Could You Have Silent Gallstones?
Title: Could You Have Silent Gallstones?Category: Health NewsCreated: 12/14/2018 12:00:00 AMLast Editorial Review: 12/14/2018 12:00:00 AM
CONCLUSION: Our study reinforces the role of older age, obesity and hepatomegaly as predictors of fatty liver disease. These variables should be considered in the assessment of fatty changes in the livers of potential liver donors.
AbstractBackgroundLaparoscopic cholecystectomy (LC) is the criterion standard for treating patients with symptomatic gallstone disease; however, the optimal technique for extracting common bile duct stones remains unclear. Recent studies have noted improved outcomes with single-stage techniques, such as intraoperative endoscopic retrograde cholangiopancreatography (iERCP) and laparoscopic common bile duct exploration (LCBDE); however only few studies have directly compared those two single-stage techniques.ObjectivesUsing the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database, w...
Conclusion: Patients can have abnormal CCK stimulus-activity coupling as an effect of endogenous negative allosteric modulation by membrane cholesterol. This was predicted in ex vivo studies, but has not previously been demonstrated in vivo. This type of kinetic analysis provides a tool to quantify CCK responsiveness in patients and identify patients who might benefit from a drug that would positively modulate CCK action to improve their appetite regulation and to better control their weight. PMID: 31604888 [PubMed - as supplied by publisher]
Publication date: Available online 7 October 2019Source: The American Journal of SurgeryAuthor(s): Megan Berger, Benzon Dy, Travis McKenzie, Geoffrey Thompson, Robert Wermers, Melanie LydenBackgroundPorcelain gallbladder is characterized by calcification of the gallbladder wall, possibly associated chronic inflammation from cholelithiasis. It is unknown whether porcelain gallbladder is associated with higher rates of hypercalcemia and/or hyperparathyroidism compared to cholelithiasis without porcelain gallbladder.MethodsWe searched our patient database for patients with porcelain gallbladder on imaging and patients with ch...
Conditions: Gallstone; Cholecystitis Interventions: Device: the MicroHand S endoscopic instrument control system; Device: the da Vinci endoscopic instrument control system Sponsors: The Third Xiangya Hospital of Central South University; The Affiliated Hospital of Qingdao University Recruiting
Abstract Common bile duct (CBD) stones are a frequent problem in Chinese populations, and their incidence is particularly high in certain areas (Wang et al., 2013). In recent years, laparoscopic common bile duct exploration (LCBDE) and endoscopic retrograde cholangiopancreatography (ERCP) have been the main surgical procedures for CBD stones, although each has different advantages and disadvantages in the treatment of choledocholithiasis (Loor et al., 2017; Zhou et al., 2017). For patients with large stones, a dilated CBD, especially concurrent gallstones, LCBDE is the preferred and most economical minimally invas...
The aim of the study was to prospectively investigate the long-term effects of gallbladder-preserving cholecystolithotomy in a selected population of Chinese patients.
ConclusionFluorescent cholangiography can be considered a useful imaging diagnostic tool comparable to MRCP for detailed intra-operative visualization of the cystic duct-common hepatic duct anatomy during elective laparoscopic cholecystectomies.
tilde;uela Ruiz L PMID: 31606131 [PubMed - as supplied by publisher]
Porcelain gallbladder is characterized by calcification of the gallbladder wall, possibly associated chronic inflammation from cholelithiasis. It is unknown whether porcelain gallbladder is associated with higher rates of hypercalcemia and/or hyperparathyroidism compared to cholelithiasis without porcelain gallbladder.