9,503 results match your criteria Cholecystitis Acute


Cholecystectomy for acute cholecystitis in octogenarians: impact of advanced age on post-operative outcome.

Minerva Chir 2019 Feb 13. Epub 2019 Feb 13.

Emergency Surgery Unit, St. Orsola University Hospital, Alma Mater Studiorum, Bologna, Italy.

Background: The number of surgical operations in elderly patients is increasing due to the aging demographics of western populations. The aim of the present study was to investigate the peri- operative outcome of octogenarian patients undergoing cholecystectomy for acute cholecystitis.

Methods: We performed a retrospective analysis including all patients who underwent cholecystectomy for acute cholecystitis from January 2013 to December 2017. Read More

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http://dx.doi.org/10.23736/S0026-4733.19.07891-XDOI Listing
February 2019

Review of Operative Treatment of Delayed Presentation of Acute Cholecystitis.

Am Surg 2019 Jan;85(1):98-102

Treatment of patients with delayed acute cholecystitis (AC) includes antibiotics and interval cholecystectomy based on proposed change at 72 hours from symptom onset to a chronic fibrotic phase with concern for increased complication rates. The purpose of our study was to compare the outcomes of patients undergoing laparoscopic cholecystectomy (LC) for AC before and after this golden 72-hour window. After institutional review board approval, a retrospective study was performed of patients presenting over two years with AC, who underwent LC during the index admission. Read More

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January 2019

Drainage No Drainage after Laparoscopic Cholecystectomy for Acute Cholecystitis: A Meta-Analysis.

Am Surg 2019 Jan;85(1):86-91

To conduct a randomized controlled trial (RCT), meta-analysis to assess the effectiveness of drains in reducing complications after laparoscopic cholecystectomy (LC) for acute cholecystitis needs to be carried out. An electronic search of PubMed, Embase, Science Citation Index, and the Cochrane Library from January 1990 to January 2018 was performed to identify randomized clinical trials that compare prophylactic drainage with no drainage in LC for acute cholecystitis. The outcomes were calculated as odds ratios (ORs) with 95 per cent confidence intervals (CIs) using RevMan 5. Read More

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January 2019

Acute Cholecystitis as a Complication after Colonoscopy: A Case Report and Literature Review.

Eur J Case Rep Intern Med 2016 12;3(6):000472. Epub 2016 Sep 12.

2 Medical Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Acute cholecystitis after colonoscopy is a rare event, with less than 10 cases described in the literature. We report the case of a male patient with silent gallstones who underwent colonoscopy for follow-up of his Crohn's disease. The colonoscopy revealed erosions in the terminal ileum, from which biopsies were taken. Read More

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http://dx.doi.org/10.12890/2016_000472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346838PMC
September 2016

Acute Acalculous Cholecystitis as a Presenting Manifestation in Systemic Lupus Erythematosus.

Eur J Case Rep Intern Med 2016 11;3(4):000408. Epub 2016 May 11.

Department of Internal Medicine, Rutgers Robert Wood Johnson Medical School/Saint Peter's University Hospital, New Brunswick, New Jersey, USA.

Systemic lupus erythematosus (SLE) is known to involve the gastrointestinal tract, but gallbladder involvement is rare. The authors report the case of a 26-year-old postpartum female who presented with acute right upper quadrant abdominal pain and was diagnosed with acute acalculous cholecystitis (AAC). In the presence of concomitant features of nephritis, pericardial effusion, anaemia and positive ANA titre, the diagnosis of SLE was confirmed during hospitalisation. Read More

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http://dx.doi.org/10.12890/2016_000408DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346864PMC

Gallbladder Perforation with Postoperative Preservation of Peritoneal Dialysis Catheter.

Eur J Case Rep Intern Med 2016 3;3(3):000378. Epub 2016 Mar 3.

Nephrology Department, Pauls Stradins Clinical University Hospital, Riga, Latvia.

A patient undergoing peritoneal dialysis was admitted with acute peritoneal dialysis-related peritonitis. On the 10th day of intraperitoneal antibacterial therapy, the patient's dialysate developed a green color. Gallbladder perforation was revealed. Read More

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http://dx.doi.org/10.12890/2016_000378DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346908PMC

Validation of Tokyo Guideline 2013 as Treatment of Acute Cholecystitis by Real World Data.

Dig Dis 2019 Feb 7:1-6. Epub 2019 Feb 7.

Department of Gastroenterology, Yamanashi Prefectural Central Hospital, Yamanashi, Japan.

Background: The Tokyo Guidelines (TG; 2013) indicated that emergency cholecystectomy is an important early treatment option for acute cholecystitis; however, surgical intervention is not necessarily indicated in patients with advanced age. We evaluated percutaneous transhepatic gallbladder aspiration (PTGBA), percutaneous transhepatic gallbladder drainage (PTGBD), and the administration of antibiotics alone as treatment options for acute -cholecystitis.

Methods: From January 2010 to December 2017, 159 patients with acute cholecystitis were treated at our institution. Read More

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http://dx.doi.org/10.1159/000496738DOI Listing
February 2019
1 Read

Rare case report of acalculous cholecystitis: Gallbladder torsion resulting in rupture.

SAGE Open Med Case Rep 2019 11;7:2050313X18823385. Epub 2019 Jan 11.

Department of Surgery, Wollongong Hospital, Wollongong, NSW, Australia.

Acalculous cholecystitis caused by gallbladder torsion is a rare condition. Only 500 cases have been reported since the first diagnosed case in 1898. We present the case of a 89-year-old woman with sudden onset of severe epigastric pain, radiating across her right costal margin, associated with nausea. Read More

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http://journals.sagepub.com/doi/10.1177/2050313X18823385
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http://dx.doi.org/10.1177/2050313X18823385DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349984PMC
January 2019
2 Reads

Acute Cholecystitis in Elderly Patients after Hip Fracture: a Nationwide Cohort Study.

J Korean Med Sci 2019 Feb 25;34(5):e36. Epub 2019 Jan 25.

Department of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea.

Background: Because acute cholecystitis in elderly hip fracture is not easily distinguishable from other gastrointestinal symptoms and involves atypical clinical behaviors, it may not be diagnosed in the early stage. However, the exact incidences could not be reported. We utilized data from a nationwide claims database and attempted to assess the incidence of acute cholecystitis in elderly hip fracture patients and how cholecystitis affects mortality rates after hip fracture. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.3346/jkms.2019.3
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http://dx.doi.org/10.3346/jkms.2019.34.e36DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6356031PMC
February 2019
3 Reads

[A Case of Laparoscopic Cholecystectomy(TANKO)for Gallbladder Cancer with Torsion].

Gan To Kagaku Ryoho 2018 Dec;45(13):2211-2213

Dept. of Surgery, Saiseikai Shiga Hospital.

Gallbladder torsion is comparatively rare. Gallbladder cancer is found in 1.5% of cases of acute cholecystitis. Read More

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December 2018
2 Reads

Safety of live attenuated varicella-zoster vaccine in patients with underlying illnesses compared with healthy adults: a prospective cohort study.

BMC Infect Dis 2019 Jan 28;19(1):95. Epub 2019 Jan 28.

Kanonji Institute, Research Foundation for Microbial Diseases of Osaka University, 4-1-70, Seto-Cho, Kanonji, Kagawa, 768-0065, Japan.

Background: In Japan, freeze-dried live attenuated varicella-zoster vaccine is available for adults aged ≥50 years to prevent herpes zoster. However, limited evidence has been accumulated regarding vaccine safety for patients with underlying illnesses, who have been considered as the high-risk group for herpes zoster.

Methods: A prospective cohort study of 1200 healthy adults and 300 patients with underlying illnesses such as malignancy, diabetes mellitus, autoimmune diseases, and renal diseases was conducted. Read More

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http://dx.doi.org/10.1186/s12879-019-3719-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350288PMC
January 2019
2 Reads

Predictors of ischemic bowel in patients with incarcerated hernias.

Hernia 2019 Jan 28. Epub 2019 Jan 28.

Division of Trauma, Surgical Critical Care and Acute Care Surgery, Department of Surgery, Harbor-UCLA Medical Center, 1000 West Carson Street, Torrance, CA, 90502, USA.

Purpose: Diagnosing intestinal strangulation in the setting of incarcerated hernias remains challenging. Hyponatremia has been identified as a predictor of necrotizing soft tissue infections and gangrenous cholecystitis. We hypothesized that hyponatremia could predict bowel ischemia in patients with incarcerated hernias. Read More

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http://dx.doi.org/10.1007/s10029-019-01884-1DOI Listing
January 2019
1 Read

[Acute abdomen - gastrointestinal causes].

Radiologe 2019 Feb;59(2):114-125

Klinik und Poliklinik für Radiologie, Klinikum der Ludwig-Maximilians-Universität München, Campus Grosshadern, Marchioninistr. 15, 81377, München, Deutschland.

Clinical/methodical Issue: Diagnostic imaging plays a crucial role in the assessment and stratification of pathologic conditions causing acute abdomen. This report provides information on etiology, clinical manifestations and therapeutic options for six common diseases resulting in acute abdomen-appendicitis, cholecystitis, bowel obstruction, diverticulitis, acute pancreatitis, and viscus perforation.

Performance: Besides initial ultrasound, CT scans often represent the imaging gold standard for the diagnostic evaluation of acute abdomen. Read More

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http://dx.doi.org/10.1007/s00117-019-0491-zDOI Listing
February 2019
1 Read

Pericholecystic Rim Sign and Gallbladder Nonvisualization Indicating Acute Gangrenous Cholecystitis on 99mTc-MIBI Myocardial Perfusion SPECT.

Clin Nucl Med 2019 Jan 25. Epub 2019 Jan 25.

From the Department of Nuclear Medicine, Taleghani Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Rim sign is assumed as an ominous sign of gangrenous cholecystitis and mandates an urgent surgery. The main mechanism by which this phenomenon arises is increased regional blood flow as a result of an inflammatory process. Therefore, it is expected that this finding be visualized in varieties of scans with various radiopharmaceuticals, including myocardial perfusion scan with Tc-MIBI as an extracardiac finding. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002472DOI Listing
January 2019

Long-term outcome and recurrence factors after percutaneous cholecystostomy as a definitive treatment for acute cholecystitis.

J Gastroenterol Hepatol 2019 Jan 23. Epub 2019 Jan 23.

Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background And Aim: Percutaneous cholecystostomy (PC) has been frequently used as an alternative treatment for acute cholecystitis in seriously ill patients unfit for surgery. The aim of this study was to investigate the recurrence rate and risk factors of recurrence.

Methods: Medical records of 102 patients who were followed up for more than 1 year after PC tube removal among 716 patients who underwent PC for acute cholecystitis treatment were retrospectively analyzed. Read More

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http://dx.doi.org/10.1111/jgh.14611DOI Listing
January 2019
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Reply to "Ultrasound Versus CT for the Diagnosis of Acute Cholecystitis".

AJR Am J Roentgenol 2019 Feb;212(2):W44

1 University of New Mexico, Albuquerque, NM

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http://dx.doi.org/10.2214/AJR.18.20540DOI Listing
February 2019
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Ultrasound Versus CT for the Diagnosis of Acute Cholecystitis.

AJR Am J Roentgenol 2019 Feb;212(2):W43

1 Medical University of Innsbruck, Innsbruck, Austria

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http://dx.doi.org/10.2214/AJR.18.20440DOI Listing
February 2019

Association of laboratory and radiologic parameters in the diagnosis of acute cholecystitis.

Rev Gastroenterol Mex 2019 Jan 18. Epub 2019 Jan 18.

Cirugía General y del Aparato Digestivo, Hospital Gutiérrez Ortega, Ciudad Real, España.

Introduction And Objectives: There is currently more evidence suggesting that early surgery should be the treatment of choice for acute calculous cholecystitis, although initial conservative treatment is also reported to be safe. Treatment decision depends on the conditions of the patient, surgical experience, and hospital infrastructure, given that early surgery cannot always be carried out. The aim of the present study was to correlate C-reactive protein values with other variables to determine those situations in which surgery cannot be delayed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03750906183017
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http://dx.doi.org/10.1016/j.rgmx.2018.09.001DOI Listing
January 2019
2 Reads

Avoiding the tube: ERCP and EUS approaches to gallbladder drainage as alternatives to percutaneous cholecystostomy in patients with cholecystitis.

Authors:
Douglas G Adler

Gastrointest Endosc 2019 02;89(2):299-300

Therapeutic Endoscopy, Division of Gastroenterology, Hepatology, and Nutrition, University of Utah School of Medicine, Huntsman Cancer Center, Salt Lake City, Utah, USA.

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https://linkinghub.elsevier.com/retrieve/pii/S00165107183303
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http://dx.doi.org/10.1016/j.gie.2018.09.010DOI Listing
February 2019
2 Reads

Gallbladder carcinoma. Surgical management of gallblad-der carcinoma. An analysis of 37 cases.

Ann Ital Chir 2018 ;89:501-506

Background & Aims: Gallbladder carcinoma is a rare yet very aggressive cancer. In this study we evaluate the presentation, staging, procedures, complications and survival of patients with gallbladder carcinoma.

Material And Methods: Data at presentation, operative findings, postoperative evolution, complications and survival data were analyzed for 37 patients with gallbladder carcinoma (as cohort study) confirmed at histopathology between January 2005 and December 2011 in Surgical Department of Regional Institute of Gastroenterology And Hepatology "Octavian Fodor" Cluj-Napoca, Romania. Read More

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January 2018
2 Reads

Against the Odds: A Novel Technique to Perform Cholangiography from a Percutaneous Approach through the Cystic Duct.

Cureus 2018 Nov 12;10(11):e3577. Epub 2018 Nov 12.

Interventional Radiology, University of Florida College of Medicine, Jacksonville, USA.

Percutaneous cholangiography is typically performed via a transhepatic approach and is reserved for patients with contraindications to traditional cholangiogram imaging modalities. For those with suspected cholelithiasis or choledocholithiasis who cannot undergo magnetic resonance imaging for diagnosis, percutaneous cholecystostomy with cholangiogram is a viable option. Endoscopic retrograde cholangiopancreatography may also be precluded due to anatomic or obstructive limitations, in which case, percutaneous transhepatic cholangiography (PTC) may be indicated for diagnosis. Read More

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http://dx.doi.org/10.7759/cureus.3577DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333255PMC
November 2018
2 Reads

Intraluminal duodenal ("windsock") diverticulum: a rare cause of biliary obstruction and acute pancreatitis in the adult.

Endosc Int Open 2019 Jan 15;7(1):E87-E89. Epub 2019 Jan 15.

Department of Surgery, University Hospital "Saint Marina", Pleven, Bulgaria.

An intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly, which is a result of incomplete recanalization of the foregut lumen during embryonic development. Most patients are asymptomatic. Symptoms usually occur after the third decade of life and mainly include epigastric pain, nausea, vomiting, or bloating. Read More

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http://dx.doi.org/10.1055/a-0808-3834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333535PMC
January 2019
6 Reads

Intraoperative Treatment of Duct of Luschka during Laparoscopic Cholecystectomy: A Case Report and Revision of Literature.

Case Rep Surg 2018 17;2018:9813489. Epub 2018 Dec 17.

Department of General Surgery, Hospital Veris Delli Ponti, Scorrano, Italy.

Background: Bile leakage still remains a serious complication during cholecystectomies. In limited cases, this complication may occur from injury of the so-called ducts of Luschka. These rare ducts are usually discovered intraoperatively, and their presence poses the risk of bile injury and clinically significant bile leak. Read More

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https://www.hindawi.com/journals/cris/2018/9813489/
Publisher Site
http://dx.doi.org/10.1155/2018/9813489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311775PMC
December 2018
4 Reads

Estimation of cardiosurgical intervention risk according to EuroSCORE in patients with acute coronary syndrome and different gallbladder conditions before coronary artery bypass grafting.

Kardiochir Torakochirurgia Pol 2018 Dec 31;15(4):238-240. Epub 2018 Dec 31.

Department of Family Medicine, Lviv National Medical University named after Danylo Halytsky, Lviv, Ukraine.

Introduction: Estimation of cardiosurgical intervention risk according to EuroSCORE is an important aspect of cardiosurgery. EuroSCORE allows prediction of the probability of a post-operational fatal outcome.

Aim: To estimate the influence of gallbladder condition on the prognosis after coronary artery bypass grafting (CABG) and and the interactions between metabolic background and cardiosurgical intervention risk. Read More

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https://www.termedia.pl/doi/10.5114/kitp.2018.80920
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http://dx.doi.org/10.5114/kitp.2018.80920DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329887PMC
December 2018
4 Reads

Clinical Features and Complications of Coxiella burnetii Infections From the French National Reference Center for Q Fever.

JAMA Netw Open 2018 Aug 3;1(4):e181580. Epub 2018 Aug 3.

Aix-Marseille University, Institut de Recherche pour le Développement (IRD), Assistance Publique Hôpitaux de Marseille (APHM), Microbes, Evolution, Phylogénie et Infections, IHU (Institut Hospitalo-Universitaire)-Méditerranée Infection, Marseille, France.

Importance: Q fever remains widespread throughout the world; the disease is serious and causes outbreaks and deaths when complications are not detected. The diagnosis of Q fever requires the demonstration of the presence of Coxiella burnetii and the identification of an organic lesion.

Objective: To describe the hitherto neglected clinical characteristics of Q fever and identifying risk factors for complications and death. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.1580DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324270PMC
August 2018
3 Reads

Laparoscopic cholecystectomy after endoscopic treatment of choledocholithiasis: a retrospective comparative study.

Updates Surg 2019 Jan 14. Epub 2019 Jan 14.

Department of General and Endoscopic Surgery, Hospital General Dr. Manuel Gea González, Calzada de Tlalpan 4800, Mexico City, 14090, Mexico.

Patients with combined choledocholithiasis and cholecystitis require treatment of both diseases. The aim of our study was to analyze perioperative results of next-day (< 24 h) vs. early (> 24 h) laparoscopic cholecystectomy (LC) after endoscopic clearance of common bile duct stones. Read More

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http://dx.doi.org/10.1007/s13304-019-00624-5DOI Listing
January 2019
6 Reads

Biliary Disease in Immunocompromised Patients: a Single-Center Retrospective Analysis.

J Gastrointest Surg 2019 Jan 11. Epub 2019 Jan 11.

Mount Sinai Department of General Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, 15th floor, New York, NY, 10029, USA.

Background: Acute cholecystitis is a life-threatening disease process in immunocompromised patients. The purpose of this study is to determine the incidence, clinical course, and management of calculous and acalculous acute cholecystitis in immunocompromised patients.

Methods: A single center's database was queried for all patients with a diagnosis of acute cholecystitis from January 1, 2003 to September 30, 2016 with concomitant diagnosis of neutropenia, leukopenia, leukemia, or lymphoma. Read More

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http://dx.doi.org/10.1007/s11605-018-04077-wDOI Listing
January 2019
4 Reads

[Evidence for standard surgical procedures: appendicitis, diverticulitis and cholecystitis].

Chirurg 2019 Jan 11. Epub 2019 Jan 11.

Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

Background: Acute appendicitis, cholecystitis and sigmoid diverticulitis are the most common inflammatory visceral surgical emergencies. According to the principles of evidence-based medicine, treatment methods and surgical indications should be constantly questioned and validated by high-quality clinical studies.

Objective: To identify and classify the current evidence on surgical treatment of acute appendicitis, cholecystitis and sigmoid diverticulitis. Read More

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http://dx.doi.org/10.1007/s00104-018-0779-yDOI Listing
January 2019
1 Read

Endoscopic Ultrasound-Guided Gallbladder Drainage for Aberrant Right Posterior Duct Obstruction Developing after Placement of a Covered Self-Expandable Metallic Stent in a Patient with Distal Biliary Obstruction.

Case Rep Gastroenterol 2018 Sep-Dec;12(3):722-728. Epub 2018 Nov 28.

Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.

Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) has been utilized as an alternative endoscopic technique for patients with acute cholecystitis. In addition to EUS-guided hepaticogastrostomy and EUS-guided cystogastrostomy, EUS-GBD has been reported as being useful for biliary drainage in cases with distal malignant biliary obstruction instead of conventional endoscopic retrograde cholangiopancreatography. We present a case of successful EUS-GBD for malignant obstruction of an aberrant hepatic duct draining directly into the cystic duct. Read More

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http://dx.doi.org/10.1159/000492215DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323387PMC
November 2018
1 Read

A rare intrahepatic subcapsular hematoma (ISH) after laparoscopic cholecystectomy: a case report and literature review.

BMC Surg 2019 Jan 7;19(1). Epub 2019 Jan 7.

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

Background: Intrahepatic subcapsular hematoma (ISH) is an extremely rare, life-threatening complication after laparoscopic cholecystectomy (LC). Only few cases have been reported. Herein, we reported a rare giant ISH after LC and summarized all of the reported cases. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-018-0453-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323672PMC
January 2019
9 Reads

Percutaneous cholecystostomy-tube for high-risk patients with acute cholecystitis: current practice and implications for future research.

Surg Endosc 2019 Jan 2. Epub 2019 Jan 2.

Division of Gastroenterology, Hepatology and Nutrition, The Ohio State University Wexner Medical Center, 395 W. 12th Avenue, 2nd floor, Columbus, OH, USA.

Background: While cholecystectomy (CCY) is the standard of care for gallstone-related acute cholecystitis, percutaneous cholecystostomy-tube (CCYT-tube) is an alternative option in patients with significant comorbid conditions. We sought to identify immediate and longitudinal hospital outcomes of patients who underwent CCYT-tube placement and determine predictors of CCYT-tube placement and eventual CCY on a national level in the US.

Methods: We identified all adults (age ≥ 18 years) with a primary diagnosis of acute calculous cholecystitis from January to November 2013 in the Nationwide Readmissions Database (NRD). Read More

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http://dx.doi.org/10.1007/s00464-018-06634-5DOI Listing
January 2019
2 Reads
3.256 Impact Factor

A Novel Prediction Model for Bloodstream Infections in Hepatobiliary-Pancreatic Surgery Patients.

World J Surg 2019 Jan 2. Epub 2019 Jan 2.

Department of Medicine, MacKay Medical College, No. 46, Sec. 3, Zhongzheng Rd., Sanzhi Dist., New Taipei City, 252, Taiwan.

Background: Bloodstream infections (BSI) are an important source of postoperative mortality in hepatobiliary-pancreatic surgery (HBPS) patients, and no prediction model has been analyzed before.

Methods: Using big data from the electronic medical records of the administrative and culture databases of MacKay Memorial Hospital, we identified the potential risk factors for community-acquired and healthcare-associated BSI and mortality of patients who received HBPS. Subsequently, we analyzed the microorganisms' profiles and antimicrobial susceptibility patterns for these BSI. Read More

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http://dx.doi.org/10.1007/s00268-018-04903-xDOI Listing
January 2019
1 Read

Failure to perform index cholecystectomy during acute cholecystitis results in significant morbidity for patients who present with recurrence.

HPB (Oxford) 2018 Dec 31. Epub 2018 Dec 31.

General Surgery Department, IRBLleida-University Hospital Arnau de Vilanova, Avenue Alcalde Rovira Roure 80, Lleida, Spain.

Background: Although index cholecystectomy is considered the treatment of choice for acute cholecystitis (AC), many hospital systems struggle to provide such a service. The aim of this study was to analyze the effect of failure to perform index cholecystectomy in patients presenting with acute cholecystitis.

Methods: Between June 2010 and December 2015, all patients presenting to one hospital with an initial attack of AC were enrolled into a prospective database. Read More

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http://dx.doi.org/10.1016/j.hpb.2018.11.007DOI Listing
December 2018
1 Read

Clinical outcomes of laparoscopic cholecystectomy in elderly patients after preoperative assessment and optimization of comorbidities.

Ann Hepatobiliary Pancreat Surg 2018 Nov 27;22(4):374-379. Epub 2018 Nov 27.

Department of Surgery, National Medical Center, Seoul, Korea.

Backgrounds/aims: Early laparoscopic cholecystectomy is considered as the standard treatment of acute cholecystitis. However, whether this procedure is desirable in elderly patients with acute cholecystitis is not clearly elucidated. In this study, we aimed to evaluate the effects of thorough preoperative assessment and consultation for complications on clinical outcomes in elderly patients over 65 and over 80 years. Read More

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http://dx.doi.org/10.14701/ahbps.2018.22.4.374DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295375PMC
November 2018
2 Reads

A large-cohort comparison between single incision laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy from a single center; 2080 cases.

Ann Hepatobiliary Pancreat Surg 2018 Nov 27;22(4):367-373. Epub 2018 Nov 27.

Department of Surgery, Konyang University Hospital, Daejeon, Korea.

Backgrounds/aims: This study was conducted to verify and compare the safety and feasibility of single incision laparoscopic cholecystectomy (SILC) and conventional laparoscopic cholecystectomy (CLC).

Methods: A total of 2,080 patients underwent laparoscopic cholecystectomy in a single center, Konyang University Hospital, between 2010 and 2016. We retrospectively compared the demographics, perioperative outcome, and postoperative complication results between the CLC and SILC groups. Read More

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http://dx.doi.org/10.14701/ahbps.2018.22.4.367DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295377PMC
November 2018
1 Read

Outcome after cholecystectomy in the elderly.

Am J Surg 2018 Dec 15. Epub 2018 Dec 15.

Department of Surgery, Division of Abdominal Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. Electronic address:

Background: Cholecystectomy is considered the standard treatment for acute cholecystitis and symptomatic gallstones. An increasing number of frail elderly patients are being referred for this surgical treatment. A better understanding of surgical outcome in the elderly is needed to improve quality of care. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.12.018DOI Listing
December 2018
3 Reads

[Clinical study of real-time shear wave elastography for diagnosis of severity of acute cholecystitis].

Zhonghua Yi Xue Za Zhi 2018 Dec;98(47):3903-3906

Department of Medical Ultrasound, Wuxi People's Hospital of Nanjing Medical University, Wuxi 214023, China.

To assess the clinical value of real-time shear wave elastography (SWE) in distinguishing between mild and severe cholecystitis. A total of 176 patients with cholecystitis who meet the criteria of Tokyo Guideline in Wuxi People's Hospital of Nanjing Medical University from January 2017 to March 2018 were recruited, 95 male, 81 female, age range of 23-88 years, average age (48±16)years, and divided into severe (91 cases) and mild (85 cases) groups according to disease severity. All patients underwent routine ultrasound and SWE examination to assess gallbladder morphology, hepatic flow signals and liver cirrhosis adjacent to the gallbladder. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.47.019DOI Listing
December 2018
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Two Cases of Acute Cholecystitis and Symptomatic Choledocholithiasis in Two Women Less than 40-Years-of-Age with Hormonal Intrauterine Devices.

Case Rep Gastrointest Med 2018 21;2018:2390213. Epub 2018 Nov 21.

Hasrat Sidhu, M.B.B.S, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Levonorgestrel uterine implants are accepted as a safe and efficacious method of contraception. One of the two major health side effects in a large controlled study of subcutaneous hormonal implants with levonorgestrel was a significant increase in gallbladder disease. Gallbladder hypomotility is recognized as a side effect of the levonorgestrel (progesterone). Read More

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http://dx.doi.org/10.1155/2018/2390213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280224PMC
November 2018
2 Reads

Efficacy and safety of early cholecystectomy for comorbid acute cholecystitis and acute cholangitis: Retrospective cohort study.

Ann Med Surg (Lond) 2019 Feb 1;38:8-12. Epub 2018 Nov 1.

Departments of Surgery, Onomichi General Hospital, Onomichi, Hiroshima, Japan.

Background: This study investigated the optimal timing and usefulness of early cholecystectomy for acute cholecystitis in patients with comorbid acute cholangitis.

Materials And Methods: In 2011-2016, 252 patients who underwent early cholecystectomy for acute cholecystitis and 7 who underwent delayed cholecystectomy were enrolled and compared. Patients with comorbid acute cholangitis were then divided into those who underwent urgent cholecystectomy (within 72 h after symptom onset), semi-urgent cholecystectomy (3-14 days after symptom onset), or delayed cholecystectomy (3 months after symptom onset). Read More

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http://dx.doi.org/10.1016/j.amsu.2018.10.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302235PMC
February 2019
1 Read

Clinical aspects of splenomegaly as a possible predictive factor of coronary artery changes in Kawasaki disease.

Cardiol Young 2018 Dec 21:1-6. Epub 2018 Dec 21.

Department of Pediatrics, Samsung Changwon Hospital,Sungkyunkwan University School of Medicine,Changwon,Korea.

Background: Although many clinical features that are not typically included in the diagnostic criteria for Kawasaki disease, such as gall bladder hydrops, are known to occur with Kawasaki disease, splenomegaly is not concerned. We investigated the relationship of splenomegaly with the development of coronary artery lesions in Kawasaki disease.Methods and resultsThis retrospective descriptive study was conducted through a review of medical records of children with Kawasaki disease from March 2011 to February 2017. Read More

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http://dx.doi.org/10.1017/S1047951118002238DOI Listing
December 2018
2 Reads

Gangrenous cholecystitis: A silent but potential fatal disease in patients with diabetic neuropathy. A case report.

World J Clin Cases 2018 Dec;6(15):1007-1011

Department of Plastic and Reconstructive Surgery, Rhode Island Hospital, Brown University, Providence, RI 02903, United States.

Gangrenous cholecystitis (GC) is a severe and potentially deadly complication of acute cholecystitis. We present a 83-year-old gentleman with a past medical history of type 2 diabetes mellitus with significant associated neuropathy, presenting to a community hospital in a major metropolitan area with 10 days nausea and vomiting and a benign abdominal exam. While the patient was admitted for hyperglycemia, he was subsequently found to have severe GC requiring urgent surgical intervention. Read More

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http://dx.doi.org/10.12998/wjcc.v6.i15.1007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288495PMC
December 2018
2 Reads

Endoscopic ultrasound guided gallbladder drainage - is it ready for prime time?

World J Gastrointest Pharmacol Ther 2018 Dec;9(6):47-54

Department of Gastroenterology and Hepatology, University of California San Francisco, Fresno, CA 93721, United States.

Management of acute cholecystitis includes initial stabilization and antibiotics. However, the most definitive treatment is cholecystectomy. A small percentage of patients who are not suitable for surgery due to the severity of cholecystitis or comorbidities will require a temporary measure as a bridge to surgery or permanent nonoperative management to decrease the mortality and morbidity. Read More

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http://www.wjgnet.com/2150-5349/full/v9/i6/47.htm
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http://dx.doi.org/10.4292/wjgpt.v9.i6.47DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288492PMC
December 2018
2 Reads

[Rare abdominal diseases in emergency surgery].

Khirurgiia (Mosk) 2018 (12):73-75

Central District Hospital of Meleuz, Russia.

Treatment of 3 children with rare abdominal diseases are presented in the article: acute gangrenous cholecystitis in newborn, gallbladder torsion, vermiform appendix torsion. The authors recall the existence of such rare diseases, especially in those cases when clinical symptoms of acute surgical abdominal pathology do not fit into the well-known canons. Diagnosis was established intraoperatively in all children that confirms difficult diagnosis of these diseases. Read More

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http://dx.doi.org/10.17116/hirurgia201812173DOI Listing
January 2018
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[Fast-track rehabilitation for acute cholecystitis: intermediate outcomes of prospective randomized trial].

Khirurgiia (Mosk) 2018 (12):13-20

Chair of Faculty-Based Surgery #1 of the Faculty of Medicine Pirogov Russian National Research Medical University, Moscow, Russia.

Aim: To analyze an efficacy of FT-protocol in patients with acute cholecystitis.

Material And Methods: Prospective randomized study included 102 patients (45 of main group (FT) and 57 of control groups). Patients did not differ by TG13 severity index. Read More

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http://dx.doi.org/10.17116/hirurgia201812113DOI Listing
January 2018

Clinical characteristics and short-term outcomes in patients with acute cholecystitis over aged >80 years.

Geriatr Gerontol Int 2018 Dec 14. Epub 2018 Dec 14.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.

Aim: We investigated the clinical characteristics and short-term outcomes in acute cholecystitis (AC) patients aged ≥80 years. We therefore sought to determine the ideal treatment for elderly patients with AC.

Methods: We retrospectively evaluated 253 patients with AC. Read More

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http://dx.doi.org/10.1111/ggi.13588DOI Listing
December 2018
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The impact of empiric endoscopic biliary sphincterotomy on future gallstone-related complications in patients with non-severe acute biliary pancreatitis whose cholecystectomy was deferred or not performed.

Surg Endosc 2018 Dec 7. Epub 2018 Dec 7.

Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.

Background: Early cholecystectomy (EC) is recommended in patients with acute biliary pancreatitis (ABP). In real-life practice, cholecystectomy is frequently deferred due to various reasons and delayed cholecystectomy (DC) is performed instead. Endoscopic sphincterotomy (ES) is an alternative to prevent recurrent pancreatitis, however other gallstone-related complications (GCs) may still develop. Read More

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http://dx.doi.org/10.1007/s00464-018-06622-9DOI Listing
December 2018
2 Reads
3.256 Impact Factor

Positive Murphy's Sign in Pericardial Hematoma from a Right Atrial Tear.

Cureus 2018 Oct 2;10(10):e3402. Epub 2018 Oct 2.

Cardiology, Maricopa Integrated Health System, Phoenix, USA.

A positive Murphy's sign in a patient with right upper quadrant abdominal pain is the arrest of inspiration during deep palpation of the quadrant. It is usually suggestive of acute cholecystitis. We report an unusual case of a positive Murphy's sign not due to acute cholecystitis, but rather from a pericardial hematoma from a right atrial tear causing right heart failure. Read More

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http://dx.doi.org/10.7759/cureus.3402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279000PMC
October 2018
10 Reads

[Endogenic antimicrobial peptides and cytokines in calculous cholecystitis].

Khirurgiia (Mosk) 2018 (10):51-54

Azerbaijan Medical University, Baku, Azerbaijan.

Aim: To analyze concentration of some antimicrobial peptides and cytotoxins in acute calculous cholecystitis regarding gallbladder inflammation grade.

Material And Methods: There were 69 patients with catarrhal (29), phlegmonous (24) inflammation and gangrenous phlegmon (19). Some antimicrobial peptides (HNP-α, BPI, endotoxin, neutrophil elastase, lactoferritin, hepcidin) and cytokines (TNF-α, IL-6, 8, 10) in blood serum as well as hepcidin, TNF-α and IL-6 in hepatic biopsy samples were assessed. Read More

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http://dx.doi.org/10.17116/hirurgia201810151DOI Listing
January 2018
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Pre-surgery age-adjusted Charlson Comorbidity Index is associated with worse outcomes in acute cholecystitis.

Dig Liver Dis 2018 Oct 11. Epub 2018 Oct 11.

Surgery Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

Background: Beneficial effects of cholecystectomy in acute cholecystitis (AC) might be weakened by complications. The age-adjusted Charlson Comorbidity Index (CCI) assesses disease relevance in the prediction of one-year mortality.

Aims: To evaluate whether age-adjusted CCI predicted complications (including surgical complications, intensive care unit [ICU] admission, and in-hospital death) among patients undergoing cholecystectomy for AC. Read More

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http://dx.doi.org/10.1016/j.dld.2018.10.002DOI Listing
October 2018
4 Reads

Characteristics and Timing of Interhospital Transfers of Emergency General Surgery Patients.

J Surg Res 2019 Jan 26;233:8-19. Epub 2018 Jul 26.

Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Background: Transferred emergency general surgery (EGS) patients have increased morbidity, mortality, and costs, yet little is known about the characteristics of such transfers. Increasing specialization and a decreasing general surgery workforce have led to concerns about access to care, which may lead to increased transfers. We sought to evaluate the reasons for and timing of transfers for EGS diagnoses. Read More

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http://dx.doi.org/10.1016/j.jss.2018.06.017DOI Listing
January 2019
1 Read