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JOURNAL ARTICLE
Kulbhushan Haldeniya, Krishna S R, Annagiri Raghavendra, Pawan Kumar Singh
BACKGROUNDS/AIMS: Open cholecystectomy is becoming obsolete and laparoscopic cholecystectomy has become the treatment of choice in gallstone diseases. Difficult gallbladders are encountered whenever there is a frozen calot's triangle, obliterated cystic plate, or both. Rather than converting to open procedure, there has been a growing preference for laparoscopic subtotal cholecystectomy (LSC) during difficult gallbladders. This study aimed to assess the advantages, indications, and viability of LSC in difficult gallbladders...
February 27, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
#22
JOURNAL ARTICLE
Rawan A Mahdi, Ali T Naseeb, Mohammad W Almoataz, Dalal R Hubail, Yusuf S Alsaffar
Introduction Gallbladder disease accounts for a significant percentage of surgical admissions per year. A review of these cases was done to assess their hospital impact with an evaluation of the efficacy of radiological modalities in terms of evaluation, ideal use, and clinical application. Therefore, this study aims to review the demographics of the disease, the diagnostic yield of radiological modalities, and the overall outcome in regards to the hospital policies and medical services provided in hopes of achieving suitable clinical pathways, increasing the efficiency of gallbladder disease assessment, and limiting unwarranted investigations...
January 2024: Curēus
#23
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
#24
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
#25
Sarah Lee, Subhash R Patil, Shilpa Lingala, Benjamin G Coombs, Rama R Ganga
INTRODUCTION: Performing endoscopic retrograde cholangiopancreatography (ERCP) in duodenal switch (DS) patients is challenging given their surgically altered anatomy. There have been very few reported cases of trans enteric rendezvous ERCP to relieve biliary obstruction in DS patients. More specifically, there has not been any reported cases of this procedure being performed in loop DS, also known as SADI (single anastomosis duodeno-ileostomy) or SIPS (stomach intestinal pylorus sparing procedure)...
2024: CRSLS: MIS case reports from SLS
#26
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
#27
REVIEW
Acute pancreatitis presented with diffuse ST-segment elevation: A case report and literature review.
Yi-Lin Hsieh, Shu-Hao Wu, Chia-Yuan Liu, Wei-Chen Lin, Ming-Jen Chen, Chen-Wang Chang
INTRODUCTION: Although electrocardiographic changes have been previously reported in patients with acute pancreatitis, diffuse ST-segment elevation without occluded coronary arteries is rarely documented. PATIENT CONCERNS: A 45-year-old man presented to our emergency department due to persistent epigastric pain for 2 hours. However, ECG in the emergency department revealed regular sinus rhythm at 67 beats per minute, peaked T waves in lead V3-5, and upsloping ST-segment elevation in leads II, III, aVF, and V2-6...
February 16, 2024: Medicine (Baltimore)
#28
JOURNAL ARTICLE
Sarah S Alkabbani, Rouzy H AlHalak, Montaser N Al Smady, Fuad Alsaraj
BACKGROUND: The prevalence of acute pancreatitis is rising especially in the Western world, but the prevalence remains unknown in most Middle Eastern Countries. Acute pancreatitis has been attributed with multiple etiologies with the two most common being alcohol abuse disorder and gallstones. The incidence and prevalence of it in the United Arab Emirates are yet to be reported. MATERIALS AND METHODS: The Atlanta criteria were used for the diagnosis of acute pancreatitis and applied to patients that have been admitted to a single tertiary center in the year 2021...
2024: Annals of African Medicine
#29
JOURNAL ARTICLE
Ji Yang, Yi Ying, Liying Jin, Fei Ying, Junwei Fang, Xuyong Chen, Mengying Zhu, Xingyi Yang
OBJECTIVE: Acute pancreatitis (AP) is a process of acute inflammation and cell damage of the pancreas. Gallstones and alcohol abuse are the most common cause for AP. Drug-induced pancreatitis (DIP), accounting for less than 3% of the AP, has become increasingly recognized as an additional and vitally important etiology of acute pancreatitis. Sertraline is an antidepressant of the selective serotonin reuptake inhibitor (SSRI)class that has a range of side effects even when used at the recommended dose...
January 31, 2024: Alternative Therapies in Health and Medicine
#30
Shota Yagi, Hideki Miwa, Yosuke Kobayashi, Kenta Mitsusada
A 54-year-old man was admitted for fever and dyspnea. He presented with severe COVID-19 pneumonia and elevated amylase and lipase levels. He received treatment for COVID-19 and possible acute pancreatitis (AP). Although pneumonia and amylase levels improved, a high-grade fever persisted. On day 39, abdominal CT revealed heterogenous liquid and non-liquid components with a well-defined wall around the pancreas, and he was diagnosed with infected walled-off necrosis (WON) after AP. It was concluded to be associated with COVID-19 because there were no identifiable causes, such as alcohol consumption, gallstones, or other viral infections...
January 2024: Curēus
#31
REVIEW
Jun Wu, Shuang-Yong Cai, Xu-Liang Chen, Zhi-Tao Chen, Shao-Hua Shi
Mirizzi syndrome is a serious complication of gallstone disease. It is caused by the impacted stones in the gallbladder neck or cystic duct. One of the features of Mirizzi syndrome is severe inflammation or dense fibrosis at the Calot's triangle. In our clinical practice, bile duct, branches of right hepatic artery and right portal vein clinging to gallbladder infundibulum are often observed due to gallbladder infundibulum adhered to right hepatic hilum. The intraoperative damage of branches of right hepatic artery occurs more easily than that of bile duct, all of which are hidden pitfalls for surgeons...
January 30, 2024: Hepatobiliary & Pancreatic Diseases International: HBPD INT
#32
Krishna Patel, Nitya Devireddy, Calista Long, Annika Daya, John Cherneskie, Kaleigh Krill
Hypertriglyceridemia is one of the major causes of acute pancreatitis in addition to gallstones and alcohol use. These etiologies are often associated with underlying comorbidities. Acute pancreatitis secondary to hypertriglyceridemia is associated with an increase in clinical severity and further complications. We present a case of a 56-year-old man with a past medical history of hypertension, diabetes mellitus, and familial hypertriglyceridemia who was diagnosed with acute pancreatitis secondary to hypertriglyceridemia...
January 2024: Curēus
#33
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
#34
JOURNAL ARTICLE
Roshan Ghimire, Prashanta Pudasaini, Bidur Prasad Acharya, Yugal Limbu, Sujan Regmee
INTRODUCTION: Abdominal scars result from various open abdominal surgeries. Laparoscopic surgery in previous open abdominal surgery possesses various challenges to the surgeon like gaining access to the abdominal cavity, and difficulty in dissection due to dense adhesions from previous surgeries for various intraabdominal pathologies. This study aimed to find out the prevalence of previous abdominal scars among patients undergoing laparoscopic cholecystectomy in a tertiary care centre...
August 1, 2023: JNMA; Journal of the Nepal Medical Association
#35
REVIEW
Jonathan G A Koo, Hui Yu Tham, En Qi Toh, Christopher Chia, Amy Thien, Vishal G Shelat
Mirizzi syndrome is a complication of gallstone disease caused by an impacted gallstone in the infundibulum of the gallbladder or within the cystic duct, causing chronic inflammation and extrinsic compression of the common hepatic duct or common bile duct. Eventually, mucosal ulceration occurs and progresses to cholecystobiliary fistulation. Numerous systems exist to classify Mirizzi syndrome, with the Csendes classification widely adopted. It describes five types of Mirizzi syndrome according to the presence of a cholecystobiliary fistula and its corresponding severity, and whether a cholecystoenteric fistula is present...
December 21, 2023: Medicina
#36
REVIEW
Hongyan Wang, Zhenyu Zhao, Qiucai Cao, Jing Ning
PURPOSE: Mesenteric panniculitis (MP) represents the uncommon, benign and chronic inflammatory disorder affecting the mesenteric adipose tissues. Its etiology, diagnosis and treatment remain unnoticed. Our report focused on shedding more lights on this condition. PATIENTS AND METHODS: Seventeen MP patients were identified by searching the electronic medical record system in the Zhengzhou Ninth People's Hospital using the search terms "Mesenteric panniculitis" from October 2015 to March 2023...
January 24, 2024: BMC Gastroenterology
#37
JOURNAL ARTICLE
Louise Wang, Navid Rahimi Larki, Jane Dobkin, Sanjay Salgado, Nuzhat Ahmad, David E Kaplan, Wei Yang, Yu-Xiao Yang
OBJECTIVES: We aimed to develop and validate a prediction model as the first step in a sequential screening strategy to identify acute pancreatitis (AP) individuals at risk for pancreatic cancer (PC). MATERIALS AND METHODS: We performed a population-based retrospective cohort study among individuals 40 years or older with a hospitalization for AP in the US Veterans Health Administration. For variable selection, we used least absolute shrinkage and selection operator regression with 10-fold cross-validation to identify a parsimonious logistic regression model for predicting the outcome, PC diagnosed within 2 years after AP...
January 25, 2024: Pancreas
#38
Mohamed A Ebrahim, Eli A Zaher, Parth Patel, Muhammad Sohaib Alvi
This study explores a rare occurrence of acute pancreatitis induced by herpes simplex virus (HSV) in an immunocompetent adult. The patient, initially diagnosed with pancreatitis presumed to be gallstone-related, exhibited persistent symptoms and elevated lipase levels. Endoscopic ultrasound revealed necrotizing pancreatitis without stones, prompting suspicion of an atypical cause. Subsequent serology confirmed acute HSV infection. This case underscores the importance of considering viral etiologies in atypical pancreatitis cases, especially when hepatitis coexists...
December 2023: Curēus
#39
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
#40
Nibedita Mishra
Acute pancreatitis in pregnancy is a rare condition. Acute pancreatitis due to hypertriglyceridemia in a case of diabetic ketoacidosis is also a very rare condition with a very high mortality rate. Here, we report a case of a 34-week pregnancy with pregnancy-induced hypertension, diabetic ketoacidosis, and hypertriglyceridemia-induced acute pancreatitis with underlying gallstone disease, which might have contributed to the etiology of pancreatitis. There is no report of such a case in the available literature...
December 2023: Curēus
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