585 results match your criteria Postcholecystectomy Syndrome


An unusual case of postcholecystectomy syndrome.

Gastrointest Endosc 2019 Mar 19. Epub 2019 Mar 19.

Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT (Mediterranean Institute for Transplantation and Highly Specialized Therapies), Palermo, Italy.

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http://dx.doi.org/10.1016/j.gie.2019.03.008DOI Listing
March 2019
4 Reads

Effectiveness of mebeverine in patients with post-cholecystectomy gastrointestinal spasm: results of prospective observational program "odyssey".

Ter Arkh 2018 Aug;90(8):40-47

Abbott Laboratories, Moscow, Russia.

Aim: To assess the effectiveness of mebeverine 200 mg BID in patients with post-cholecystectomy gastrointestinal spasm not requiring surgical treatment.

Materials And Methods: 218 patients were included in 16 clinical centers in 14 cities in Russia. All patients had post-cholecystectomy gastrointestinal spasms, not requiring surgical treatment and received mebeverine (Duspatalin®) 200 mg BID. Read More

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http://dx.doi.org/10.26442/terarkh201890840-47DOI Listing
August 2018
1 Read

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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https://synapse.koreamed.org/DOIx.php?id=10.4174/astr.2018.9
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http://dx.doi.org/10.4174/astr.2018.95.3.135DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6121167PMC
September 2018
16 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
15 Reads

[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
3 Reads

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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http://dx.doi.org/10.14701/ahbps.2018.22.1.52DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5845611PMC
February 2018
7 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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http://dx.doi.org/10.1016/j.surg.2017.09.013DOI Listing
April 2018
6 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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http://dx.doi.org/10.1016/j.ijscr.2017.12.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5985252PMC
December 2017
7 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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http://dx.doi.org/10.3904/kjim.2016.223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6030420PMC
July 2018
22 Reads

[Upper abdominal pain, nausea, and vomiting in a 63-year-old woman].

Authors:
S Schwarzer K Rapis

Internist (Berl) 2017 Dec;58(12):1324-1331

Medizinische Klinik I, Klinik für Kardiologie und konservative Intensivmedizin, HELIOS Klinikum Krefeld, Krefeld, Deutschland.

We present a case of myotonic dystrophy type I and its complications including cholangitis and cardiac arrhythmias. The therapy options focus on the consequences of the disease and result in an endoscopic retrograde cholangiography (ERC) and implantation of an implantable cardioverter-defibrillator (ICD). Myotonic dystrophy is a disease which results in a loss of smooth and skeletal muscle cells leading to multiple consequences such as gastrointestinal symptoms and cardiac manifestations. Read More

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http://dx.doi.org/10.1007/s00108-017-0271-7DOI Listing
December 2017
3 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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https://linkinghub.elsevier.com/retrieve/pii/S0929693X173018
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http://dx.doi.org/10.1016/j.arcped.2017.04.011DOI Listing
July 2017
11 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
10 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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http://dx.doi.org/10.1016/j.hpb.2017.04.003DOI Listing
July 2017
35 Reads

[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
7 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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https://www.hindawi.com/journals/crigm/2017/1710501/
Publisher Site
http://dx.doi.org/10.1155/2017/1710501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292123PMC
January 2017
8 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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http://dx.doi.org/10.1016/j.gie.2016.10.031DOI Listing
February 2017
29 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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http://dx.doi.org/10.17116/hirurgia2016855-60DOI Listing
January 2017
12 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
47 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
8 Reads

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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http://dx.doi.org/10.1186/s13256-016-0932-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4937585PMC
May 2016
21 Reads

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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http://dx.doi.org/10.5455/medarh.2016.70.151-153DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851524PMC
April 2016
5 Reads

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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http://dx.doi.org/10.1155/2016/1896368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4800084PMC
April 2016
11 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
13 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
10 Reads

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
2 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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http://dx.doi.org/10.1016/j.gie.2015.11.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5019106PMC
May 2016
6 Reads

[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
7 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
8 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
12 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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http://dx.doi.org/10.1055/s-0034-1392593DOI Listing
May 2016
9 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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http://dx.doi.org/10.1055/s-0034-1392504DOI Listing
May 2016
4 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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http://doi.wiley.com/10.1111/ahe.12186
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http://dx.doi.org/10.1111/ahe.12186DOI Listing
June 2016
24 Reads

[Cholelithiasis: complications and rehabilitation].

Klin Khir 2014 Nov(11):32-4

The results of laparoscopic cholecystectomy, conducted in 71 patients, suffering cholelithiasis, were analyzed. In early postoperative period an acute cholangitis have occurred in 2 (2.8%) patients, an acute pancreatitis--in 1 (1. Read More

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November 2014
33 Reads

Laparoscopic remnant cholecystectomy and transcystic common bile duct exploration for gallbladder/cystic duct remnant with stones and choledocholithiasis after cholecystectomy.

J Laparoendosc Adv Surg Tech A 2015 Jan 23;25(1):7-11. Epub 2014 Dec 23.

Department of General Surgery, Beijing Friendship Hospital, Capital Medical University , Beijing, People's Republic of China .

Background: Postcholecystectomy syndrome has been a long-standing source of frustration for surgeons. The objective of this study was to assess the feasibility and safety of laparoscopic remnant cholecystectomy (LRC) and laparoscopic transcystic common bile duct (CBD) exploration (LTCBDE) when adopted as the management for gallbladder/cystic duct remnant with stones and choledocholithiasis (GRSC) after cholecystectomy.

Patients And Methods: This is a retrospective study of 11 patients who underwent surgeries for GRSC: the first 4 patients (Group 1) underwent open remnant cholecystectomy and CBD exploration, whereas the last 7 patients (Group 2) underwent LRC with LTCBDE successfully. Read More

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http://dx.doi.org/10.1089/lap.2014.0186DOI Listing
January 2015
9 Reads

Hepatobiliary scintigraphy in 2014.

J Nucl Med Technol 2014 Dec;42(4):249-59

Division of Nuclear Medicine, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institute, Baltimore, Maryland

Cholescintigraphy with (99m)Tc-hepatobiliary radiopharmaceuticals has been an important, clinically useful diagnostic imaging study for almost 4 decades. It continues to be in much clinical demand; however, the indications, methodology, and interpretative criteria have evolved over the years. This review will emphasize state-of-the-art methodology and diagnostic criteria for various clinical indications, including acute cholecystitis, chronic acalculous gallbladder disease, high-grade and partial biliary obstruction, and the postcholecystectomy pain syndrome, including sphincter-of-Oddi dysfunction and biliary atresia. Read More

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http://dx.doi.org/10.2967/jnumed.113.131490DOI Listing
December 2014
4 Reads

Early visceral pain predicts chronic pain after laparoscopic cholecystectomy.

Pain 2014 Nov 22;155(11):2400-7. Epub 2014 Sep 22.

Department of Anesthesiology and Intensive Care, Odense University Hospital, Odense DK-5000, Denmark.

Chronic pain after laparoscopic cholecystectomy is related to postoperative pain during the first postoperative week, but it is unknown which components of the early pain response is important. In this prospective study, 100 consecutive patients were examined preoperatively, 1 week postoperatively, and 3, 6, and 12 months postoperatively for pain, psychological factors, and signs of hypersensitivity. Overall pain, incisional pain (somatic pain component), deep abdominal pain (visceral pain component), and shoulder pain (referred pain component) were registered on a 100-mm visual analogue scale during the first postoperative week. Read More

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http://dx.doi.org/10.1016/j.pain.2014.09.019DOI Listing
November 2014
8 Reads

Three late adverse events of choledochoduodenostomy of which the endoscopist should be aware: direct retrograde cholangioscopy is helpful for diagnosis and therapy.

Gastrointest Endosc 2015 Feb 12;81(2):463-4. Epub 2014 Jul 12.

Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum der Johann-Wolfgang-Goethe-Universität, Klinikum der J.W. Goethe-Universität, Frankfurt, Germany.

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https://linkinghub.elsevier.com/retrieve/pii/S00165107140182
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http://dx.doi.org/10.1016/j.gie.2014.05.324DOI Listing
February 2015
21 Reads

Mucocele of the gall bladder stump: a cause of post-cholecystectomy syndrome.

ANZ J Surg 2016 Sep 1;86(9):725-6. Epub 2014 Jul 1.

Department of Surgery, The Canberra and Calvary Hospitals, Australian National University Medical School, Canberra, Australian Capital Territory, Australia.

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http://dx.doi.org/10.1111/ans.12745DOI Listing
September 2016
11 Reads

Utility of endoscopic ultrasound to diagnose remnant stones in symptomatic patients after cholecystectomy.

Endoscopy 2014 Aug 30;46(8):650-5. Epub 2014 Jun 30.

Department of Medicine, Division of Gastroenterology, American University of Beirut, Beirut, Lebanon.

Background And Study Aims: Stones in the cystic duct stump (CDS) or gallbladder remnant after cholecystectomy are difficult to identify. The aim of this study was to evaluate the utility of endoscopic ultrasound (EUS) in the diagnosis of stones in the CDS or gallbladder remnant in patients with postcholecystectomy syndrome.

Methods: A prospective study was conducted between January 2011 and December 2012 in consecutive patients with pancreaticobiliary-type pain or acute pancreatitis (n = 112) following cholecystectomy. Read More

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https://www.thieme-connect.com/products/ejournals/pdf/10.105
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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1365721
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http://dx.doi.org/10.1055/s-0034-1365721DOI Listing
August 2014
17 Reads

Gastroduodenal pathology in patients with asymptomatic gallbladder stones.

Hepatogastroenterology 2014 Jan-Feb;61(129):236-9

Background/aims: Gallbladder stones are still a common pathology worldwide, and the number of patients diagnosed without any symptoms is increasing due to the use of ultrasound and imaging tools such as CT and MRI. The aim of this study was to identify gastroduodenal pathologies in patients with diagnosed asymptomatic gallbladder stones, since some cases of epigastric pain may have led to unnecessary cholecystectomies.

Methodology: Gastroscopic investigations were performed in 33 patients diagnosed with asymptomatic gallbladder stones during a gallstone screening program in Chiang Mai, Thailand, and followed-up with yearly ultrasound examinations. Read More

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June 2014
7 Reads

Fate of dyspeptic or colonic symptoms after laparoscopic cholecystectomy.

J Neurogastroenterol Motil 2014 Apr;20(2):253-60

Departments of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Chungcheongbuk-do, Korea.

Background/aims: Gallbladder diseases can give rise to dyspeptic or colonic symptoms in addition to biliary pain. Although most biliary pain shows improvement after cholecystectomy, the fates of dyspeptic or colonic symptoms still remain controversial. This study as-sessed whether nonspecific gastrointestinal symptoms improved after laparoscopic cholecystectomy (LC) and identified the char-acteristics of patients who experienced continuing or exacerbated symptoms following surgery. Read More

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http://dx.doi.org/10.5056/jnm.2014.20.2.253DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4015198PMC
April 2014
12 Reads

Surgical and endoscopic management of remnant cystic duct lithiasis after cholecystectomy--a case series.

J Gastrointest Surg 2014 Jul 9;18(7):1278-83. Epub 2014 May 9.

Department of Surgery, University of North Carolina at Chapel Hill, 101 Manning Drive, Chapel Hill, NC, 27514, USA,

Introduction: Postcholecystectomy syndrome (PCS) as a result of remnant cystic duct lithiasis (RCDL), or gallstones within the cystic duct after cholecystectomy, can cause persistent or recurrent symptoms after cholecystectomy.

Study Design: A retrospective descriptive analysis was performed for all patients with RDCL at a single institution between 2001 and 2012. Details of presentation, diagnosis, and surgical and endoscopic treatments, and outcomes were collected and analyzed. Read More

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http://dx.doi.org/10.1007/s11605-014-2530-4DOI Listing
July 2014
17 Reads

Hepatobiliary scintigraphy in 2014.

J Nucl Med 2014 Jun 17;55(6):967-75. Epub 2014 Apr 17.

Division of Nuclear Medicine, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institute, Baltimore, Maryland

Cholescintigraphy with (99m)Tc-hepatobiliary radiopharmaceuticals has been an important, clinically useful diagnostic imaging study for almost 4 decades. It continues to be in much clinical demand; however, the indications, methodology, and interpretative criteria have evolved over the years. This review will emphasize state-of-the-art methodology and diagnostic criteria for various clinical indications, including acute cholecystitis, chronic acalculous gallbladder disease, high-grade and partial biliary obstruction, and the postcholecystectomy pain syndrome, including sphincter-of-Oddi dysfunction and biliary atresia. Read More

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http://dx.doi.org/10.2967/jnumed.113.131490DOI Listing
June 2014
3 Reads

[The early postoperative rehabilitation of the patients presenting with cholelithiasis and experiencing psychoemotional stress].

Vopr Kurortol Fizioter Lech Fiz Kult 2013 Nov-Dec(6):36-41

Early postoperative rehabilitation of the patients presenting with cholelithiasis and experiencing psychoemotional stress is designed to restore the function of bile secretion, enhance their adaptive capabilities, and normalize the psychovegetative status for the purpose of preventing further progress of the disease and reducing the risk of the development of post-cholecystectomy syndrome. The inclusion of drinking mineral water, magnetic laser therapy, and UHF therapy in the combined rehabilitative treatment of such patients results in the appreciable enhancement of all functional abilities of the body manifest as the significant improvement and normalization of clinical and laboratory characteristics (elimination of clinical symptoms of the disease, improvement of general and biochemycal parameters of peripheral blood). Simultaneously, the adaptive capabilities and the psychovegetative status of the patients improved as apparent from the increased lymphocyte count, normalization of the Kerdo and Hildebrandt indices and indices of stress level, decreased psychoemotional stress, enhancement of physical functioning characteristics. Read More

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May 2014
8 Reads

Endoscopic management of sump syndrome: closure of choledochoduodenostomy.

Gastrointest Endosc 2014 Oct 11;80(4):725-726. Epub 2014 Feb 11.

Methodist Dallas Medical Center, Dallas, Texas, USA.

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http://dx.doi.org/10.1016/j.gie.2013.12.029DOI Listing
October 2014
8 Reads