77 results match your criteria cholecystitis nationwide

Predictors of same-admission cholecystectomy in mild, acute, biliary pancreatitis.

HPB (Oxford) 2021 Apr 20. Epub 2021 Apr 20.

Department of Surgery, Saint Agnes Healthcare, Baltimore, MD, USA.

Background: Failure to perform same-admission cholecystectomy (SA-CCY) for mild, acute, biliary pancreatitis (MABP) is a recognized risk factor for recurrence and readmission. However, rates of SA-CCY are low and factors associated with these low rates require elucidation.

Methods: Primary MAPB admissions were pooled from NIS 2000-2014 (weighted n = 578 258). Read More

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Pyogenic Liver Abscess Risk in Patients With Newly Diagnosed Type 2 Diabetes Mellitus: A Nationwide, Population-Based Cohort Study.

Front Med (Lausanne) 2021 12;8:675345. Epub 2021 May 12.

Graduate Institute of Biomedical Sciences Science, School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan.

To date, no comprehensive epidemiological study exists on pyogenic liver abscess (PLA) risk in patients with newly diagnosed type 2 diabetes mellitus (T2DM) worldwide. We conducted a retrospective cohort study by using data from Taiwan National Health Insurance Research Database (NHIRD) to examine the association between newly diagnosed T2DM and PLA. The T2DM cohort included patients newly diagnosed as having T2DM (ICD-9-CM:250) from 2000 to 2009, with follow-up until December 31, 2011. Read More

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Morbid obesity but not obesity is associated with increased mortality in patients undergoing endoscopic retrograde cholangiopancreatography: A national cohort study.

United European Gastroenterol J 2021 May 5. Epub 2021 May 5.

Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

Background: The relationship between body weight and outcomes of endoscopic retrograde cholangiopancreatography (ERCP) is unclear.

Objectives: This study aimed to investigate the impact of obesity and morbid obesity on mortality and ERCP-related complications in patients who underwent ERCP.

Methods: We conducted a US population-based retrospective cohort study using the Nationwide Readmissions Databases (2013-2014). Read More

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Utilization and Outcomes of Cholecystostomy and Cholecystectomy in Patients Admitted With Acute Cholecystitis: A Nationwide Analysis.

AJR Am J Roentgenol 2021 06 21;216(6):1558-1565. Epub 2021 Apr 21.

Department of Radiology, Division of Interventional Radiology, Weill Cornell Medicine, 525 E 68th St, Payson 512, New York, NY 10065.

The purpose of this study was to report national utilization trends and outcomes after percutaneous cholecystostomy, cholecystectomy, or no intervention among patients admitted to hospitals with acute cholecystitis. The Nationwide Inpatient Sample was queried from 2005 to 2014. Admissions were identified and stratified into treatment groups of percutaneous cholecystostomy, cholecystectomy, and no intervention on the basis of International Classification of Diseases, 9th revision, codes. Read More

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Endoscopic Retrograde Cholangiopancreatography in Patients With Versus Without Prior Myocardial Infarction or Coronary Revascularization: A Nationwide Cohort Study.

Cureus 2021 Mar 16;13(3):e13921. Epub 2021 Mar 16.

Gastroenterology, Mayo Clinic in Arizona, Scottsdale, USA.

Background Endoscopic retrograde cholangiopancreatography (ERCP) can be associated with complications, including precipitation of peri-procedural myocardial ischemia. However, data regarding the trends and impact of previous myocardial infarction (MI) and/or percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) on ERCP outcomes remains unknown. Methods Using the National Inpatient Sample (2007-2014) and relevant ICD-9-CM codes, we identified adults who underwent ERCP with (Group 1) and without (Group 2) prior history of MI/PCI/CABG, and compared their demographics, comorbidities, and inpatient outcomes. Read More

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Is It Safe to Manage Acute Cholecystitis Nonoperatively During Pregnancy?: A Nationwide Analysis of Morbidity According to Management Strategy.

Ann Surg 2020 09;272(3):449-456

Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.

Objectives: To compare cholecystectomy (CCY) and nonoperative treatment (no-CCY) for acute cholecystitis in pregnancy.

Summary Of Background Data: Current Society of Gastrointestinal and Endoscopic Surgery guidelines recommend CCY over nonoperative management of acute cholecystitis during pregnancy, and the American College of Obstetricians and Gynecologists recommend medically necessary surgery regardless of trimester. This approach has been recently questioned. Read More

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September 2020

Nighttime Cholecystectomies are Safe When Controlled for Individual Patient Risk Factors-A Nationwide Case-Control Analysis.

World J Surg 2021 07 18;45(7):2058-2065. Epub 2021 Mar 18.

Department of General and Transplant Surgery, University Hospital Zurich, University of Zurich, Raemistrasse 100, CH-8091, Zurich, Switzerland.

Background: The aim of this study was to evaluate if the time of day a cholecystectomy was performed affects in-hospital complication rates and mortality.

Methods: A national quality measurement database was retrospectively studied. Study period was 2010 to 2017. Read More

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Increased incidence of acute calculous cholecystitis observed during COVID-19 social restrictions.

Ir J Med Sci 2021 Mar 11. Epub 2021 Mar 11.

Department of Radiology, Mater Misericordiae University Hospital, Eccles St., Dublin 7, Ireland.

Purpose: In response to the outbreak of COVID-19 in Ireland, the government implemented a nationwide stay-at-home order, with the closure of all non-essential businesses. During this period, there was a significant increase in supermarket expenditure. It has been shown that stress, anxiety and boredom are triggers for unhealthy eating habits. Read More

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Comment on paper titled 'Is It Safe to Manage Acute Cholecystitis Nonoperatively During Pregnancy?: A Nationwide Analysis of Morbidity According to Management Strategy', by A. J. Rios-Diaz et al.

Ann Surg 2021 Feb 12. Epub 2021 Feb 12.

Northern General Hospital, Speciality trainee general surgery, General surgery, Herries road, United Kingdom General surgery Speciality Registrar, Northern general hospital Consultant Surgeon, Consultant Surgeon and Honorary Professor, Department of Oncology and Metabolism.

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February 2021

Healthcare Disparities in the Management of Acute Cholecystitis: Impact of Race, Gender, and Socioeconomic Factors on Cholecystectomy vs Percutaneous Cholecystostomy.

J Gastrointest Surg 2021 04 24;25(4):880-886. Epub 2021 Feb 24.

Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.

Background: While percutaneous cholecystostomy (PC) is a recommended treatment strategy in lieu of cholecystectomy (CCY) for acute cholecystitis among patients who may not be considered good surgical candidates, reports on disparities in treatment utilization remain limited. The aim of this study was to investigate the role of demographic, clinical, and socioeconomic factors in treatment of acute cholecystitis.

Methods: Patients with a diagnosis of acute cholecystitis who underwent CCY versus PC were reviewed from the U. Read More

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Frail geriatric patients with acute calculous cholecystitis: Operative versus nonoperative management?

J Trauma Acute Care Surg 2021 Jul;91(1):219-225

From the Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.

Introduction: Nonoperative management of acute calculous cholecystitis (ACC) in the frail geriatric population is underexplored. The aim of our study was to examine long-term outcomes of frail geriatric patients with ACC treated with cholecystectomy compared with initial nonoperative management.

Methods: We conducted a 2017 analysis of the Nationwide Readmissions Database and included frail geriatric (≥65 years) patients with ACC. Read More

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Lessons for Emergency Surgery in the Second Wave: One-Month Single-Centre Experience During the First Wave of COVID-19.

Cureus 2021 Jan 13;13(1):e12685. Epub 2021 Jan 13.

General Surgery, Princess Alexandra Hospital NHS Trust, Harlow, GBR.

Introduction The global COVID-19 pandemic had a deleterious effect upon elective and emergency surgery. Focus of patient care was directed to emergency services. Association of Surgeons of Great Britain and Northern Ireland guidelines advised a trend towards conservative management. Read More

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January 2021

A Nationwide Survey Study on Medical Student Experience in Acute Care Surgery.

J Surg Res 2021 May 8;261:146-151. Epub 2021 Jan 8.

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

Background: There is little known about medical student education in acute care surgery (ACS)-how much and what type of exposure students receive in the specialty. The aim of this study was to investigate the current status of ACS education provided to students in U.S. Read More

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COVID-19 lockdown impact on common general surgical acute presentations to a regional centre in New Zealand.

N Z Med J 2020 11 20;133(1525):96-105. Epub 2020 Nov 20.

Consultant General Surgeon, Department of General Surgery, Tauranga Hospital, Tauranga.

Aim: New Zealand's stated goal of eradicating COVID-19 included the enforcement of a national lockdown. During this time, a perceived decrease in hospital presentations nationwide was noted. This was also the experience of the Department of General Surgery, Bay of Plenty District Health Board (BOPDHB). Read More

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November 2020

Finding the Most Favorable Timing for Cholecystectomy after Percutaneous Cholecystostomy Tube Placement: An Analysis of Institutional and National Data.

J Am Coll Surg 2021 Jan 21;232(1):55-64. Epub 2020 Oct 21.

Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA; Sidney Kimmel Medical College, Philadelphia University and Thomas Jefferson University, Philadelphia, PA. Electronic address:

Background: Early cholecystectomy (E-CCY; 8 weeks or less) after percutaneous cholecystostomy tube (PCT) placement has been associated with increased postoperative complications, but this finding has not been validated at a national level and PCT-related complications and interventions (PCT-RCIs) were not evaluated.

Study Design: Adults with PCT for acute cholecystitis subsequently undergoing CCY were identified within the Nationwide Readmission Database (2010-2015) and our institution (2017-2019). Adjusted relative risks (aRRs) of postoperative complications were estimated using Poisson regression comparing E-CCY with delayed cholecystectomy (D-CCY; more than 8 weeks) within the nationwide cohort. Read More

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January 2021

Surgical trends in the management of acute cholecystitis during pregnancy.

Surg Endosc 2020 Oct 6. Epub 2020 Oct 6.

Division of Acute Care Surgery, Department of Surgery, University of Southern California, 2051 Marengo Street, Inpatient Tower, C5L100, Los Angeles, CA, 90033, USA.

Background: Since 2007, clinical practice guidelines by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) recommend early surgical management with laparoscopic cholecystectomy for pregnant women with symptomatic gallbladder disease regardless of trimester. However, little is known about practice patterns in the management of pregnant patients with acute cholecystitis. This study aims to examine nationwide trends in the surgical management of acute cholecystitis, as well as their impact on clinical outcomes during pregnancy. Read More

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October 2020

A risk score model to predict incidental gallbladder cancer in patients scheduled for cholecystectomy.

Am J Surg 2020 09 24;220(3):741-744. Epub 2020 Jan 24.

Department of Clinical Sciences Lund, Surgery, Lund University and Skane University Hospital, Lund, Sweden. Electronic address:

Background: Gallbladder cancer (GBC) has a poor prognosis. The aim was to develop and validate a preoperative risk score for incidental gallbladder cancer (IGBC) in patients scheduled for cholecystectomy.

Methods: Data registered in the nationwide Swedish Registry for Gallstone Surgery (GallRiks) was analyzed, including the derivation cohort (n = 28915, 2007-2014) and the validation cohort (n = 7851, 2014-2016). Read More

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September 2020

Effect of hospital teaching status on endoscopic retrograde cholangiopancreatography mortality and complications in the USA.

Surg Endosc 2021 01 6;35(1):326-332. Epub 2020 Feb 6.

Division of Gastroenterology and Hepatology, Rutgers New Jersey Medical School, Newark, NJ, USA.

Background: Our aim was to assess the differences in outcomes of cholecystitis, pancreatitis, gastrointestinal (GI) bleed, GI perforation, and mortality in teaching versus nonteaching hospitals nationwide among therapeutic and diagnostic ERCPs. We hypothesized that complication rates would be higher in teaching hospitals given greater patient complexity.

Methods: Inpatient diagnostic and therapeutic ERCPs were identified from the National Inpatient Sample (NIS) from 2008 to 2012. Read More

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January 2021

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

Can J Surg 2020 01 9;63(1):E9-E12. Epub 2020 Jan 9.

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

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

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January 2020

Nationwide trends in the use of subtotal cholecystectomy for acute cholecystitis.

Surgery 2020 03 24;167(3):569-574. Epub 2019 Dec 24.

Division of Acute Care Surgery, University of Southern California, Los Angeles, CA.

Background: Subtotal cholecystectomy is a viable alternative approach to the proverbial "difficult" gallbladder. To date, only a few studies have observed the establishment of those bail-out procedures as an increasingly common surgical practice. The purpose of this study is to assess nationwide trends of subtotal cholecystectomy through evaluation of operative variables and patient- and institution-level characteristics in procedure preference. Read More

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Cholecystitis and risk of pancreatic, liver, and biliary tract cancer in patients undergoing cholecystectomy.

HPB (Oxford) 2020 09 13;22(9):1258-1264. Epub 2019 Dec 13.

Department of Surgery, Section for Hepato-Pancreato-Biliary Surgery, Aarhus University Hospital, Denmark. Electronic address:

Background: Cholecystitis before cholecystectomy may increase risk of cancers in the hepato-pancreato-biliary area.

Methods: A population-based cohort study of all patients undergoing cholecystectomy in Denmark during 1996-2015, using nationwide healthcare registries. We retrieved information on cholecystitis within two years before the date of surgery and information on pancreatic cancer, hepatocellular carcinoma (HCC), and biliary tract cancer. Read More

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September 2020

Percutaneous cholecystostomy for grade III acute cholecystitis is associated with worse outcomes.

Am J Surg 2020 07 25;220(1):197-202. Epub 2019 Nov 25.

Cardiovascular Outcomes Research Laboratories (CORELAB), Division of Cardiac Surgery, David Geffen School of Medicine, University of California Los Angeles, 10833 Le Conte Avenue Suite 62-249, Los Angeles, CA, 90095, USA. Electronic address:

Background: The aim of the present study was to evaluate the mortality, morbidity, and readmissions associated with management of grade 3 cholecystitis in the elderly, vulnerable population.

Methods: This was a retrospective cohort study of non-elective admissions for acute cholecystitis from 2010 to 2015 using the nationwide readmissions database for adults ≥ 65 years with evidence of end-organ dysfunction (grade 3) who underwent percutaneous cholecystostomy (PC), laparoscopic (LC) or open cholecystectomy (OC). Index and readmission outcomes were analyzed using logistic regression and inverse probability treatment weight analysis. Read More

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Timing of cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis: a nationwide inpatient database study.

HPB (Oxford) 2020 06 13;22(6):920-926. Epub 2019 Nov 13.

Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.

Background: Optimal interval from percutaneous transhepatic gallbladder drainage (PTGBD) to cholecystectomy for acute cholecystitis remains unclear.

Methods: We analyzed patients undergoing cholecystectomy following PTGBD for acute cholecystitis, using a national database. We performed restricted cubic spline (RCS) analyses to investigate the association of interval from PTGBD to cholecystectomy with outcomes (mortality/morbidity, blood transfusion, duration of anesthesia, and postoperative hospital stay). Read More

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Establishment of Chronic Typhoid Infection in a Mouse Carriage Model Involves a Type 2 Immune Shift and T and B Cell Recruitment to the Gallbladder.

mBio 2019 10 1;10(5). Epub 2019 Oct 1.

Center for Microbial Pathogenesis, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA

Typhoid fever, caused primarily by serovar Typhi ( Typhi), is a life-threatening systemic disease responsible for significant morbidity and mortality worldwide. Three to 5% of individuals infected with Typhi become chronic carriers due to bacterial persistence in the gallbladder. We have demonstrated that forms biofilms on gallstones to establish gallbladder carriage. Read More

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October 2019

Increasing burden of biliary tract infection caused by extended-spectrum beta-lactamase-producing organisms in Korea: A nationwide population-based study.

J Gastroenterol Hepatol 2020 Jan 13;35(1):56-64. Epub 2019 Aug 13.

Department of Internal Medicine, College of Medicine, Ewha Womans University, Seoul, Korea.

Background And Aim: Biliary tract infections (BTIs) are a major cause of bacteremia. The prevalence of antibiotic-resistant pathogens in BTI patients is reported to be increasing. We used a nationwide database to evaluate the prevalence of, and risk factors for, BTIs caused by extended-spectrum beta-lactamase-producing organisms (ESBL-PO) in Korea. Read More

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January 2020

Trends in the epidemiology of pediatric acute and chronic cholecystitis-related admissions in the USA: a nationwide emergency department and inpatient sample study.

J Investig Med 2019 12 18;67(8):1155-1159. Epub 2019 Jul 18.

Gastroenterology, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, USA.

Acute and chronic cholecystitis can be related to gallstone disease, although in childhood acalculous cholecystitis may be the most frequent form. Chronic acalculous cholecystitis is a subtype of pediatric chronic abdominal pain. The overall incidence of cholecystitis in children appears to be increasing. Read More

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December 2019

Surgical management of acute cholecystitis in a nationwide Danish cohort.

Langenbecks Arch Surg 2019 Aug 11;404(5):589-597. Epub 2019 Jul 11.

Department of Gastrointestinal Surgery, Rigshospitalet, Copenhagen, Denmark.

Purpose: In the Danish national guidelines from 2006 on the treatment of acute cholecystitis, early laparoscopic operation within 5 days after the debut of symptoms was recommended. The aim of this study was to analyze the outcome in patients with acute cholecystitis subjected to cholecystectomy in Denmark in the five-year period hereafter.

Methods: All patients undergoing cholecystectomy in the period 2006-2010 were registered in the Danish Cholecystectomy Database, from which outcome data were collected. Read More

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

Arch Pathol Lab Med 2019 10 10;143(10):1259-1264. Epub 2019 Apr 10.

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

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

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October 2019

Acute Cholecystitis in Elderly Patients after Hip Fracture: a Nationwide Cohort Study.

J Korean Med Sci 2019 Feb 25;34(5):e36. Epub 2019 Jan 25.

Department of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea.

Background: Because acute cholecystitis in elderly hip fracture is not easily distinguishable from other gastrointestinal symptoms and involves atypical clinical behaviors, it may not be diagnosed in the early stage. However, the exact incidences could not be reported. We utilized data from a nationwide claims database and attempted to assess the incidence of acute cholecystitis in elderly hip fracture patients and how cholecystitis affects mortality rates after hip fracture. Read More

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February 2019