Patients with acute cholecystitis should be admitted to a surgical service

CONCLUSION Nonsurgical admissions of patients with cholecystitis are common, even among lower-risk patients. Routine admission to the surgical service should decrease LOS, resource utilization and costs. LEVEL OF EVIDENCE Therapeutic/care management, level IV.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research

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Conclusion: In conclusion, Frey's procedure appears to be a less burdensome surgical procedure. Thus, it could be the first option for management of patients with large pancreatic stone. PMID: 31824884 [PubMed]
Source: Annals of Surgical Treatment and Research - Category: Surgery Tags: Ann Surg Treat Res Source Type: research
Conclusion: The present findings have demonstrated the beneficial protective and therapeutical effects of ruscogenin, nominating it as a highly promising supplementary agent to be considered in the treatment of AP, and even as a protective agent against the damages induced by disease. PMID: 31824881 [PubMed]
Source: Annals of Surgical Treatment and Research - Category: Surgery Tags: Ann Surg Treat Res Source Type: research
This study was designed to investigate characteristics of the disease to predict recurrence.Methods: We retrospectively analyzed 617 patients that experienced a first AP attack between January 2009 and December 2014. Based on reviews of clinical and follow-up data, we attempted to identify risk factors of recurrence using Cox regression analysis.Results: During a median follow-up of 3.2 years (range 3-72 months), 100(16.2%) of the 617 study subjects experienced one or more episodes of recurrent acute pancreatitis (RAP). Of these 100 patients, 75(75%) experienced one relapse, 12(12%) two relapses, and 13(13%) ...
Source: Scandinavian Journal of Gastroenterology - Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research
A 29-year-old woman, G2P1001, presented with irregular vaginal bleeding for 7 weeks 2 days and a serum beta-hcg level of 3000 mIU/mL. The patient had previously undergone two open abdominal surgeries for necrotizing pancreatitis four years ago. Abdominal and bimanual examinations revealed the prior inverted U-shaped surgical scar (Figure 1) and a normal size uterus without any tenderness or pain.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: IMAGES IN Gynecological Surgery Source Type: research
Condition:   Acute Pancreatitis Intervention:   Device: Echocardiograghy, ECG Sponsor:   Assiut University Not yet recruiting
Source: - Category: Research Source Type: clinical trials
Condition:   Acute Pancreatitis Intervention:   Drug: CM4620 Sponsors:   St. Jude Children's Research Hospital;   CalciMedica, Inc. Not yet recruiting
Source: - Category: Research Source Type: clinical trials
ConclusionsCertain radiomic features on CT imaging can differentiate patients with functional abdominal pain, RAP, and CP.
Source: European Journal of Radiology - Category: Radiology Source Type: research
Authors: Fujisawa T, Isayama H, Gunji T, Sato H, Matsuhashi N Abstract Objectives To clarify the significance of ultrasonographically recorded pancreatic duct dilatation. Methods Various parameters predicting pancreatic disease were evaluated in relation to pancreatic duct dilatation using data from medical checkups of healthy examinees. Results Records of 281,384 subjects were analyzed. Pancreatic duct dilatation ( ≥3 mm) was determined ultrasonographically in 524 patients (0.19%). Subsequent detailed examinations revealed the presence of pancreatic disease in 24.8% of these patients, including pancreatic cysts...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
Source: BMJ Comments - Category: General Medicine Source Type: forums
This study aims to determine for the first time the potential of CAPE in preventing CP-induced pancreatic tissue damage by studying the changes occurring on both biochemical and microscopic levels. The levels of serum α-amylase and a panel of pancreatic tissue biomarkers related to tissue injury (reduced glutathione, xanthine oxidase, malondialdehyde, protein carbonylated concentration) and inflammation (myeloperoxidase, nitric oxide and TNF-α) would be studied in male Wistar rats treated with either CP alone or with CP and CAPE. Additionally, microscopic analysis of pancreatic tissue would be conducted as well...
Source: Canadian Journal of Physiology and Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Can J Physiol Pharmacol Source Type: research
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