat, Simon Msika, Muriel Mathonnet, Haitham Khalil, François Mauvais, Jean-Marc Regimbeau
BACKGROUND: Although the preoperative management of mild and moderate (Grade I-II) acute calculous cholecystitis (ACC) has been standardized, there is no consensus on the value of abdominal drainage after early cholecystectomy. METHODS: In a post hoc analysis of a randomized controlled trial (NCT01015417) focused on the value of postoperative antibiotic therapy in patients with ACC, we determined the value of abdominal drainage in patients having undergone laparoscopic cholecystectomy for Grades I-II ACC...
November 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27343792/marfan-syndrome-new-diagnostic-criteria-same-anesthesia-care-case-report-and-review
#19
Maria Rita Araújo, Céline Marques, Sara Freitas, Rita Santa-Bárbara, Joana Alves, Célia Xavier
BACKGROUND: Marfan's Syndrome (MFS) is a disorder of connective tissue, mainly involving the cardiovascular, musculoskeletal, and ocular systems. The most severe problems include aortic root dilatation and dissection. Anesthetic management is vital for the improvement on perioperative morbidity. CASE REPORT: 61-year-old male with MFS, presenting mainly with pectus carinatum, scoliosis, ectopia lens, previous spontaneous pneumothorax and aortal aneurysm and dissection submitted to thoracoabdominal aortic prosthesis placement...
July 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27267533/acute-acalculous-cholecystitis-in-systemic-lupus-erythematosus-a-rare-initial-manifestation
#20
Valdano Manuel, Gertrudes Maria Pedro, Lemuel Bornelli Cordeiro, Sandra Maria da Rocha Neto de Miranda
Acute acalculous cholecystitis is a very rare gastrointestinal manifestation in systemic lupus erythematosus and becomes rarer as an initial manifestation. There are only two cases reported. The authors report a 20-year-old black woman that presented acute acalculous cholecystitis revealed by abdominal computed tomography. During hospitalization, she was diagnosed systemic lupus erythematosus. Conservative treatment with antibiotics was performed with complete remission of the symptoms. Corticosteroid was started in ambulatory...
March 2016: Revista Brasileira de Reumatologia
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