10,045 results match your criteria Cholecystitis Acute


Histopathological findings in a COVID-19 patient affected by ischemic gangrenous cholecystitis.

World J Emerg Surg 2020 Jul 2;15(1):43. Epub 2020 Jul 2.

Digestive Surgery Unit, Department of Science of Health, "Magna Graecia" University, Catanzaro, Italy.

Background: Since its first documentation, a novel coronavirus (SARS-CoV-2) infection has emerged worldwide, with the consequent declaration of a pandemic disease (COVID-19). Severe forms of acute respiratory failure can develop. In addition, SARS-CoV-2 may affect organs other than the lung, such as the liver, with frequent onset of late cholestasis. Read More

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http://dx.doi.org/10.1186/s13017-020-00320-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330255PMC

EUS-guided gallbladder drainage versus laparoscopic cholecystectomy for acute cholecystitis: a propensity score analysis with 1-year follow-up data.

Gastrointest Endosc 2020 Jun 29. Epub 2020 Jun 29.

Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.

Background And Aims: EUS-guided gallbladder drainage (EUS-GBD) is a safe alternative to percutaneous cholecystostomy (PT-GBD) for acute cholecystitis. How the procedure compares with laparoscopic cholecystectomy (LC) is uncertain. The aim of the current study is to compare the outcomes of EUS-GBD with LC for acute cholecystitis. Read More

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http://dx.doi.org/10.1016/j.gie.2020.06.066DOI Listing

Acute Gangrenous Cholecystitis: Proposal of a Score and Comparison with Previous Published Scores.

J Gastrointest Surg 2020 Jun 30. Epub 2020 Jun 30.

Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.

Background: Gangrenous cholecystitis (GC) is a particularly severe form of acute cholecystitis (AC) and is associated with an increased risk of postoperative morbidity and mortality. Recent reports show that surgeons are remarkably unsuccessful in diagnosing GC.

Methods: We conducted a retrospective study involving 587 patients with AC. Read More

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http://dx.doi.org/10.1007/s11605-020-04707-2DOI Listing

Presentation of gallbladder torsion at an abnormal position: A case report.

World J Clin Cases 2020 Jun;8(12):2667-2673

Department of Hepatobiliary Surgery, Yuncheng Central Hospital, the Eighth Clinical College of Shanxi Medical University, Yuncheng 044031, Shanxi Province, China.

Background: Gallbladder torsion is a rare acute abdominal condition that requires emergency surgery. It occurs more commonly in elderly people and in women in the adult population. Diagnosis is a challenge as non-specific symptoms and signs have been reported on ultrasonography, computed tomography and magnetic resonance imaging. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i12.2667DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322416PMC

Management of Gallstone-Induced Acute Pancreatitis in Pregnancy: A Tertiary-Center Experience.

Sisli Etfal Hastan Tip Bul 2018 21;52(2):92-96. Epub 2018 May 21.

Department of General Surgery, Kanuni Sutan Suleyman Training and Research Hospital, Istanbul, Turkey.

Objectives: Gallbladder stones are the most frequently reported etiology of acute pancreatitis in pregnancy and are often diagnosed in the third trimester. This condition is associated with both mother and infant morbidity and mortality, and its treatment remains controversial.

Methods: Relevant patient data between September 2010 and April 2017 from the Kanuni Sultan Suleyman Training and Research Hospital were analyzed regarding etiology (of gallstone pancreatitis), trimester of pregnancy, diagnostic tools, pancreatitis stage, clinical status, medical treatment, surgical interventions, and pregnancy status. Read More

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http://dx.doi.org/10.14744/SEMB.2017.60490DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315056PMC

Is Interval Cholecystectomy Necessary After Percutaneous Cholecystostomy in High-Risk Acute Cholecystitis Patients?

Sisli Etfal Hastan Tip Bul 2018 26;52(1):13-18. Epub 2018 Mar 26.

Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, İstanbul, Turkey.

Objectives: Percutaneous cholecystostomy (PC) for acute cholecystitis (AC) is frequently performed in high-risk surgical patients as an alternative treatment modality. However, debate remains over whether or not an interval cholecystectomy for these patients should be performed. The aim of this study was to investigate the outcomes of PC in high-risk surgical patients with AC. Read More

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http://dx.doi.org/10.14744/SEMB.2018.30092DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315074PMC

Appraisal of percutaneous cholecystostomy as a bridge treatment for acute cholecystitis in high risk patients for general anesthesia.

Asian J Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Surgery, St. Vincent Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea.

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http://dx.doi.org/10.1016/j.asjsur.2020.06.003DOI Listing

Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis.

Dig Dis Sci 2020 Jun 25. Epub 2020 Jun 25.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of New Mexico, MSC10 5550, 1 University of New Mexico, Albuquerque, NM, 87131, USA.

The mainstay of management of acute cholecystitis has been surgical, with percutaneous gallbladder drainage in patients deemed high risk for surgical intervention. Endoscopic management of acute cholecytitis with transpapillary and transmural drainage of the gall bladder is emerging as a viable alternative in high-risk surgical patients. In this article, we discuss the background, current status, technical challenges and strategies to overcome them, adverse events, and outcomes of endoscopic transpapillary gallbladder drainage for management of acute cholecystitis. Read More

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http://dx.doi.org/10.1007/s10620-020-06422-zDOI Listing

Benign gallbladder diseases: Imaging techniques and tips for differentiating with malignant gallbladder diseases.

World J Gastroenterol 2020 Jun;26(22):2967-2986

Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, South Korea.

Benign gallbladder diseases usually present with intraluminal lesions and localized or diffuse wall thickening. Intraluminal lesions of the gallbladder include gallstones, cholesterol polyps, adenomas, or sludge and polypoid type of gallbladder cancer must subsequently be excluded. Polyp size, stalk width, and enhancement intensity on contrast-enhanced ultrasound and degree of diffusion restriction may help differentiate cholesterol polyps and adenomas from gallbladder cancer. Read More

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http://dx.doi.org/10.3748/wjg.v26.i22.2967DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304100PMC

The chronological change of indications and outcomes for single-incision laparoscopic cholecystectomy: a Korean multicenter study.

Surg Endosc 2020 Jun 24. Epub 2020 Jun 24.

Department of Surgery, College of Medicine, Konyang University Hospital, Kunyang University, 158, Gwanjeodong-ro, Seo-gu, Daejeon, 35365, Republic of Korea.

Background: Although single-incision laparoscopic cholecystectomy (SILC) is a common procedure, the change in its surgical indications and perioperative outcomes has not been analyzed.

Methods: We collected the clinical data of patients who underwent pure SILC in 9 centers between 2009 and 2018 and compared the perioperative outcomes.

Results: In this period, 6497 patients underwent SILC. Read More

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http://dx.doi.org/10.1007/s00464-020-07748-5DOI Listing

[Cholecystostomy in acute cholecystitis in modern surgical practice].

Khirurgiia (Mosk) 2020 (6):44-48

Volgograd State Medical University of the Ministry of Health of Russia, Volgograd, Russia.

Objective: To improve the results of treatment of acute cholecystitis.

Material And Methods: A historical cohort study (1965-2016) included 1248 patients with acute obstructive cholecystitis and 154 patients with acute obstructive cholecystitis combined with ductal complications and obstructive jaundice. Cholecystostomy was used in all patients. Read More

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http://dx.doi.org/10.17116/hirurgia202006144DOI Listing
January 2020

Emergent cholecystectomy in patients on antithrombotic therapy.

Sci Rep 2020 Jun 22;10(1):10122. Epub 2020 Jun 22.

Department of Gastroenterological Surgery, Fukuyama City Hospital, Fukuyama, Japan.

The Tokyo Guidelines 2018 (TG18) recommend emergent cholecystectomy (EC) for acute cholecystitis. However, the number of patients on antithrombotic therapy (AT) has increased significantly, and no evidence has yet suggested that EC should be performed for acute cholecystitis in such patients. The aim of this study was to evaluate whether EC is as safe for patients on AT as for patients not on AT. Read More

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http://dx.doi.org/10.1038/s41598-020-67272-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7308317PMC

COVID-19 with acute cholecystitis: a case report.

BMC Infect Dis 2020 Jun 22;20(1):437. Epub 2020 Jun 22.

Department of Radiology, Jinhua Municipal Central Hospital, Jinhua, Zhejiang, China.

Background: The 2019 novel coronavirus (COVID-19) presents a major threat to public health and has rapidly spread worldwide since the outbreak in Wuhan, Hubei Province, China in 2019. To date, there have been few reports of the varying degrees of illness caused by the COVID-19.

Case Presentation: A case of 68-year-old female with COVID-19 pneumonia who had constant pain in the right upper quadrant of her abdomen during her hospitalization that was finally diagnosed as acute cholecystitis. Read More

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http://dx.doi.org/10.1186/s12879-020-05164-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306929PMC

Gram staining of gallbladder bile samples is useful for predicting surgical site infection in acute cholecystitis patients undergoing an early cholecystectomy.

J Hepatobiliary Pancreat Sci 2020 Jun 22. Epub 2020 Jun 22.

Department of Surgery, Aizawa Hospital, 2-5-1 Honjou Matsumoto, Nagano, 390-8510, Japan.

Background: Microbiological assessment of gallbladder bile is important for postoperative management in cholecystectomy for acute cholecystitis (AC). Gram staining is used as the first step in the assessment, in order to preliminarily detect bacteria in the bile sample. This study was conducted to evaluate the clinical significance of Gram staining results in the development of postoperative surgical site infection (SSI) in AC patients. Read More

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http://dx.doi.org/10.1002/jhbp.790DOI Listing

Markedly elevated hepatic arterial velocity-HAV greater than 200 cm/s-is not specific to hepatobiliary disease.

J Clin Ultrasound 2020 Jun 21:e22885. Epub 2020 Jun 21.

Department of Biostatistics, University of California, Davis Health, California, USA.

Objective: The aim of the study was to review the different etiologies and outcomes of patients with hepatic artery velocities greater than 200 cm/s.

Methods: This retrospective study included 88 hospitalized patients in whom angle-corrected proper hepatic artery flow velocities greater than 200 cm/s were obtained during an abdominal ultrasonographic examination. Peak systolic hepatic artery flow velocities, hepatic artery resistance index, and portal vein flow velocities were evaluated. Read More

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http://dx.doi.org/10.1002/jcu.22885DOI Listing

Utility of ultrasound after a negative CT abdomen and pelvis in the emergency department.

Clin Imaging 2020 Jun 12;68:29-35. Epub 2020 Jun 12.

Staten Island University Hospital, Northwell Health, 475 Seaview Ave, Staten Island, NY 10305, USA.

Purpose: The purpose of this study is to assess the utility of an abdominal and/or pelvic ultrasound (US) performed within 24 h after a negative CT of the abdomen and pelvis (CTAP) in the emergency department (ED). The secondary endpoint is to assess whether there is a significant increase in length of stay (LOS) in the ED due to immediate US reimaging.

Method: We reviewed the imaging reports of 335 patients over the course of 3 years in our ED who had an US within 24 h after a negative CTAP. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.06.007DOI Listing

Xanthogranulomatous Cholecystitis: Is Surgery Difficult? Is Laparoscopic Surgery Recommended?

J Laparoendosc Adv Surg Tech A 2020 Jun 22. Epub 2020 Jun 22.

Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Xanthogranulomatous cholecystitis (XGC) is a rare inflammatory disease of the gallbladder (GB). XGC surgery is a difficult process due to its clinical, radiological, and intraoperative findings. In this study, our aim is to show the difficulties of XGC surgery and to find out if laparoscopic surgery is a sufficient procedure. Read More

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http://dx.doi.org/10.1089/lap.2020.0334DOI Listing

Identification of risk factors for obstructive cholecystitis following placement of biliary stent in unresectable malignant biliary obstruction: a 5-year retrospective analysis in single center.

Surg Endosc 2020 Jun 15. Epub 2020 Jun 15.

Division of Gastroenterology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, 7, Keunjaebong-gil, Hwaseong-si, 18450, Gyeonggi-do, Korea.

Background: The risk factors for acute cholecystitis following biliary stent placement in patients with malignant biliary obstruction (MBO) have not been identified. We determined these risk factors and the efficacy of endoscopic ultrasound (EUS)-guided gallbladder drainage (GBD) as treatment.

Methods: We retrospectively analyzed patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) for MBO from October 2013 to September 2018, and those with unresectable MBO with intact gallbladder (GB) were enrolled. Read More

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http://dx.doi.org/10.1007/s00464-020-07694-2DOI Listing

Subtotal laparoscopic cholecystectomy for gangrenous gallbladder during recovery from COVID-19 pneumonia.

Int J Surg Case Rep 2020 13;72:335-338. Epub 2020 Jun 13.

University of Milan, Department of Biomedical Sciences for Health, Division of General and Foregut Surgery, Italy.

Introduction: Management of acute abdomen during COVID-19 pandemic may be challenging.

Presentation Of Case: A 42-year old man was hospitalized for Covid-19 pneumonia. Fever, respiratory symptoms and hypoxemia significantly improved over the next 2 weeks, but the patient developed abdominal pain, nausea, and low-grade fever. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293458PMC

Relationship between clinical and histopathological features of patients undergoing cholecystectomy.

Prz Gastroenterol 2020 22;15(2):131-137. Epub 2019 Jul 22.

Department of Pathology, Diyarbakir Education and Research Hospital, Diyarbakir, Turkey.

Introduction: Cholelithiasis is most common disease of the gallbladder and cholecystectomy is the one of the most performed surgical procedure worldwide.

Aim: To assess the relationship between the demographic, biochemical, and histopathological variables of patients who underwent cholecystectomy.

Material And Methods: Demographic, biochemical, and histopathological data of 5077 patients undergoing cholecystectomy were compared in terms of two different aspects: open cholecystectomy (OC group; = 2090) versus laparoscopic cholecystectomy (LC group; = 2987), and an elective group ( = 4814) versus an emergency group ( = 263). Read More

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http://dx.doi.org/10.5114/pg.2019.86772DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294973PMC

Mini-cholecystectomy versus laparoscopic cholecystectomy: a retrospective multicentric study among patients operated in some Eastern Libyan hospitals.

Turk J Surg 2019 Sep 23;35(3):185-190. Epub 2019 Sep 23.

Department of General Surgery, Benghazi University, Almrg Teaching Hospital, Almrg, Libya.

Objectives: This study was conducted to analyze the difference between Mini-Cholecystectomy (MC) and Laparoscopic Cholecystectomy (LC) in terms of feasibility and postoperative outcomes to determine if MC could be accepted as a good alternative procedure to LC.

Material And Methods: A retrospective comparative study of 206 consecutively operated patients of chronic cholecystitis (138 LC and 68 MC), in Al-Jalaa, Ajdabiya and Almrg Teaching hospitals between January 2014 and December 2015 was performed. All cases within the two groups were balanced for age, sex, co-morbidities, ultrasound and intraoperative findings. Read More

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http://dx.doi.org/10.5578/turkjsurg.4208DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795217PMC
September 2019

Bleeding From Buried Cholecystogastrostomy Lumen-Apposing Metal Stent: The Double Pigtail Catheter Rescue Treatment.

ACG Case Rep J 2020 Apr 24;7(4):e00368. Epub 2020 Apr 24.

Division of Gastroenterology and Hepatology, The University of New Mexico School of Medicine, Albuquerque, NM.

Lumen-apposing metal stents (LAMS) allow transmural drainage of the gallbladder for endoscopic management of acute cholecystitis in nonsurgical candidates. Delayed bleeding from cholecystogastrostomy or gallbladder after the LAMS placement has not been reported. There are no data for the replacement of LAMS with plastic stents to prevent recurrent delayed bleeding. Read More

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http://dx.doi.org/10.14309/crj.0000000000000368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224718PMC

Surgical treatment of acute calculous cholecystitis complicated with hepatic dysfunction.

Medicine (Baltimore) 2020 Jun;99(24):e20239

To evaluate the timing, feasibility, and necessity of early laparoscopic cholecystectomy (LC) in the management of patients with acute calculous cholecystitis complicated with hepatic dysfunction.The clinical data of 60 patients with acute calculous cholecystitis complicated with hepatic dysfunction treated from January 2016 to January 2018 were analyzed retrospectively. A total of 32 patients underwent LC within 72 hours of the cholecystitis attack, 28 patients after 72 hours. Read More

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http://dx.doi.org/10.1097/MD.0000000000020239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302637PMC

Hartmann pouch herniation in Calot's triangle: A case report.

Int J Surg Case Rep 2020 May 22;72:175-177. Epub 2020 May 22.

Department of Pulmonology, King Hussein Medical Center (KHMC), Amman, Jordan. Electronic address:

Introduction: Laparoscopic cholecystectomy is one of the most frequent operations performed around the world. Some pathological findings are particularly rare and difficult to diagnose preoperatively. Here, we report a case of a patient who presented to our hospital with calculus cholecystitis with a unique Intraoperative finding of Hartmann pouch herniation through hepatocystic triangle. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298520PMC

Enhanced Recovery After Emergency Surgery: Utopia or Reality?

Cir Esp 2020 Jun 9. Epub 2020 Jun 9.

Servicio de Cirugía general y del Aparato Digestivo, Hospital General Universitario de Elche, Elche, Alicante, España.

Enhanced Recovery After Surgery (ERAS) constitutes the application of a series of perioperative measures based on the evidence, in order to achieve a better recovery of the patient and a decrease of the complications and the mortality. These ERAS programs initially proved their advantages in the field of colorectal surgery being progressively adopted by other surgical areas within the general surgery and other surgical specialties. The main excluding factor for the application of such programs has been the urgent clinical presentation, which has caused that despite the large volume of existing literature on ERAS in elective surgery, there are few studies that have investigated the effectiveness of these programs in surgical patients in emergencies. Read More

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http://dx.doi.org/10.1016/j.ciresp.2020.04.017DOI Listing

Acute Acalculous Cholecystitis in a patient with COVID-19 and a LVAD.

J Card Fail 2020 Jun 7. Epub 2020 Jun 7.

Penn State Health, Division of Hospital Medicine. Electronic address:

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http://dx.doi.org/10.1016/j.cardfail.2020.06.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276136PMC

Endoscopic Ultrasound-Guided Gallbladder Drainage: Current Perspectives.

Clin Exp Gastroenterol 2020 15;13:193-201. Epub 2020 May 15.

Digestive Endoscopy Unit, Department of Gastroenterology, Humanitas Clinical and Research Center-IRCCS, Rozzano (MI), Italy.

According to the recently updated Tokyo Guidelines, laparoscopic cholecystectomy still represents the gold standard for the treatment of acute cholecystitis. However, fragile patients, due to comorbidities or poor clinical conditions, have a high surgical risk. In such cases, percutaneous or endoscopic gallbladder drainage is considered the treatment of choice. Read More

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http://dx.doi.org/10.2147/CEG.S203626DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237126PMC

The First Additional Port During Single-Incision Laparoscopic Cholecystectomy.

JSLS 2020 Apr-Jun;24(2)

Department of Surgery, Dongguk University Medical Center, Gyeongju, Republic of Korea.

Background And Objectives: Single-incision laparoscopic cholecystectomy (SILC) has become increasingly popular. Regarding the difficulties of SILC in acute cholecystitis, additional port insertion is sometimes required. However, appropriate locations for additional port insertion have not been well studied. Read More

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http://dx.doi.org/10.4293/JSLS.2020.00024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254861PMC

Acute cholecystitis during COVID-19 pandemic: a multisocietary position statement.

World J Emerg Surg 2020 06 8;15(1):38. Epub 2020 Jun 8.

Department of General Surgery, Ospedale Civile, Adria, Italy.

Following the spread of the infection from the new SARS-CoV2 coronavirus in March 2020, several surgical societies have released their recommendations to manage the implications of the COVID-19 pandemic for the daily clinical practice. The recommendations on emergency surgery have fueled a debate among surgeons on an international level.We maintain that laparoscopic cholecystectomy remains the treatment of choice for acute cholecystitis, even in the COVID-19 era. Read More

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http://dx.doi.org/10.1186/s13017-020-00317-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278255PMC

EUS-guided gallbladder drainage using an improved self-expandable covered metal stent with anti-stent migration system (with video).

Dig Dis 2020 Jun 8. Epub 2020 Jun 8.

Background: Recently, lumen-apposing metal stents (LAMS) have been developed as novel devices for not only EUS-guided pancreatic fluid drainage, but also for EUS-guided gallbladder drainage (GBD). Although LAMS might be clinically impactful, these stents have not yet become available as EUS-GBD stents in all countries, including Japan. Instead, improved metal stents (NEO stents) have become available. Read More

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http://dx.doi.org/10.1159/000509215DOI Listing

Diagnostic role of fine needle aspiration cytology (FNAC) in the evaluation of gall bladder lesions: an institutional experience.

Diagn Cytopathol 2020 Jun 7. Epub 2020 Jun 7.

Department of Pathology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Background: Carcinoma of the gall bladder is the most common malignancy of the biliary tract. Ultrasonography guided Fine Needle Aspiration Cytology (FNAC) plays a crucial role in early detection of gall bladder (GB) lesions. Early diagnosis of GB lesions is a necessity in view of rising trend in GB carcinoma related mortality in India. Read More

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http://dx.doi.org/10.1002/dc.24517DOI Listing

Gastrointestinal Complications After Cardiac Surgery: Highly Morbid but Improving Over Time.

J Surg Res 2020 Jun 3;254:306-313. Epub 2020 Jun 3.

Division of Thoracic & Cardiovascular Surgery, Department of Surgery, University of Virginia, Charlottesville, Virginia. Electronic address:

Background: Gastrointestinal complications after cardiac surgery are associated with high morbidity and mortality. We sought to determine the granular impact of individual gastrointestinal complications after cardiac surgery and assess contemporary outcomes.

Materials And Methods: Patients undergoing cardiac surgery from 2010 to 2017 (6070 patients) were identified from an institutional Society of Thoracic Surgeons database. Read More

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http://dx.doi.org/10.1016/j.jss.2020.02.019DOI Listing

Urgent cholecystectomy in patient with left-sided gallbladder Case report and review of the literature.

Ann Ital Chir 2020 May 25;9. Epub 2020 May 25.

Introduction: Sinistroposition of the gallbladder, or true left-sided gallbladder (LSG) without situs viscerum inversus, is a rare congenital anatomical variant where the gallbladder is located to the left of round/falciform ligament. It can be associated with anomalies of the biliary tree, portal system and hepatic vascularization. The surgical management of a LSG could be challenging even for an experienced operator, being usually an incidental intraoperative finding. Read More

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Gallstone Disease and Microbiome.

Microorganisms 2020 Jun 2;8(6). Epub 2020 Jun 2.

Laboratory of Gastroenterology, Research Institute of Internal and Preventive Medicine-Branch of The Federal Research Center Institute of Cytology and Genetics of Siberian Branch of Russian Academy of Sciences, Novosibirsk 630089, Russia.

Gallstone disease (GSD) has, for many years, remained a high-cost, socially significant public health problem. Over the past decade, a number of studies have been carried out-both in humans and in animal models-confirming the role of the microbiota in various sections of the gastrointestinal tract as a new link in the etiopathogenesis of GSD. The microbiome of bile correlates with the bacterial composition of saliva, and the microbiome of the biliary tract has a high similarity with the microbiota of the duodenum. Read More

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http://dx.doi.org/10.3390/microorganisms8060835DOI Listing

Bilateral Epiploic Appendagitis: A Rather Benign but Diagnostically Challenging Cause of Acute Abdominal Pain.

Cureus 2020 Apr 30;12(4):e7897. Epub 2020 Apr 30.

General Surgery, Hamad Medical Corporation, Doha, QAT.

Epiploic appendagitis (EA) is a rare and often misdiagnosed cause of acute abdominal pain. It is a benign and self-limited condition but mimics other underlying causes of acute abdominal pain like acute diverticulitis, acute appendicitis, acute cholecystitis, etc. Inaccurate diagnosis can lead to iatrogenic adverse outcomes. Read More

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http://dx.doi.org/10.7759/cureus.7897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263009PMC

Hemorrhagic Cholecystitis in a Patient with Cirrhosis and Rectal Cancer.

Cureus 2020 Apr 29;12(4):e7882. Epub 2020 Apr 29.

Internal Medicine, Citrus Memorial Hospital, Inverness, USA.

Hemorrhagic cholecystitis is a rare presentation of acute calculous cholecystitis which presents with abdominal pain, jaundice, and gastrointestinal bleeding. It is a challenging diagnosis to make because it present similar to other common disorders such as calculous cholecystitis. We present a unique case of hemorrhagic cholecystitis in a patient with cirrhosis and rectal cancer. Read More

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http://dx.doi.org/10.7759/cureus.7882DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255552PMC

The value of post-operative antibiotic therapy after laparoscopic appendectomy for complicated acute appendicitis: a prospective, randomized, double-blinded, placebo-controlled phase III study (ABAP study).

Trials 2020 Jun 1;21(1):451. Epub 2020 Jun 1.

Department of Digestive Surgery, Amiens University Hospital, Amiens University Medical Center, Avenue Laennec, F-80054, Amiens cedex 01, France.

Background: Approximately 30% of appendectomies are for complicated acute appendicitis (CAA). With laparoscopy, the main post-operative complication is deep abscesses (12% of cases of CAA, versus 4% for open surgery). A recent cohort study compared short and long courses of postoperative antibiotic therapy in patients with CAA. Read More

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http://dx.doi.org/10.1186/s13063-020-04411-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268648PMC

Bouveret syndrome complicating gastric outlet obstruction and acute cholecystitis.

J Microbiol Immunol Infect 2020 May 18. Epub 2020 May 18.

Division of Infectious Disease, Department of Internal Medicine, Wan Fang Medical Center, Taipei Medical University, Taipei, Taiwan; Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.jmii.2020.04.020DOI Listing

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

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

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

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

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

Risk factors for cholecystitis after stent placement in patients with distal malignant biliary obstruction.

J Hepatobiliary Pancreat Sci 2020 May 27. Epub 2020 May 27.

Department of Gastroenterology, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.

Background /purpose: Limited data are available for acute cholecystitis after Self-Expandable Metallic Stent (SEMS) placement in patients with malignant distal biliary obstruction. We aimed to identify risk factors for cholecystitis.

Methods: This was a retrospective, single-center study of 280 patients (336 stents) who received endoscopic SEMS placement between May 2005 and April 2016. Read More

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http://dx.doi.org/10.1002/jhbp.767DOI Listing

Optimal timing of laparoscopic cholecystectomy after gallbladder drainage for acute cholecystitis: A multi-institutional retrospective study.

J Hepatobiliary Pancreat Sci 2020 May 27. Epub 2020 May 27.

Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

Background: There is no consensus on the optimal timing of laparoscopic cholecystectomy (LC) after gallbladder drainage for acute cholecystitis (AC). To obtain evidence for a consensus, we investigated surgical outcomes of LC after gallbladder drainage with respect to the time elapsed from gallbladder drainage to surgery in a multi-institutional retrospective study.

Methods: This study enrolled 347 patients who underwent LC after gallbladder drainage for AC at 15 institutions. Read More

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http://dx.doi.org/10.1002/jhbp.768DOI Listing

Identification of Kosakonia cowanii as a rare cause of acute cholecystitis: case report and review of the literature.

BMC Infect Dis 2020 May 24;20(1):366. Epub 2020 May 24.

Institute for Medical Microbiology, Virology and Hygiene, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Background: Kosakonia cowanii, formerly known as Enterobacter cowanii, is a Gram-negative bacillus belonging to the order Enterobacterales. The species is usually recognized as a plant pathogen and has only anecdotally been encountered as a human pathogen. Here we describe the rare case of a K. Read More

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http://dx.doi.org/10.1186/s12879-020-05084-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245821PMC

Laparoscopic and endoscopic cooperative surgery for cholecystogastric fistula: A case report.

Authors:
Goshi Fujimoto

Int J Surg Case Rep 2020 15;71:116-119. Epub 2020 May 15.

Department of Gastroenterological Surgery, Ofuna Chuo Hospital, 6-2-24, Ofuna, Kamakura, Kanagawa 247-0056, Japan. Electronic address:

Introduction: Cholecystoenteric fistula (CEF) is rare in biliary tract surgery, and cholecystogastric fistula (CGF) is the rarest form of CEF. Although open cholecystectomy with the closure of the fistula is the gold standard treatment for nonobstructing biliary-enteric fistulas, the optimal treatment for CGF has not been established. Laparoscopic and endoscopic cooperative surgery (LECS), a minimally invasive surgery for gastric submucosal tumors, reportedly helps achieve favorable postoperative outcomes. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242993PMC

Safety and feasibility of prolonged versus early laparoscopic cholecystectomy for acute cholecystitis: a single-center retrospective study.

Surg Endosc 2020 May 22. Epub 2020 May 22.

Department of Emergency Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, 430022, Hubei, People's Republic of China.

Background: Laparoscopic cholecystectomy (LC) is the standard treatment for acute cholecystitis (AC), and it should be performed within 72 h of symptoms onset if possible. In many undesired situations, LC was performed beyond the golden 72 h. However, the safety and feasibility of prolonged LC (i. Read More

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http://dx.doi.org/10.1007/s00464-020-07643-zDOI Listing

Review on gall bladder myeloid sarcoma: a great masquerader.

Chin Clin Oncol 2020 Jun 20;9(2):37. Epub 2020 May 20.

Hemato-Oncology Division, Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA, USA.

Pain in abdomen has wide differentials and narrowing down the clinical possibilities depends on type of pain, location, characterization which is usually assisted by imaging studies. Cholecystitis and cholelithiasis are amongst the common causes of acute abdomen. This study reviews the literature for the clinical characteristics, differential diagnosis, treatment and prognosis of reported cases of gallbladder myeloid sarcoma (GB-MS) who presented with abdominal symptoms. Read More

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http://dx.doi.org/10.21037/cco-19-250DOI Listing

Perforated Gangrenous Gallbladder in an Asymptomatic Patient.

Cureus 2020 Apr 18;12(4):e7728. Epub 2020 Apr 18.

Family Medicine, Louisiana State University Health Sciences Center, Shreveport, USA.

Acute cholecystitis or inflammation of the gallbladder is a common cause of hospitalizations. A percentage of those patients will progress to gangrenous cholecystitis and perforation. This medical emergency can lead to peritonitis, which has increased morbidity and mortality. Read More

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http://dx.doi.org/10.7759/cureus.7728DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233968PMC

Acute cholecystitis and residual choledocholithiasis in a situs inversus patient, successful laparoscopic approach and ERCP a case report from Ecuador.

Ann Med Surg (Lond) 2020 Jun 5;54:101-105. Epub 2020 May 5.

PGY4 General Surgery Resident, UCE, Quito, Ecuador.

Background: Situs inversus totalis is a rare genetic condition characterized by the transposition of organs to the opposite side of the body, consequently, clinical syndromes show an atypical clinical picture creating a challenge for the surgery team and predisposing to delays in treatment and diagnosis. Laparoscopic cholecystectomy is the gold standard for acute cholecystitis, and in patients with situs inversus, the laparoscopic technique must be modified to accommodate the patient's anatomy.

Case Presentation: We present the case of a 55-year-old male patient without any past medical history, he presented to the emergency room with abdominal pain in his upper left quadrant. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.04.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225378PMC

Gall Bladder Empyema: Early Cholecystectomy during the Index Admission Improves Outcomes.

JSLS 2020 Apr-Jun;24(2)

Department of General Surgery, University Hospital Monklands, Airdrie, Lanarkshire, United Kingdom.

Objectives: We aim to evaluate our policy of index admission management of gall bladder empyema and the effect of the timing of surgery on the outcomes.

Methods: We analyzed a series of 5400 laparoscopic cholecystectomies. Data were collected prospectively over 26 y. Read More

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http://dx.doi.org/10.4293/JSLS.2020.00015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7208918PMC

Simultaneous surgical treatment tactics of acute destructive cholecystitis combined with choledocholithiasis: A case report.

Int J Surg Case Rep 2020 12;70:230-233. Epub 2020 May 12.

Department of Surgery, Asfendiyarov Kazakh National Medical University, 050012 Almaty, Kazakhstan; City Clinical Hospital No. 4, 050054 Almaty, Kazakhstan.

Introduction: The widespread development of minimally invasive treatment methods have expanded the choices and options available to surgeons to manage patients suffering from cholelithiasis and its complications, including choledocholithiasis. As new surgical strategies are developed and become widely available, there is an ongoing debate as to which surgical strategies are optimal for the management of acute cholecystitis and concomitant choledocholithiasis. The treatment of patients in this category should be carried out according to clear criteria, taking into consideration the patient's condition, concomitant diseases, the size of calculi in the common bile duct as well as the resources of the medical institution. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231816PMC

Use of non-operative treatment and interval cholecystectomy for cholecystitis in patients with cancer.

Trauma Surg Acute Care Open 2020 6;5(1):e000439. Epub 2020 May 6.

Department of Surgical Oncology, UTMDACC, Houston, Texas, USA.

Background: Early cholecystectomy (EC) for acute cholecystitis (AC) is standard. Often patients with cancer are not EC candidates and require non-surgical treatments. We analyzed factors associated with non-surgical treatments and progression to interval cholecystectomy (IC). Read More

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http://dx.doi.org/10.1136/tsaco-2020-000439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223470PMC