1,248 results match your criteria Biliary Colic


Medical Decision-Making in the Physician Hierarchy: A Pilot Pedagogical Evaluation.

J Med Educ Curric Dev 2020 Jan-Dec;7:2382120520925061. Epub 2020 Jul 2.

Department of Emergency Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA.

Purpose: Recently, the American College of Graduate Medical Education included medical decision-making as a core competency in several specialties. To date, the ability to demonstrate and measure a pedagogical evolution of medical judgment in a medical education program has been limited. In this study, we aim to examine differences in medical decision-making of physician groups in distinctly different stages of their postgraduate career. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2382120520925061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333496PMC

Biliary hyperkinesia: an indication for cholecystectomy?

Surg Endosc 2020 Jul 6. Epub 2020 Jul 6.

Department of Surgery, St Vincent Indianapolis, Indianapolis, IN, USA.

Background: The main indications for laparoscopic cholecystectomy are stone-related diseases in adults. With a normal abdominal ultrasound (US), a hepatobiliary iminodiacetic acid (HIDA) scan with ejection fraction (EF) is recommended to evaluate gallbladder function. Biliary dyskinesia or low gallbladder EF (EF < 35%) is a recognized indication for cholecystectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-020-07757-4DOI Listing

Human Ascariasis: An Updated Review.

Recent Pat Inflamm Allergy Drug Discov 2020 Jul 5. Epub 2020 Jul 5.

Department of Paediatrics, The Chinese University of Hong Kong, and Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital. Hong Kong.

Background: Ascaris lumbricoides is the most common helminthic infection. More than 1.2 billion people have ascariasis worldwide. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2174/1872213X14666200705235757DOI Listing

The efficacy of intravenous lidocaine and its side effects in comparison with intravenous morphine sulfate in patients admitted to the ED with right upper abdominal pain suspected of biliary colic.

Am J Emerg Med 2020 Apr 9. Epub 2020 Apr 9.

Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Intravenous (IV) Lidocaine can be used as analgesic in acute pain management in the emergency department (ED).

Objective: Efficacy of IV Lidocaine in comparison with IV morphine in acute pain management in the ED.

Method: This is a double-blind randomized clinical trial on adult (18-64 year) patients with right upper abdominal pain suspected of biliary colic who needed pain management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2020.04.010DOI Listing

The dilemma of the duplicated cystic duct: a case report.

J Surg Case Rep 2020 Jun 19;2020(6):rjaa161. Epub 2020 Jun 19.

Department of Surgery, St Michael's Hospital, Dublin, Ireland.

We present a rare case of a duplicated cystic duct encountered during an elective laparoscopic cholecystectomy in a patient with biliary colic. Prompt recognition of an intraoperative bile leak followed by thorough examination and recognition of the source allowed for timely and appropriate management of the affected patient with a satisfactory post-operative outcome. Our case is unique by the lack of availability of intraoperative cholangiogram at the time of surgery, which posed a significant diagnostic and therapeutic challenge, and by how aberrant anatomy was confirmed intraoperatively by reviewing prior cardiac magnetic resonance imaging. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jscr/rjaa161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304925PMC

A patient with cystic duct remnant calculus treated by laparoscopic surgery combined with near-infrared fluorescence cholangiography.

Surg Case Rep 2020 Jun 23;6(1):146. Epub 2020 Jun 23.

Department of Digestive and General Surgery, Gyoda General Hospital, 376, Motida, Gyoda-shi, Saitama, 361-1156, Japan.

Background: The recurrence of symptoms present before cholecystectomy may be caused by a cystic duct remnant. The resolution of cystic duct remnant syndrome may require surgical resection, but identification of the duct remnant during laparoscopic surgery may be difficult because of adhesions following the previous procedure. Open surgery, which is more invasive than laparoscopic surgery, is frequently chosen to avoid bile duct injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-020-00909-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311589PMC

Implementation of General Surgery Care into a Student-Run Free Clinic.

J Surg Res 2020 Jun 15;255:71-76. Epub 2020 Jun 15.

Vanderbilt University Medical Center, Department of General Surgery, Nashville, Tennessee. Electronic address:

Background: Student-run free clinics (SRFCs) provide medical care to uninsured, and surgical issues are often outside the normal scope of care of these clinics. The Shade Tree Clinic (STC) is an SRFC serving 300 patients with complex medical conditions. This study describes the implementation and efficacy of a General Surgery Specialty Clinic in this setting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2020.05.031DOI Listing

Laparoscopic cholecystectomy in a patient with situs inversus totalis after videolaparoscopic sleeve-Case report.

Int J Surg Case Rep 2020 19;71:202-204. Epub 2020 May 19.

Clementino Fraga Filho University Hospital (HUCFF - UFRJ), Brazil.

Introduction: Situs inversus totalis is the technical term used when there is a complete transposition of all organs to the opposite side referring to classical embryogenic orientation. Laparoscopic cholecystectomy is one of the most performed surgeries in the world.

Presentation Of Case: We report the case of a 61-year-old female patient who had previously undergone videolaparoscopic gastroplasty 7 months ago, who developed refractary biliary colic and underwent videolaparoscopic cholecystectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2020.04.045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262373PMC

Evidence-Based Management of Calculous Biliary Disease for the Acute Care Surgeon.

Surg Infect (Larchmt) 2020 May 29. Epub 2020 May 29.

Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA.

Gallstones and cholecystitis are common clinical problems. There is a wide spectrum of disease severity, from rare symptoms of biliary colic to severe cholecystitis with marked gallbladder infection and inflammation that can cause life-threatening sepsis. The care of such patients is similarly varied and multi-disciplinary. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/sur.2020.110DOI Listing

[Descending Colon Cancer with Synchronous Solitary Small Intestinal Metastasis-A Case Report].

Gan To Kagaku Ryoho 2020 Jan;47(1):120-122

Dept. of Surgical Oncology, Osaka City Juso Hospital.

A 77-year-old man presented with biliary colic and was diagnosed with descending colon cancer and cholelithiasis.During the surgery, a mass was detected in the upper jejunum, located 5 cm from the Treitz ligament on the anal side.Open left hemicolectomy with partial jejunal resection was performed. Read More

View Article

Download full-text PDF

Source
January 2020

Relations between hepatobiliary scintigraphy findings and histopathological factors in patients with recurrent biliary colic.

J Hepatobiliary Pancreat Sci 2020 Apr 30. Epub 2020 Apr 30.

Department of Nuclear Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.

Background/purpose: The aim of the present study was to investigate the relationship between hepatobiliary scintigraphy findings and histopathological results in patients with recurrent biliary colic.

Methods: We retrospectively enrolled 107 patients who underwent hepatobiliary scintigraphy for recurrent biliary colic and subsequent cholecystectomy. According to the hepatobiliary scintigraphy findings, patients were categorized into a nonvisualization of gallbladder activity (nonvisualized GB) group, low gallbladder ejection fraction (GBEF) group, and normal GBEF group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jhbp.742DOI Listing

Biliary ascariasis and severe bacterial outcomes: Report of three cases from a paediatric hospital in Brazil.

Int J Infect Dis 2020 Jun 30;95:115-117. Epub 2020 Mar 30.

Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Salvador-BA, Brazil. Electronic address:

Introduction: Biliary ascariasis, although uncommon, can lead to infectious complications and severe outcomes. This study reported three patients with biliary ascariasis and who were admitted to a paediatric hospital in Salvador, Brazil.

Case Reports: Case 1: A 1-year-old boy, with HIV, hospitalised with diarrhoea, fever, pain, and abdominal distension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijid.2020.03.045DOI Listing

Effects of partial internal biliary diversion on long-term outcomes in patients with progressive familial intrahepatic cholestasis: experience in 44 patients.

Pediatr Surg Int 2020 May 23;36(5):603-610. Epub 2020 Mar 23.

Department of Pediatric Surgery, Nemazee Hospital, Shiraz University of Medical Sciences, Zand St., 71 32326645, Shiraz, Iran.

Purpose: Progressive familial intrahepatic cholestasis (PFIC) is a hereditary disease characterized by cholestasis, which may cause jaundice, severe pruritus, and cirrhosis in the later stages. By the invention of biliary diversion methods, these patients were prevented from undergoing liver transplant. Using biliary diversion techniques, the entero-hepatic cycle was interrupted. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00383-020-04641-zDOI Listing

One Hole, Two Tubes, and a Tijuana Pathology Report: A Case Report of Cholecystoduodenal Fistula Mistaken for Gallbladder Cancer.

Cureus 2020 Jan 28;12(1):e6802. Epub 2020 Jan 28.

General Surgery, Community Memorial Hospital, Ventura, USA.

We report a case of a patient who presented with biliary colic while in Tijuana, Mexico. Laparoscopic cholecystectomy was attempted but abandoned and only a biopsy of the gallbladder was performed with pathologist reporting gallbladder adenocarcinoma. Upon return to the United States, extensive evaluation was undertaken including imaging, biopsy, and ultimately two separate exploratory surgeries revealing no neoplasm. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.6802DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7045989PMC
January 2020

Precipitous Delivery Masquerading as Biliary Colic in the Setting of Depo-Provera® Failure.

Cureus 2020 Jan 26;12(1):e6776. Epub 2020 Jan 26.

Emergency Medicine, Stanford University Hospital, Palo Alto, USA.

Precipitous delivery in the emergency department is a high-acuity, low-occurrence event that requires rapid recognition and interdepartment cooperation to prevent fetal and maternal morbidity and mortality. Prompt recognition of the peripartum state can be delayed by reported usage of long-acting contraception and concurrent distracting complaints. In this case report, a young female presented to the emergency department with epigastric abdominal pain in the setting of recent workup for biliary colic and multiple doses of long-acting, depot contraceptive agents. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.6776DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041648PMC
January 2020

Laparoscopic cholecystectomy in patients with liver cirrhosis: 8 years experience in a tertiary center. A retrospective cohort study.

Ann Med Surg (Lond) 2020 Mar 15;51:1-10. Epub 2020 Jan 15.

Intervention Radiology, National Liver Institute, Menoufia University, Shebein Elkoum, Egypt.

With improved laparoscopic techniques, experience, and availability of newer tools and instruments like ultrasonic shears; laparoscopic cholecystectomy (LC) became a feasible option in cirrhotic patients, the aim of this study was to analyze the outcome of LC in cirrhotic patients.

Methods: We retrospectively analyzed 213 cirrhotic patients underwent LC, in the period from 2011 to 2019; the overall male/female ratio was 114/99.

Results: The most frequent Child-Turcotte-Pugh (CTP) score was A, The most frequent cause of cirrhosis was hepatitis C virus (HCV), while biliary colic was the most frequent presentation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amsu.2020.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976867PMC

Elective surgery for tumours of the splenic flexure: a French inter-group (AFC, SFCD, FRENCH, GRECCAR) survey.

Tech Coloproctol 2020 02 14;24(2):191-198. Epub 2020 Jan 14.

Department of Digestive and Hepato-Pancreato-Biliary Surgery, Pitié-Salpêtrière Hospital, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France.

Background: In an elective setting, there is no consensus regarding the type of colectomy that is best for patients with tumors of the splenic flexure: segmental left colectomy (or splenic flexure colectomy), left hemicolectomy or subtotal colectomy (or extended right hemicolectomy). In the United Kingdom, extended right hemicolectomy is preferred by surgeons. The aim of the present survey was to report on the practices in France for this particular tumor location. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10151-019-02143-2DOI Listing
February 2020

Surgeon attitudes toward point of care ultrasound for biliary disease: a nationwide Canadian survey

Can J Surg 2020 Jan 9;63(1):E9-E12. Epub 2020 Jan 9.

From the Division of Emergency Medicine, Western University, London, Ont. (Thompson, Myslik); the Department of Surgery, Western University, London, Ont. (Koichopolos, Leeper); the Division of Critical Care Medicine, Western University, London, Ont. (Leeper); and the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Vandelinde).

Summary: Multiple studies confirm that point of care ultrasound (PoCUS) has a high sensitivity and specificity for cholelithiasis and cholecystitis. However, there is poor perceived reliability of biliary PoCUS by surgeons. This survey was performed to assess surgeons’ opinions on using PoCUS in gallstone disease and barriers that exist for its institution. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1503.cjs/010218DOI Listing
January 2020

Partial portal vein arterialization during living-donor liver transplantation: a case report.

Surg Case Rep 2020 Jan 8;6(1). Epub 2020 Jan 8.

Department of Surgery, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.

Background: Hepatic artery thrombosis can lead to graft loss associated with severe hepatic infarction or bile duct ischemia. When anatomical hepatic artery reconstruction is impossible in liver transplantation or hepato-pancreatic biliary surgery, portal vein arterialization (PVA) is proposed as a salvage technique. Herein, we report our experience with a case that showed favorable clinical outcomes after partial PVA during living-donor liver transplantation (LDLT) because of difficulties in arterial reconstruction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-020-0781-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949348PMC
January 2020

Increased Incidence of Symptomatic Cholelithiasis After Bariatric Roux-En-Y Gastric Bypass and Previous Bariatric Surgery: a Single Center Experience.

Obes Surg 2020 Mar;30(3):846-850

The Gonczarowski Family Institute of Gastroenterology and Liver Diseases and Nutrition, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.

Background: Bariatric surgery predisposes patients to cholelithiasis and therefore the need of a subsequent cholecystectomy; however, the incidence of cholecystectomy after bariatric surgery is debated.

Aim And Methods: Medical records of 601patients hospitalized for bariatric surgery between January 2010 and July 2018 were reviewed. Our aim was to evaluate the incidence of cholecystectomy following different types of common bariatric procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11695-019-04366-6DOI Listing

Risk factors of systematic biliary complications in patients with gallbladder stones.

Ir J Med Sci 2019 Dec 19. Epub 2019 Dec 19.

Department of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.

Background: Gallbladder stone with symptom is an indication of cholecystectomy according to the current guideline. However, about 80% of gallstone patients are asymptomatic. The identification of gallbladder stone patients likely to develop symptomatic complications would be of benefit in clinical practice. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11845-019-02161-xDOI Listing
December 2019

Acute cholecystitis or simple biliary colic after an emergency presentation: why it matters.

ANZ J Surg 2020 03 17;90(3):295-299. Epub 2019 Dec 17.

Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital and North Shore Private Hospital, Sydney, New South Wales, Australia.

Background: Laparoscopic cholecystectomy (LC) is often performed during the index admission after emergency presentation for acute biliary pain. Many patients have acute cholecystitis (AC) that may increase operative difficulty and complications. Our primary aim was to assess the validity of Tokyo Guidelines (TG18) for diagnosing AC by comparison with the admitting team diagnosis, operative findings and histopathology. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ans.15603DOI Listing

Differentiation of gallbladder adenomyomatosis from early-stage gallbladder cancer before surgery.

Ann Hepatobiliary Pancreat Surg 2019 Nov 29;23(4):334-338. Epub 2019 Nov 29.

Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Backgrounds/aims: This study aimed to compare the perioperative and clinical outcomes in patients undergoing laparoscopic cholecystectomy for gallbladder adenomyomatosis (GBA) or early-stage gallbladder cancer (GBC).

Methods: The perioperative and clinical outcomes of 194 patients diagnosed with GBA and 30 patients diagnosed with GBC who underwent laparoscopic cholecystectomy in our institution from January 2011 to December 2017 were retrospectively compared.

Results: There were no significant differences between the GBA and GBC groups in sex (male:female ratio 1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14701/ahbps.2019.23.4.334DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6893059PMC
November 2019

Rare presentation of primary varicella zoster as fatal fulminant hepatitis in adult on low-dose,short-term steroid: Case report.

Ann Med Surg (Lond) 2019 Dec 9;48:115-117. Epub 2019 Nov 9.

Department of General Surgery, Hamad Medical Corporation, Doha, Qatar.

Background: Varicella zoster virus presents clinically as primary (chickenpox) or secondary (herpes zoster) infection. Cutaneous and extracutaneous dissemination may occur, usually in immunocompromised patients. VZV hepatitis that progresses to fulminant hepatic failure is very rare and fatal. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amsu.2019.10.034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6864176PMC
December 2019

Ascariasis Causing Biliary Colic.

ACG Case Rep J 2019 Sep 27;6(9):e00181. Epub 2019 Aug 27.

Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14309/crj.0000000000000181DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831136PMC
September 2019

Gallstone formation due to rapid weight loss through hyperthyroidism.

J Pediatr Endocrinol Metab 2019 Dec;32(12):1395-1398

Department of Pediatrics, Juntendo University Faculty of Medicine, Tokyo, Japan.

Background Cholesterol metabolism has dramatically changed under hyperthyroid status. However, a combination of hyperthyroidism and cholecystolithiasis is very rare. Case presentation We report a case of cholelithiasis accompanied by hyperthyroidism in a 13-year-old girl who had recently lost 13 kg of weight (from 53 to 40 kg) in 1 month without loss of appetite. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1515/jpem-2019-0149DOI Listing
December 2019

Pattern of Biliary Disease Following Laparoscopic Sleeve Gastrectomy in Adolescents.

Obesity (Silver Spring) 2019 11;27(11):1750-1753

Division of Pediatric Surgery, Children's National Health System, Washington, DC, USA.

Objective: The use of laparoscopic sleeve gastrectomy (LSG) has risen steadily as a treatment for adolescents with obesity. This study determined whether obstructive biliary complications after rapid, LSG-related weight loss occur similarly in adolescents compared with adults.

Methods: Between 2010 and 2019, 309 patients underwent LSG. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/oby.22634DOI Listing
November 2019

Gallbladder Perforation Due to in a Pregnant Woman and 6 Year Old Girl from Afghanistan: Case Report.

Iran J Parasitol 2019 Jul-Sep;14(3):477-481

Faculty of Medicine, Khatam Al-Nabieen University, Kabul, Afghanistan.

Ascariasis is an important and prevalent geo-helminth infection, especially in underdeveloped countries such as Afghanistan, where public health problems and devastation of hygienic infrastructures usually lead to the higher incidence of the infection. Here, we report two cases of intestinal obstruction that accompanied with biliary ascariasis due to in pregnant women and a 6-year-old girl from Afghanistan. Biliary ascariasis can be associated with cystic duct obstruction, gallbladder dilation, acute cholecystitis, acute cholangitis, obstructive jaundice, and biliary colic. Read More

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815860PMC
November 2019
2 Reads
0.872 Impact Factor

Long-term outcomes of endoscopic treatment of aberrant hepatic duct injuries after cholecystectomy.

Gastrointest Endosc 2020 03 17;91(3):584-592. Epub 2019 Oct 17.

Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Centre for Endoscopic Research Therapeutics and Training, Università Cattolica del Sacro Cuore, Rome, Italy.

Background And Aims: Right aberrant hepatic ducts are an anatomic variant with clinical relevance because of the risk of injury during cholecystectomy. Treatment options for aberrant hepatic duct injuries are not standardized. This study aims to analyze the long-term results of endoscopic treatment of aberrant hepatic duct lesions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.gie.2019.09.043DOI Listing
March 2020
1 Read

Compression of cystic duct caused by focal nodular hyperplasia.

J Surg Case Rep 2019 Oct 10;2019(10):rjz254. Epub 2019 Oct 10.

General Surgery, Bridgeport Hospital, Bridgeport, CT, USA.

A 29-year-old female presenting with symptoms of biliary colic was found to have a liver mass compressing the cystic duct. Due to the anatomical placement of the growth, the compressed duct produced symptoms mimicking acute cholecystitis. The mass was diagnosed as focal nodular hyperplasia (FNH) upon biopsy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jscr/rjz254DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786132PMC
October 2019
2 Reads

Hepatitis E virus genotype 3 is associated with gallstone-related disease.

Scand J Gastroenterol 2019 Oct 25;54(10):1269-1273. Epub 2019 Sep 25.

Department of Infectious Diseases, Region Västra Götaland, South Älvsborg Hospital, Borås, Sweden.

Hepatitis E virus (HEV) genotype 3 is endemic in Northern Europe and despite a high seroprevalence of anti-HEV IgG antibodies among blood donors (≈17%), few clinical cases are notified in Sweden. Low awareness of hepatitis E and its possible symptoms may contribute to this discrepancy. The aim of this study was to investigate the prevalence of acute HEV infection among hospital admitted patients with abdominal pain and elevated liver enzymes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/00365521.2019.1666163DOI Listing
October 2019
2 Reads

Familial low phospholipid-associated cholelithiasis resulting from an autosomal dominant ABCB4 mutation.

Rev Esp Enferm Dig 2019 10;111(10):806-808

Aparato Digestivo, Hospital General Universitario Gregorio Marañón, España.

Low phospholipid-associated cholelithiasis (LPAC) syndrome is characterized by early intrahepatic and symptomatic gallstones leading to cholangitis, acute pancreatitis and biliary colic. It has been associated with loss of function variants in the ABCB4 gene. ABCB4 encodes for a phospholipid translocator at the canalicular membrane of the hepatocyte, which "flops" phosphatidylcholine into bile. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17235/reed.2019.6334/2019DOI Listing
October 2019
5 Reads

[Gallbladder agenesis - A rare congenital anomaly mimicking cholelithiasis in an adult woman].

Orv Hetil 2019 Sep;160(38):1510-1513

Élettani Tanszék, Marosvásárhelyi Orvosi, Gyógyszerészeti, Tudomány- és Technológiai Egyetem Marosvásárhely, Románia.

Gallbladder agenesis is a rare congenital malformation due to an embryological defect of the biliary system. In most cases it is asymptomatic, but it can also mimic biliary colic. We report the case of a 72-year-old Caucasian woman with a medical history of cardiovascular disease and hypercholesterolemia, under cholesterol-lowering and hypotensive treatment, who presented symptoms suggesting biliary colic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1556/650.2019.31504DOI Listing
September 2019
8 Reads

Diagnostic imaging for acute abdominal pain in an Emergency Department in Italy.

Intern Emerg Med 2019 10 6;14(7):1147-1153. Epub 2019 Sep 6.

Department of Medical and Surgical Sciences, University of Bologna, Policlinico S. Orsola-Malpighi, Via Massarenti n. 9, 40138, Bologna, Italy.

Imaging plays a key role in the diagnostic work-up of patients with non-traumatic acute abdominal pain (AAP) in emergency department (ED). We aimed to evaluate the use and diagnostic performance of imaging techniques in adult patients with AAP in an ED in Italy. Patients with non-traumatic AAP admitted at the ED of S. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11739-019-02189-yDOI Listing
October 2019
3 Reads

Left renal vein entrapment syndrome: nutcracker syndrome!

BMJ Case Rep 2019 Sep 4;12(9). Epub 2019 Sep 4.

Department of Surgery, Wexham Park Hospital, Slough, UK.

Nutcracker syndrome (NCS) is a rare vascular compression disorder that involves compression of the left renal vein most commonly between the aorta and the superior mesenteric artery (SMA), although variations exist. It is associated with the formation of the left renal vein from the aortic collar during the 6th-8th week of gestation and abnormal angulation of the SMA from the aorta. Collateralisation of venous circulation including mainly the left gonadal vein and the communicating lumbar vein are the most significant effects. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2019-230877DOI Listing
September 2019
2 Reads

Rare presentation of haemobilia and Loeffler's pneumonia in a child by ascaris lumbricoides.

BMJ Case Rep 2019 Aug 28;12(8). Epub 2019 Aug 28.

Department of Pediatric Medicine, Division of Pediatric Gastroenterology, Hepatology & Nutrition, The Children's Hospital & The Institute of Child Health, Lahore, Pakistan.

Ascariasis is a soil-sourced, second most common parasitic infection worldwide. Because of its wandering nature, it migrates from the intestine to other organs of the body like the lungs and biliary system. This results in complications such as biliary colic, acute cholecystitis, pyogenic cholangitis, liver abscesses, pancreatitis and loeffler's pneumonia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2019-230198DOI Listing
August 2019
2 Reads

Herpes Zoster Mimicking Biliary Colic.

Clin Gastroenterol Hepatol 2019 Aug 21. Epub 2019 Aug 21.

Department of Gastrointestinal Surgery, First Affiliated Hospital of Wannan Medical College, Wuhu, China.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cgh.2019.08.029DOI Listing
August 2019
4 Reads

Surgical approach to a left-sided gallbladder.

BMJ Case Rep 2019 Aug 15;12(8). Epub 2019 Aug 15.

Mater Hospital Pimlico, Aitkenvale, Queensland, Australia.

Biliary colic is a pain in the right upper quadrant or epigastrium thought to be caused by functional gallbladder spasm from a temporary obstructing stone in the gallbladder neck, cystic duct or common bile duct. A 56-year-old man presented with frequent episodes of typical biliary colic. At initial laparoscopy, the gallbladder was absent from its anatomic location. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2019-230681DOI Listing
August 2019
3 Reads

Acupuncture for the postcholecystectomy syndrome: Protocol for a systematic review and meta-analysis.

Medicine (Baltimore) 2019 Aug;98(32):e16769

School of Acu-Mox and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.

Background: Postcholecystectomy syndrome (PCS) is a term used to describe the persistence of biliary colic or right upper quadrant abdominal pain with a variety of postoperative gastrointestinal symptoms. Acupuncture and related treatments have shown clinical effects for PCS in many studies. But the systematic reviews and meta-analyses for them are lacking. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000016769DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709185PMC
August 2019
3 Reads

Left-sided Portal Hypertension After Pancreaticoduodenectomy With Resection of the Portal Vein/Superior Mesenteric Vein Confluence in Patients With Pancreatic Cancer: A Project Study by the Japanese Society of Hepato-Biliary-Pancreatic Surgery.

Ann Surg 2019 Jul 26. Epub 2019 Jul 26.

Department of Hepatobiliary Pancreatic and Transplant Surgery, Mie University Graduate School of Medicine, Mie, Japan.

Objective: The aim of this study was to evaluate how often left-sided portal hypertension (LPH) develops and how LPH affects the long-term outcomes of patients with pancreatic cancer treated with pancreaticoduodenectomy (PD) and resection of the portal vein (PV)/superior mesenteric vein (SMV) confluence.

Summary Background Data: Little is known about LPH after PD with resection of the PV/SMV confluence.

Methods: Overall, 536 patients who underwent PD with PV/SMV resection were enrolled. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SLA.0000000000003487DOI Listing
July 2019
4 Reads

Endoscopic sphincterotoMy for delayIng choLecystectomy in mild acute biliarY pancreatitis (EMILY study): protocol of a multicentre randomised clinical trial.

BMJ Open 2019 07 9;9(7):e025551. Epub 2019 Jul 9.

Institute for Translational Medicine, Pecsi Tudomanyegyetem Altalanos Orvostudomanyi Kar, Pecs, Hungary.

Introduction: According to the literature, early cholecystectomy is necessary to avoid complications related to gallstones after an initial episode of acute biliary pancreatitis (ABP). A randomised, controlled multicentre trial (the PONCHO trial) revealed that in the case of gallstone-induced pancreatitis, early cholecystectomy was safe in patients with mild gallstone pancreatitis and reduced the risk of recurrent gallstone-related complications, as compared with interval cholecystectomy. We hypothesise that carrying out a sphincterotomy (ES) allows us to delay cholecystectomy, thus making it logistically easier to perform and potentially increasing the efficacy and safety of the procedure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2018-025551DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6629406PMC
July 2019
4 Reads
2.063 Impact Factor

Combined one-stage esophagectomy and duodeno-pancreatectomy for synchronous cancers of the esophagus and pancreatic ampulla in an elderly patient.

Acta Chir Belg 2019 Jun 28:1-5. Epub 2019 Jun 28.

a Department of Abdominal and Thoracic Surgery , Hôpitaux Robert Schuman-Zithaklinik , Luxembourg , Luxembourg.

We report the case of a 77-year-old patient, who underwent multi-modality treatment including single-stage radical oesophagectomy and duodeno-pancreatectomy for a synchronous adenocarcinoma of the distal oesophagus and adenocarcinoma of the ampulla of Vater. The ampulloma was diagnosed incidentally during the work-up of the symptomatic esophageal cancer. After induction chemo-radiation of the oesophageal cancer (CROSS regimen), a single-stage radical resection of the esophagus, total gastrectomy and a cephalic duodeno-pancreatectomy was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/00015458.2019.1631628DOI Listing
June 2019
11 Reads

Arterial blood supply to the pancreas from accessary middle colic artery.

Pancreatology 2019 Jul 18;19(5):781-785. Epub 2019 May 18.

Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan. Electronic address:

Background: An accessory middle colic artery (AMCA) is an aberrant artery feeding the splenic flexure of the colon. Little is known about the branching pattern of an AMCA. We aimed to evaluate the branching pattern of the AMCA from the superior mesenteric artery (SMA) with special reference to the pancreatic artery using multidetector-row computed tomography (MDCT) before surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.pan.2019.05.458DOI Listing
July 2019
6 Reads

Validation of the acute cholecystectomy rate as a quality indicator for emergency general surgery using the SWORD database.

Ann R Coll Surg Engl 2019 Jul 3;101(6):422-427. Epub 2019 Jun 3.

Department of Hepatico-Pancreatico-Biliary Surgery, Nottingham University Hospitals NHS Trust, Queen's Medical Centre , Nottingham , UK.

Introduction: Despite an increasing emphasis on data-driven quality improvement, few validated quality indicators for emergency surgical services have been published. The aims of this study therefore were: 1) to investigate whether the acute cholecystectomy rate is a valid process indicator; and 2) to use this rate to examine variation in the provision of acute cholecystectomy in England.

Materials And Methods: The Surgical Workload and Outcomes Research Database (SWORD), derived from the Hospital Episode Statistics database, was interrogated for the 2012-2017 financial years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1308/rcsann.2019.0042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6554562PMC
July 2019
6 Reads

[Features of clinical application of eye acupuncture therapy revealed by data mining].

Zhen Ci Yan Jiu 2019 May;44(5):377-82

School of Acupuncture-moxibustion and Massage, Hebei College of Traditional Chinese Medicine, Shijiazhuang 050200, China.

Objective: To investigate the features, dominant indications and application regularities of eye acupuncture therapy in clinical practice.

Methods: We first collected original articles, academic dissertations, conference articles, and case reports from databases of CNKI, Wanfang, and Chinese biomedical literature (CBM) from Jan. 1 of 1980 to Dec. Read More

View Article

Download full-text PDF

Source
http://kns.cnki.net/kcms/detail/detail.aspx?doi=10.13702/j.1
Publisher Site
http://dx.doi.org/10.13702/j.1000-0607.180495DOI Listing
May 2019
28 Reads

A novel pathogenic variant of ATP-binding cassette subfamily B member 4 causing gallstones in a young adult.

Clin J Gastroenterol 2019 Dec 21;12(6):637-641. Epub 2019 May 21.

Department of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iidanishi, Yamagata-shi, Yamagata, 990-8595, Japan.

The low phospholipid-associated cholelithiasis (LPAC) syndrome was reported in European adults with cholelithiasis and a mutation of the ATP-binding cassette subfamily B member 4 (ABCB4). The ABCB4 encodes multidrug resistance 3, which is a phospholipid translocator. Reduced phospholipid transport can lead to the formation of biliary cholesterol stones. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12328-019-00991-xDOI Listing
December 2019
7 Reads

Mass Drug Administration of Triclabendazole for in Bolivia.

Am J Trop Med Hyg 2019 06;100(6):1494-1497

FUNDERMA (Fundación Nacional de Dermatología), Santa Cruz, Bolivia.

Human infection with leads to obstruction of the common bile duct by adult worms and disease characterized by biliary colic, epigastric pain, and nausea. Recommended treatment is a single dose of triclabendazole (TCBZ) (10 mg/kg). Because in the 1990s the Bolivian Altiplano bordering Lake Titicaca was thought to have the highest prevalence of human fascioliasis worldwide, the Bolivian Ministry of Health instituted TCBZ mass drug administration (MDA). Read More

View Article

Download full-text PDF

Source
http://www.ajtmh.org/content/journals/10.4269/ajtmh.19-0060
Publisher Site
http://dx.doi.org/10.4269/ajtmh.19-0060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6553894PMC
June 2019
18 Reads

Bioactivities of Flavonoids from .

Biomed Res Int 2019 11;2019:3286489. Epub 2019 Apr 11.

Departamento de Ciencias Químico Biológicas, Universidad de las Américas Puebla, Mexico.

Cav. (Onagraceae) has been used in Mexican traditional medicine to alleviate stomachache, biliary colic, urine retention, stomach cancer, and skin, dental, buccal, and urinary infections. The objective of this study was to determine the bioactivities of specific parts of the plant to scientifically confirm its traditional use. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2019/3286489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487151PMC
November 2019
22 Reads