20,337 results match your criteria Cholecystitis

Laparoscopic Cholecystectomy for Gallbladder Dysfunction and Polyps: Incidence and Follow up.

JSLS 2021 Apr-Jun;25(2)

University Hospital Hairmyres, Lanarkshire, Scotland, UK.

Aim: This study aims to evaluate the incidence, indications, management, and long term follow up of cholecystectomy in patients with no gallstones, other than acalculous acute cholecystitis.

Methods: Prospectively collected data of 5675 patients undergoing laparoscopic cholecystectomy (LC) over 28 years was extracted and analyzed. Patients with biliary symptoms, no stones on ultrasound scans and abnormal hepatobiliary iminodiacetic acid scans, and those with confirmed gallbladder polyps (GBP) were included. Read More

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Perioperative considerations in the management of cold agglutinin disease in laparoscopic surgery.

BMJ Case Rep 2021 May 12;14(5). Epub 2021 May 12.

Harvard Medical School, Boston, Massachusetts, USA.

An 80-year-old man with idiopathic cold agglutinin disease presented with acute cholecystitis. We describe operating room and anaesthetic considerations for patients with cold agglutinin disease and measures that can be taken to prevent disease exacerbation in this case report. Multidisciplinary collaboration and planning between the operative room staff, anaesthesia team and surgical team are needed to ensure safe surgery and optimal patient outcomes. Read More

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The critical view of safety and bile duct injuries in laparoscopic cholecystectomy: a photo evaluation study on 1532 patients.

HPB (Oxford) 2021 Apr 27. Epub 2021 Apr 27.

Gastroenterological Surgery, Helsinki University Hospital and University of Helsinki, Finland. Electronic address:

Background: Laparoscopic cholecystectomy (LCC) carries a 0.3-1.8% risk of bile duct injury (BDI). Read More

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Mortality risk estimation in acute calculous cholecystitis: beyond the Tokyo Guidelines.

World J Emerg Surg 2021 May 11;16(1):24. Epub 2021 May 11.

Department of Surgery, Autonomous University of Barcelona, Passeig Marítim de la Barceloneta, 25-29, 08003, Barcelona, Spain.

Background: Acute calculous cholecystitis (ACC) is the second most frequent surgical condition in emergency departments. The recommended treatment is the early laparoscopic cholecystectomy; however, the Tokyo Guidelines (TG) advocate for different initial treatments in some subgroups of patients without a strong evidence that all patients will benefit from them. There is no clear consensus in the literature about who is the unfit patient for surgical treatment. Read More

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Pelvic Renal Ectopia: Unusual Position Abnormality.

Cureus 2021 Apr 8;13(4):e14365. Epub 2021 Apr 8.

Endocrinology, University of Antioquia, Medellín, COL.

Pelvic renal ectopia is a congenital anomaly secondary to poor renal migration to the lower back. Usually, these pathologies are of asymptomatic course, therefore its finding is usually fortuitous during radiological examinations for other causes or in work-up of the infrequent symptomatic cases characterized by the occurrence of recurrent infections or symptoms of obstructive uropathy. The objective of this report is to present a case of a 37-year-old female with the unusual manifestation of left pelvic renal ectopia. Read More

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Epstein-Barr virus infection associated with acute acalculous cholecystitis in a 20-year-old woman.

CMAJ 2021 May;193(19):E696

Division of General Medicine (Nakagawa) and Department of Primary Care and Community Health (Miyata), Aichi Medical University School of Medicine, Nagakute, Japan.

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Acute hemorrhagic cholecystitis with gallbladder rupture and massive intra-abdominal hemorrhage.

Autops Case Rep 2021 Jan 28;11:e2020232. Epub 2021 Jan 28.

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

Acute hemorrhagic cholecystitis is a rare, life-threatening condition that can be further complicated by perforation of the gallbladder. We describe a patient with clinical and radiologic findings of acute cholecystitis with a gallbladder rupture and massive intra-abdominal bleeding. Our patient is a 67-year-old male who presented with an ischemic stroke and was treated with early tissue plasminogen activator. Read More

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January 2021

Routine Histopathological Examination of the Specimen After Laparoscopic Cholecystectomy: Can We Be Brave Enough to Give Up?

Turk J Gastroenterol 2021 Feb;32(2):218-224

Department of General Surgery, Gazi University School of Medicine, Ankara, Turkey.

Background: Selective versus routine histopathological examination after cholecystectomy is still in debate. This study aims to investigate the effect of histopathology results on treatment modality and surgery strategy. The validity of the selective histopathology approach was questioned. Read More

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February 2021

False Negative Hepatobiliary Iminodiacetic Acid (HIDA) Scan in a Case of Gall Bladder Perforation.

Cureus 2021 Apr 1;13(4):e14247. Epub 2021 Apr 1.

Pulmonary, Interfaith Medical Center, Brooklyn, USA.

Gall bladder perforation (GBP) is a rare and life-threatening complication of acute cholecystitis that requires immediate intervention. The diagnosis itself poses a diagnostic challenge, if the patient presents after the perforation of the gall bladder, especially if the initial imaging techniques such as ultrasonogram (US), computed tomography (CT) scan, hepatobiliary iminodiacetic acid (HIDA) scan and magnetic resonance cholangiopancreatography (MRCP) are inconclusive. Subtle clues such as free fluid around gall bladder and contracted gall bladder should warrant the clinician as these might be the only clues suggestive of gall bladder perforation. Read More

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A rare case of gallstone ileus-the unanswered question.

Chi Fai Tsang

J Surg Case Rep 2021 Apr 29;2021(4):rjab164. Epub 2021 Apr 29.

Department of General Surgery, Prince of Wales Hospital and Community Health Services, Sydney, New South Wales 2002, Australia.

Gallstone ileus is caused by an impaction of one or more gallstones within the gastrointestinal tract leading to mechanical intestinal obstruction. It is a rare complication of cholelithiasis and found in 2-3% of all cases associated with recurrent episodes of cholecystitis. This case study demonstrates an atypical presentation of gallstone ileus. Read More

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Previous upper abdominal surgery is a risk factor for nasogastric tube reinsertion after pancreaticoduodenectomy.

Surgery 2021 May 3. Epub 2021 May 3.

Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan.

Background: Pancreaticoduodenectomy without subsequent nasogastric tube management has not been widely adopted due to delayed gastric emptying, the specific and frequent morbidity associated with this surgical procedure. We assessed the feasibility of pancreaticoduodenectomy without use of nasogastric tubes and the risk factors for subsequent nasogastric tube reinsertion.

Methods: We retrospectively reviewed 465 patients who underwent pancreaticoduodenectomy at a single institution between 2010 and 2019. Read More

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Drug-eluting bead chemoembolization for the treatment of nonresectable hepatic carcinoma in dogs: A prospective clinical trial.

J Vet Intern Med 2021 May 6. Epub 2021 May 6.

Cedars-Sinai Medical Center, Los Angeles, California, USA.

Background: Effective treatment options for nonresectable hepatic carcinoma (HC) in dogs are limited.

Hypothesis/objective: Objectives were to report outcomes, complications, and tumor responses via computed tomography (CT) assessment after drug-eluting bead transarterial chemoembolization (DEB-TACE) for nonresectable HC in dogs. The authors hypothesized that major complications would be uncommon and short-term CT assessment would demonstrate stable disease or partial response. Read More

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Morbid obesity but not obesity is associated with increased mortality in patients undergoing endoscopic retrograde cholangiopancreatography: A national cohort study.

United European Gastroenterol J 2021 May 5. Epub 2021 May 5.

Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

Background: The relationship between body weight and outcomes of endoscopic retrograde cholangiopancreatography (ERCP) is unclear.

Objectives: This study aimed to investigate the impact of obesity and morbid obesity on mortality and ERCP-related complications in patients who underwent ERCP.

Methods: We conducted a US population-based retrospective cohort study using the Nationwide Readmissions Databases (2013-2014). Read More

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Estrogen-induced gallstone pancreatitis in a transgender female.

Am J Health Syst Pharm 2021 May 5. Epub 2021 May 5.

University of Missouri Hospitals, Columbia, MO, USA.

Disclaimer: In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Read More

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Impact of lockdown on emergency general surgery during first 2020 COVID-19 outbreak.

Eur J Trauma Emerg Surg 2021 May 4. Epub 2021 May 4.

General and Emergency Surgery Division, Robotic and Emergency Surgery Department, A. Manzoni Hospital, ASST Lecco, Lecco, Italy.

Purpose: To evaluate and analyze the impact of lockdown strategy due to coronavirus disease 2019 (COVID-19) on emergency general surgery (EGS) in the Milan area at the beginning of pandemic outbreak.

Methods: A survey was distributed to 14 different hospitals of the Milan area to analyze the variation of EGS procedures. Each hospital reported the number of EGS procedures in the same time frame comparing 2019 and 2020. Read More

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Haemobilia secondary to a cystic artery pseudoaneurysm as complication of VLC.

Acta Biomed 2021 Apr 30;92(S1):e2021125. Epub 2021 Apr 30.

Department of Surgery, Department of Applied Clinical Science and Biotechnology, University of L'Aquila, L'Aquila.

Introduction: The laparoscopic approach has become the gold standard for cholecystectomy. However, it could have some major complications. Among them, it can be considered postoperative pseudoaneurysms of the cystic or hepatic arteries. Read More

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How to treat remnant cholecystitis after subtotal cholecystectomy: two case reports.

Surg Case Rep 2021 May 3;7(1):109. Epub 2021 May 3.

Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1, Chikami, Minami-ku, Kumamoto, Japan.

Background: Subtotal cholecystectomy in patients with severe acute cholecystitis is considered a "bailout" option when the safety of the bile duct cannot be guaranteed. However, subtotal cholecystectomy has a long-term risk of remnant cholecystitis. The appropriate management of remnant cholecystitis has not been fully elucidated. Read More

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Comparison of short- and long-term postoperative occurrences after robotic single-incision cholecystectomy versus multiport laparoscopic cholecystectomy.

Surg Endosc 2021 May 3. Epub 2021 May 3.

Department of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.

Background: Long-term outcomes of SIRC are not well established. Furthermore, SIRC is only now being considered more frequently for patients with independent risk factors for PSH, such as obesity. As such, the paucity of data on longer-term post-surgical outcomes of SIRC is particularly notable as it pertains to obese patients. Read More

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Management of Patients With Acute Cholecystitis After Percutaneous Cholecystostomy: From the Acute Stage to Definitive Surgical Treatment.

Front Surg 2021 15;8:616320. Epub 2021 Apr 15.

Division of General Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Percutaneous cholecystostomy (PC) has become an important procedure for the treatment of acute cholecystitis (AC). PC is currently applied for patients who cannot undergo immediate laparoscopic cholecystectomy. However, the management following PC has not been well-reviewed. Read More

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Chronic lymphoid leukemia metastasis to the gallbladder as a focal mass: A case report.

Radiol Case Rep 2021 Jun 15;16(6):1477-1484. Epub 2021 Apr 15.

Department of Radiology, SUNY Upstate Medical University, 750 E Adams St, Syracuse, NY 13210, USA.

Chronic lymphocytic leukemia (CLL) is the second most common hematologic malignancy, and it is characterized by lymphocytic leukocytosis and secondary hematologic deficiencies. While it most commonly presents as a systemic disease, extramedullary involvement may rarely occur. The literature surrounding CLL metastatic disease to the gallbladder is particularly sparse. Read More

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Impact of COVID-19 on the outcomes of gastrointestinal surgery.

Clin J Gastroenterol 2021 Apr 29. Epub 2021 Apr 29.

Department of Surgery, Sousse Hospital, Sousse, Tunisia.

COVID-19 pandemic has brought a paradigm shift in the treatment of various surgical gastrointestinal disorders. Given the increasing number of patients requiring hospitalization and intensive care for SARS-CoV-2 infections, various surgical departments worldwide were forced to stop or postpone elective surgeries to save the health resources for COVID-19 patients. Since the declaration of the COVID-19 pandemic by the World Health Organization on 12th March 2020, the recommendations from the surgical societies kept evolving to help the surgeons in making informed decisions regarding patient care. Read More

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Secondary Amyloidosis Presenting as Ischemic Proctitis.

Case Rep Gastrointest Med 2021 8;2021:6663391. Epub 2021 Apr 8.

Advocate Lutheran General Hospital, Department of Internal Medicine, Division of Gastroenterology, Park Ridge, IL, USA.

A 49-year-old man presented with abdominal pain and rectal bleeding for two days associated with a 50-pound unintentional weight loss. History was notable for hypertension, chronic kidney disease, obesity, gout, and acute cholecystitis status post cholecystectomy. Computed tomography (CT) of the abdomen and pelvis showed rectal wall thickening. Read More

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Endoscopic lithotripsy for Bouveret syndrome complicated by small bowel obstruction secondary to gallstone fragments.

J Surg Case Rep 2021 Apr 19;2021(4):rjab118. Epub 2021 Apr 19.

Department of Upper Gastrointestinal Surgery, Concord Repatriation General Hospital, Hospital Rd, Concord, New South Wales, Australia.

Bouveret syndrome is a rare complication of cholecystitis, in which impaction of a gallstone creates a cholecystoduodenal fistula leading to gastric outlet obstruction. We report a case of a 90-year-old female who presented with nausea and vomiting on a background of previous necrotic cholecystitis managed conservatively. Computed tomography of the abdomen demonstrated a large gallstone impacted in the third part of the duodenum leading to gastric outlet obstruction. Read More

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Current practices in nutrition management and disease incidence of common marmosets (Callithrix jacchus).

J Med Primatol 2021 Jun 28;50(3):164-175. Epub 2021 Apr 28.

Wisconsin National Primate Research Center, Madison, WI, USA.

Background: A survey was developed to characterize disease incidence, common pathology lesions, environmental characteristics, and nutrition programs within captive research marmoset colonies.

Methods: Seventeen research facilities completed the electronic survey.

Results: Nutritional management programs varied amongst research institutions housing marmosets; eight primary base diets were reported. Read More

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Y-Shaped Vesica Fellea Duplex Gallbladder Causing Acute Biliary Pancreatitis.

Cureus 2021 Apr 25;13(4):e14676. Epub 2021 Apr 25.

Gastroenterology and Hepatology, University Hospitals of Morecambe Bay National Health Service Foundation Trust, Lancaster, GBR.

Gallbladder duplication refers to the splitting of "gallbladder primordium" during the early embryonic development in the fifth or early sixth week. Although it is a very rare congenital abnormality and most of the patients will be asymptomatic, yet the symptomatic cases present with abdominal complaints like nausea vomiting, abdominal pain leads to cholecystitis, cholangitis, biliary colic, or pancreatitis. Herein, we present a case report of duplication of the gallbladder, which was difficult to diagnose on radiology. Read More

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Toward an evidence-based approach for cholangitis diagnosis.

Gastrointest Endosc 2021 Apr 24. Epub 2021 Apr 24.

Keck School of Medicine, University of Southern California, Los Angeles, California; College of Medicine, University of Florida, Gainsville, Florida; University of Colorado Anschutz Medical Campus, Aurora, Colorado.

Background And Aims: Despite improvements in imaging and laboratory medicine, consensus criteria for the diagnosis of cholangitis are lacking. Although endoscopic retrograde cholangiopancreatography (ERCP) is an effective treatment for cholangitis, it should be reserved for those patients with a high probability of the diagnosis, given the morbidity associated with the procedure.

Methods: A comprehensive literature search of PubMed (coverage 1898-present), Web of Science (1900-July 15, 2019), Embase (1943-July 15, 2019), and the Cochrane library (1898-July 15, 2019) was performed to identify studies that reported on diagnostic paradigms and individual diagnostic parameters of cholangitis. Read More

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Acute Acalculous Cholecystitis in a Multiple Sclerosis Patient Treated with Natalizumab.

Neurol India 2021 Mar-Apr;69(2):495-496

Department of Neurology, Hospital Universitario Miguel Servet, Paseo Isabel la Católica 1-3, 50009, Zaragoza, Spain.

Natalizumab is a disease-modifying drug that has proved greatly effective and well-tolerated in highly-active Multiple Sclerosis (MS). However, it may increase the risk for opportunistic infections, such as viral ones. We describe a 37-year-old woman treated with Natalizumab for Relapsing-Remitting Multiple Sclerosis (RR-MS) who presented to our clinic with malaise, arthromyalgias, rash, and fever. Read More

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Is percutaneous cholecystostomy safe and effective in acute cholecystitis? Analysis of adverse effects associated with the technique.

Cir Esp 2021 Apr 23. Epub 2021 Apr 23.

Unidad de Cirugía Hepato-Bilio-Pancreática, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitari Parc Taulí, Sabadell, Barcelona, España.

Introduction: The main objective of our study is to assess the safety and efficacy of percutaneous cholecystostomy for the treatment of acute cholecystitis, determining the incidence of adverse effects in patients undergoing this procedure.

Material And Method: Observational study with consecutive inclusion of all patients diagnosed with acute cholecystitis for 10 years. The main variable studied was morbidity (adverse effects) collected prospectively. Read More

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A haemorrhagic cholecystitis presenting as obstructive jaundice.

Hepatobiliary Surg Nutr 2021 Apr;10(2):299-300

Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

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Efficacy of evaluation of microRNA-122 and microRNA-21 levels in the role of biomarkers of oligosymptomatic choledocholithiasis in patients with acute calculous cholecystitis.

Pol Merkur Lekarski 2021 Apr;49(290):108-113

Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.

Aim: The aim of this study was to evaluate the efficacy of determining the microRNA-122 and microRNA-21 expression levels in serum and bile as predictors of the presence of oligosymptomatic choledocholithiasis in patients with acute calculous cholecystitis.

Materials And Methods: The study included 32 patients who were divided into two groups: I - study group and II - comparison group. The study group included patients with acute calculous cholecystitis (ACC) and oligosymptomatic choledocholithiasis (OCL) (n=23), and the comparison group consisted of patients with ACC without choledocholithiasis (n=9). Read More

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