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Am J Surg 2019 May 27;217(5):986-989. Epub 2019 Mar 27.

Meridian Surgery Center, Puyallup, WA, USA.

Background: Surgical response of patients with symptomatic biliary colic but atypical findings of gallbladder polyps, hyper-dynamic gallbladder and otherwise negative biliary workup are underrepresented in the literature from community practice.

Methods: A clinical outcome study with a retrospective design compared the short term and long term symptomatic improvement reported by patients with pre-operatively diagnosed biliary dyskinesia to all other biliary colic patients with atypical pre-operative diagnoses. All patients underwent surgery at Meridian Surgery Center from the years 2010-2017. Read More

J Surg Case Rep 2019 Mar 26;2019(3):rjz094. Epub 2019 Mar 26.

Department of Surgery, Western Health, Melbourne, Australia.

Gallbladder agenesis is a rare but well-documented anatomical variation. Pre-operative diagnosis may be difficult as patients can present with typical symptoms of biliary colic and imaging may be misleading. We report a case of choledochoscopy and common bile duct stone retrieval in a patient found to have agenesis of the gallbladder intra-operatively. Read More

J Ayub Med Coll Abbottabad 2019 Jan-Mar;31(1):3-7

General Surgery, Dudley Group NHS Foundation Trust, West Midlands.

Background: Acute presentation of gall stone disease is a common emergency. Resource limitation often results in unnecessary long waiting times and repeat hospital admissions. The aim of this study was to investigate if funding a dedicated hot gall bladder list is justified. Read More

Ann Hepatobiliary Pancreat Surg 2019 Feb 28;23(1):84-86. Epub 2019 Feb 28.

HPB Surgery Unit, Hammersmith Hospital, NHS/Imperial College, London, UK.

Injuries occurring during laparoscopic bile duct exploration in the course of laparoscopic cholecystectomy may represent threatening complications and lead to inappropriate management. We present a case of patient with biliary colic who underwent laparoscopic cholecystectomy. During the procedure, a common bile duct injury occurred, compelling conversion to open approach, and the patient was treated using a manually inserted biliary stent. Read More

Ann Hepatobiliary Pancreat Surg 2019 Feb 28;23(1):41-45. Epub 2019 Feb 28.

Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Colombo, Sri Lanka.

Backgrounds/aims: Published data on choledocholithiasis in Sri Lanka is scarce. This study was conducted to determine epidemiological, clinical and endoscopic characteristics of choledocholithiasis in Sri Lanka.

Methods: This was a retrospective study of consecutive patients for a period of three years until April 2016. Read More

Surg Clin North Am 2019 Apr;99(2):337-355

Division of Surgical Oncology, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address:

Gallbladder cancer (GBC) is an often lethal disease, but surgical resection is potentially curative. Symptoms may be misdiagnosed as biliary colic; over half of new diagnoses are made after laparoscopic cholecystectomy for presumed benign disease. Gallbladder polyps >1 cm should prompt additional imaging and cholecystectomy. Read More

J Hepatobiliary Pancreat Sci 2019 Apr;26(4):123-127

Section of Hepato-Pancreato-Biliary Surgery, Siteman Cancer Center, Barnes-Jewish Hospital and Washington University School of Medicine, 660 South Euclid Avenue, Box 8109, St. Louis, MO, 63110, USA.

Bile duct injuries are the most common serious complication of cholecystectomy. Avoidance of bile duct injury is a key aim of biliary surgery. The purpose of this paper is to describe laparoscopic cholecystectomy from the viewpoint of three conceptual goals. Read More

Am Surg 2019 Feb;85(2):219-222

Patients with classic biliary colic symptoms and documented gallbladder ejection fractions on the higher end of the spectrum on hepatobiliary iminoacetic acid scans with cholecystokinin stimulation are presently understudied and the benefits of cholecystectomy are unclear. To determine whether patients with biliary-type pain and biliary hyperkinesia (defined as a gallbladder ejection fractions of 80% or greater) benefit from laparoscopic cholecystectomy, a retrospective chart review encompassing five community hospitals was performed. Patients 16 years and older with diagnosed biliary hyperkinesia who underwent laparoscopic cholecystectomy between January 1, 2010 and May 31, 2015 were included. Read More

J Crit Care Med (Targu Mures) 2019 Jan 4;5(1):6-18. Epub 2019 Feb 4.

Department of Medicine, Division of Gastroenterology and Liver Diseases, Marion Bessin Liver Research Center, "Albert Einstein" College of Medicine, Bronx, NY 10461, USA.

Approximately twenty per cent of adults have gallstones making it one of the most prevalent gastrointestinal diseases in Western countries. About twenty per cent of gallstone patients requires medical, endoscopic, or surgical therapies such as cholecystectomy due to the onset of gallstone-related symptoms or gallstone-related complications. Thus, patients with symptomatic, uncomplicated or complicated gallstones, regardless of the type of stones, represent one of the largest patient categories admitted to European hospitals. Read More

Int J Surg Case Rep 2019 19;55:80-83. Epub 2019 Jan 19.

Beaumont Health Farmington Hills, General Surgery Department, 28050 Grand River Avenue, Farmington Hills, MI 48336, USA. Electronic address:

Introduction: Biliary colic, characterized by intermittent right upper quadrant abdominal pain is a common complaint in the United States population. Patients whose pain is undiagnosed by ultrasound generally undergo hepatobiliary iminodiacetic acid scan with cholecystokinin stimulation (HIDA-CCK) to assess function of the gallbladder and biliary tree. Traditionally, two outcomes are possible based on a measured ejection fraction of the gallbladder: either dyskinesia or normal function is diagnosed. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):2087-2089

Dept. of Hepato-Biliary-Pancreatic Surgery, Saitama Medical Center, Saitama Medical University.

We report a case of pancreatic metastasis of pulmonary pleomorphic carcinoma with duodenal invasion after left lower lobectomy. A 65-year-old male underwent left lower lobectomy for left lung cancer in 2016. The final pathological finding was a diagnosis is of pleomorphic carcinoma, pT2bN0M0, stageⅡA. Read More

Braz J Med Biol Res 2019 Jan 10;52(2):e8103. Epub 2019 Jan 10.

Departamento de Clinica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

Dipyrone (metamizole), acting through its main metabolites 4-methyl-amino-antipyrine and 4-amino-antipyrine, has established analgesic, antipyretic, and spasmolytic pharmacological effects, which are mediated by poorly known mechanisms. In rats, intravenously administered dipyrone delays gastric emptying (GE) of liquids with the participation of capsaicin-sensitive afferent fibers. This effect seems to be mediated by norepinephrine originating from the sympathetic nervous system but not from the superior celiac-mesenteric ganglion complex, which activates β2-adrenoceptors. Read More

BMC Surg 2019 Jan 5;19(1). Epub 2019 Jan 5.

Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China.

Background: The spontaneous rupture of the gallbladder is extremely rare, majority of ruptures occur secondary to traumatic injuries. Here, we report a case of spontaneous rupture of the gallbladder with probably cause of oral anticoagulants.

Case Presentation: A 51-year-old woman presented to the emergency room with sudden-onset severe abdominal pain, as well as hypotension and low level of hemoglobin. Read More

BMC Surg 2018 Nov 29;18(1):111. Epub 2018 Nov 29.

Department of Hepatobiliary Surgery, Dongyang People's Hospital, 60 West Wuning Road, 322100, Dongyang, Zhejiang, China.

Background: The timing of laparoscopic cholecystectomy (LC) performed after the mild acute biliary pancreatitis (MABP) is still controversial. We conducted a review to compare same-admission laparoscopic cholecystectomy (SA-LC) and delayed laparoscopic cholecystectomy (DLC) after mild acute biliary pancreatitis (MABP).

Methods: We systematically searched several databases (PubMed, EMBASE, Web of Science, and the Cochrane Library) for relevant trials published from 1 January 1992 to 1 June 2018. Read More

Int J Surg Case Rep 2018 1;53:235-237. Epub 2018 Nov 1.

Institute of Medical Research, Ilia State University, 3/5, Cholokashvili Ave., 0162, Tbilisi, Georgia. Electronic address:

Introduction: Gallbladder agenesis is a rare congenital abnormality with an incidence of 10-65 per 100,000. Approximately half of these patients are surgically operated on because of the symptoms similar to biliary colic, and correct diagnosis is established intra-operatively. We present a clinical case of gallbladder agenesis from our practice. Read More

ANZ J Surg 2018 Dec 9;88(12):1337-1342. Epub 2018 Nov 9.

HPB and Transplant Unit, Austin Hospital, Melbourne, Victoria, Australia.

Background: Acute biliary pain is the most common presentation of gallstone disease. Untreated patients risk recurrent pain, cholecystitis, obstructive jaundice, pancreatitis and multiple hospital presentations. We examine the outcome of implementing a policy to offer laparoscopic cholecystectomy on index presentation to patients with biliary colic in a tertiary hospital in Australia. Read More

Int J Mol Sci 2018 Oct 23;19(11). Epub 2018 Oct 23.

Giotto Biotech, S.r.l, Via Madonna del Piano 6, 50019 Sesto Fiorentino, Italy.

Precision medicine may significantly contribute to rapid disease diagnosis and targeted therapy, but relies on the availability of detailed, subject specific, clinical information. Proton nuclear magnetic resonance (¹H⁻NMR) spectroscopy of body fluids can extract individual metabolic fingerprints. Herein, we studied 64 patients admitted to the Florence main hospital emergency room with severe abdominal pain. Read More

JAMA 2018 10;320(15):1612

Rev Esp Enferm Dig 2019 Feb;111(2):165-166

Servicio de Sistema Digestivo, Complejo de Asistencia Universitario de León, España.

We present the case of a patient with colic pain in the epigastrium and right hypochondrium, which was accompanied by choluria and acholia and slightly elevated levels of bilirubin and eosinophilia. Abdominal echography and magnetic resonance imaging identified a biliary obstruction and endoscopic retrograde cholangiopancreatography was used to extract 3 adult worms identified as Fasciola hepatica. This case highlights the need to consider the suspicion of biliary obstruction caused by Fasciola hepatica in the presence of obstructive jaundice, with or without eosinophilia. Read More

Surgery 2019 Feb 27;165(2):291-297. Epub 2018 Sep 27.

Department of 1Hepato-Biliary-Pancreatic Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan. Electronic address:

Background: Resection of the porto-mesenterico-splenic confluence is at times necessary during pancreatoduodenectomy with portal vein resection for pancreatic cancer. Although splenic vein ligation can cause sinistral portal hypertension, the incidence of clinically relevant sinistral portal hypertension remains unknown, and the roles of the preservation of potential collateral veins and splenic vein reconstruction are controversial.

Methods: Patients with pancreatic cancer who underwent pancreatoduodenectomy with porto-mesenterico-splenic confluence resection were assessed for incidence of development of varices by computed tomography at 6 months after pancreatoduodenectomy. Read More

Yale J Biol Med 2018 09 21;91(3):237-241. Epub 2018 Sep 21.

Section of Gastrointestinal Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT.

Gallbladder agenesis (GA) is an extremely rare congenital entity. The incidence is around 1 per 6500 live births. The majority of patients, estimated between 50 to 70 percent, remain asymptomatic while those who are symptomatic report symptoms mimicking biliary colic. Read More

Tech Coloproctol 2018 09 18;22(9):703-708. Epub 2018 Sep 18.

Department of Surgery and Digestive Surgery, Kita-Harima Medical Center, Ichiba-cho, Ono, Japan.

J Gastroenterol Hepatol 2018 Sep 14. Epub 2018 Sep 14.

Department of Gastroenterology and Hepatology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, Sichuan Province, China.

Background And Aim: This study aims to assess the clinical validity and safety of single-operator cholangioscopy system (SOCS) for the treatment of concomitant gallbladder stones and secondary common bile duct (CBD) stones.

Methods: This retrospective study included 10 consecutive patients who had small-sized stones (< 1 cm) in both the gallbladder and CBD; the patients underwent SOCS treatment from June 2016 to December 2016. The clinical validity of this minimally invasive surgery was determined by the operation success rate, stone removal rate, postoperative hospital stay, hospitalization cost, and contrast images before and after the operation. Read More

Ann Hepatobiliary Pancreat Surg 2018 Aug 31;22(3):292-295. Epub 2018 Aug 31.

Department of Surgery Ospedale Generale Provinciale, Macerata, Italy.

Agenesis of the gallbladder and cystic duct represents one of the rarest anomalies of the biliary system, with a reported incidence of 0.007% to 0.027%. Read More

Am J Clin Pathol 2019 Jan;151(1):75-85

The James Homer Wright Pathology Laboratories of the Massachusetts General Hospital, Boston.

Objectives: We report four new cases of natural killer-cell enteropathy (NKCE) and similar lymphoproliferative disorders (LPDs), as well as review the literature concerning indolent natural killer (NK)-cell LPDs of the gastrointestinal tract.

Methods: Pathologic and clinical data were obtained from institutional/referral records.

Results: Patient 1 (45-year-old man) had anemia; a small intestinal lesion was endoscopically biopsied. Read More

J Surg Oncol 2018 Nov 13;118(6):1027-1033. Epub 2018 Sep 13.

Department of Digestive and Hepato-Pancreato-Biliary Surgery, Assistance Publique, Hôpitaux de Paris, Pitié-Salpêtrière Hospital, University Institute of Cancerology (Paris VI), Medicine Sorbonne University, France.

Background And Objectives: Tumors of the splenic flexure (TSF) can be associated with metastatic lymph nodes (LN) along the left colic pedicle, but also along the superior mesenteric vessels. We aimed to detail the anatomical distribution of metastatic LNs in patients undergoing elective subtotal colectomy for TSF.

Method: Between 2000 and 2016, 65 patients were included. Read More

Surg Endosc 2019 May 12;33(5):1613-1617. Epub 2018 Sep 12.

General/Bariatric Surgery, Mercy Hospital, 540 East Jefferson Street, Suite 205, Iowa City, IA, 52245, USA.

Background: The (99m) technetium-labelled hepato imino diacetic acid (HIDA) scan is widely used to evaluate patients with biliary colic with a normal trans-abdominal ultrasound scan. Most studies recommend cholecystectomy for patients with biliary dyskinesia, defined by gallbladder ejection fraction (GBEF) of less than 35-40% on HIDA scan. There are no recommendations regarding management of hyperkinetic gallbladder defined by GBEF of greater than 80% on HIDA scan. Read More

Pain Med 2018 Sep 10. Epub 2018 Sep 10.

Division Health Promotion, University of Applied Sciences Coburg, Coburg, Germany.

Objective: To assess the evidence for the safety and efficacy of invasive procedures for reducing chronic pain and improving function and health-related quality of life compared with sham (placebo) procedures.

Design: Systematic review with meta-analysis.

Methods: Studies were identified by searching multiple electronic databases, examining reference lists, and communicating with experts. Read More

Int J Surg Case Rep 2018 22;51:181-185. Epub 2018 Aug 22.

Department of Surgery, Addenbrooke's Hospital, Hills Rd, Cambridge, CB2 0SP, UK. Electronic address:

Introduction: Duplication of the gallbladder is a rare congenital biliary anomaly and may present with similar pathology to that seen in a single gallbladder. We present a previously unreported case of a symptomatic duplex gallbladder arising directly from a long segment of the right hepatic duct.

Presentation: A 23 years old female was referred to our team with right upper quadrant pain suggestive of biliary colic. Read More

Radiol Case Rep 2018 Jun 4;13(3):640-643. Epub 2018 Apr 4.

Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USA.

We present the case of a 24-year-old woman with morbid obesity who came to the emergency department with right upper quadrant abdominal pain associated with nausea and vomiting. Her workup included a right upper quadrant ultrasound suggestive of a small gallbladder with cholelithiasis without sonographic evidence of acute cholecystitis. She underwent attempted laparoscopic cholecystectomy with no identifiable gallbladder during surgery. Read More

Int J Surg Case Rep 2018 26;51:99-101. Epub 2018 Jul 26.

Department of Medicine, Medical College of Georgia, Augusta, USA.

Introduction: Congenital agenesis of the gallbladder is a rare embryological defect of the biliary system. While occurring equally in men and women, gallbladder agenesis is found clinically twice as often in women. Patients present with symptoms suggesting biliary colic. Read More

S Afr J Surg 2018 Jun;56(2):36-40

Department of Surgery, University of KwaZulu-Natal.

Background: Laparoscopic cholecystectomy (LC) is the gold standard for the management of symptomatic cholelithiasis and complications of gallstone disease. Mini laparotomy cholecystectomy (MOC) may be a more appropriate option in the resource constrained rural setting due to its widespread applicability and comparable outcome with LC. The study aimed to provide an epidemiological analysis of gallstone disease in the rural population and to evaluate the outcome of MOC in a rural hospital. Read More

Clin Nucl Med 2018 Sep;43(9):e326-e328

Hepato-Pancreato-Biliary Surgery and Liver Transplantation.

We report the case of a 54-year-old woman with a nonfunctioning paraganglioma arising from the gastroepiploic pedicle demonstrated by F-FDOPA PET/CT. Because gastroepiploic arcade can be assimilated to the gastric mesentery, this tumor has been classified as a mesenteric paraganglioma (PGL). Neural crest cells are a multipotent population of cells characterized by effective migratory properties potentially explaining PGL atypical localization as in the mesentery. Read More

Radiol Case Rep 2018 Aug 5;13(4):904-908. Epub 2018 Jul 5.

Department of Surgery, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.

Gallbladder duplication is a rare anatomic variant of biliary anatomy, which can present diagnostic and treatment challenges. In this case, a 49-year-old male presented with classic symptoms of biliary colic to his primary care physician, and while computed tomography (CT) noted the presence of gallstones, neither CT nor ultrasound was able to locate a gallbladder within the gallbladder fossa. Initial surgery found and cauterized a rudimentary gallbladder, but symptoms persisted, requiring a second surgery and secondary analysis of CT, ultrasound, and magnetic resonance imaging with magnetic resonance cholangiopancreatography. Read More

Am Surg 2018 Jun;84(6):868-874

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. Read More

J Emerg Med 2018 09 23;55(3):e71-e73. Epub 2018 Jun 23.

Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan.

Background: Recurrent abdominal pain, particularly in the right upper quadrant (RUQ) in a patient with a history of cholecystectomy, known as postcholecystectomy syndrome, requires a broad differential diagnosis. Pathology of a retained gallbladder remnant is an exceedingly rare etiology of this pain.

Case Report: A 49-year-old woman who had previously undergone an open cholecystectomy presented to the emergency department with several hours of postprandial RUQ pain and emesis. Read More

Am J Surg 2019 Jan 18;217(1):98-102. Epub 2018 Jun 18.

Yale School of Medicine, Department of Trauma, Surgical Critical Care and Surgical Emergencies, New Haven, CT, USA. Electronic address:

Background: We hypothesized that trends in total bilirubin in the context of cholecystitis and symptomatic cholelithiasis could be used to guide testing for the presence of common bile duct stones (CBDS).

Methods: A review of adult patients with acute cholecystitis or biliary colic with elevated total bilirubin and at least two levels drawn prior to procedural intervention was performed. Trends of total bilirubin and other serum makers were examined to predict the presence of CBDS. Read More

BMC Surg 2018 Jun 19;18(1):43. Epub 2018 Jun 19.

Alfaisal University, Riyadh, Saudi Arabia.

Background: Chylous ascites is considered to be an intra-abdominal collection of creamy colored fluid with triglyceride content of > 110 mg/dL. Chylous ascites is an uncommon but serious complication of numerous surgical interventions. However, it is a rare complication of LRYGB. Read More

J Clin Gastroenterol 2018 Aug;52(7):579-589

Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL.

Background: Endoscopic retrograde cholangiography and endoscopic sphincterotomy (ES) with subsequent cholecystectomy is the standard of care for the management of patients with choledocholithiasis. There is conflicting evidence in terms of mortality reduction, prevention of complications specifically biliary pancreatitis and cholangitis with the use of early cholecystectomy particularly in high-risk surgical and elderly patients.

Aims: We conducted this systematic review and meta-analysis of randomized controlled trials to compare the early cholecystectomy versus wait and watch strategy after ES. Read More

Case Rep Gastrointest Med 2018 13;2018:5892143. Epub 2018 May 13.

College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahd University Hospital, Dammam, Saudi Arabia.

Surgical clip migration into the common bile duct with subsequent stone formation is a rare complication following laparoscopic cholecystectomy. Very few cases have been reported in the literature. We report a case of bile duct stone formation around a migrated surgical clip 16 years after laparoscopic cholecystectomy. Read More

Clin Med Insights Case Rep 2018 20;11:1179547618771699. Epub 2018 Apr 20.

Department of Pathology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Background And Study Aims: The prevalence of gallbladder cancer (GBC) varies between different parts of the world. This study is a review of literature and an update of a previously published study conducted in our university and aims to reassess the incidence of GBC over the past 2 decades.

Patients And Methods: We conducted a retrospective study between 2002 and 2016. Read More

J Gastroenterol Hepatol 2018 May;33(5):975

Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

BMJ Case Rep 2018 Apr 13;2018. Epub 2018 Apr 13.

Department of Gastroenterology, University of Alberta, Edmonton, Alberta, Canada.

We present the case of a young female with symptoms of biliary colic and a biochemical profile consistent with biliary obstruction. Imaging was suspicious for Mirizzi's syndrome. Intraoperatively, the patient was found to have a complete intrahepatic gallbladder causing common hepatic duct compression with final pathology confirming acute cholecystitis. Read More

Ann Biol Clin (Paris) 2018 Apr;76(2):173-178

Laboratoire de biochimie et de toxicologie, Hôpital universitaire de Monastir, Monastir, Tunisie.

This study reports the clinical and biological signs, as well as the morphological aspect and the chemical composition of the calculus during the biliary stones. The study population consisted of 31 patients with an average age of 49 years (30 women and one man) with biliary lithiasis and who had cholecystectomy. Hepatic colic and epigastralgia were the most evocative clinical signs. Read More

World J Surg 2018 10;42(10):3134-3142

Department of General Surgery, Division of HPB Surgery, Hospital Italiano de Buenos Aires, Juan D. Peron 4190, C1181ACH, Buenos Aires, Argentina.

Introduction: In laparoscopic transcystic common bile duct exploration (LTCBDE), the risk of acute pancreatitis (AP) is well recognized. The present study assesses the incidence, risk factors, and clinical impact of AP in patients with choledocholithiasis treated with LTCBDE.

Methods: A retrospective database was completed including patients who underwent LTCBDE between 2007 and 2017. Read More

Case Rep Surg 2018 14;2018:4671828. Epub 2018 Jan 14.

Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, Italy.

Background: In the context of cirrhosis, portal vein thrombosis (PVT) is present in 2.1% to 26% of patients. PVT is no longer considered an absolute contraindication for liver transplantation, and nowadays, surgical strategies depend on the extent of PVT. Read More

Ann Hepatobiliary Pancreat Surg 2018 Feb 26;22(1):36-41. Epub 2018 Feb 26.

Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.

Backgrounds/aims: A residual gallbladder (RGB) following a partial/subtotal cholecystectomy may cause symptoms that require its removal. We present our large study regarding the problem of a RGB over a 15 year period.

Methods: This study involved a retrospective analysis of patients managed for symptomatic RGB from January 2000 to December 2015. Read More

J Am Coll Surg 2018 Jun 2;226(6):1030-1035. Epub 2018 Mar 2.

Department of Surgery, Massachusetts General Hospital, Boston, MA. Electronic address:

Background: Bile spillage (BS) occurs frequently during laparoscopic cholecystectomy, yet its impact on postoperative outcomes remains unknown. We hypothesized that BS increases the risk of surgical site infections (SSI) after laparoscopic cholecystectomy.

Study Design: Patients older than 18, who were admitted to an academic hospital for a laparoscopic (or laparoscopic converted to open) cholecystectomy, from May 2010 to March 2017, were prospectively included. Read More

BMC Gastroenterol 2018 Feb 27;18(1):32. Epub 2018 Feb 27.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, Republic of China.

Background: In patients with common bile duct stones (CBDS) and intact gallbladder, further management for the gallbladder after the CBDS clearance is still controversial. The relationship between gallbladder motility and the biliary complications were seldom discussed. Our study is to predict the subsequent biliary complications by gallbladder function test using fatty meal sonography (FMS) in patients with CBDS who had been treated by endoscopic retrograde cholangiopancreatography (ERCP). Read More