Use the keywords feature with a free QxMD account.
Use Read by QxMD to access full text via your institution or open access sources.
Read also provides personalized recommendations to keep you up to date in your field.
Existing User
Sign InNew to Read
Sign Up#1
JOURNAL ARTICLE
Irena Stefanova, Ewan Kyle, Iain Wilson, Mohammed Tobbal, Darmarajah Veeramootoo, Henry D De'Ath
BACKGROUND: Gallstone pancreatitis (GSP) is common in elderly patients and carries worse outcomes. Laparoscopic cholecystectomy (LC) is recommended for prevention of recurrent GSP. In frail populations, an endoscopic retrograde cholangiopancreatography with sphincterotomy (ERCP-s) is an alternative. Management guidelines of GSP in the elderly are lacking. This study aimed to investigate and compare management strategies for GSP in the elderly. MATERIALS AND METHODS: A retrospective comparison of outcome of patients aged ≥65 years with first presentation of GSP treated either with (1) LC only, (2) ERCP-s, (3) ERCP-S followed by LC, or (4) no intervention...
April 18, 2024: American Surgeon
#2
JOURNAL ARTICLE
Fai-Meng Sou, Chien-Ning Hsu, Yi-Chun Chiu, Cheng-Kun Wu, Lung-Sheng Lu, Chung-Mou Kuo, Shao-Ming Chiu, Seng-Kee Chuah, Yao-Hsu Yang, Chih-Ming Liang
BACKGROUND: Statins may reduce the risk of recurrent gallstone disease by decreasing bile cholesterol saturation and pathogenicity. However, limited studies have investigated this issue. This study aimed to assess whether statin doses and serum cholesterol levels were associated with a decreased risk of recurrent biliary stone diseases after the first event index, with a follow-up time of 15 years. METHODS: Based on the Chang Gung Research Database (CGRD) between January 1, 2001, and December 31, 2020, we enrolled 68,384 patients with the International Classification of Diseases, Ninth and Tenth Revision codes of choledocholithiasis...
April 7, 2024: Journal of the Formosan Medical Association
#3
JOURNAL ARTICLE
Peter K Kurotschka, Alice Serafini, Allen F Shaughnessy, David Slawson, Mark H Ebell
This monthly article provides a collection of summaries of the most relevant studies identified as POEMs (patient-oriented evidence that matters) for Italian primary care physicians. 1) A simple, well-validated risk score can help clinicians counsel patients with atrial fibrillation regarding the use of DOACs to prevent stroke. The score shares its name with the drug class (the "DOAC" score). 2) Presumably by perturbing the intestinal microbiome, antibiotic treatment is associated with an increase in the likelihood of the development of irritable bowel disease; this is especially true with multiple courses of antibiotics...
April 2024: Recenti Progressi in Medicina
#4
JOURNAL ARTICLE
Sagar J Pathak, Patrick Avila, Sun-Chuan Dai, Mustafa A Arain, Emily R Perito, Abdul Kouanda
BACKGROUND: Adult patients with biliary acute pancreatitis (BAP) or choledocholithiasis who do not undergo cholecystectomy on index admission have worse outcomes. Given the paucity of data on the impact of cholecystectomy during index hospitalization in children, we examined readmission rates among pediatric patients with BAP or choledocholithiasis who underwent index cholecystectomy versus those who did not. METHODS: Retrospective study of children (< 18 years old) admitted with BAP, without infection or necrosis (ICD-10 K85...
March 19, 2024: Surgical Endoscopy
#5
Ramesh Rana, Ashwin Thakali, Umid Kumar Shrestha, Rabin Sharma, Senny Chapagain
Acute pancreatitis is a pancreatic inflammatory disorder that often leads to multi-organ dysfunction associated with systemic inflammatory response. Optic neuropathy is an extremely rare ocular manifestation that can occur especially in alcoholic pancreatitis most likely due to ischemic complications and is a vision-threatening condition that has to be recognized early as it can cause permanent vision loss. In this case report, a 51-year-old lady, an occasional consumer of alcohol, post-cholecystectomy status, presented with severe abdominal pain of four days' duration associated with multiple episodes of vomiting...
February 2024: Curēus
#6
Javier A Meza-Hernandez, Asya Zubillaga-Mares, Minnet Serrano-Sanchez, Francisco E Alvarez-Bautista, Mario Trejo-Avila, Alejandra Nuñez-Venzor
Anatomical variations of the biliary tree pose diagnostic and treatment challenges. While most are harmless and often discovered incidentally during procedures, some can lead to clinical issues and biliary complications, making knowledge of these variants crucial to prevent surgical mishaps. Here, we present an unusual and clinically significant case. A 61-year-old man is admitted to the hospital with epigastric pain and diagnosis of pancreatitis of biliary origin and intermediate risk of choledocholithiasis...
March 2024: Journal of Surgical Case Reports
#7
JOURNAL ARTICLE
Camilo Ramírez-Giraldo, Danny Conde Monroy, José Alejandro Daza Vergara, Andrés Isaza-Restrepo, Isabella Van-Londoño, Luisa Trujillo-Guerrero
Acute pancreatitis is the recurrent reason for gastrointestinal admission in a clinical urgent setting, it happens secondary to a wide array of pathologies out of which biliary disease stands as one of the most frequent causes for its presentation. Approximately 20% of pancreatitis are of moderate or severe severity. Currently, there is not a clear recommendation on timing for cholecystectomy, either early or delayed. CHISPA is a randomized controlled, parallel-group, superior clinical trial. An intention-to-treat analysis will be performed...
2024: BMJ surgery, interventions, & health technologies
#8
JOURNAL ARTICLE
Shaheena Parveen, Jaswinder Singh Sodhi, Neeraj Dhar, Shaheen Nazir, Ankush Sharma, Tariq Abdullah Mir, Kalpana Acharya, Mushtaq Ahmed Khan, Ghulam Mohd Gulzar, Altaf Hussain Shah, Ghulam Nabi Yattoo, Kuldeep S Raina
BACKGROUND: The incidence of acute pancreatitis is increasing globally. Gallstones (GS) and ascariasis are the major causes for acute pancreatitis in the Kashmiri population. In recent years, we have observed an increase in the admission rate of acute pancreatitis. Many patients who present first time as gallstone pancreatitis have asymptomatic gallstones. We aimed at studying the etiology and yearly admission rate of acute pancreatitis with main focus on gallstone pancreatitis and the contribution of asymptomatic gallstones...
March 6, 2024: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
#9
JOURNAL ARTICLE
Mohammad Kermansaravi, Scott Shikora, Bruno Dillemans, Marina Kurian, Teresa LaMasters, Ramon Vilallonga, Gerhard Prager, Sonja Chiappetta
OBJECTIVE: This study aimed to survey international experts in metabolic and bariatric surgery (MBS) to improve and consolidate the management of biliary disease in patients with severe obesity undergoing MBS. BACKGROUND: Obesity and rapid weight loss after MBS are risk factors for the development of gallstones. Complications, such as cholecystitis, acute cholangitis, and biliary pancreatitis, are potentially life-threatening, and no guidelines for the proper management of gallstone disease exist...
February 24, 2024: Obesity Surgery
#10
REVIEW
Yongcook Song, Sang-Hoon Lee
Acute pancreatitis (AP) is a leading gastrointestinal disease that causes hospitalization. Initial management in the first 72 h after the diagnosis of AP is pivotal, which can influence the clinical outcomes of the disease. Initial management, including assessment of disease severity, fluid resuscitation, pain control, nutritional support, antibiotic use, and endoscopic retrograde cholangiopancreatography (ERCP) in gallstone pancreatitis, plays a fundamental role in AP treatment. Recent updates for fluid resuscitation, including treatment goals, the type, rate, volume, and duration, have triggered a paradigm shift from aggressive hydration with normal saline to goal-directed and non-aggressive hydration with lactated Ringer's solution...
February 8, 2024: Journal of Clinical Medicine
#11
JOURNAL ARTICLE
Raúl Velamazán, Pablo López-Guillén, Samuel J Martínez-Domínguez, Daniel Abad Baroja, Daniel Oyón, Anna Arnau, Lara M Ruiz-Belmonte, Javier Tejedor-Tejada, Raul Zapater, Noelia Martín-Vicente, Pedro José Fernández-Esparcia, Ana Belén Julián Gomara, Violeta Sastre Lozano, Juan José Manzanares García, Irene Chivato Martín-Falquina, Laura Andrés Pascual, Nuria Torres Monclus, Natividad Zaragoza Velasco, Eukene Rojo, Berta Lapeña-Muñoz, Virginia Flores, Arantxa Díaz Gómez, Pablo Cañamares-Orbís, Isabel Vinzo Abizanda, Natalia Marcos Carrasco, Laura Pardo Grau, Guillermo García-Rayado, Judith Millastre Bocos, Ana Garcia Garcia de Paredes, María Vaamonde Lorenzo, Arantzazu Izagirre Arostegi, Edgard Efrén Lozada-Hernández, José Antonio Velarde-Ruiz Velasco, Enrique de-Madaria
BACKGROUND: Delayed cholecystectomy in patients with symptomatic gallstone disease is associated with recurrence. Limited data on the recurrence patterns and the factors that determine them are available. OBJECTIVE: We aimed to determine the pattern of relapse in each symptomatic gallstone disease (acute pancreatitis, cholecystitis, cholangitis, symptomatic choledocholithiasis, and biliary colic) and determine the associated factors. METHODS: RELAPSTONE was an international multicenter retrospective cohort study...
February 20, 2024: United European Gastroenterology Journal
#12
EDITORIAL
Bader Al Taweel, Stylianos Tzedakis, Fabrizio Panaro
No abstract text is available yet for this article.
February 1, 2024: Hepatobiliary Surgery and Nutrition
#13
JOURNAL ARTICLE
Genevieve R Mazza, Ariane C Youssefzadeh, Laurel S Aberle, Zachary S Anderson, Rachel S Mandelbaum, Joseph G Ouzounian, Kazuhide Matsushima, Koji Matsuo
BACKGROUND: Gallstone disease in pregnancy is one of the most common indications for nonobstetrical surgery during pregnancy. National-level data on contemporary surgical practice and outcomes are limited. OBJECTIVE: This study aimed to assess the clinical characteristics and outcomes of patients undergoing cholecystectomy during pregnancy. STUDY DESIGN: This cross-sectional study examined the Healthcare Cost and Utilization Project's 2 nationwide databases in the United States: the National Inpatient Sample and the Nationwide Ambulatory Surgery Sample...
February 2024: AJOG global reports
#14
Mark Ayoub, Muhammed Ceesay, Carol Faris, Michael Iannetti
A common cause of gastrointestinal-related hospitalizations in the United States of America is acute pancreatitis (AP), with an annual incidence of up to 80 cases per 100,000 people. The incidence of AP in pregnancy varies and is approximately 1 in 1000 to 1 in 10,000 births due to the prevalence of obesity and gallstone-related conditions. Deciding on the timing of surgical intervention in acute biliary pancreatitis during pregnancy remains challenging, and there are no consensus recommendations. Gallstone pancreatitis has a high recurrence rate of up to 50% during the first trimester...
December 2023: Curēus
#15
JOURNAL ARTICLE
Giovanni Domenico Tebala, Amanda Shabana, Mahul Patel, Benjamin Samra, Alan Chetwynd, Mickaela Nixon, Siddhee Pradhan, Bara'a Elhag, Gabriel Mok, Alexandra Mighiu, Diandra Antunes, Zoe Slack, Roberto Cirocchi, Giles Bond-Smith
BACKGROUNDS/AIMS: The standard treatment for acute cholecystitis, biliary pancreatitis and intractable biliary colics ("hot gallbladder") is emergency laparoscopic cholecystectomy (LC). This paper aims to identify the prognostic factors and create statistical models to predict the outcomes of emergency LC for "hot gallbladder." METHODS: A prospective observational cohort study was conducted on 466 patients having an emergency LC in 17 months. Primary endpoint was "suboptimal treatment," defined as the use of escape strategies due to the impossibility to complete the LC...
January 12, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
#16
JOURNAL ARTICLE
Marc W Fromer, Qian Xu, Mackenzie L Shindorf, Tyler J Mouw, Maiying Kong, John Myers, Yana Feygin, Indranil Ghosh, Robert C G Martin, Kelly M McMasters, Prejesh Philips, Charles R Scoggins, C T Ellis, Michael E Egger
BACKGROUND: Previous studies evaluating whether recent cholecystectomy is associated with a pancreas cancer diagnosis are limited. We aimed to examine if cholecystectomy was performed more frequently in the year prior to cancer diagnosis than would be expected in a similar non-cancer population. METHODS: SEER-Medicare linked files were used to identify patients with pancreatic adenocarcinoma. Cancer diagnoses were considered to be "timely" if within 2 months of cholecystectomy or "delayed" if 2-12 months after cholecystectomy...
January 11, 2024: American Surgeon
#17
JOURNAL ARTICLE
Marcello Di Martino, Benedetto Ielpo, Mauro Podda
No abstract text is available yet for this article.
January 10, 2024: JAMA Surgery
#18
JOURNAL ARTICLE
Hong Zhu, Xiaoping Wei
No abstract text is available yet for this article.
January 10, 2024: JAMA Surgery
#19
JOURNAL ARTICLE
Francis P Robertson, Ashley R Dennison, Sanjay Pandanaboyana
No abstract text is available yet for this article.
January 10, 2024: JAMA Surgery
#20
JOURNAL ARTICLE
Ahmad Zeineddin, Edward E Cornwell Iii, Terrence M Fullum, Quyen D Chu, LaDonna Kearse, Marco H Ayad, Sandy Li, Mallory Williams
BACKGROUND: Up to 85% of patients with sickle cell disease (SCD) will develop gallstones by their third decade. Cholecystectomy is the most commonly performed procedure in these patients. Cholecystectomy is recommended for patients with SCD with symptomatic cholelithiasis and leads to lower morbidity. No contemporary large studies have evaluated this recommendation or associated clinical outcomes. This study evaluates clinical outcomes after cholecystectomy in patients with SCD and cholelithiasis with specific advanced clinical presentations...
January 9, 2024: Journal of the American College of Surgeons
Make the most of Read.
Download the mobile app.
Download the mobile app.
Fetching more papers... 
