Increased Surgical Morbidity in Patients with Choledocholithiasis and Gallstone Pancreatitis with Concomitant Acute Cholecystitis

Gallstone pancreatitis (GP) or choledocholithiasis (CD) with acute cholecystitis (AC) has been described. Clinical implications of concurrent AC remain poorly defined. We tested the null hypothesis that AC is not associated with increased morbidity during cholecystectomy (CCY) for GP or CD.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: General Surgery Source Type: research

Related Links:

Authors: Wang SY, Yeh CN, Jan YY, Chen MF Abstract Acute cholecystitis and several gallbladder stone-related conditions, such as impacted common bile duct stones, cholangitis, and biliary pancreatitis, are common medical conditions in daily practice. An early cholecystectomy or drainage procedure with delayed cholecystectomy is the current standard of treatment based on published clinical guidelines. Cirrhosis is not only a condition of chronically impaired hepatic function but also has systemic effects in patients. In cirrhotic individuals, several predisposing factors, including changes in the bile acid compositi...
Source: Gut and Liver - Category: Gastroenterology Tags: Gut Liver Source Type: research
Abstract Bochdalek hernias rarely contain an intrathoracic kidney, and there are few reports of their operative repair. A woman presented with progressive dyspnoea limiting her quality of life. Imaging showed a Bochdalek hernia containing omentum, large bowel and the left kidney. The woman was unexpectedly admitted to the intensive care unit with respiratory failure secondary to gallstone pancreatitis whilst awaiting elective repair of her hernia. Surgical repair of the hernia was performed via laparotomy with cholecystectomy to treat both problems. The woman recovered well and is independently mobile without any ...
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research
CONCLUSION: LPAC syndrome is easy to diagnose and treat; therefore, it should no longer be overlooked. To increase its detection rate, all patients who experience recurrent biliary symptoms following an episode of acute pancreatitis should undergo an ultrasound examination performed by a radiologist with knowledge of the disease. PMID: 32742573 [PubMed]
Source: World Journal of Hepatology - Category: Gastroenterology Tags: World J Hepatol Source Type: research
Conclusions Laparoscopic cholecystectomy can be performed safely and effectively for pancreatitis, irrespective of severity. The paradigm shift in the management of severe necrotizing pancreatitis away from open necrosectomy toward MIP can be extended to encompass laparoscopic cholecystectomy.
Source: Pancreas - Category: Gastroenterology Tags: Original Articles Source Type: research
CONCLUSION: The use of laparoscopic ultrasound during laparoscopic cholecystectomy for the detection of common bile duct stone is safe, accurate and cost effective. Equipment and maintenance costs are quickly offset and hospital bed days can be saved with its use. PMID: 32538107 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research
We sought to prospectively identify risk factors for biliary complications and 30-day readmission after cholecystectomy for choledocholithiasis and gallstone pancreatitis across multiple US hospitals.
Source: Surgery - Category: Surgery Authors: Source Type: research
AbstractPancreatic pseudocysts (PPC) may arise in up to 20% of cases of acute pancreatitis and in up to 40% of chronic pancreatitis. [1] Chronic alcohol ‐induced pancreatitis is the most common cause of PPCs, followed by chronic gallstone pancreatitis. Even though 65% of PPC cases resolve spontaneously, persistent cases may require endoscopic or surgical treatment. [2] Nowadays, endoscopic ultrasound‐guided cystogastrostomy with a stent is a com mon procedure with growing acceptance which continues to demonstrate effectiveness. [3] Alternatively, a trans‐gastric cystogastrostomy as a surgical approach for PPC can be ...
Source: Journal of Hepato-Biliary-Pancreatic Sciences - Category: Gastroenterology Authors: Tags: HOW I DO IT Source Type: research
CONCLUSIONS: Our findings support existing evidence that DC is associated with a significantly increased risk of recurrent biliary events and pancreatitis. Furthermore, we report a 56% adherence to the current guidelines for SAC and report that the most common reason for not undergoing SAC was the absence of surgical consultation. We conclude that ensuring SAC in eligible patients should be a priority for safety net hospitals because it may help decrease hospital costs in the long term, and active efforts should be made to identify patients who may be less likely to receive SAC. PMID: 32016439 [PubMed - in process]
Source: Southern Medical Journal - Category: General Medicine Tags: South Med J Source Type: research
ConclusionA simple risk-score model predicts severe complications in patients undergoing unplanned cholecystectomy for common indications encountered in an acute care surgery service and identifies high-risk patients.
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
AbstractThe surgical strategy to resolve the underlying biliary pathology in patients with acute gallstone pancreatitis (AGP) remains controversial. The aim of this study was to evaluate the safety and effectiveness of early laparoscopic cholecystectomy (ELC) in patients with mild AGP. A retrospective cohort of consecutive patients diagnosed with mild AGP according to the Atlanta Guidelines from January 2009 to July 2019 was selected. Patients were assigned to surgery on the first available surgical shift, 48  h after the symptoms onset. Univariate analysis was performed to determine the association between AGP and gr...
Source: Updates in Surgery - Category: Surgery Source Type: research
More News: Cholecystectomy | Gallstones | Pancreatitis | Surgery