948 results match your criteria Postcholecystectomy Syndrome


Postcholecystectomy syndrome: symptom clusters after laparoscopic cholecystectomy.

Ann Surg Treat Res 2018 Sep 31;95(3):135-140. Epub 2018 Aug 31.

Department of Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.

Purpose: Postcholecystectomy syndrome (PCS) is characterized by abdominal symptoms following gallbladder removal. However, there is no consensus for the definition or treatment for PCS. The purpose of this study was to define PCS among various symptoms after laparoscopic cholecystectomy, and to identify risk factors affecting PCS. Read More

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September 2018
6 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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September 2018
5 Reads

Common Bile Duct Stone Formed around a Migrated Clip: An Unexpected Complication of Laparoscopic Cholecystectomy.

Case Rep Gastrointest Med 2018 13;2018:5892143. Epub 2018 May 13.

College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahd University Hospital, Dammam, Saudi Arabia.

Surgical clip migration into the common bile duct with subsequent stone formation is a rare complication following laparoscopic cholecystectomy. Very few cases have been reported in the literature. We report a case of bile duct stone formation around a migrated surgical clip 16 years after laparoscopic cholecystectomy. Read More

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May 2018
7 Reads

A systematic review of biodegradable biliary stents: promising biocompatibility without stent removal.

Eur J Gastroenterol Hepatol 2018 08;30(8):813-818

Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital.

Biodegradable self-expanding stents are an emerging alternative to standard biliary stents as the development of endoscopic insertion devices advances. The aim was to systematically review the existing literature on biodegradable biliary stents. In-vivo studies on the use of biodegradable stents in the biliary duct were systematically reviewed from 1990 to 2017. Read More

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[Splenic artery aneurysm masked by postcholecystectomy syndrome].

Angiol Sosud Khir 2018;24(1):175-178

Department of Faculty Surgery with the Courses of Endocrinology and Hematology, Izhevsk State Medical Academy of the Ministry of Health of the Russian Federation, Izhevsk, Russia.

Visceral artery aneurysms appear to belong to uncommon and potentially lethal vascular diseases. They are usually revealed accidentally during an ultrasonographic examination, magnetic resonance imaging, or computed tomography. Described in the article is a clinical case report concerning a sacciform aneurysm of the splenic artery, detected in a 53-year-old woman presenting with postcholecystectomy syndrome and followed up for abdominalgia by therapeutists and gastroenterologists. Read More

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June 2018
1 Read

Clinical patterns of postcholecystectomy syndrome.

Ann Hepatobiliary Pancreat Surg 2018 Feb 26;22(1):52-57. Epub 2018 Feb 26.

King Abdulaziz Medical City/King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

Backgrounds/aims: Postcholecystectomy syndrome represents a heterogeneous group of symptoms and findings in patients who have previously undergone cholecystectomy. It is rare and under-reported in Saudi Arabia. It can be attributed to many complications such as bile duct injury, biliary leak, retained common bile duct stones, recurrent bile duct stones, and bile duct strictures. Read More

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February 2018
5 Reads

Man with liver abscess and pneumobilia.

Surgery 2018 04 3;163(4):965-966. Epub 2018 Jan 3.

Department of Surgery, University of California, Los Angeles, Los Angeles, CA.

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April 2018
5 Reads

Post cholecystectomy syndrome need to redo laparoscopic completion surgery: A case report.

Int J Surg Case Rep 2018 9;42:145-147. Epub 2017 Dec 9.

Clinical Research Development Center, Shahid Beheshti Hospital, Sargord Ghasemi Street, Shahid Keshvari Square, Babol, Mazandaran, Iran. Electronic address:

Introduction: Cholecystectomy is the standard treatment for symptomatic gallbladder stone disease. However, symptoms such as abdominal pain and dyspepsia may persist even after surgery, if the gallbladder is incompletely removed known as postcholecystectomy syndrome.

Case Presentation: A 55-year-old man with a history of open cholecystectomy presented with a complaint of recurrent pain on his upper abdomen. Read More

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December 2017
6 Reads

Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease.

Korean J Intern Med 2018 07 10;33(4):829-836. Epub 2017 Nov 10.

Department of Food and Nutrition, Hanyang University College of Human Ecology, Seoul, Korea.

Background/aims: After cholecystectomy, patients have reported postcholecystectomic syndromes such as abdominal symptoms, dyspepsia, and diarrhea, which suggest a relationship between cholecystectomic symptoms and diet, although the details of this association remain unclear. The present study investigated the hypothesis that dietary intake of nutrients and foods was significantly associated with postcholecystectomic syndromes.

Methods: Gallstone patients (n = 59) who underwent laparoscopic cholecystectomy were enrolled, and dietary intake and clinical parameters were assessed immediately postcholecystectomy and 3 months later. Read More

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July 2018
15 Reads

[Isolated gallbladder agenesis mimicking biliary colic: A difficult preoperative diagnosis].

Arch Pediatr 2017 Jul 2;24(7):634-636. Epub 2017 Jun 2.

Service de chirurgie pédiatrique viscérale, CHU d'Amiens, avenue Laennec-Salouel, 80054 Amiens cedex 1, France. Electronic address:

Isolated gallbladder agenesis is a very rare and unrecognized congenital anomaly. Patients are usually asymptomatic, but 23% present with symptoms suggestive of biliary colic. Ultrasound investigation often fails to diagnose this malformation, misinterpreted as scleroatrophic gallbladder, leading to unnecessary and potentially dangerous surgery. Read More

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July 2017
6 Reads

[Aneurysm of the gastroduodenal artery in a female patient with the postcholecystectomy syndrome (a clinical case report)].

Angiol Sosud Khir 2017;23(1):165-169

First Republican Clinical Hospital of the Public Health Ministry of the Udmurt Republic, Izhevsk, Russia.

Aneurysms of visceral arteries appear to belong to rare and potentially lethal vascular diseases. The most important role in the aetiology of aneurysms of the gastroduodenal artery is plaid by either acute or chronic pancreatitis. The article deals with a clinical case report concerning a saccular partially thrombosed aneurysm having developed in a 77-year-old woman presenting with the postcholecystectomic syndrome and detected on ultrasonographic examination of the abdominal-cavity vessels. Read More

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August 2017
8 Reads

Factors relevant to persistent upper abdominal pain after cholecystectomy.

HPB (Oxford) 2017 07 8;19(7):629-637. Epub 2017 May 8.

Department of Hepatobiliary Surgery, Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Xi'an Jiaotong University Xi'an, Shaanxi Province, 710061, China; Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center Xi'an, Shaanxi Province, 710061, China. Electronic address:

Background: Cholecystectomy is a routine procedure for treatment of upper abdominal pain (UAP) and other atypical symptoms associated with gallstones. UAP, however, persists in some cases postoperatively. The present study was to identify the risk factors relevant to persistent UAP after cholecystectomy. Read More

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July 2017
21 Reads

Peritoneo-cutaneous fistula from spilled gall bladder calculus following laparoscopic cholecystectomy.

Authors:
Suneed Kumar

Clin Case Rep 2017 05 22;5(5):720-722. Epub 2017 Mar 22.

Department of General Surgery Grant Govt. Medical College & Sir JJ Group of Hospitals Mumbai 400007 Maharashtra India.

Inadvertent spillage of gall stones is a rare yet important cause of delayed postcholecystectomy complications. Varied presentations and difficulty in diagnosis are the hallmarks, making it crucial to have a high index of suspicion to detect and intervene appropriately. Peritoneo-cutaneous fistulae from the retained stone can be completely excised in toto. Read More

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[Postcholecystectomy syndrome in children, fact or fiction?]

Cir Pediatr 2016 Jul 10;29(3):115-119. Epub 2016 Jul 10.

Servicio de Cirugía Pediátrica. Hospital General Universitario de Alicante.

Introduction: The postcholecystectomy syndrome (SPC) is broadly defined and published in adults, whereas in the pediatric population are hardly any articles about it. Up to a third of adults have dyspeptic symptoms without organic cause the first year after cholecystectomy. Our goal is to determine the incidence of SPC in our population. Read More

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July 2016
5 Reads

Single-Operator Peroral Cholangioscopy for Extraction of Cystic Duct Stones in Postcholecystectomy Mirizzi Syndrome.

Case Rep Gastrointest Med 2017 22;2017:1710501. Epub 2017 Jan 22.

Division of Gastroenterology, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Mirizzi syndrome is an exceptionally rare diagnosis with an annual incidence of less than 1% in developed countries. In this disease process, stone burden in the cystic duct or gallbladder neck leads to common hepatic duct obstruction, either by mechanical compression or secondary inflammation. Mirizzi syndrome is classified into one of four types based on the presence and severity of cholecystobiliary fistulization. Read More

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January 2017
6 Reads

Age-related differences pre-, intra-, and postcholecystectomy: A retrospective cohort study of 6,868 patients.

Int J Surg 2017 Mar 16;39:119-126. Epub 2017 Jan 16.

Department of Surgery, Saint Agnes Hospital, Baltimore, MD, USA. Electronic address:

Background: Cholecystectomy (CCY) is increasingly performed in older individuals. We sought to examine age-related differences in pre-, intra-, and postoperative factors at a community hospital, using a very large, single-institution cholecystectomy database.

Materials And Methods: A retrospective review of 6868 patients who underwent CCY from 2001 to 2013 was performed. Read More

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March 2017
11 Reads

Cholangitis many years after choledochoduodenostomy.

Gastrointest Endosc 2017 Feb 1;85(2):452. Epub 2016 Nov 1.

Basil I. Hirschowitz Center of Excellence, Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

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February 2017
19 Reads

[The consequences of cholecystectomy].

Khirurgiia (Mosk) 2016(8):55-60

Department of Hospital Surgery, Yaroslavl State Medical University, Russia.

Aim: to analyze the consequences of cholecystectomy.

Material And Methods: 348 patients were under observation within 10  years after cholecystectomy. Surgery for destructive and chronic cholecystitis was performed in 115 and 233 patients respectively. Read More

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January 2017
10 Reads

Sphincter of Oddi disorder (SOD): Is it necessary to investigate and treat?

Trop Gastroenterol 2015 Jul-Sep;36(3):145-55

Sphincter of Oddi disorder (SOD) is a part of functional gastrointestinal disorder which is a non-calculous obstructive disorder. This disease is more common in middle-aged women with a prevalence of around 1.5% but in patients with post-cholecystectomy syndrome (PCS) the prevalence rate is markedly higher (9-55%). Read More

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September 2016
32 Reads

Effects of Rowachol on prevention of postcholecystectomy pain after laparoscopic cholecystectomy: prospective multicenter randomized controlled trial.

HPB (Oxford) 2016 08 30;18(8):664-70. Epub 2016 Jun 30.

Department of Surgery, Chung-Ang University College of Medicine, South Korea. Electronic address:

Background: Postcholecystectomy pain (PCP) is characterized by abdominal pain after cholecystectomy. However, prevention of PCP is not well known yet. The purpose of this study was to determine whether Rowachol might be useful in preventing PCP. Read More

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August 2016
8 Reads

[POSTCHOLECYSTECTOMY SYNDROME: CLASSIFICATION, THE RISK FACTORS, CRITERIA OF THE DIAGNOSIS ESTABLISHMENT, TREATMENT-DIAGNOSTIC ALGORITHM].

Klin Khir 2016 Apr(4):12-6

Own experience of surgical treatment of patients for postcholecystectomy syndrome (PCHES) in a 2010 - 2015 yrs period was enlighten. The PCHES modified classification was adduced, the immediate and remote results of the patients' treatment were analyzed, technical aspects and peculiarities of performance of some operative interventions, the risk factors for the PCHES occurrence were analyzed. Read More

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April 2016
7 Reads

Cutaneous fistula caused by postcholecystectomy residual litiasis.

Cir Esp 2017 Jun - Jul;95(6):346. Epub 2016 Jul 16.

Unidad de la Hiperplasia Benigna de Próstata, Hospital Santa Caterina, Salt, Gerona, España.

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May 2018
1 Read

Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature.

J Med Case Rep 2016 May 27;10:135. Epub 2016 May 27.

Second Department of Surgery, Democritus University of Thrace, University Hospital of Alexandroupolis, Dragana, 68100, Alexandroupolis, Greece.

Background: Laparoscopic cholecystectomy is the gold standard treatment of gallbladder disease. Post-cholecystectomy syndrome is a severe postoperative complication which can be caused by multiple mechanisms and can present with multiple disorders. The wide use of laparoscopy induces the need to understand more clearly the presentation and pathophysiology of this syndrome. Read More

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May 2016
16 Reads

Pseudomembranous colitis secondary to methicillin-resistant Staphylococcus aureus (MRSA).

BMJ Case Rep 2016 May 10;2016. Epub 2016 May 10.

Department of Medicine, Division of Infectious Diseases, University of Florida, Gainesville, Florida, USA.

A 37-year-old woman with a history of type II diabetes and Crohn's disease, status postcholecystectomy, presented with a >2-week history of cramping abdominal pain, nausea, non-bloody/non-bilious emesis and, later, diarrhoea. A flexible sigmoidoscopy was performed, revealing that 'a segmental pseudomembrane was found from rectum to sigmoid colon'. Clostridium difficile PCR on the stool was repeated twice and resulted negative both times. Read More

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May 2016
1 Read

Belching After Biliary Pancreatitis and Laparoscopic Cholecystectomy.

Med Arch 2016 Apr 1;70(2):151-3. Epub 2016 Apr 1.

Center for Primary Health Care, Zivinice, Bosnia and Herzegovina.

Introduction: Belching is often reported symptom. It is rarely an isolated disorder and mainly occurs within various gastroduodenal diseases.

Aim: The aim is to show the great breadth of clinical symptoms of postcholecystectomy syndrome which should have a multidisciplinary therapeutic approach taking into account all aspects of patient's life. Read More

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April 2016
2 Reads

An Unusual Cause of Postcholecystectomy Gastrointestinal Hemorrhage.

Gastroenterology 2016 06 29;150(7):1535-1536. Epub 2016 Apr 29.

Department of Gastroenterology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, United Kingdom.

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June 2016
1 Read

A very rare postcholecystectomy complication.

Endoscopy 2016 26;48 Suppl 1:E156-7. Epub 2016 Apr 26.

Department of Surgery, University of São Paulo Medical School, São Paulo, Brazil.

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January 2017
1 Read

Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature.

Case Rep Surg 2016 7;2016:1896368. Epub 2016 Mar 7.

Department of Surgery, New York Medical College-Westchester Medical Center, Valhalla, NY 10595, USA.

Mirizzi syndrome has been defined in the literature as common bile duct obstruction resulting from calculi within Hartmann's pouch or cystic duct. We present a case of a 78-year-old female, who developed postcholecystectomy Mirizzi syndrome from a remnant cystic duct stone. Diagnosis of postcholecystectomy Mirizzi syndrome was made on endoscopic retrograde cholangiography (ERCP) performed postoperatively. Read More

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April 2016
9 Reads

[SIMULTANT OPERATIONS FOR BILIARY CALCULOUS DISEASE AS A METHOD OF PREVENTION OF POSTCHOLECYSTECTOMY SYNDROME].

Klin Khir 2015 Dec(12):5-8

Abstract Own experience of treatment of patients for biliary calculous disease, coexistent with other abdominal and retroperitoneal organs diseases, was analyzed. The rate of postcholecystectomy syndrome (PCHES) occurrence in such patients was determined, the impact of simultant operative interventions using laparoscopic and laparotomic accesses on the rate of the PCHES occurrence was established. The elaborated diagnostic-treatment algorithm with application of measures, directed on the PCHES prophylaxis, was elaborated. Read More

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December 2015
9 Reads

[Diagnosis of sphincter of Oddi dysfunction in patients with postcholecystectomy syndrome from hepatobiliary scintigraphic findings].

Vestn Rentgenol Radiol 2015 Nov-Dec(6):5-11

Objective: to diagnose and estimate the clinical value of postcholecystectomy sphincter of Oddi dysfunction in patients.

Material And Methods: Examinations were made in 100 postcholecystectomy patients without signs of cholestasis; of them 14 postpapillotomy patients formed a comparison group. Hepatobiliary scintigraphy using the radiotracer 99mTC-bromeside was performed for 90 minutes with cholagogue breakfast at 45 minutes. Read More

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April 2016
8 Reads

Successful Treatment of Persistent Postcholecystectomy Bile Leak Using Percutaneous Cystic Duct Coiling.

Case Rep Surg 2015 21;2015:273198. Epub 2015 Dec 21.

Department of Surgery, University of New Mexico, Albuquerque, NM 87131, USA.

Laparoscopic cholecystectomy is one of the most commonly performed operations worldwide. Cystic duct is the most common site of bile leak after cholecystectomy. The treatment of choice is usually conservative. Read More

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January 2016

THE VALUE OF DEFORMATION OF THE BILE DUCTS IN THE DEVELOPMENT OF POSTCHOLECYSTECTOMY SYNDROME.

Authors:
V V Yurchenko

Eksp Klin Gastroenterol 2016(10):75-79

The aim of this study was to study meaning of bile ducts angulation in postcholecystectomical syndrome developing.

Materials And Methods: There were 27 patients to be followed-up, 15 of them were performed long-term multi-stent placement in order to pursue bile ducts angulation to be liquidate and angles. After that control estimation was having versus 12 patients of control group. Read More

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July 2018
1 Read

Increased Risk of Pancreatic Cancer Related to Gallstones and Cholecystectomy: A Systematic Review and Meta-Analysis.

Pancreas 2016 Apr;45(4):503-9

From the *Departments of General Surgery and †Anesthesiology, The First Affiliated Hospital of Henan Science and Technology University, Luoyang, Henan Province; and ‡Department of Physiology, The Basic Medicine College of Weifang Medical University, Weifang, Shandong Province, China.

To investigate the potential roles of gallstones and cholecystectomy in pancreatic carcinogenesis, we performed the first meta-analysis of all currently published studies by pooling relative risks (RRs) with 95% confidence intervals (95% CIs). Stratified analysis by ethnicity, study design, and common adjusted factors were also conducted. Individuals with a history of gallstones and cholecystectomy were at increased risk of pancreatic cancer (RR, 1. Read More

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April 2016
7 Reads

Endoscopic management of sump syndrome resulting from endoscopic choledochogastrostomy.

Gastrointest Endosc 2016 May 11;83(5):1037. Epub 2015 Nov 11.

Department of Medicine, Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA.

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May 2016
4 Reads

Septic Shock Due to Biliary Stones in a Postcholecystectomy Patient.

J Coll Physicians Surg Pak 2015 Oct;25 Suppl 2:S70-2

Department of Critical Care, King Khalid University Hospital, King Saud University, Riyadh, KSA.

Septic shock leading to multi-organ failure is not uncommon. Early diagnosis to confirm the source is the distinctive attribute of sepsis management guidelines. Cholangitis as the source of sepsis can become a diagnostic dilemma in patients who have had cholecystectomy in the past. Read More

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October 2015
1 Read

[THE IDENTIFICATION OF ALTERATIONS IN THE AREA OF GREAT DUODENAL PAPILLA AND MICRO-CHOLELITHIASIS AS A TECHNIQUE OF PREVENTION OF POST-CHOLECYSTECTOMY SYNDROME AFTER MINI-INVASIVE CHOLECYSTECTOMY].

Klin Lab Diagn 2015 Jun;60(6):17-20

The article presents the results of endoscopic and laboratory analyses of bile in 90 patients after mini-invasive cholecystectomy The significant amount of endoscopic diagnosed alterations in the area of major duodenal papilla that amounted to 64.4% of examined patients and also occurrence of micro-cholelithiasis and insoluble precipitates in analyzed bile of 83.3% of patients. Read More

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June 2015
6 Reads

[ENDOSCOPIC DIAGNOSIS AND PARIETAL IMPEDANCOMETRY IN THE ASSESSMENT OF CHANGES IN THE MUCOSA OF THE DUODENUMIN PATIENTS WITH SUSPICION ON POSTCHOLECYSTECTOMY SYNDROME].

Eksp Klin Gastroenterol 2015 (4):34-7

The article is based on analysis of the results of continuous cohort study of 79 patients. All patients underwent endoscopic examination of the upper parts of the gastrointestinal tract and parietal impedancometry mucosa in the descending part of the duodenum. The aim of the study was to determine the effectiveness of endoscopy and the parietal impedancometry mucosa of the duodenum in patients with suspected development of postcholecystectomy syndrome. Read More

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October 2015
6 Reads

Evaluation of gastroesophageal reflux after laparoscopic cholecystectomy using combined impedance-pH monitoring.

Trop Gastroenterol 2014 Oct-Dec;35(4):222-6

Background And Aim: Postoperative gastroesophageal reflux (GER) is one of the causes of post-cholecystectomy syndrome (PCS). Reports studying the effect of cholecystectomy on GER show conflicting results and only a few studies have used the more sensitive technique of combined impedance-pH monitoring. This study aimed to study the effect of laparoscopic cholestectomy on GER (acid/non-acid reflux) using impedance-pH monitoring. Read More

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October 2015
9 Reads

Outcomes of endoscopic management of primary and refractory postcholecystectomy biliary leaks in a multicentre review of 178 patients.

BMC Gastroenterol 2015 Aug 19;15:105. Epub 2015 Aug 19.

Curva de Gauss - Research, Training and Consulting, Rua Doutor Eduardo Maria dos Santos, Lote 1, Loja 3, 3525-000, Canas de Senhorim, Portugal.

Background: Biliary leaks have been treated with endoscopic management using different techniques with conflicting results. Furthermore the appropriate rescue therapy for refractory leaks has not been established. We evaluated the clinical effectiveness of initial endotherapy for postcholecystectomy biliary leaks using an homogenous approach (sphincterotomy + placement of a 10-French plastic stent) in a large series of patients as well as the optimal and efficacy of rescue endotherapy for refractory biliary leaks. Read More

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August 2015
13 Reads

[ENZYME THERAPY OF POSTCHOLECYSTECTOMY SYNDROME IN CHILDREN].

Eksp Klin Gastroenterol 2015 (1):55-61

The article provides pathogenetic justification of the need and the effectiveness of enzyme replacement therapy (ERT) of postcholecystectomy syndrome (PHES) in children. Special focus will be on the possibility of using the ERT in PHES in children of different age groups. Personal experience with these drugs in children with cholelithiasis is provided, considering their mechanism of action and side effects of ERT. Read More

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September 2015
15 Reads

An alternative treatment for postcholecystectomy Mirizzi's syndrome: cystic duct balloon dilation.

Endoscopy 2015 14;47 Suppl 1 UCTN:E371. Epub 2015 Aug 14.

Gastroenterology Department, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.

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May 2016
6 Reads

A novel method for closure of a choledochoduodenostomy in sump syndrome.

Endoscopy 2015 11;47 Suppl 1 UCTN:E365-6. Epub 2015 Aug 11.

Department of Gastroenterology, Ege University Medical School, Izmir, Turkey.

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May 2016
3 Reads

Emerging Role of Endoscopic Ultrasound in the Diagnostic Evaluation of Idiopathic Pancreatitis.

Am J Med Sci 2015 Sep;350(3):229-34

Division of Gastroenterology and Hepatology, University of Alabama School of Medicine, Birmingham, Alabama.

Background: "Idiopathic pancreatitis" is diagnosed when clinical, laboratory and conventional radiologic methods do not provide a clear etiology for the episode. Given its associated morbidity and mortality, it is important to determine the cause of pancreatitis to provide early treatment and prevent recurrence.

Methods: The aim of this systematic review was to evaluate the utility of endoscopic ultrasound (EUS) in determining an etiology in patients classified as having idiopathic pancreatitis and to assess how EUS performed compared with other modalities. Read More

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September 2015
5 Reads

Endoscopic management of hilar biliary strictures.

World J Gastrointest Endosc 2015 Jul;7(8):806-13

Rajiv Ranjan Singh, Virendra Singh, Departments of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India.

Hilar biliary strictures are caused by various benign and malignant conditions. It is difficult to differentiate benign and malignant strictures. Postcholecystectomy benign biliary strictures are frequently encountered. Read More

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July 2015
2 Reads

Innervation of Extrahepatic Biliary Tract, With Special Reference to the Direct Bidirectional Neural Connections of the Gall Bladder, Sphincter of Oddi and Duodenum in Suncus murinus, in Whole-Mount Immunohistochemical Study.

Anat Histol Embryol 2016 Jun 14;45(3):184-8. Epub 2015 Jul 14.

Department of Functional Anatomy, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.

Sphincter of Oddi dysfunction is one of the most important symptoms in post-cholecystectomy syndrome. Using either electrical or mechanical stimulation and retrogradely transported neuronal dyes, it has been demonstrated that there are direct neural pathways connecting gall bladder and the sphincter of Oddi in the Australian opossum and the golden hamster. In the present study, we employed whole-mount immunohistochemistry staining to observe and verify that there are two different plexuses of the extrahepatic biliary tract in Suncus murinus. Read More

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June 2016
23 Reads

Indian Council of Medical Research consensus document for the management of gall bladder cancer.

Indian J Med Paediatr Oncol 2015 Apr-Jun;36(2):79-84

Department of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India.

The document is based on consensus among the experts and best available evidence pertaining to Indian population and is meant for practice in India.All postcholecystectomy gallbladder specimens should be opened and examined carefully by the operating surgeon and be sent for histopathological examination.All "incidental" gall bladder cancers (GBCs) picked up on histopathological examination should have an expert opinion. Read More

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July 2015
3 Reads

Prompt Repair of Post Cholecystectomy Bile Duct Transection Recognized Intraoperatively and Referred Early: Experience from a Tertiary Care Teaching Unit.

Indian J Surg 2015 Apr 25;77(2):99-103. Epub 2012 Sep 25.

Department of GI Surgery, GB Pant Hospital & MAM College, Delhi University, New Delhi, India.

Postcholecystectomy bile duct injuries are a cause of significant morbidity and occasional mortality. Intraoperative recognition and repair of complete biliary transection with hepaticojejunostomy is the recommended treatment; however, it is possible only in few patients as either the injury is not recognized intraoperatively or the center is not geared up to perform an urgent hepaticojejunostomy in these patients with a nondilated duct. Retrospective analysis of data from a tertiary care referral center over a period of 10 years from January 2000 to December 2009 to report the feasibility and outcomes of prompt repair was done (defined as repair within 72 h of index operation) of postcholecystectomy bile duct injury. Read More

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April 2015
1 Read

Long-term follow-up of 120 patients after hepaticojejunostomy for treatment of post-cholecystectomy bile duct injuries: A retrospective cohort study.

Int J Surg 2015 Jun 9;18:205-10. Epub 2015 May 9.

Gastroenterology Surgical Center (GEC), Department of Surgery, Mansoura University, Egypt. Electronic address:

Background: Long-term follow-up is essential for assessment of success of the surgical repair of post-cholecystectomy bile duct injuries (BDI). Factors affecting the long-term outcome and satisfactory length of follow-up have been little reported in the literature. The aim of this study is long-term evaluation of hepaticojejunostomy regarding clinical, radiological, laboratory and quality of life assessment. Read More

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June 2015
23 Reads

Biodegradable biliary stent in the endoscopic treatment of cystic duct leak after cholecystectomy: the first case report and review of literature.

J Laparoendosc Adv Surg Tech A 2015 May 8;25(5):419-22. Epub 2015 Apr 8.

1 Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital , Tampere, Finland .

Background: The preferred therapy for simple postcholecystectomy biliary leak consists of percutaneous drainage and biliary stent insertion under endoscopic retrograde cholangiopancreatography (ERCP). With a novel endoscopic insertion device, a biodegradable biliary stent (BDBS) may be used in the treatment of a cystic duct leak without repeated endoscopy for stent removal. The objective of this article was to report the first case of endoscopic insertion of BDBS for postoperative bile leak and assess its feasibility and safety. Read More

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May 2015
30 Reads