19,766 results match your criteria Empyema Gallbladder


Specific radiological findings, if present, can offer high accuracy for the differentiation of Xanthogranulomatous cholecystitis and gallbladder cancer.

Authors:
Hideki Suzuki

Ann Transl Med 2020 Jun;8(11):662

Department of Hepatobiliary and Pancreatic Surgery, Isesaki Municipal Hospital, Gunma, Japan.

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http://dx.doi.org/10.21037/atm.2020.03.193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327357PMC

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

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

[Nomenclature correction of "incidental gallbladder cancer" and its prevention strategies].

Zhonghua Wai Ke Za Zhi 2020 Jul;58(7):490-493

Department of General Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China.

Incidental gallbladder cancer(IGBC) originated in the West more than half a century ago.IGBC was translated and introduced into China afterwards with widespread clinical application.With the popularization of laparoscopic cholecystectomy, the trend of "abuse" of IGBC has become increasingly apparent worldwide. Read More

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http://dx.doi.org/10.3760/cma.j.cn112139-20200302-00174DOI 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

Immunoglobulin G4-related cholecystitis mimicking a locally advanced gallbladder cancer-a case report and review of literature.

Clin J Gastroenterol 2020 Jun 28. Epub 2020 Jun 28.

Department of Pathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Parel, 400012, Mumbai, India.

Immunoglobulin G4 (IgG4)-related disease is a multi-organ immune-mediated condition that can mimic many inflammatory, malignant, and infectious disorders. Isolated IgG4-related cholecystitis without systemic manifestation is extremely rare. We report a rare case of IgG4-related disease with its clinical, radiological and histopathological findings involving only the gallbladder which presented initially as unresectable locally advanced gallbladder cancer on imaging but was diagnosed as IgG4-related cholecystitis preoperatively depending upon serum IgG4 levels and immunohistochemistry. Read More

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http://dx.doi.org/10.1007/s12328-020-01168-7DOI Listing

Role of Prophylactic Cholecystectomy After Endoscopic Sphincterotomy for Biliary Stone Disease: A Systematic Review and Meta-Analysis.

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Section of Digestive Diseases, Yale University School of Medicine. New Haven, CT.

Objective: The aim of this study was to perform a structured systematic review and meta-analysis to evaluate the effectiveness and complication rate of cholecystectomy deferral versus prophylactic cholecystectomy among patients post-endoscopic biliary sphincterotomy for common bile duct stones.

Background: Although previous reports suggest a decreased risk of biliary complications with prophylactic cholecystectomy, biliary endoscopic cholangiopancreatography (ERCP) with sphincterotomy may provide a role for deferring cholecystectomy with the gallbladder left in situ.

Methods: Searches of PubMed, EMBASE, Web of Science, and Cochrane Library databases were performed through August 2019 in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Meta-Analysis of Observational Studies in Epidemiology guidelines. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003977DOI 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

How to perform EUS-based cholecystolithotomy.

Endosc Ultrasound 2020 May-Jun;9(3):162-166

Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.

EUS-guided gallbladder drainage (EUS-GBD) is gradually emerging as an option for patients with cholecystitis. A stent-bridged endoscopic intervention in the gallbladder (GB) has been proposed. The formation of a fistulous tract after EUS-GBD facilitates the entry of the endoscope inside the GB to perform endoscopic lithotomy and polypectomy, which is an efficient and safe procedure. Read More

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http://dx.doi.org/10.4103/eus.eus_36_20DOI Listing

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

Incidental finding of adenocarcinoma in a gallbladder lumen with no wall involvement.

J Surg Case Rep 2020 Jun 17;2020(6):rjaa107. Epub 2020 Jun 17.

Surgical Oncology of Base Hospital Institute, Brasilia, Federal District, Brazil.

Gallbladder cancer (GBC) is a rare disease characterized by its aggressiveness. Resection with free tumour margins is the sole curative treatment and, in incidental findings, surgical reapproach is recommended for segmentectomy IVb and V or wedge resection of the gallbladder fossa and lymphadenectomy. Here we report a case of gallbladder adenocarcinoma as an incidental finding in a fragment in its lumen with no wall involvement evidentiated. Read More

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http://dx.doi.org/10.1093/jscr/rjaa107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299606PMC

[Gallbladder Perforation after Transarterial Chemoembolization in a Patient with a Huge Hepatocellular Carcinoma].

Korean J Gastroenterol 2020 Jun;75(6):351-355

Departments of Radiology, Kosin University College of Medicine, Busan, Korea.

Transarterial chemoembolization (TACE) is a common treatment for unresectable hepatocellular carcinoma (HCC). The most common complications after TACE are non-specific symptoms called post-embolization syndrome, such as abdominal pain or fever. Rare complications, such as liver failure, liver abscess, sepsis, pulmonary embolism, cholecystitis, can also occur. Read More

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http://dx.doi.org/10.4166/kjg.2020.75.6.351DOI 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

[Surgical treatment of gallbladder polyps].

Khirurgiia (Mosk) 2020 (6):49-52

Bashkir State Medical University of the Ministry of Health of Russia, Ufa, Russia.

Objective: To study the incidence of gallbladder polyps and the possibilities of modern methods of diagnosis and surgical treatment of this disease.

Material And Methods: There were 42 laparoscopic cholecystectomies in patients with diagnosed gallbladder polyps. The polyps were diagnosed preoperatively. Read More

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http://dx.doi.org/10.17116/hirurgia202006149DOI Listing
January 2020

[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

Ventriculoperitoneal shunt malfunction due to chronic cholecystitis: A case report.

Medicine (Baltimore) 2020 Jun;99(25):e20565

Department of Neurosurgery, Shengjing Hospital of China Medical University.

Rationale: Ventriculoperitoneal shunt (VPS) is the most common treatment for idiopathic normal pressure hydrocephalus, a subtype of hydrocephalus characterized by gait disturbance, dementia, and urinary incontinence. However, while the malfunction of VPS is reported at a high rate, the involvement of chronic cholecystitis in shunt malfunction is rare.

Patient Concerns: A 73-year-old woman with idiopathic normal pressure hydrocephalus who received a VPS but subsequently developed chronic cholecystitis. Read More

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http://dx.doi.org/10.1097/MD.0000000000020565DOI Listing

Abdominal Surgery in Patients with COVID-19: Detection of SARS-CoV-2 in Abdominal and Adipose Tissues.

Ann Surg 2020 Jun 16. Epub 2020 Jun 16.

Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA.

: Multiple tissue samples were obtained during emergent abdominal surgery in four patients with coronavirus disease 2019 (COVID-19) to examine for tissue involvement by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first patient underwent a laparoscopic cholecystectomy for gallbladder empyema and died from severe respiratory failure. The second patient with Crohn's disease underwent emergent laparotomy for a perforation in the terminal ileum and recovered. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004165DOI Listing

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

Gallbladder wall perforation secondary to empyema in Mirizzi's syndrome: An unseen complication. A case report.

Int J Surg Case Rep 2020 Jun 15;72:438-442. Epub 2020 Jun 15.

MRCS(Eng), FCPS(Pak), Dip. Laparoscopic Surgery (France), General Surgery Specialist, Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia. Electronic address:

Introduction: Mirizzi's syndrome is a rare but potential complication of long standing gallstone disease, particularly cholecystolithiasis.

Case Presentation: Being described is a case of a 42 year old patient who presented with right upper quadrant pain. Initially sent home as the pain settled but was diagnosed as Mirrizi's syndrome on readmission and was managed accordingly. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306538PMC

Cholecystitis on gallbladder duplication: A case report and literature review.

Int J Surg Case Rep 2020 Jun 12;72:406-410. Epub 2020 Jun 12.

Department of Radiology, Burns and Trauma Center, Street 1er-Mai 2013, Ben Arous, Tunisia.

Introduction: Gallbladder Duplication is an uncommon anomaly of the biliary system that rarely seen during the routine ultrasound examination. It is a challenge that can be encountered by surgeons and associated with an increased risk of complications after cholecystectomy.

Case Presentation: We report the case of a 58-year-old woman, presented to the emergency department with persistent right upper quadrant pain. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306521PMC

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

Abdominal Surgery in Patients with a Ventricular Assist Device: A Single Center Experience in Israel.

Isr Med Assoc J 2020 Jun;22(6):369-373

Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel.

Background: Left ventricular assist devices (LVADs) are used more commonly in patients with advanced-stage heart failure. Some of these patients may require elective or urgent abdominal surgical procedures.

Objectives: To determine the outcomes of the management of LVAD-supported patients who underwent elective and urgent abdominal surgical procedures in our institution. Read More

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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

Chronic gallbladder wall thickening: Is it always malignancy?

SA J Radiol 2020 18;24(1):1844. Epub 2020 May 18.

Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Gallbladder wall thickening, associated with features like perforation, fistula formation and invasion of adjacent organs, is often assumed to be malignant. Xanthogranulomatous cholecystitis (XGC) causes gallbladder wall thickening with similar aggressive features and closely mimics gallbladder carcinoma clinically, radiologically and surgically. Differentiating between these two is crucial for management as misdiagnosis of gallbladder cancer can lead to unnecessary radical surgery. Read More

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http://dx.doi.org/10.4102/sajr.v24i1.1844DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276480PMC

Microbiology and risk factors for gram-positive Cocci bacteremia in biliary infections.

Hepatobiliary Pancreat Dis Int 2020 Jun 2. Epub 2020 Jun 2.

Division of Gastroenterology, Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon 16247, Korea.

Background: The rapid antibiotics treatment targeted to a specific pathogen can improve clinical outcomes of septicemia. We aimed to evaluate the clinical characteristics and outcomes of biliary septicemia caused by cholangitis or cholecystitis according to causative organisms.

Methods: We performed a retrospective cohort study in 151 patients diagnosed with cholangitis or cholecystitis with bacterial septicemia from January 2013 to December 2015. Read More

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http://dx.doi.org/10.1016/j.hbpd.2020.05.006DOI Listing

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

Epigastric port retrieval of the gallbladder following laparoscopic cholecystectomy is associated with the reduced risk of port site infection and port site incisional hernia: An updated meta-analysis of randomized controlled trials.

Ann Med Surg (Lond) 2020 Jul 25;55:244-251. Epub 2020 May 25.

Department of Digestive Diseases & Gastrointestinal Surgery, Brighton & Sussex University Hospitals NHS Trust, The Royal Sussex County Hospital, Eastern Road, Brighton, West Sussex, BN2 5BE, United Kingdom.

Aims: The objective of this article is to compare the surgical outcomes for epigastric port or umbilical port retrieval of the gallbladder (GB) following laparoscopic cholecystectomy (LC).

Methods: The data retrieved from the published randomized, controlled trials (RCT) comparing the surgical outcomes for epigastric port or umbilical port retrieval of the GB following LC was analysed using the principles of meta-analysis. The summated outcome of continuous variables was expressed as standardized mean difference (SMD) and dichotomous data was presented in odds ratio (OR). Read More

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http://dx.doi.org/10.1016/j.amsu.2020.05.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283097PMC

A metagenomic study of biliary microbiome change along the cholecystitis-carcinoma sequence.

Clin Transl Med 2020 Jun 11. Epub 2020 Jun 11.

Department of General Surgery and Laboratory of General Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: Gallbladder cancer (GBC) is the most common cancer type of the biliary tract, and an association has been found between chronic calculous cholecystitis (CCC) and an increased incidence of GBC mortality. An understanding of the relationship between CCC and its carcinogenesis may enable us to prevent and cure GBC. In this study, we attempted to explore changes in the microbiome profile that take place during the transition from chronic cholecystitis mucosa to malignant lesions. Read More

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http://dx.doi.org/10.1002/ctm2.97DOI 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

Decreased survival of advanced colorectal cancer among patients with chronic cholecystitis: results from two clinical centers.

J BUON 2020 Mar-Apr;25(2):890-898

Guangdong Provincial key laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou Province, China.

Purpose: Chronic cholecystitis is a common inflammatory disease of the gallbladder. It is related with various gastrointestinal tumors, although its pathogenesis is not clear. This study was designed to investigate the association between chronic cholecystitis and the survival of patients with advanced colorectal cancer (CRC). Read More

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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