409 results match your criteria Cholecystitis and Biliary Colic


Biliary hyperkinesia: an indication for cholecystectomy?

Surg Endosc 2020 Jul 6. Epub 2020 Jul 6.

Department of Surgery, St Vincent Indianapolis, Indianapolis, IN, USA.

Background: The main indications for laparoscopic cholecystectomy are stone-related diseases in adults. With a normal abdominal ultrasound (US), a hepatobiliary iminodiacetic acid (HIDA) scan with ejection fraction (EF) is recommended to evaluate gallbladder function. Biliary dyskinesia or low gallbladder EF (EF < 35%) is a recognized indication for cholecystectomy. Read More

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http://dx.doi.org/10.1007/s00464-020-07757-4DOI Listing

Human Ascariasis: An Updated Review.

Recent Pat Inflamm Allergy Drug Discov 2020 Jul 5. Epub 2020 Jul 5.

Department of Paediatrics, The Chinese University of Hong Kong, and Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital. Hong Kong.

Background: Ascaris lumbricoides is the most common helminthic infection. More than 1.2 billion people have ascariasis worldwide. Read More

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http://dx.doi.org/10.2174/1872213X14666200705235757DOI Listing

A patient with cystic duct remnant calculus treated by laparoscopic surgery combined with near-infrared fluorescence cholangiography.

Surg Case Rep 2020 Jun 23;6(1):146. Epub 2020 Jun 23.

Department of Digestive and General Surgery, Gyoda General Hospital, 376, Motida, Gyoda-shi, Saitama, 361-1156, Japan.

Background: The recurrence of symptoms present before cholecystectomy may be caused by a cystic duct remnant. The resolution of cystic duct remnant syndrome may require surgical resection, but identification of the duct remnant during laparoscopic surgery may be difficult because of adhesions following the previous procedure. Open surgery, which is more invasive than laparoscopic surgery, is frequently chosen to avoid bile duct injury. Read More

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http://dx.doi.org/10.1186/s40792-020-00909-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311589PMC

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

Relations between hepatobiliary scintigraphy findings and histopathological factors in patients with recurrent biliary colic.

J Hepatobiliary Pancreat Sci 2020 Apr 30. Epub 2020 Apr 30.

Department of Nuclear Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.

Background/purpose: The aim of the present study was to investigate the relationship between hepatobiliary scintigraphy findings and histopathological results in patients with recurrent biliary colic.

Methods: We retrospectively enrolled 107 patients who underwent hepatobiliary scintigraphy for recurrent biliary colic and subsequent cholecystectomy. According to the hepatobiliary scintigraphy findings, patients were categorized into a nonvisualization of gallbladder activity (nonvisualized GB) group, low gallbladder ejection fraction (GBEF) group, and normal GBEF group. Read More

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http://dx.doi.org/10.1002/jhbp.742DOI Listing

Surgeon attitudes toward point of care ultrasound for biliary disease: a nationwide Canadian survey

Can J Surg 2020 Jan 9;63(1):E9-E12. Epub 2020 Jan 9.

From the Division of Emergency Medicine, Western University, London, Ont. (Thompson, Myslik); the Department of Surgery, Western University, London, Ont. (Koichopolos, Leeper); the Division of Critical Care Medicine, Western University, London, Ont. (Leeper); and the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Vandelinde).

Summary: Multiple studies confirm that point of care ultrasound (PoCUS) has a high sensitivity and specificity for cholelithiasis and cholecystitis. However, there is poor perceived reliability of biliary PoCUS by surgeons. This survey was performed to assess surgeons’ opinions on using PoCUS in gallstone disease and barriers that exist for its institution. Read More

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http://dx.doi.org/10.1503.cjs/010218DOI Listing
January 2020

Risk factors of systematic biliary complications in patients with gallbladder stones.

Ir J Med Sci 2019 Dec 19. Epub 2019 Dec 19.

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

Background: Gallbladder stone with symptom is an indication of cholecystectomy according to the current guideline. However, about 80% of gallstone patients are asymptomatic. The identification of gallbladder stone patients likely to develop symptomatic complications would be of benefit in clinical practice. Read More

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http://dx.doi.org/10.1007/s11845-019-02161-xDOI Listing
December 2019

Acute cholecystitis or simple biliary colic after an emergency presentation: why it matters.

ANZ J Surg 2020 03 17;90(3):295-299. Epub 2019 Dec 17.

Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital and North Shore Private Hospital, Sydney, New South Wales, Australia.

Background: Laparoscopic cholecystectomy (LC) is often performed during the index admission after emergency presentation for acute biliary pain. Many patients have acute cholecystitis (AC) that may increase operative difficulty and complications. Our primary aim was to assess the validity of Tokyo Guidelines (TG18) for diagnosing AC by comparison with the admitting team diagnosis, operative findings and histopathology. Read More

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http://dx.doi.org/10.1111/ans.15603DOI Listing

Gallbladder Perforation Due to in a Pregnant Woman and 6 Year Old Girl from Afghanistan: Case Report.

Iran J Parasitol 2019 Jul-Sep;14(3):477-481

Faculty of Medicine, Khatam Al-Nabieen University, Kabul, Afghanistan.

Ascariasis is an important and prevalent geo-helminth infection, especially in underdeveloped countries such as Afghanistan, where public health problems and devastation of hygienic infrastructures usually lead to the higher incidence of the infection. Here, we report two cases of intestinal obstruction that accompanied with biliary ascariasis due to in pregnant women and a 6-year-old girl from Afghanistan. Biliary ascariasis can be associated with cystic duct obstruction, gallbladder dilation, acute cholecystitis, acute cholangitis, obstructive jaundice, and biliary colic. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815860PMC
November 2019
2 Reads
0.872 Impact Factor

Compression of cystic duct caused by focal nodular hyperplasia.

J Surg Case Rep 2019 Oct 10;2019(10):rjz254. Epub 2019 Oct 10.

General Surgery, Bridgeport Hospital, Bridgeport, CT, USA.

A 29-year-old female presenting with symptoms of biliary colic was found to have a liver mass compressing the cystic duct. Due to the anatomical placement of the growth, the compressed duct produced symptoms mimicking acute cholecystitis. The mass was diagnosed as focal nodular hyperplasia (FNH) upon biopsy. Read More

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http://dx.doi.org/10.1093/jscr/rjz254DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786132PMC
October 2019
2 Reads

Diagnostic imaging for acute abdominal pain in an Emergency Department in Italy.

Intern Emerg Med 2019 10 6;14(7):1147-1153. Epub 2019 Sep 6.

Department of Medical and Surgical Sciences, University of Bologna, Policlinico S. Orsola-Malpighi, Via Massarenti n. 9, 40138, Bologna, Italy.

Imaging plays a key role in the diagnostic work-up of patients with non-traumatic acute abdominal pain (AAP) in emergency department (ED). We aimed to evaluate the use and diagnostic performance of imaging techniques in adult patients with AAP in an ED in Italy. Patients with non-traumatic AAP admitted at the ED of S. Read More

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http://dx.doi.org/10.1007/s11739-019-02189-yDOI Listing
October 2019
3 Reads

Rare presentation of haemobilia and Loeffler's pneumonia in a child by ascaris lumbricoides.

BMJ Case Rep 2019 Aug 28;12(8). Epub 2019 Aug 28.

Department of Pediatric Medicine, Division of Pediatric Gastroenterology, Hepatology & Nutrition, The Children's Hospital & The Institute of Child Health, Lahore, Pakistan.

Ascariasis is a soil-sourced, second most common parasitic infection worldwide. Because of its wandering nature, it migrates from the intestine to other organs of the body like the lungs and biliary system. This results in complications such as biliary colic, acute cholecystitis, pyogenic cholangitis, liver abscesses, pancreatitis and loeffler's pneumonia. Read More

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http://dx.doi.org/10.1136/bcr-2019-230198DOI Listing
August 2019
2 Reads

Endoscopic sphincterotoMy for delayIng choLecystectomy in mild acute biliarY pancreatitis (EMILY study): protocol of a multicentre randomised clinical trial.

BMJ Open 2019 07 9;9(7):e025551. Epub 2019 Jul 9.

Institute for Translational Medicine, Pecsi Tudomanyegyetem Altalanos Orvostudomanyi Kar, Pecs, Hungary.

Introduction: According to the literature, early cholecystectomy is necessary to avoid complications related to gallstones after an initial episode of acute biliary pancreatitis (ABP). A randomised, controlled multicentre trial (the PONCHO trial) revealed that in the case of gallstone-induced pancreatitis, early cholecystectomy was safe in patients with mild gallstone pancreatitis and reduced the risk of recurrent gallstone-related complications, as compared with interval cholecystectomy. We hypothesise that carrying out a sphincterotomy (ES) allows us to delay cholecystectomy, thus making it logistically easier to perform and potentially increasing the efficacy and safety of the procedure. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-025551DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6629406PMC
July 2019
4 Reads
2.063 Impact Factor

Validation of the acute cholecystectomy rate as a quality indicator for emergency general surgery using the SWORD database.

Ann R Coll Surg Engl 2019 Jul 3;101(6):422-427. Epub 2019 Jun 3.

Department of Hepatico-Pancreatico-Biliary Surgery, Nottingham University Hospitals NHS Trust, Queen's Medical Centre , Nottingham , UK.

Introduction: Despite an increasing emphasis on data-driven quality improvement, few validated quality indicators for emergency surgical services have been published. The aims of this study therefore were: 1) to investigate whether the acute cholecystectomy rate is a valid process indicator; and 2) to use this rate to examine variation in the provision of acute cholecystectomy in England.

Materials And Methods: The Surgical Workload and Outcomes Research Database (SWORD), derived from the Hospital Episode Statistics database, was interrogated for the 2012-2017 financial years. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6554562PMC
July 2019
6 Reads

A case of an absent gall bladder presenting as biliary colic in a tertiary care hospital in Karachi.

J Pak Med Assoc 2019 May;69(5):731-733

Department of Surgery, Jinnah Postgraduate Medical Center, Karachi.

Gallbladder agenesis is a rare congenital anomaly occurring in 10-65 per 100,000 populations with the incidence being more common in females with a ratio of 3:1. Although asymptomatic, some patients present with symptoms like biliary colic and often indistinguishable from common conditions leading to unnecessary surgery. A 19-year old woman presented to the hospital with epigastric and right upper quadrant pain, other signs and symptoms consistent with biliary colic. Read More

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May 2019
6 Reads

1st report of unexpected true left-sided gallbladder treated with robotic approach.

Int J Surg Case Rep 2019 16;58:100-103. Epub 2019 Apr 16.

Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, 840 S. Wood Street, Suite 435E (MC 958), Chicago, IL 60612, USA.

Introduction: True left-sided gallbladder (T-LSG) occur when the gallbladder is positioned to the left of the ligamentum teres and falciform ligament and under the surface of the left liver lobe.

Presentation Of Case: Patient is 29-year-old caucasian male, presenting with 9-month history of epigastric right upper quadrant (RUQ) colic pain. RUQ Ultrasound reported cholelithiasis, gallbladder wall thickening, and no intrahepatic biliary dilation. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.04.026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6488559PMC
April 2019
9 Reads

Surgical outcome in patients with biliary colic and atypical workup findings.

Am J Surg 2019 05 27;217(5):986-989. Epub 2019 Mar 27.

Meridian Surgery Center, Puyallup, WA, USA.

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

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

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http://dx.doi.org/10.1016/j.amjsurg.2019.03.017DOI Listing
May 2019
2 Reads

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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May 2019
30 Reads

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
14 Reads

Cholecystectomy for Biliary Hyperkinesia.

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

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

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February 2019
14 Reads

Critical Care Aspects of Gallstone Disease.

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

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

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

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http://dx.doi.org/10.2478/jccm-2019-0003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369569PMC
January 2019
7 Reads

Anticoagulants is a risk factor for spontaneous rupture and hemorrhage of gallbladder: a case report and literature review.

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

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

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

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

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http://dx.doi.org/10.1186/s12893-018-0464-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321697PMC
January 2019
28 Reads

Index Admission Emergency Laparoscopic Cholecystectomy and Common Bile Duct Exploration: Results From a Specialist Center in the United Kingdom.

Surg Laparosc Endosc Percutan Tech 2019 Apr;29(2):113-116

Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK.

Background: The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD is now becoming routine practice in the elective setting, however its safety and efficacy in emergencies is poorly understood.

Methods: We analyzed our results for index emergency admission laparoscopic cholecystectomy within a specialist center in the United Kingdom. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000602DOI Listing
April 2019
7 Reads

Same-admission versus delayed cholecystectomy for mild acute biliary pancreatitis: a systematic review and meta-analysis.

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

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

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

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

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http://dx.doi.org/10.1186/s12893-018-0445-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263067PMC
November 2018
8 Reads

Emergency presentations of acute biliary pain: changing patterns of management in a tertiary institute.

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

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

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

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http://doi.wiley.com/10.1111/ans.14898
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http://dx.doi.org/10.1111/ans.14898DOI Listing
December 2018
58 Reads

Fingerprinting Acute Digestive Diseases by Untargeted NMR Based Metabolomics.

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

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

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

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http://www.mdpi.com/1422-0067/19/11/3288
Publisher Site
http://dx.doi.org/10.3390/ijms19113288DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6274841PMC
October 2018
53 Reads

Gallbladder Agenesis: A Case Report.

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

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

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

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153629PMC
September 2018
50 Reads

Single-operator cholangioscopy for the treatment of concomitant gallbladder stones and secondary common bile duct stones.

J Gastroenterol Hepatol 2019 May 3;34(5):929-936. Epub 2018 Oct 3.

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

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

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

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http://doi.wiley.com/10.1111/jgh.14468
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http://dx.doi.org/10.1111/jgh.14468DOI Listing
May 2019
50 Reads
3.504 Impact Factor

Is hyperkinetic gallbladder an indication for cholecystectomy?

Surg Endosc 2019 05 12;33(5):1613-1617. Epub 2018 Sep 12.

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

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

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http://link.springer.com/10.1007/s00464-018-6435-2
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http://dx.doi.org/10.1007/s00464-018-6435-2DOI Listing
May 2019
35 Reads

An unusual variation of gallbladder duplication originating from the right hepatic duct.

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

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

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

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

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http://dx.doi.org/10.1016/j.ijscr.2018.08.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120604PMC
August 2018
11 Reads

Gallbladder agenesis mimicking cholelithiasis in an adult.

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

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

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

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http://dx.doi.org/10.1016/j.radcr.2018.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6114116PMC
June 2018
44 Reads

An evaluation of mini-laparotomy cholecystectomy in the laparoscopic era: a rural experience.

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

Department of Surgery, University of KwaZulu-Natal.

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

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June 2018
72 Reads

Correlation of Biliary Colic in the Absence of Cholelithiasis with Pancreaticobiliary Obstruction.

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

A small fraction of patients undergoing cholecystectomy for biliary colic are subsequently diagnosed with an obstructive pancreatic head mass. We review our experience with such patients to provide insight into improving evaluation before cholecystectomy. Retrospective chart review of patients undergoing cholecystectomy from 2004 to 2015 identified six patients who underwent laparoscopic cholecystectomy for biliary colic before being diagnosed with a pancreatic head neoplasm within six months after cholecystectomy. Read More

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June 2018
12 Reads

Symptomatic Cholelithiasis of a Remnant Gallbladder after Open Cholecystectomy.

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

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

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

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

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http://dx.doi.org/10.1016/j.jemermed.2018.05.028DOI Listing
September 2018
28 Reads

Total bilirubin trend as a predictor of common bile duct stones in acute cholecystitis and symptomatic cholelithiasis.

Am J Surg 2019 01 18;217(1):98-102. Epub 2018 Jun 18.

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

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

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

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http://dx.doi.org/10.1016/j.amjsurg.2018.06.011DOI Listing
January 2019
9 Reads

Role of Cholecystectomy After Endoscopic Sphincterotomy in the Management of Choledocholithiasis in High-risk Patients: A Systematic Review and Meta-Analysis.

J Clin Gastroenterol 2018 08;52(7):579-589

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

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

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

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http://dx.doi.org/10.1097/MCG.0000000000001076DOI Listing
August 2018
13 Reads

Trends of Gallbladder Cancer in Jordan Over 2 Decades: Where Are We?

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

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

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

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

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http://dx.doi.org/10.1177/1179547618771699DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5946354PMC
April 2018
40 Reads

Acute acalculous cholecystitis of an intrahepatic gallbladder causing Mirizzi's syndrome.

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

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

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

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http://dx.doi.org/10.1136/bcr-2018-224365DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5905802PMC
April 2018
18 Reads

Bile Spillage as a Risk Factor for Surgical Site Infection after Laparoscopic Cholecystectomy: A Prospective Study of 1,001 Patients.

J Am Coll Surg 2018 06 2;226(6):1030-1035. Epub 2018 Mar 2.

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

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

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

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http://dx.doi.org/10.1016/j.jamcollsurg.2017.11.025DOI Listing
June 2018
47 Reads

Gallbladder function predicts subsequent biliary complications in patients with common bile duct stones after endoscopic treatment?

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

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

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

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http://dx.doi.org/10.1186/s12876-018-0762-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389262PMC
February 2018
133 Reads

Clinical Cholecystitis in the Absence of the Gallbladder.

Cureus 2017 Nov 10;9(11):e1834. Epub 2017 Nov 10.

Internal Medicine Residency, Florida Hospital-Orlando.

The congenital absence of the gallbladder (CAG) is a rare condition with an incidence of 13-65 cases/ 100,000 in the general population. This occurs when the gallbladder and the cystic duct fail to bud from the common bile duct during the fifth week of gestation. Most commonly, the patients with congenital absence of the gallbladder are asymptomatic. Read More

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http://dx.doi.org/10.7759/cureus.1834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5762187PMC
November 2017
14 Reads

Cope's sign and complete heart block in a 78-year-old patient with biliary colic.

Int Emerg Nurs 2018 03 20;37:3-5. Epub 2017 Nov 20.

Department of Internal Medicine, University Hospital of Heraklion, 71110 Voutes, Heraklion, Crete, Greece. Electronic address:

Introduction: Acute cholecystitis and biliary colic may have signs and symptoms similar to those of Acute Coronary Syndrome(ACS) along with ischemic ECG changes. Cholecystitis and/or biliary colic have been both reported as trigger factors for bradyarrhythmia in the literature.

Case Report: A 78-year-old male patient was admitted to our Emergency Department (ED) due to acute abdominal pain. Read More

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http://dx.doi.org/10.1016/j.ienj.2017.10.002DOI Listing
March 2018
42 Reads

The importance of routine bedside biliary ultrasonography in the management of patients admitted to the emergency department with isolated acute epigastric pain

Turk J Med Sci 2017 08 23;47(4):1137-1143. Epub 2017 Aug 23.

Background/aim: The aim of our study was to emphasize the importance of routine bedside biliary ultrasonography (USG) for the differential diagnosis of biliary tract disorders in patients admitted with acute isolated epigastric pain. Materials and methods: Adult patients who were admitted to the emergency department with acute isolated epigastric pain were included in the study. Emergency residents (ERs) were asked whether they planned to perform biliary USG during the initial evaluation and following diagnosis/treatment (secondary evaluation) of these patients. Read More

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http://dx.doi.org/10.3906/sag-1603-12DOI Listing
August 2017
16 Reads

Gallbladder Dysfunction: Cholecystitis, Choledocholithiasis, Cholangitis, and Biliary Dyskinesia.

Prim Care 2017 Dec 5;44(4):575-597. Epub 2017 Oct 5.

Department of Surgery, Medical College of Georgia, Augusta University, 1120 15th Street, BI 4070 Augusta, GA 30912, USA.

The prevalence of gallstones is 10% to 15% in adults. Individuals with acute cholecystitis present with right upper quadrant pain, fever, and leukocytosis. Management includes supportive care and cholecystectomy. Read More

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http://dx.doi.org/10.1016/j.pop.2017.07.002DOI Listing
December 2017
15 Reads

Patient with metastatic breast cancer presenting as acute cholecystitis with one-year survival on hormonotherapy.

Pol Przegl Chir 2017 Aug;89(4):46-49

Department of Oncological Surgery Medical University in Gdańsk.

Breast cancer has high metastatic potential with distant metastases involving mainly lungs, liver and bones. Less frequently it gives distant spread to other organs. Herein we would like to present a very rare case of an acute cholecystitis which turned out to be a metastatic breast cancer in previously healthy woman. Read More

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https://ppch.pl/gicid/01.3001.0010.4063
Publisher Site
http://dx.doi.org/10.5604/01.3001.0010.4063DOI Listing
August 2017
35 Reads

Is Concomitant Cholecystectomy Necessary for Asymptomatic Cholelithiasis During Laparoscopic Sleeve Gastrectomy?

Obes Surg 2018 02;28(2):469-473

Department of General Surgery, Acibadem Altunizade Hospital, Istanbul, Turkey.

Background: There is not any consensus on concomitant cholecystectomy for asymptomatic gallbladder stones during laparoscopic sleeve gastrectomy (LSG). The aim of this study was to evaluate the surveillance results of the LSG patients who have asymptomatic gallbladder stones and did not undergo cholecystectomy.

Methods: Patients who underwent laparoscopic sleeve gastrectomy with preoperatively detected gallbladder stones and completed at least 6 months follow-up were included in the study. Read More

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http://dx.doi.org/10.1007/s11695-017-2867-3DOI Listing
February 2018
21 Reads

Gallbladder mucosal lesions associated with high biliary amylase irrespective of pancreaticobiliary maljunction.

ANZ J Surg 2018 Jun 7;88(6):E517-E521. Epub 2017 Aug 7.

Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital and North Shore Private Hospital, The University of Sydney, Sydney, New South Wales, Australia.

Background: Previous studies have focused on the presence of reflux in selected cohorts with pancreaticobiliary maljunction (PBM), but little is known regarding the wider incidence of occult reflux and associated mucosal changes. We aimed to correlate gallbladder mucosal abnormalities with objective evidence of PBM and occult pancreaticobiliary reflux (PBR) in an Australian population undergoing cholecystectomy.

Methods: Patients undergoing cholecystectomy between September 2010 and September 2012 were eligible for inclusion. Read More

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http://dx.doi.org/10.1111/ans.14136DOI Listing
June 2018
25 Reads

Effects of laparoscopic cholecystectomy in normokinetic biliary dyskinesia.

Am J Surg 2018 Jan 19;215(1):116-119. Epub 2017 Jun 19.

McLaren Greater Lansing, Lansing, MI, USA. Electronic address:

This is the largest single center retrospective study to date looking at response to laparoscopic cholecystectomy in patients with acalculous biliary disease. A chart review was completed on 1116 patients from 2009 to 2014 who had admitting diagnoses related to acalculous cholecystitis and biliary colic. Four hundred and seventy four patients were available for long term follow up (6 months or longer). Read More

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http://dx.doi.org/10.1016/j.amjsurg.2017.04.012DOI Listing
January 2018
88 Reads