Cholelithiasis
Cholecystectomy, Laparoscopic
Gallbladder
Cholecystitis
Gallstones
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The type species of the genus ORTHOHEPADNAVIRUS which causes human HEPATITIS B and is also apparently a causal agent in human HEPATOCELLULAR CARCINOMA. The Dane particle is an intact hepatitis virion, named after its discoverer. Non-infectious spherical and tubular particles are also seen in the serum.
Hepatitis B
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Proteins that are coded by immediate-early genes, in the absence of de novo protein synthesis. The term was originally used exclusively for viral regulatory proteins that were synthesized just after viral integration into the host cell. It is also used to describe cellular proteins which are synthesized immediately after the resting cell is stimulated by extracellular signals.
Intercellular Signaling Peptides and Proteins
Regulatory proteins and peptides that are signaling molecules involved in the process of PARACRINE COMMUNICATION. They are generally considered factors that are expressed by one cell and are responded to by receptors on another nearby cell. They are distinguished from HORMONES in that their actions are local rather than distal.
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Connective Tissue
Gallstone formation prophylaxis after gastric restrictive procedures for weight loss: a randomized double-blind placebo-controlled trial. (1/56)
OBJECT: To determine if a 6-month regimen of prophylactic ursodeoxycholic acid is effective in the prevention of gallstones. SUMMARY BACKGROUND DATA: Rapid weight loss after surgery for the treatment of morbid obesity is associated with a high incidence of gallstone formation. METHODS: Patients with vertical banded gastroplasty (VBG) and adjustable gastric banding (AGB) were enrolled in this study. A single-center, randomized, double-blind, prospective trial evaluated 500 mg of ursodeoxycholic acid versus placebo, beginning within 3 days after surgery and continuing for 6 months or until gallstone development, for patients with morbid obesity. Transabdominal sonography or abdominal CT scan was obtained preoperatively at 3, 6, 12, and 24 months after surgery or until gallstone formation. RESULTS: From March 1997 to April 2000, 262 patients were submitted to surgery. Seventy-seven patients refused to participate in the study; 43 patients with previous gallstone operation or verified gallstones preoperatively were excluded. Of 152 patients, 76 were randomized to placebo and 76 to 500 mg of ursodeoxycholic acid daily. Preoperative age, sex, weight, BMI, and postoperative weight loss were not significantly different between groups. Gallstone formation was significantly less (P = 0.0018, Fisher exact test) frequent with ursodeoxycholic acid than with placebo at 12 months, 3% versus 22%, and 8% versus 30% (P = 0.0022) at 24 months, cholecystectomy in 4.7% versus 12%, respectively (P < 0,02, Fisher exact test). CONCLUSION: A daily dose of 500 mg of ursodeoxycholic acid for 6 months is effective prophylaxis for gallstone formation following gastric restrictive procedures. (+info)Relation of abnormal gallbladder arterioles to gallbladder emptying in patients with gallstone and diabetes mellitus. (2/56)
BACKGROUND: Diabetes mellitus is thought to be related to gallstone formation in emptying the gallbladder. Diabetes mellitus may lead to many changes in microarterioles and micronerves; the aim of this study was to investigate the abnormality of arterioles in the gallbladder and its relation to gallbladder hypomotility in patients with gallstone and diabetes mellitus. METHODS: Thirty patients with simple gallstones and 30 patients with gallstones and diabetes mellitus were analyzed, and their gallbladder emptying function was measured with B ultrasound before operation. After operation, the arterioles of the gallbladder rinsed with periodic acid-schiff (PAS) reagent in photos were used for analysis of the tublar area and stereo system with the Beihang CM-2000B biological and medical photo system. RESULTS: In patients with gallstones and diabetes mellitus, the gallbladder emptying function was significantly impaired, the area ratio of the arteriole wall to whole arterioles in cross section was significantly higher than that in patients with simple gallstones (0.81+/-0.09 vs. 0.58+/-0.15, P<0.01), and the average sound density was also higher (0.41+/-0.07 vs. 0.30+/-0.12, P<0.01) in patients with gallstones and diabetes mellitus than in those with simple gallstones. The size of arterioles (diameter) was not significantly related to the area ratio (P>0.05). CONCLUSION: In patients with diabetes mellitus, the sedimentation of PAS positive material in the wall of arterioles leads to the stenosis of arterioles. It is probably contributive to hypomotility of the gallbladder. (+info)Delayed cholecystectomy for gallstone pancreatitis: re-admissions and outcomes. (3/56)
OBJECTIVE: Timing of cholecystectomy after gallstone pancreatitis and use of pre-operative cholangiography varies considerably between surgeons. We examined outcomes in a district general hospital where most patients underwent delayed cholecystectomy following pre-operative cholangiography. METHODS: A retrospective review of admissions with gallstone pancreatitis over a 5-year period was conducted. RESULTS: A total of 77 patients with gallstone pancreatitis were identified of whom 58 underwent laparoscopic cholecystectomy (LC) at a median of 67.5 days after index admission. Of these patients, 21% had unplanned re-admission while awaiting LC rising to 25% of those who waited for more than 4 weeks. Surgery at 4 weeks would have been associated with a 6% re-admission rate. Re-admissions were due to pancreatitis (4 cases), cholecystitis (3 cases), biliary colic (4 cases) and pseudocyst (1 case). In all, 49 patients had pre-operative cholangiography and 13 had pre-operative endoscopic extraction of stones from the common bile duct. CONCLUSIONS: Delay of LC for greater than 4 weeks after gallstone pancreatitis is associated with a high, unplanned re-admission rate, even with liberal use of pre-operative cholangiography. (+info)Genomic determination of CR1 CD35 density polymorphism on erythrocytes of patients with gallbladder carcinoma. (4/56)
AIM: To study the changes of quantitative expression, adhering activity and genomic density polymorphism of complement types in erythrocytes (CR1) of patients with gallbladder carcinoma and the related clinical significance. METHODS: Polymerase chain reaction (PCR), Hind III restriction enzyme digestion, quantitative assay of CR1 and adhering activity assay of CR1 in erythrocytes were used. RESULTS: The number and adhering activity of CR1 in patients with gallbladder carcinoma (0.738+/-0.23, 45.9+/-5.7) were significantly lower than those in chronic cholecystitis and cholecystolithiasis (1.078+/-0.21, 55.1+/-5.9) and healthy controls (1.252+/-0.31, 64.2+/-7.4) (P<0.01). The number and adhering activity of CR1 in patients with chronic cholecystitis and cholecystolithiasis (1.078+/-0.21, 55.1+/-5.9) were significantly lower than those in healthy controls (1.252+/-0.31, 64.2+/-7.4) (P<0.05). There was a positive correlation between quantitative expression and adhering activity of CR1 (r = 0.79, P<0.01). Compared with those on preoperative day (0.738+/-0.23, 45.4+/-4.9), the number and adhering activity of CR1 in patients with gallbladder carcinoma decreased greatly on the third postoperative day (0.310+/-0.25, 31.8+/-5.1) (P<0.01), and on the first postoperative week (0.480+/-0.25, 38.9+/-5.2) (P<0.01), but they were increased slightly than those on the preoperative day (P>0.05). The number and adhering activity of CR1 recovered in the second postoperative week(0.740+/-0.24, 46.8+/-5.9) (P<0.01) and increased greatly in the third postoperative week (0.858+/-0.35, 52.7+/-5.8) (P<0.01) in comparison with those on the preoperative day and in the first postoperative week. The number and adhering activity of CR1 of gallbladder carcinoma patients with infiltrating, adjacent lymphogenous and distant organ metastases were significantly lower than those of gallbladder carcinoma patients without them (P<0.01). No difference was observed between the patients with gallbladder carcinoma and healthy individuals in the spot mutation rate of CR1 density gene (chi(2) = 0.521, P>0.05). The distribution of expression was 67.8% in high expression genomic type, 24.8% in moderate expression genomic type, and 7.4% in low expression genomic type. The number and adhering activity of CR1 high expression genomic type gallbladder carcinomas (0.749+/-0.22, 42.1+/-6.2) were significantly lower than those of healthy individuals (1.240+/-0.29, 63.9+/-7.2), and were also significantly lower than those of healthy individuals (0.921+/-0.23, 54.8+/-7.1), but no difference was observed between the number and adhering activity of CR1 lower expression genomic type gallbladder carcinomas (0.582+/-0.18, 44.3+/-5.5) and those of healthy individuals (0.610+/-0.20, 45.8+/-5.7) (P>0.05). CONCLUSION: Defective expression of CR1 in gallbladder carcinoma is mostly acquired through central peripheral mechanisms. The changes in CR1 quantitative expression and adhering activity are consanguineously related to the development and metastasis in gallbladder carcinoma. (+info)Results of cholecystectomy without intraoperative cholangiography. (5/56)
BACKGROUND: To determine if cholecystectomy can be performed satisfactorily without the use of adjunctive intraoperative cholangiography (IOC), we planned a retrospective analysis at a Canadian university teaching hospital. METHODS: General operative morbidity and mortality (in particular, occurrences and complications of missed choledocholithiasis and reoperations for same, and occurrences of bile duct injuries and bile leaks) were noted and analyzed for a consecutive series of cholecystectomies from a single practice, carried out without IOC. MAIN RESULTS: In general, choledocholithiasis could be identified and treated before the operation; missed cases were infrequent and were treatable without reoperation. No major injuries to the bile duct were encountered. CONCLUSIONS: IOC appears to be optional with cholecystectomy; cholecystectomy can be performed without IOC safely in the defined setting, without related major complications from missed choledocholithiasis or excess occurrence of bile-duct injury. (+info)The role of magnetic resonance cholangiography in the management of patients with gallstone pancreatitis. (6/56)
OBJECTIVE: To examine the utility of magnetic resonance cholangiography (MRC) in the preoperative evaluation of patients with gallstone pancreatitis. SUMMARY BACKGROUND DATA: Gallstone pancreatitis is often associated with the presence of common bile duct (CBD) stones that may require endoscopic removal prior to planned laparoscopic cholecystectomy. No reliable clinical criteria exist, however, that can accurately predict CBD stones and the need for preoperative endoscopic retrograde cholangiopancreatography (ERCP). METHODS: Sixty-four patients were identified with gallstone pancreatitis based on clinical presentation and imaging studies over a three-and-a-half-year period. All patients underwent MRC, and the images were evaluated for gallstones, CBD stones, cholecystitis, and pancreatitis RESULTS: Seventeen of the 64 patients (27%) with gallstone pancreatitis were found to have CBD stones confirmed by ERCP. MRC correctly predicted CBD stones in 16 of the 17 patients (sensitivity = 94%). In 1 additional patient, MRC demonstrated CBD stones not seen at ERCP, consistent with probable passage. By comparison, the sensitivities of other criteria for predicting CBD stones were (1) elevated bilirubin >or=2.0 mg/dL = 65%; (2) dilated duct on ultrasound = 55%; and (3) CBD stones on ultrasound = 27%. MRC was able to visualize gallbladder stones in 57 of 62 patients (94%) and correctly predicted acute cholecystitis in 6 of 8 patients. MRC also detected peripancreatic edema and inflammatory changes consistent with acute pancreatitis in 45 of 64 patients (70%). CONCLUSIONS: These results demonstrate that MRC can accurately identify CBD stones preoperatively in patients with gallstone pancreatitis and provide valuable information with respect to other biliary pathology, including cholelithiasis, acute cholecystitis, and pancreatitis. MRC is an effective noninvasive screening tool for CBD stones, appropriately selecting candidates for preoperative ERCP and sparing others the need for an endoscopic procedure with its associated complications. (+info)Endoscopic sphincterotomy in the treatment of cholangiopancreatic diseases. (7/56)
AIM: To investigate the therapeutic effect of endoscopic sphincterotomy (EST) in the treatment of choledocholithiasis and stenosing papillitis. METHODS: A total of 1 026 patients undergoing EST during July 1983 to May 2003 at the institute were retrospectively analyzed. Chronic pancreatitis was diagnosed in 63 (6.1%), cholecystolithiasis and choledocholithiasis in 549 (53.5%), stones in residual biliary duct in 249 (24.3%), stenosing papillitis in 228 (22.2%). In patients with simple stenosing papillitis, most incisions were within 0.5-1 cm in length. As for patients with chronic pancreatitis simultaneously, selective pancreatic sphincterotomy was performed, and incision was within 0.5-0.8 cm in length. For stones less than 1 cm, incision was from 1 to 1.5 cm, and for those larger than 1 cm, incision ranged from 1.5 to 3 cm. For stones more than 2 cm in diameter, detritus basket rather than simple incision was chosen. RESULTS: Of the 798 patients with choledocholithiasis, 764 (93.5%) had successful stone clearance, 215 (94.3%) out of 228 cases of stenosing papillitis were cured totally, while 63 had chronic pancreatitis developed from stenosing papillitis, 57 (90.1%) had sound remission of symptoms, though membranous stenosis emerged in 13 of 57 which was treated with balloon dilatation. After the operation, only 21 cases (2.1%) had complications such as severe pancreatitis and incision bleeding. None of the patients died. CONCLUSION: EST is an ideal surgical management with mini-invasion in the treatment of choledocholithiasis and stenosing papillitis. (+info)Patients' quality of life after laparoscopic or open cholecystectomy. (8/56)
OBJECTIVE: This study was aimed at evaluating and comparing the quality of life in patients who underwent laparoscopic and open cholecystectomy for chronic cholecystolithiasis. METHODS: The study included 25 patients with laparoscopic cholecystectomy (LC group) and 26 with open cholecystectomy (OC group). The quality of life was measured with the Gastrointestinal Quality of Life Index (GLQI) preoperatively, thereafter regularly at 2, 5, 10 and 16 weeks after the operation. RESULTS: The mean preoperative overall GLQI scores were 112.5 and 110.3 in LC and OC group respectively (P>0.05). In the LC group, the mean overall GLQI score reduced slightly to 110.0 two weeks after the operation (P>0.05). The LC group showed significant improvement in overall score and in the aspects of symptomatology, emotional and physiological status from 5 to 16 weeks postoperatively. In the OC group, the GLQI score reduced to 102.0 two weeks after surgery (P<0.05). Significant reductions were shown in the aspects of symptomatology, physiological and social status. The GLQI scores returned to the preoperative level of 115.6 ten weeks after the operation (P>0.05). The patients experienced significant improvements of GLQI sixteen weeks after OC operation (P<0.01~0.05). Within the 10 postoperative weeks, the LC group had significantly higher GLQI scores than the OC group (P<0.05). CONCLUSIONS: LC can improve the quality of life postoperatively better and more rapidly than OC. The assessment of quality of life assessment is a valid method for measuring the effects of surgical treatment. (+info)
Quality of Life After Laparoscopic and Open Surgery for Cholecystolithiasis in Patients With Concomitant Cardiovascular Diseases
Reconsideration of indications for choledochoscopic gallbladder-preserving surgery and preventive measures for postoperative...
Gallstones (Cholecystolithiasis and choledocholithiasis)
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UVRAG
2004). "Ascending colon cancer with hepatic metastasis and cholecystolithiasis in a patient with situs inversus totalis without ...
Crystallopathy
For example, mechanical obstruction by mineral stones causes nephrolithiasis, urolithiasis, cholecystolithiasis, ...
Gallstone
... disease, cholelith, cholecystolithiasis (gallstones in the gallbladder), choledocholithiasis (gallstones in the ...
Gastrointestinal disease
... cholecystolithiasis) or in the common bile duct (choledocholithiasis). Gallstones are a common cause of inflammation of the ...
List of MeSH codes (C06)
... cholecystolithiasis MeSH C06.130.564.401 - gallbladder neoplasms MeSH C06.198.184.500 - caroli disease MeSH C06.267.250.725 - ... cholecystolithiasis MeSH C06.130.409.267 - choledocholithiasis MeSH C06.130.564.263 - cholecystitis MeSH C06.130.564.263.249 - ...
Pyruvate kinase deficiency
Among the symptoms of pyruvate kinase deficiency are: Mild to severe hemolytic Anemia Cholecystolithiasis Tachycardia ...
Necrotizing enterocolitis
Prevention includes the use of breast milk and probiotics.[2] A 2012 policy by the American Academy of Pediatrics recommended feeding preterm infants human milk, finding "significant short- and long-term beneficial effects," including reducing the rate of NEC by a factor of two or more.[10] Small amounts of oral feeds of human milk starting as soon as possible, while the infant is being primarily fed intravenously, primes the immature gut to mature and become ready to receive greater intake by mouth.[11] Human milk from a milk bank or donor can be used if mother's milk is unavailable. The gut mucosal cells do not get enough nourishment from arterial blood supply to stay healthy, especially in very premature infants, where the blood supply is limited due to immature development of the capillaries, so nutrients from the lumen of the gut are needed. A Cochrane review in 2014 found that supplementation of probiotics enterally "prevents severe NEC as well as all-cause mortality in preterm ...
Spigelian hernia
A Spigelian hernia (or lateral ventral hernia) is a hernia through the Spigelian fascia, which is the aponeurotic layer between the rectus abdominis muscle medially, and the semilunar line laterally. These are generally interparietal hernias, meaning that they do not lie below the subcutaneous fat but penetrate between the muscles of the abdominal wall; therefore, there is often no notable swelling. Spigelian hernias are usually small and therefore risk of strangulation is high. Most occur on the right side. (4th-7th decade of life.) Compared to other types of hernias they are rare.[1] ...
Amoebic liver abscess
Ipecac or ipecacuanha consists of the dried rhizome and roots of Cephaelis ipecacuanha. The medical virtues of ipecac are almost entirely due to the action of its alkaloids-emetine and cephaline. Till today, emetine remains one of the best drugs for treating amoebic liver abscess. It has a direct action on the trophozoites. Its greater concentration and duration of action in the liver as compared to that in the intestinal wall explains its high efficacy in amoebic liver abscess and also its low parasitic cure rate for intestinal amoebiasis. The drug is detoxicated and eliminated slowly. It may, therefore, produce cumulative effects. In man, emetine poisoning is characterized by muscular tremors, weakness and pain in the extremities which tend to persist until drug administration is stopped. Gastro-intestinal symptoms include nausea, vomiting and bloody diarrhoea. The latter may be mistaken for a recurrence of amoebic dysentery. Many clinicians fear the occurrence of cardiac toxicity due to this ...
Hiatal hernia
In the great majority of cases, sufferers experience no life-altering discomfort, and no treatment is required. If there is pain or discomfort, 3 or 4 sips of room temperature water will usually relieve the pain. Symptomatic patients should elevate the head of their beds and avoid lying down directly after meals[citation needed]. If the condition has been brought on by stress, stress reduction techniques may be prescribed, or if overweight, weight loss may be indicated. Antisecretory drugs like proton pump inhibitors and H2 receptor blockers can be used to reduce acid secretion. Medications that reduce the lower esophageal sphincter (LES) pressure should be avoided. However, in some unusual instances, as when the hiatal hernia is unusually large, or is of the paraesophageal type, it may cause esophageal stricture or severe discomfort. About 5% of hiatal hernias are paraesophageal. If symptoms from such a hernia are severe for example if chronic acid reflux threatens to severely injure the ...
Traveler's diarrhea
... (TD) is a stomach and intestinal infection. TD is defined as the passage of unformed stool (one or more by some definitions, three or more by others) while traveling.[2][3] It may be accompanied by abdominal cramps, nausea, fever, and bloating.[3] Occasionally bloody diarrhea may occur.[5] Most travelers recover within four days with little or no treatment.[3] About 10% of people may have symptoms for a week.[3] Bacteria are responsible for more than half of cases.[3] The bacteria enterotoxigenic Escherichia coli (ETEC) are typically the most common except in Southeast Asia, where Campylobacter is more prominent.[2][3] About 10% to 20% of cases are due to norovirus.[3] Protozoa such as Giardia may cause longer term disease.[3] The risk is greatest in the first two weeks of travel and among young adults.[2] People affected are more often from the developed world.[2] Recommendations for prevention include eating only properly cleaned and cooked food, drinking bottled water, and ...
Esophageal motility disorder
An esophageal motility disorder (EMD) is any medical disorder causing difficulty in swallowing, regurgitation of food and a spasm-type pain which can be brought on by an allergic reaction to certain foods. The most prominent one is dysphagia. It is a part of CREST syndrome, referring to the five main features: calcinosis, Raynaud syndrome, esophageal dysmotility, sclerodactyly and telangiectasia.[1] ...
Hepatic encephalopathy
There are various explanations why liver dysfunction or portosystemic shunting might lead to encephalopathy. In healthy subjects, nitrogen-containing compounds from the intestine, generated by gut bacteria from food, are transported by the portal vein to the liver, where 80-90% are metabolised through the urea cycle and/or excreted immediately. This process is impaired in all subtypes of hepatic encephalopathy, either because the hepatocytes (liver cells) are incapable of metabolising the waste products or because portal venous blood bypasses the liver through collateral circulation or a medically constructed shunt. Nitrogenous waste products accumulate in the systemic circulation (hence the older term "portosystemic encephalopathy"). The most important waste product is ammonia (NH3). This small molecule crosses the blood-brain barrier and is absorbed and metabolised by the astrocytes, a population of cells in the brain that constitutes 30% of the cerebral cortex. Astrocytes use ammonia when ...
Barrett's esophagus
Many people with Barrett's esophagus do not have dysplasia. Medical societies recommend that if a patient has Barrett's esophagus, and if the past two endoscopy and biopsy examinations have confirmed the absence of dysplasia, then the patient should not have another endoscopy within three years.[24][25][26] Endoscopic surveillance of people with Barrett's esophagus is often recommended, although little direct evidence supports this practice.[1] Treatment options for high-grade dysplasia include surgical removal of the esophagus (esophagectomy) or endoscopic treatments such as endoscopic mucosal resection or ablation (destruction).[1] The risk of malignancy is highest in the U.S. in Caucasian men over fifty years of age with more than five years of symptoms. Current recommendations include routine endoscopy and biopsy (looking for dysplastic changes). Although in the past physicians have taken a watchful waiting approach, newly published research supports consideration of intervention for ...
Diverticulosis
... is the condition of having multiple pouches (diverticula) in the colon that are not inflamed. These are outpockets of the colonic mucosa and submucosa through weaknesses of muscle layers in the colon wall.[1] They typically cause no symptoms.[2] Diverticular disease occurs when diverticula become inflamed, known as diverticulitis, or bleed.[3] They typically occur in the sigmoid colon, which is a common place for increased pressure. The left side of the colon is more commonly affected in the United States while the right side is more commonly affected in Asia.[4] Diagnosis is often during routine colonoscopy or as an incidental finding during CT scan.[2] It is common in Western countries with about half of those over the age of 60 in Canada and the United States affected.[4] Diverticula are uncommon before the age of 40, and increase in incidence beyond that age.[5] Rates are lower in Africa which has been attributed to a shorter life expectancy and poor healthcare ...
Polyp (medicine)
Polyps on the vocal folds can take on many different forms, and can sometimes result from vocal abuse, although this is not always the cause. They can occur on one or both vocal folds, and appear as swelling, a bump (similar to a nodule), a stalk-like growth, or a blister-like lesion. Most polyps are larger than nodules, which are more similar to callouses on the vocal folds. Polyps and nodules can exhibit similar symptoms including hoarseness or breathiness, "rough" or "scratchy" voice, harshness in vocal quality, shooting pain from ear to ear, sensation of having "a lump in the back of the throat", neck pain, decreased pitch range in the voice, and vocal and bodily fatigue. If an individual experiences symptoms for more than 2 to 3 weeks, they should see a physician. For a diagnosis, a thorough evaluation of the voice should include a physical examination, preferably by an otolaryngologist (ear, nose, and throat doctor) who specializes in voice, a voice evaluation with a speech-language ...
Bowel obstruction
In the management of small bowel obstructions, a commonly quoted surgical aphorism is: "never let the sun rise or set on small-bowel obstruction"[20] because about 5.5%[20] of small bowel obstructions are ultimately fatal if treatment is delayed. Improvements in radiological imaging of small bowel obstructions allow for confident distinction between simple obstructions, that can be treated conservatively, and obstructions that are surgical emergencies (volvulus, closed-loop obstructions, ischemic bowel, incarcerated hernias, etc.).[2] A small flexible tube (nasogastric tube) may be inserted through the nose into the stomach to help decompress the dilated bowel. This tube is uncomfortable but relieves the abdominal cramps, distention, and vomiting. Intravenous therapy is utilized and the urine output is monitored with a catheter in the bladder.[21] Most people with SBO are initially managed conservatively because in many cases, the bowel will open up. Some adhesions loosen up and the obstruction ...
Collagenous colitis
Madisch A, Miehlke S, Eichele O, Mrwa J, Bethke B, Kuhlisch E, Bästlein E, Wilhelms G, Morgner A, Wigginghaus B, Stolte M (Dec 2007). "Boswellia serrata extract for the treatment of collagenous colitis. A double-blind, randomized, placebo-controlled, multicenter trial". International Journal of Colorectal Disease. 22 (12): 1445-51. doi:10.1007/s00384-007-0364-1. PMID 17764013 ...
Anorectal abscess
Anal abscesses are rarely treated with a simple course of antibiotics. In almost all cases surgery will need to take place to remove the abscess. Treatment is possible in an emergency department under local anesthesia, but it is highly preferred to be formally admitted to a hospital and to have the surgery performed in an operating room under general anesthesia. Generally speaking, a fairly small but deep incision is performed close to the root of the abscess. The surgeon will allow the abscess to drain its exudate and attempt to discover any other related lesions in the area. This is one of the most basic types of surgery, and is usually performed in less than thirty minutes by the anal surgical team. Generally, a portion of the exudate is sent for microbiological analysis to determine the type of infecting bacteria. The incision is not closed (stitched), as the damaged tissues must heal from the inside toward the skin over a period of time. The affected individual is often sent home within ...
Mesenteric ischemia
... is a medical condition in which injury to the small intestine occurs due to not enough blood supply.[2] It can come on suddenly, known as acute mesenteric ischemia, or gradually, known as chronic mesenteric ischemia.[1] The acute form of the disease often presents with sudden severe abdominal pain and is associated with a high risk of death.[1] The chronic form typically presents more gradually with abdominal pain after eating, unintentional weight loss, vomiting, and fear of eating.[1][2] Risk factors for acute mesenteric ischemia include atrial fibrillation, heart failure, chronic kidney failure, being prone to forming blood clots, and previous myocardial infarction.[2] There are four mechanisms by which poor blood flow occurs: a blood clot from elsewhere getting lodged in an artery, a new blood clot forming in an artery, a blood clot forming in the superior mesenteric vein, and insufficient blood flow due to low blood pressure or spasms of arteries.[3][6] Chronic disease ...
Gastroenteritis
... , also known as infectious diarrhea, is inflammation of the gastrointestinal tract -- the stomach and small intestine.[8] Symptoms may include diarrhea, vomiting, and abdominal pain.[1] Fever, lack of energy, and dehydration may also occur.[2][3] This typically lasts less than two weeks.[8] It is not related to influenza though it has been called the "stomach flu".[9] Gastroenteritis is usually caused by viruses.[4] However, bacteria, parasites, and fungus can also cause gastroenteritis.[2][4] In children, rotavirus is the most common cause of severe disease.[10] In adults, norovirus and Campylobacter are common causes.[11][12] Eating improperly prepared food, drinking contaminated water, or close contact with a person who is infected can spread the disease.[2] Treatment is generally the same with or without a definitive diagnosis, so testing to confirm is usually not needed.[2] Prevention includes hand washing with soap, drinking clean water, proper disposal of human waste, and ...
മലബന്ധം - വിക്കിപീഡിയ
Gallstones/Cholecystolithiasis. *Cholesterolosis. *Rokitansky-Aschoff sinuses. *Postcholecystectomy syndrome. *Porcelain ...
ಜಠರ/ಜಠರೀಯ ಹುಣ್ಣು/ವ್ರಣ - ವಿಕಿಪೀಡಿಯ
Gallstones/Cholecystolithiasis. *Cholesterolosis. *Rokitansky-Aschoff sinuses. *Postcholecystectomy syndrome. *Porcelain ...
ಅಂಡವಾಯು - ವಿಕಿಪೀಡಿಯ
Gallstones/Cholecystolithiasis. *Cholesterolosis. *Rokitansky-Aschoff sinuses. *Postcholecystectomy syndrome. *Porcelain ...
Kigezo:Digestive system diseases, kamusi elezo huru
Cholecystitis · Gallstones/Cholecystolithiasis · Cholesterolosis · Rokitansky-Aschoff sinuses · Postcholecystectomy syndrome · ...
Cholecystolithiasis: MedlinePlus Medical Encyclopedia Image
Minimally Invasive Surgery: Using Natural Orfices | Clinical Research Trial Listing ( Gallstones | Cholecystolithiasis | ...
Symptomatic cholecystolithiasis after cholecystectomy | BMJ Case Reports
A 43-year-old woman was admitted to the gastroenterology department with colicky pain in the upper abdomen. Four years earlier, she had undergone a laparoscopic cholecystectomy because of cholecystitis. She recognised her current complaints from that previous episode. An endoscopic retrograde cholangiopancreatography showed a cavity with a diameter of 2 cm which contained multiple concrements near the liver hilus. An elective surgical exploration was performed. Near the clip of the previous cholecystectomy a bulging of the biliary tract with its own duct was visualised and resected. Histological examination of this "neo" gallbladder showed that the bulging was consistent with the formation of a reservoir secondary to bile leakage, probably caused by a small peroperative lesion of the common bile duct during the previous cholecystectomy. In conclusion, our patient presented with colicky pain caused by concrements inside a neo gallbladder.. ...
Clinical effects of laparoscopic cholecystectomy on cholecystolithiasis patients complicated with liver cirrhosis
Methods: The clinical data of 263 cases of cholecystolithiasis patients associated with liver cirrhosis admitted to our ... 0.05). Conclusion: Laparoscopic cholecystectomy is safe and feasible in the treatment of cholecystolithiasis associated with ... Objective: To study the feasibility and effect of laparoscopic cholecystectomy on cholecystolithiasis patients complicated with ... Home » Clinical effects of laparoscopic cholecystectomy on cholecystolithiasis patients complicated with liver cirrhosis ...
Relation of gallbladder function and Helicobacter pylori infection to gastric mucosa inflammation in patients with symptomatic...
Gallstones (Cholecystolithiasis and choledocholithiasis)
Cholecystolithiasis
- Loyola University Health System
Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis Edited (no change to conclusions) |...
Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis Edited (no change to conclusions) ... TY - ELEC T1 - Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis Edited (no change to ... Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis Edited (no change to conclusions) is ... Small‐incision versus open cholecystectomy for patients with symptomatic cholecystolithiasis Edited (no change to conclusions) ...
Gallstones | Denver Health
Health Library - C573 - Gallstones - Conditions - 11841
Virtual surgery of cholecystotomy for calculus removal and cholecystectomy in patients with cholecystolithiasis | Journal of...
Cholecystectomy , Cholecystolithiasis , Diagnostic Imaging , General Surgery , Cholecystostomy , Computer Simulation , Computer ... Virtual surgery of cholecystotomy for calculus removal and cholecystectomy in patients with cholecystolithiasis / 南方医科大学学报 ... biliary track and cholecystolithiasis obtained by 64-slice spiral CT.,/p,,p,,b,METHODS,/b,The image data of the liver, biliary ... The algorithm we proposed can correctly and rapidly complete image segmentation and 3D reconstruction of cholecystolithiasis ...
Käkelä, Pirjo: Impact of obesity and Roux-en-Y gastric bypass on comorbidities with special emphasis on cholecystolithiasis and...
Acute cholecystitis | Multimedia Encyclopedia | Health Information | St. Luke's Hospital
Management of Belching, Hiccups, and Aerophagia
Quality of Life After Laparoscopic and Open Surgery for Cholecystolithiasis in Patients With Concomitant Cardiovascular Diseases
... was to compare the quality of life of patients with cardiovascular diseases after surgical treatment of cholecystolithiasis by ... entitled SATISFACTION AND GENERAL CONDITION AFTER TREATMENT OF CHOLECYSTOLITHIASIS, in combination with the SF-36 questionnaire ... 111 patients burdened with cardiovascular diseases who underwent surgical treatment for symptomatic cholecystolithiasis, at the ... quality of life cholecystolithiasis laparoscopic cholecystectomy open cholecystectomy cardiac disease quality of life ...
Day-care Versus Overnight-stay Laparoscopic Cholecystectomy Randomized Controlled Trial. - Full Text View - ClinicalTrials.gov
Inmediate Feeding Tolerance in Acute Pancreatitis - Full Text View - ClinicalTrials.gov
The investigators included patients 15 - 85 years old, any sex. Diagnosis of mild acute pancreatitis according to the Ranson, APACHE II and BISAP.. Signed infromed consent to participate in the study. All participants had a hepatic and biliary ultrasound to determine the biliary etiology.. The investigators excluded patients with pancreatitis of nonbiliary etiology, pregnant, severe pancreatitis, cholangitis or choledocholithiasis demonstrated during the hospital stay or with other comorbidities. ...
Indications for Gallbladder Surgery in Gallstone Disease - Full Text View - ClinicalTrials.gov
Timing of Laparoscopic Cholecystectomy After Endoscopic Retrograde Cholangiography for Acute Biliary Pancreatitis - Full Text...
Etiology and treatment strategies for pediatric cholecystolithiasis | Chinese Journal of General Practitioners;(6): 470-471,...
A total of 55 children aged under 14 years with cholecystolithiasis were treated at our hospital between January 2005 to ... Etiology and treatment strategies for pediatric cholecystolithiasis Etiology and treatment strategies for pediatric ... Ceftriaxone sodium and obesity were the major cause of pediatric cholecystolithiasis.A proper selection of treatment regimens ...
Most Popular Articles : European Journal of Gastroenterology & Hepatology
Minilaparoscopic versus single incision cholecystectomy for the treatment of cholecystolithiasis: a meta-analysis and...
ELOVL6 Gene - GeneCards | ELOV6 Protein | ELOV6 Antibody
Hepatitis B virus infection, diabetes mellitus, and their synergism for cholangiocarcinoma development: A case-control study in...
Cholecystolithiasis. 47 (17.0). 42 (7.6). 2.34 (1.52-3.61). , 0.001. 1.74 (1.04-2.90). 0.035. ... Cholecystolithiasis. 33 (17.1). 28 (7.3). 2.49 (1.48-4.20). 0.001. 2.01 (1.12-3.58). 0.019. ... Cholecystolithiasis. 14 (16.9). 14 (8.4). 2.06 (0.96-4.41). 0.062. 1.04 (0.33-3.29). 0.941. ... The presence of cystic duct stone was classified as cholecystolithiasis.. Diabetes was diagnosed according to the World Health ...
CTGF Gene - GeneCards | CTGF Protein | CTGF Antibody
Find publikationer
- Aalborg Universitets forskningsportal
MEDLINE - Results of the search |page 1|
Cholecystolithiasis/surgery. Robotic Surgical Procedures/methods. Surgery, Computer-Assisted/methods. [Mh] MeSH terms secundary ... Cholecystolithiasis/diagnosis. Diagnostic Errors. Humans. Male. Middle Aged. [Pt] Publication type:. CASE REPORTS; JOURNAL ... Cholecystolithiasis/surgery. Gallstones/surgery. Sphincterotomy, Endoscopic. [Mh] MeSH terms secundary:. Cholecystectomy, ... Cholecystolithiasis/complications. Gallstones/complications. Humans. Randomized Controlled Trials as Topic. Sphincterotomy, ...
Free Medical Flashcards about Study Guide Ch 5
Program Members | Yale Cancer Center
Symptomatic7
- Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis Edited (no change to conclusions) is a topic covered in the Cochrane Abstracts . (unboundmedicine.com)
- The study group comprised 111 patients burdened with cardiovascular diseases who underwent surgical treatment for symptomatic cholecystolithiasis, at the Department of General and Vascular Surgery, Międzyleski Specialistic Hospital in Warsaw, during the period between 2002 and 2005. (infona.pl)
- Gallstone disease: surgical aspects of symptomatic cholecystolithiasis and acute cholecystitis. (medicalcityhospital.com)
- We report herein a case of multicentric splenic hemangioendothelioma presenting together with symptomatic cholecystolithiasis, mild anemia and indirect hyperbilirubinemia, which were recovered after cholecystectomy and splenectomy. (turkjcancer.org)
- OBJECTIVE: To compare safety and costs of robotic-assisted and laparoscopic cholecystectomy in patients with symptomatic cholecystolithiasis. (uzh.ch)
- The study group consisted of 900 patients with symptomatic cholecystolithiasis which was divided into two subgroups. (researchsquare.com)
- Inclusion criterion for the study was the symptomatic cholecystolithiasis. (researchsquare.com)
Gallstones2
- Cholecystitis is nothing but inflammation of the gallbladder and gallstones cholecystolithiasis refers to gallstones. (homemademedicine.com)
- Presence or formation of GALLSTONES in the BILIARY TRACT, usually in the gallbladder (CHOLECYSTOLITHIASIS) or the common bile duct (CHOLEDOCHOLITHIASIS). (rightdiagnosis.com)
Choledocholithiasis2
- The clinical data of 106 patients with cholecystolithiasis and choledocholithiasis treated by laparoscopy at Department of General Surgery, Danyang People's Hospital from May 2014 to June 2017 were analyzed prospectively. (bireme.br)
- Percutaneous ultrasonography of the abdomen usually reveals dilated biliary tree and detects the presence of cholecystolithiasis but it can only detect about 35% of the choledocholithiasis. (nih.gov)
Gallbladder4
- The algorithm we proposed can correctly and rapidly complete image segmentation and 3D reconstruction of cholecystolithiasis from the data 64-slice spiral CT, and allows virtual operations on the gallbladder. (bvsalud.org)
- Nine untreated patients with cholesterol cholecystolithiasis and functioning gallbladder served as controls. (uni-muenchen.de)
- However, it is still unclear which possible factors could be used to predict the recurrence of cholecystolithiasis after choledochoscopic gallbladder-preserving surgery. (termedia.pl)
- A new strategy of minimally invasive surgery for cholecystolithiasis: calculi removal and gallbladder preservation. (semanticscholar.org)
Cholecystitis1
- In follow up studies after EST, 3-21% of patients developed recurrent CBD stones and up to 21% of patients with gall bladder in situ required subsequent cholecystectomy due to cholecystitis, particularly those patients with preexisting cholecystolithiasis or cystic duct obstruction. (bmj.com)
Patients9
- Objective: To study the feasibility and effect of laparoscopic cholecystectomy on cholecystolithiasis patients complicated with liver cirrhosis. (ebscohost.com)
- Methods: The clinical data of 263 cases of cholecystolithiasis patients associated with liver cirrhosis admitted to our hospital from January 2009 to June 2012 were analyzed retrospectively. (ebscohost.com)
- was to compare the quality of life of patients with cardiovascular diseases after surgical treatment of cholecystolithiasis by means of laparoscopy as compared to open surgery. (infona.pl)
- The prevalence and incidence of cholecystolithiasis in patients with chronic liver diseases: a prospective study. (springer.com)
- 200 patients with cholecystolithiasis were enrolled in this study. (ebscohost.com)
- In 5 patients undergoing LC for cholecystolithiasis, one milliliter (2.5 mg/mL) of ICG was intravenously injected two hours before surgery. (sages.org)
- Dr. Halme's group performed abdominal ultrasound examinations on a subgroup of 304 patients to evaluate the prevalence of cholecystolithiasis after kidney transplantation and correlated the findings with serum lipid values, changes in BMI, and use of statins. (renalandurologynews.com)
- Pre-transplant cholecystectomy due to cholecystolithiasis-a prerequisite for acceptance to the renal transplant waiting list-had been performed on 71 (4%) of the patients. (renalandurologynews.com)
- Eleven choledochal cyst patients with or without previous cyst‐enterostomy or biliary tract carcinoma, seven patients with biliary tract carcinoma not associated with choledochal cyst and five patients with cholecystolithiasis were examined. (elsevier.com)
Prevalence1
- Cholecystolithiasis is a common digestive system disease worldwide, and the prevalence is estimated to be 10-20% [ 1 ]. (termedia.pl)
Bile1
- 37 Cholecystolithiasis and Stones in the Common Bile Duct: Which Approach and When? (elsevier.com)
Stones1
- This is seen in 5-10% of persons with gallstone disease and may offer some other complications and diseases than gall bladder stones (cholecystolithiasis). (healthanddisease.com)
Treatment5
- Conclusion: Laparoscopic cholecystectomy is safe and feasible in the treatment of cholecystolithiasis associated with liver cirrhosis (Child's class A and B liver function), showing distinct advantages. (ebscohost.com)
- The study was interpreted by means of a questionnaire form created by the authors, entitled SATISFACTION AND GENERAL CONDITION AFTER TREATMENT OF CHOLECYSTOLITHIASIS, in combination with the SF-36 questionnaire. (infona.pl)
- Ceftriaxone sodium and obesity were the major cause of pediatric cholecystolithiasis .A proper selection of treatment regimens should be based upon the considerations of etiologies and symptoms. (bvsalud.org)
- Laparoscopic cholecystectomy (LC) is the main treatment method for cholecystolithiasis, and this procedure has been regarded as the 'gold standard' approach for several years. (termedia.pl)
- Laparoscopic cholecystectomy is considered as the gold standard treatment for cholecystolithiasis. (researchsquare.com)
Underwent1
- The patient was a 76-year-old man who underwent laparoscopic cholecystectomy with a diagnosis of cholecystolithiasis. (bireme.br)
Surgery1
- To study the two-dimensional (2D) image segmentation, three-dimensional (3D) reconstruction and virtual surgery of cholecystectomy based on the 2D image data of the liver, biliary track and cholecystolithiasis obtained by 64-slice spiral CT. (bvsalud.org)
Anemia1
- According to our knowledge, this is the second case of multicentric splenic hemangioendothelioma and is the first case presenting together with cholecystolithiasis, anemia and mild indirect hyperbilirubinemia[ 3 ]. (turkjcancer.org)
Data1
- The image data of the liver, biliary track and cholecystolithiasis were obtained by 64-slice spiral CT scanning. (bvsalud.org)