9,551 results match your criteria Cholecystitis Acute


Endoscopic ultrasound-guided gallbladder drainage: Current status and future prospects.

Dig Endosc 2019 Apr;31 Suppl 1:55-64

2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.

Early surgical treatment using the laparoscopic approach is generally accepted as the treatment of choice for acute cholecystitis (AC) according to Tokyo Guidelines 2018 (TG2018). If the patient is a poor candidate for surgery because of the presence of advanced malignancy or severe organ failure, this treatment may be too invasive. In such cases, gallbladder drainage is considered an alternative treatment method to surgery. Read More

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http://dx.doi.org/10.1111/den.13334DOI Listing

A successful combined laparoscopic cholecystectomy and laparoscopic exploration of common bile duct for acute gangrenous cholecystitis and choledocholithiasis during pregnancy: A case report.

Int J Surg Case Rep 2019 Apr 8;58:14-17. Epub 2019 Apr 8.

Department of Surgery, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China.

Introduction: Choledocholithiasis during pregnancy is relatively uncommon but it can be life-threatening. Therapeutic endoscopic retrograde cholangiopancreatography (ERCP) poses the risk of ionizing radiation exposure to the developing fetus. Other strategies are thus needed to tackle this problem. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.062DOI Listing

Preoperative and postoperative risk factors in laparoscopic cholecystectomy converted to open surgery.

Adv Clin Exp Med 2019 Apr 13. Epub 2019 Apr 13.

General Surgery Department, Atatürk Research and Education Hospital, Ankara, Turkey.

Background: Laparoscopic cholecystectomy (LC) is nowadays the gold standard in the surgical treatment of cholelithiasis and gallbladder diseases. But sometimes it may be inevitable to convert it to open surgery to safely end the procedure.

Objectives: In this study, we aimed to investigate the risk factors for conversion to open surgery from LC. Read More

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http://dx.doi.org/10.17219/acem/81519DOI Listing

Acalculous acute cholecystitis during the course of an enteroviral infection.

BMJ Case Rep 2019 Apr 11;12(4). Epub 2019 Apr 11.

Hospital Pediatrico de Coimbra, Coimbra, Portugal.

Gallbladder diseases are uncommon in children. Acalculous acute cholecystitis, although rare, is the most frequent form of acute cholecystitis in childhood. In acalculous acute cholecystitis, clinical presentation and laboratory findings are unspecific, making the diagnosis challenging. Read More

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http://dx.doi.org/10.1136/bcr-2018-228306DOI Listing
April 2019
4 Reads

Cytoplasmic Fibrillar Aggregates in Gallbladder Epithelium Are a Frequent Mimic of Cystoisospora in Pediatric Cholecystectomy Specimens.

Arch Pathol Lab Med 2019 Apr 10. Epub 2019 Apr 10.

From the Department of Pathology, University of Maryland Medical Center, Baltimore (Dr Rose); the Department of Pathology, The Ohio State University Wexner Medical Center, Columbus (Drs C. A. Arnold, Badizadegan, Carter, Conces, Kahwash, Nicol, and M. A. Arnold); and the Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, Ohio (Drs Badizadegan, Carter, Conces, Kahwash, Nicol, and M. A. Arnold). Dr Carter is now with Indiana University Health, Southern Indiana Pathologists, Bloomington.

Context.—: Cystoisospora belli is an intracellular parasite associated with gastrointestinal disease in immunocompromised hosts. Although infection has been classically associated with intestinal disease, studies have identified Cystoisospora in the gallbladder of immunocompetent patients based on hematoxylin-eosin morphology. Read More

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http://dx.doi.org/10.5858/arpa.2018-0335-OADOI Listing
April 2019
1 Read

Meta-analysis of the cost-effectiveness of early delayed cholecystectomy for acute cholecystitis.

BJS Open 2019 Apr 12;3(2):146-152. Epub 2019 Feb 12.

Department of Hepatobiliary and Transplant Surgery St Vincent's University Hospital Elm Park, Dublin 4 Ireland, D04 T6F4.

Background: Acute calculous cholecystitis (ACC) is a common disease across the world and is associated with significant socioeconomic costs. Although contemporary guidelines support the role of early laparoscopic cholecystectomy (ELC), there is significant variation among units adopting it as standard practice. There are many resource implications of providing a service whereby cholecystectomies for acute cholecystitis can be performed safely. Read More

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http://dx.doi.org/10.1002/bjs5.50120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433303PMC
April 2019
4 Reads

Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case report.

Surg Case Rep 2019 Apr 5;5(1):54. Epub 2019 Apr 5.

Department of Surgery, Onomichi General Hospital, 1-10-23, Onomichi, Hiroshima, 722-8508, Japan.

Background: Left-sided gallbladder is a relatively rare anatomical variation that is frequently associated with a biliary system anomaly. Here, we describe a case of left-sided gallbladder with acute cholecystitis treated by laparoscopic cholecystectomy.

Case Presentation: An 86-year-old man with acute upper abdominal pain was admitted to our hospital. Read More

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http://dx.doi.org/10.1186/s40792-019-0614-9DOI Listing

Optimum timing of emergency cholecystectomy for acute cholecystitis in England: population-based cohort study.

Surg Endosc 2019 Apr 4. Epub 2019 Apr 4.

Department Surgery and Cancer, Imperial College London, London, UK.

Background: Cholecystectomy on index admission for acute cholecystitis is associated with improved patient outcomes. The timing of intervention is mainly driven by service provision. This population-based cohort study aimed to evaluate timing of emergency cholecystectomy in England. Read More

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http://dx.doi.org/10.1007/s00464-018-6537-xDOI Listing
April 2019
2 Reads

Limy bile syndrome presenting as acute acalculous cholecystitis.

BMJ Case Rep 2019 Apr 3;12(4). Epub 2019 Apr 3.

Department of Surgery, College of Medicine, University of Duhok, Duhok, Kurdistan Region, Iraq.

A 35-year-old woman presented to the surgical clinic complaining of right hypochondrial pain for 4 days. Abdominal examination revealed tenderness on deep palpation in the right hypochonrdium, with no palpable organs or masses. The patient had repeated attacks of the same pain that mandated repeated admissions to the emergency hospital and treated conservatively. Read More

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http://dx.doi.org/10.1136/bcr-2018-228061DOI Listing
April 2019
1 Read

Prophylactic drainage after laparoscopic cholecystectomy for acute cholecystitis: a systematic review and meta-analysis.

Updates Surg 2019 Apr 3. Epub 2019 Apr 3.

Department of Surgery, Sapienza University of Rome-Polo Pontino, Via Firenze, 04019, Terracina, Italy.

In the literature, there is a large evidence against the use of drains in laparoscopic cholecystectomy (LC) in elective surgery. However, evidence is lacking in the setting of acute cholecystitis (AC). The present meta-analysis was performed to assess the role of drains to reduce complications and improve recovery in LC for AC. Read More

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http://dx.doi.org/10.1007/s13304-019-00648-xDOI Listing
April 2019
1 Read

Natural Course of Acute Cholecystitis in Patients Treated With Percutaneous Transhepatic Gallbladder Drainage Without Elective Cholecystectomy.

J Gastrointest Surg 2019 Apr 3. Epub 2019 Apr 3.

Division of Trauma and Emergency Surgery, General Surgery, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan, 333, Republic of China.

Background: Percutaneous transhepatic gallbladder drainage (PTGBD) is an alternative treatment for acute cholecystitis (AC). We aimed to understand the natural course of AC in patients treated with PTGBD but without later definitive treatments, such as laparoscopic cholecystectomy.

Methods: This was a retrospective study of the period from June 2010 to December 2016, during which time 2371 patients were diagnosed with AC and 625 received PTGBD treatment. Read More

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http://dx.doi.org/10.1007/s11605-019-04213-0DOI Listing
April 2019
1 Read

[Emergency surgery in Russian Federation (in Russian only)].

Khirurgiia (Mosk) 2019 (3):88-97

Vishnevsky National medical research center of surgery of Ministry of Health of Russia, Moscow, Russia.

In the following article, we present the key trends in emergency surgical care in the Russian Federation between 2000 and 2017. The study used data from federal statistical observations and a survey of state medical institutions in 80 regions encompassing 99.3% of the country's population. Read More

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http://dx.doi.org/10.17116/hirurgia201903188DOI Listing
January 2019
1 Read

[Percutaneous cholecystostomy as treatment for acute cholecystitis at Landspitali University Hospital 2010 - 2016].

Laeknabladid 2019 Apr;105(4):171-176

Department of General Surgery, The Faculty of Medicine, University of Iceland.

Introduction: Acute cholecystitis is one of the most common reasons for acute admission in abdominal surgery. The recom-mended therapy is cholecystectomy but occasionally that is not possible and a conservative treatment with intravenous antibiotics is used. Should the patient not respond to conservative treatment a percutaneous catheter can be placed in the gallbladder (cholecystostomy). Read More

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http://dx.doi.org/doi.org/10.17992/lbl.2019.04.226DOI Listing
April 2019
1 Read

Sonography of Acute Cholecystitis and Its Mimics.

Radiol Clin North Am 2019 May 10;57(3):535-548. Epub 2019 Feb 10.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, Box 648, Rochester, NY 14642, USA.

Right upper quadrant (RUQ) abdominal pain is a common complaint. Acute cholecystitis (AC) is the primary diagnostic consideration in most adults presenting with acute onset RUQ abdominal pain; however, a variety of other conditions can mimic AC. Abdominal ultrasound (US) receives the highest score for imaging appropriateness for these patients. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.01.002DOI Listing
May 2019
1 Read

[Metastases in trocar sites secondary to gallbladder adenocarcinoma].

Pan Afr Med J 2018;31:52. Epub 2018 Sep 24.

Service de Chirurgie Viscérale et Digestive de l'Hôpital Militaire d'Instruction Mohamed V de Rabat, Maroc.

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http://dx.doi.org/10.11604/pamj.2018.31.52.14630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431412PMC
April 2019
1 Read

Main right hepatic duct entering the cystic duct: a case report.

Surg Case Rep 2019 Mar 25;5(1):46. Epub 2019 Mar 25.

Department of Surgery, Yamaguchi Prefectural Grand Medical Center, Yamaguchi, Japan.

Background: Risk factors for bile duct injury in laparoscopic cholecystectomy include severe inflammation at Calot's triangle and aberrant bile duct variations. Knowledge of the various biliary anomalies and early identification may therefore assist in decreasing the rate of bile duct injury.

Case Presentation: A 65-year-old woman was admitted with right hypochondrial pain and high fever. Read More

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http://dx.doi.org/10.1186/s40792-019-0604-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434006PMC
March 2019
1 Read

Delayed laparoscopic cholecystectomy in a case of acute cholecystitis and intestinal malrotation type I.

Clin Pract 2019 Jan 20;9(1):1091. Epub 2019 Feb 20.

Internal Medicine Service, Alvarez Buylla Hospital, Mieres, Spain.

In adults, intestinal malrotation is an oligosymptomatic entity that is occasionally discovered during the course of diagnostic studies for other causes. In the case described herein, intestinal malrotation was discovered during investigation for cholelithiasis and acute cholecystitis. Malrotation may occur due to alterations in the asymmetric cellular dynamics of the mesentery responsible for intestinal shortening and unilateral retraction, this may occur as a secondary event following alterations in the expression of homeodomain transcription factors. Read More

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http://dx.doi.org/10.4081/cp.2019.1091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390095PMC
January 2019
3 Reads

Management of Acute Cholecystitis During Pregnancy: A Single Center Experience.

Ulus Travma Acil Cerrahi Derg 2019 Mar;25(2):154-158

Department of General Surgery, İnönü University Faculty of Medicine, Malatya-Turkey.

Background: This study aimed to present to evaluate the results of two different approaches in the management of acute cholecystitis during pregnancy: immediate surgery and delayed surgery following conservative management.

Methods: In this study, 20 pregnant women who were treated in our clinic for acute cholecystitis between 2010 and 2018 were included in the analysis. Demographic characteristics, parameters related with acute cholecystitis (gallbladder wall thickness, laboratory data), duration of hospitalization, readmission rates, and preterm labor rate were retrospectively evaluated. Read More

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http://dx.doi.org/10.5505/tjtes.2018.82357DOI Listing
March 2019
1 Read

Clinical and Survival Outcomes Using Percutaneous Cholecystostomy Tube Alone or Subsequent Interval Cholecystectomy to Treat Acute Cholecystitis.

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of General Surgery, St. Vincent's University Hospital, Dublin 4, Ireland.

Background: Percutaneous cholecystostomy (PCT) is a safe method of gallbladder drainage in the setting of severe or complicated acute cholecystitis (AC), particularly in patients who are high-risk surgical candidates. Small case series suggest that PCT aids resolution of acute cholecystitis in up to 90% of patients. However, reluctance is observed in utilising PCT more frequently, due to concerns that we are committing comorbid patients to an interval surgical procedure for which they may not be suitable. Read More

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http://dx.doi.org/10.1007/s11605-019-04194-0DOI Listing
March 2019
2 Reads

Extended Postoperative Antibiotics Versus No Postoperative Antibiotics in Patients Undergoing Emergency Cholecystectomy for Acute Calculous Cholecystitis: A Systematic Review and Meta-Analysis.

Surg Innov 2019 Mar 15:1553350619835347. Epub 2019 Mar 15.

2 Royal Bolton Hospital, Bolton, UK.

Objectives: To compare the outcomes of extended postoperative antibiotics versus no postoperative antibiotics in patients with acute calculous cholecystitis undergoing emergency cholecystectomy.

Methods: We performed a systematic review and conducted a search of electronic information sources to identify all randomized controlled trials comparing outcomes of extended postoperative antibiotics versus no postoperative antibiotics in patients with acute calculous cholecystitis undergoing emergency cholecystectomy. Postoperative infectious complications and surgical site infections were primary outcome measures. Read More

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http://journals.sagepub.com/doi/10.1177/1553350619835347
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http://dx.doi.org/10.1177/1553350619835347DOI Listing
March 2019
5 Reads

Endoscopic Ultrasonography-Guided Gallbladder Drainage as a Treatment Option for Acute Cholecystitis after Metal Stent Placement in Malignant Biliary Strictures.

Clin Endosc 2019 Mar 15. Epub 2019 Mar 15.

Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan.

Background/aims: : It is often difficult to manage acute cholecystitis after metal stent (MS) placement in unresectable malignant biliary strictures. The aim of this study was to evaluate the feasibility of endoscopic ultrasonography-guided gallbladder drainage (EUS-GBD) for acute cholecystitis.

Methods: : The clinical outcomes of 10 patients who underwent EUS-GBD for acute cholecystitis after MS placement between January 2011 and August 2018 were retrospectively evaluated. Read More

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http://dx.doi.org/10.5946/ce.2018.183DOI Listing
March 2019
1 Read

Emergency Laparoscopic Cholecystectomy: Is Dedicated Hot Gall Bladder List Cost Effective?

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

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

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

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March 2019
6 Reads

Unilateral diaphragmatic paralysis after laparoscopic cholecystectomy.

Rev Esp Anestesiol Reanim 2019 Mar 9. Epub 2019 Mar 9.

Servicio de Anestesiología y Reanimación y Terapéutica del Dolor, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, España.

Laparoscopic cholecystectomy is currently assumed to be the standard gold treatment of acute biliary tract pathology. Despite its many advantages compared to classical open surgery, it is not without complications. The case is presented of an 82 year-old male patient who, after the diagnosis of cholecystitis gangrenous, was urgently intervened using laparoscopic cholecystectomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356193002
Publisher Site
http://dx.doi.org/10.1016/j.redar.2019.01.006DOI Listing
March 2019
9 Reads

Bilirubin Correlation May Preclude MRCP in Acute Cholecystitis Patients With Normal Common Bile Duct Diameter.

AJR Am J Roentgenol 2019 Mar 12:1-6. Epub 2019 Mar 12.

1 Department of Radiology, Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY 10305.

Objective: In patients with acute cholecystitis (AC), accurate identification of a common bile duct (CBD) stone before cholecystectomy is of concern for surgeons, gastroenterologists, and radiologists. This study evaluates the utility of preoperative MRCP taking into consideration both sonographic findings and biochemical predictors for choledocholithiasis.

Materials And Methods: Fifty-seven patients (58% women; mean age, 54 years old) with signs of AC on right upper quadrant (RUQ) ultrasound (US) who underwent subsequent MRCP from 2007 to 2017 were identified using a text-based search and retrospectively analyzed, using ERCP as the reference standard. Read More

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http://dx.doi.org/10.2214/AJR.18.20613DOI Listing
March 2019
2 Reads

[Surgical treatment of acute calculous cholecystitis followed by one-day discharge of patients].

Khirurgiia (Mosk) 2019(2):32-39

The Department of hospital surgery with the course of pediatric surgery of the RUDN University, Moscow, Russia.

Aim: To develop rational tactics of surgical treatment of patients with acute calculous cholecystitis with their subsequent discharge within 1 day since admission.

Material And Methods: There were 283 patients with acute cholecystitis and 58 patients with chronic cholecystitis. All patients underwent laparoscopic cholecystectomy. Read More

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http://dx.doi.org/10.17116/hirurgia201902132DOI Listing
January 2019
3 Reads

Significance of radiology in the diagnosis and management of ruptured left gastric artery aneurysm associated with acute pancreatitis: Case report.

Medicine (Baltimore) 2019 Mar;98(10):e14824

Department of Radiology, The First Affiliated Hospital of Dali University, Dali, Yunnan, People's Republic of China.

Rationale: Left gastric artery aneurysms are very rare which progresses into hemorrhagic shock and diagnosis is very challenging particularly in patients with acute pancreatitis and cholecystitis whose vitals become unstable suddenly.

Patient Concerns: A 72-year-old female has presented with severe progressing abdominal pain was treated with total parenteral nutrition for acute pancreatitis based on preliminary work up, but suddenly became unstable with dropping vitals over the ensuing 48 hours. Physical examination has a positive Murphy sign and appeared lethargic. Read More

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http://dx.doi.org/10.1097/MD.0000000000014824DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417524PMC
March 2019
5 Reads

Acute Cholecystitis in Very Elderly Patients: Disease Management, Outcomes, and Risk Factors for Complications.

Surg Res Pract 2019 3;2019:9709242. Epub 2019 Feb 3.

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

Background: The aim of this study was to evaluate the characteristics, management, and outcomes of acute cholecystitis in patients ≥80 years.

Methods: This was a retrospective analysis of data from a prospective single-center patient registry.

Results: The study population was composed of 348 patients, which were divided into two groups: those younger (Group A) and those older (Group B) than the median age (85. Read More

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http://dx.doi.org/10.1155/2019/9709242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378058PMC
February 2019
1 Read

Case report of a duplicated cystic duct: A unique challenge for the laparoscopic surgeon.

Int J Surg Case Rep 2019 28;56:78-81. Epub 2019 Feb 28.

Department of Surgery/Division of Trauma and Acute Care Surgery, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA.

Introduction: Anatomical variants of the extrahepatic biliary tree are numerous, adding significantly to the risk of bile duct injury during cholecystectomy, especially when laparoscopic approach is employed. Duplicated cystic ducts draining a single gallbladder are extremely rare.

Presentation Of Case: A 34-year-old female presented with signs and symptoms of acute cholecystitis which was confirmed on imaging. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407078PMC
February 2019
2 Reads

Histopathological Examination of Gallbladder Specimens in Kumaon Region of Uttarakhand.

J Gastrointest Cancer 2019 Mar 8. Epub 2019 Mar 8.

Department of Surgery, Government Medical College, Haldwani, Nainital, Uttarakhand, 263139, India.

Gall stones are one of the major causes of morbidity and mortality all over the world and common health problems throughout in developing countries. Cholecystectomy is one of the most common surgical practices and postoperative analysis of cholecystectomy specimen has a great value since histopathological reports may document some entities with significant clinical significances. Gallbladder carcinomas in cholecystectomy specimens are received in our histopathology laboratory to analyse their clinicopathological features. Read More

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http://dx.doi.org/10.1007/s12029-018-00188-4DOI Listing
March 2019
1 Read

Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound-Guided Gallbladder Drainage.

Gastrointest Endosc Clin N Am 2019 Apr;29(2):293-310

Icahn School of Medicine at Mount Sinai, Dr. Henry D. Janowitz Division of Gastroenterology, One Gustave L. Levy Place, Box 1069, New York, NY 10029, USA. Electronic address:

"Gallbladder disease is one of the most common gastrointestinal diseases encountered in clinical practice. Surgical removal and percutaneous drainage are both widely available and effective in the management of acute cholecystitis. Several endoscopic approaches exist as an alternative to these interventions. Read More

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http://dx.doi.org/10.1016/j.giec.2018.12.002DOI Listing
April 2019
1 Read

[Leukemia caused by collision with a wild pig?]

Dtsch Med Wochenschr 2019 Mar 5;144(5):335-339. Epub 2019 Mar 5.

Medizinische Klinik 3, Centrum für Integrierte Onkologie (CIO) Köln-Bonn, Universitätsklinikum Bonn.

History:  A 23 years old, previously healthy woman was admitted to our clinic with neutropenic fever to rule out acute leukemia. Upon admission the patient reported that a few days ago the carcass of a pig had fallen on her from above, so that she experienced strong back pain.

Findings And Diagnosis:  The blood count showed thrombocytopenia and marked neutropenia of 0. Read More

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http://dx.doi.org/10.1055/a-0826-2446DOI Listing
March 2019
1 Read

A three-step conceptual roadmap for avoiding bile duct injury in laparoscopic cholecystectomy: an invited perspective review.

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

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

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

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http://dx.doi.org/10.1002/jhbp.616DOI Listing
April 2019
2 Reads

Acute cholecystitis as a rare and overlooked complication in stroke patients: A retrospective monocentric study.

Medicine (Baltimore) 2019 Mar;98(9):e14492

Department of Physical Medicine & Rehabilitation, College of Medicine.

Acute cholecystitis (AC) is a rare but possible medical complication found in stroke patients. As many stroke patients present with neurologic symptoms, such as altered mental status, motor weakness, global aphasia, or dysarthria, clinical symptoms and signs of AC are often unexpressed or overlooked. As a result, the diagnosis of AC is often delayed with subsequent secondary complications in these stroke patients. Read More

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http://dx.doi.org/10.1097/MD.0000000000014492DOI Listing
March 2019
2 Reads

High Mobility Group box-1 (HMGB1) Protein As a Biomarker for Acute Cholecystitis.

Rep Biochem Mol Biol 2019 Jan;7(2):204-209

Molecular and Medicine Research Center, Department of Immunology, School of Medicine, Arak University of Medical Sciences, Arak, Iran.

Background: Acute cholecystitis is defined as gallbladder inflammation caused by obstruction of the cystic duct. The pro-inflammatory cytokine, high mobility group box-1 (HMGB1), has been found to hold critical roles in the pathogenesis of several different inflammatory diseases. This study aimed to determine the relationship between HMGB1 and acute cholecystitis, and examine the potential for this cytokine as a biomarker for clinical diagnosis. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374064PMC
January 2019
2 Reads

Management of acute abdomen in pregnancy: current perspectives.

Int J Womens Health 2019 8;11:119-134. Epub 2019 Feb 8.

Department of Obstetrics and Gynecology, Sultan Qaboos Hospital, Salalah PO 601, Oman.

Acute abdomen in pregnancy represents a unique diagnostic and therapeutic challenge. Acute abdominal pain in pregnancy can occur due to obstetric factors as well for reasons that are unrelated to pregnancy. The diagnostic approach of acute abdomen during pregnancy can be tricky owing to the altered clinical presentations brought about by the anatomical and physiological changes of gestation along with the reluctance to use certain radiological investigations for fear of harming the fetus. Read More

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http://dx.doi.org/10.2147/IJWH.S151501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371947PMC
February 2019
1 Read

Expect the Unexpected: Torsion of the Gallbladder, a Rare Cause for Acute Cholecystitis.

Cureus 2018 Dec 13;10(12):e3726. Epub 2018 Dec 13.

Surgery, Redland Hospital, Brisbane, AUS.

Gallbladder torsion is a rare cause for acute cholecystitis. Gallbladder torsion is unlikely to respond to conservative management and requires urgent surgical intervention. We report a case of an 85-year-old female with gallbladder torsion. Read More

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http://dx.doi.org/10.7759/cureus.3726DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384032PMC
December 2018
2 Reads

Conservative Management of Gallstone Disease in the Elderly Population: Outcomes and Recurrence.

Scand J Surg 2019 Feb 21:1457496919832147. Epub 2019 Feb 21.

1 Department of General and Digestive Surgery, Hospital Universitario de la Princesa, Madrid, Spain.

Background & Aims:: The prevalence of gallstone disease increases with age, being early cholecystectomy the most accepted treatment in the vast majority of patients in order to prevent complications and recurrence. The aim of this study is to determine the recurrence rate and its possible predictors after initial non-operative management.

Materials And Methods:: We reviewed a consecutive series of patients, older than 65 years, admitted for a gallstone-related disease and treated with a non-operative management between January 2010 and December 2013. Read More

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http://dx.doi.org/10.1177/1457496919832147DOI Listing
February 2019
1 Read

[Differential diagnosis of gallbladder abnormalities : Ultrasound, computed tomography, and magnetic resonance imaging].

Radiologe 2019 Apr;59(4):328-337

Radiologie, KFJ Spital, Wien, Österreich.

Clinical Issue: Due to the high prevalence of clinically suspected cholecystitis or cholecystolithiasis the gallbladder is one of the organs examined the most by imaging.

Standard Radiological Methods: In most clinical settings ultrasound is the primary imaging method because of its wide availability, speed and superior spatial resolution. In cases of ambiguous findings or potential complications computed tomography (CT) and magnetic resonance imaging (MRI) are used. Read More

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http://dx.doi.org/10.1007/s00117-019-0504-yDOI Listing

The tales of two neighbours: when cholecystitis does not preclude pancreatitis.

J Surg Case Rep 2019 Feb 8;2019(2):rjz019. Epub 2019 Feb 8.

Department of General Surgery, Western Health, Sunshine 3021, Victoria, Australia.

An 83-year-old lady with no previous history of gallstones, presented with a sudden-onset severe epigastric pain radiating through to the back associated with nausea and vomiting. On examination, the patient's vital signs were normal. There was severe epigastric tenderness on palpation, as well as moderate right upper quadrant tenderness. Read More

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http://dx.doi.org/10.1093/jscr/rjz019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368135PMC
February 2019
2 Reads

Multicenter clinical experience with recombinant soluble thrombomodulin for disseminated intravascular coagulation associated with severe acute cholecystitis.

Thromb Res 2019 Apr 13;176:74-78. Epub 2019 Feb 13.

2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.

Background: Severe acute cholecystitis (AC) is defined by the association of organ dysfunction, including hematological dysfunction, with AC. Severe AC is often complicated by disseminated intravascular coagulation (DIC), the diagnostic criteria of which overlap with AC-associated hematological dysfunction. Since the diagnosis of DIC often delays definitive surgical management of severe AC, treatment of DIC in this setting is clinically important. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00493848183067
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http://dx.doi.org/10.1016/j.thromres.2018.12.025DOI Listing
April 2019
10 Reads

Acute cholecystitis secondary to dog bite.

Int J Surg Case Rep 2019 12;55:230-232. Epub 2019 Feb 12.

Department of General Surgery, Toowoomba Hospital, 154 Pechey Street, South Toowoomba, Queensland, Australia. Electronic address:

Introduction: The gram-negative bacteria known as Capnocytophaga canimorsus (C. canimorsus) is found in dog saliva and rarely can cause severe infection in humans following a bite or scratch. There has previously been just a single case described in the literature of Acute Acalculous Cholecystitis (AAC) secondary to C. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378841PMC
February 2019
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Negative pressure therapy in combination with mesh-mediated fascial traction in the treatment of infected pancreatic necrosis. A new therapeutic option.

Cir Cir 2019 ;87(2):219-223

Departamento de Cirugía General y Endoscópica, Hospital Dr. Manuel Gea González.

Background: Acute pancreatitis represents one of the most frequent digestive pathologies worldwide, which can be complicated as an infected necrotizing acute pancreatitis, that may require treatment with necrosectomy and open abdomen with the risk that this leads to the appearance of intestinal fistula and giant incisional hernias difficult to manage.

Clinical Case: A 35-year-old woman underwent laparoscopic cholecystectomy for acute cholecystitis, which was re-admitted due to jaundice and abdominal pain 3 days after her hospital discharge. Diagnostic laparoscopy is performed, where a 3200 cc biliperitoneum secondary to a cystic duct stump leak is located and drained. Read More

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http://dx.doi.org/10.24875/CIRU.18000472DOI Listing
January 2019
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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
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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
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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
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Validation of Tokyo Guideline 2013 as Treatment of Acute Cholecystitis by Real World Data.

Dig Dis 2019 7;37(4):303-308. 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
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