Health-Related Quality-of-life in a cohort undergoing cholecystectomy

Discussion Regardless of indication for surgery, high age is associated with less benefit from surgery according to this questionnaire study. SF-36 is appropriate for measuring the impact of gallstone surgery on HRQoL.
Source: Annals of Medicine and Surgery - Category: Journals (General) Source Type: research

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The back pain and odd growth seemed to indicate cancer. But one doctor had a different idea entirely.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Gallstones laparoscopic cholecystectomy Medicine and Health Doctors Source Type: news
Publication date: August 2019Source: Clinica Chimica Acta, Volume 495Author(s): Boudour Khabou, Ayman Trigui, Tahya Sellami Boudawara, Leila Keskes, Hassen Kamoun, Véronique Barbu, Faiza FakhfakhAbstractLow phospholipid-associated cholelithiasis (LPAC) is characterized by the association of ABCB4 mutations and low biliary phospholipid concentration with symptomatic and recurring cholelithiasis. In the present study, we reported a case of a 63-year-old woman, who presented a biliary pain beginning at the age of 30, recurrent after cholecystectomy, along with “comet-tail shadows” revealed by ultrasonograph...
Source: Clinica Chimica Acta - Category: Laboratory Medicine Source Type: research
Abstract Low phospholipid-associated cholelithiasis (LPAC) is characterized by the association of ABCB4 mutations and low biliary phospholipid concentration with symptomatic and recurring cholelithiasis. In the present study, we reported a case of a 63-year-old woman, who presented a biliary pain beginning at the age of 30, recurrent after cholecystectomy, along with "comet-tail shadows" revealed by ultrasonography thus, fulfilling the diagnosis of LPAC. This disease evolved into a cholangiocarcinoma. To understand the molecular basis of this phenotype, we performed the ABCB4 gene sequencing, followed by...
Source: International Journal of Clinical Chemistry - Category: Chemistry Authors: Tags: Clin Chim Acta Source Type: research
CONCLUSIONThe anatomical variation in SIT can influence the localization of symptoms in patient with cholelithiasis leading to a delay in diagnosis and management. Laparoscopic cholecystectomy can be safely performed in these cases. However, it is considered technically challenging procedure and often requires alteration in the technique.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Rationale: Hereditary elliptocytosis is an inherited disorder characterized by the elliptical red blood cells (RBCs) on the peripheral blood smear and related hemolysis, mainly results from a heterozygous mutation in the genes that encode protein 4.1, α-spectrin, β-spectrin. Mutations of SPTA1 are the most common. Patient concerns: A 21-year-old female presented with left epigastric pain and jaundice with numerous elliptical RBCs on blood film. The family history review discovered jaundice in her sibling. Diagnosis: A novel heterozygous mutation of SPTA1 was detected in the proband, her brother and fathe...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Publication date: Available online 27 April 2019Source: The LancetAuthor(s): Rachel V Guest, Kjetil Søreide
Source: The Lancet - Category: General Medicine Source Type: research
Publication date: Available online 27 April 2019Source: The LancetAuthor(s): Aafke H van Dijk, Sarah Z Wennmacker, Philip R de Reuver, Carmen S S Latenstein, Otmar Buyne, Sandra C Donkervoort, Quirijn A J Eijsbouts, Joos Heisterkamp, Klass H in het Hof, Jan Janssen, Vincent B Nieuwenhuijs, Henk M Schaap, Pascal Steenvoorde, Hein B A C Stockmann, Djamila Boerma, Gert P Westert, Joost P H Drenth, Marcel G W Dijkgraaf, Marja A Boermeester, Cornelius J H M van LaarhovenSummaryBackgroundInternational guidelines advise laparoscopic cholecystectomy to treat symptomatic, uncomplicated gallstones. Usual care regarding cholecystecto...
Source: The Lancet - Category: General Medicine Source Type: research
ConclusionNo change of port setting was required with the robotic approach. The ICG-aided cholangiography improved surgeon’s ability to recognize the concomitant vascular and biliary anomalies. However, no definitive conclusion can be drown until further experience and volume are achieved.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionLap ECBD avoided ionizing radiation for choledocholithiasis during pregnancy, and can combined with LC as an effective minimally invasive procedure for complicated gallstone disease.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
AbstractCholelithiasis affects approximately 15% of the US population. Rising trends in obesity and metabolic syndrome have contributed to an increase in diagnosis of cholelithiasis. There are several risk factors for cholelithiasis, both modifiable and nonmodifiable. Women are more likely to experience cholelithiasis than are men. Pregnancy, increasing parity, and obesity during pregnancy further increase the risk that a woman will develop cholelithiasis. The classic presentation of persons experiencing cholelithiasis, specifically when gallstones obstruct the common bile duct, is right upper quadrant pain of the abdomen ...
Source: Journal of Midwifery and Women's Health - Category: Midwifery Authors: Tags: Review Source Type: research
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