The article explores the development of a precise control pathway for using haemostatic clips in laparoscopic cholecystectomy based on patient-specific clinical variations. Topics discussed include the optimization of clip usage, factors influencing clip consumption such as acute cholecystitis and anatomical variations, and the potential for applying this framework to manage other medical consumables and surgical practices.
A recent report from Ohio State University provides updated information on acute cholecystitis, a condition characterized by gallstone disease. The report states that gallstones affect 10-15% of adults in the United States, with cholesterol gallstones being the most common type. Risk factors for developing gallstone disease include being female, older age, certain medications, and having type 2 diabetes, nonalcoholic fatty liver disease, obesity, rapid weight loss, or hemolytic anemia. The report also discusses the symptoms, complications, diagnosis, and treatment options for gallstone disease. It concludes by mentioning that postcholecystectomy syndrome, which presents with abdominal pain, bloating, and diarrhea, is a potential complication after gallbladder removal. [Extracted from the article]
A recent study conducted by researchers from the State University of New York (SUNY) Stony Brook examined the timing of cholecystectomy following percutaneous cholecystostomy (PC) for acute cholecystitis (AC). The study aimed to identify the association between the timing of surgery and perioperative complication rates. The results showed that patients who underwent cholecystectomy within 7 weeks of PC had a decreased risk of adverse events compared to those who had delayed surgery. These findings have implications for patient selection and management after PC. The study was published in Surgical Endoscopy and was supported by various organizations. [Extracted from the article]
RANDOMIZED controlled trials, ANTIBIOTIC prophylaxis, CHOLECYSTECTOMY, CHOLECYSTITIS, RESEARCH personnel, DIGESTIVE system diseases, BILIOUS diseases & biliousness
Abstract
The article discusses recent research from Al-Azhar University on the role of prophylactic antibiotics in emergency cholecystectomy for acute cholecystitis. Topics discussed include the effectiveness of perioperative antibiotics, findings from a meta-analysis of randomized controlled trials, and the implications for postoperative infectious complications in patients undergoing surgery.
CHOLECYSTITIS, C-reactive protein, CHOLECYSTECTOMY, BIOMARKERS, ALBUMINS, DIGESTIVE system diseases, SURGERY
Abstract
The article from the University of Health Sciences Turkey examines the effectiveness of preoperative biomarkers, specifically the C-reactive protein/albumin ratio (CAR) and systemic immune-inflammation index (SII), in predicting severe acute cholecystitis (AC). Topics discussed include the limitations of current prediction guidelines, the role of CAR and SII in identifying severe cases, and the impact of these biomarkers on surgical outcomes and complications.
A recent study conducted by the University of California examined the association between obesity and the risk of conversion to open surgery during laparoscopic cholecystectomy for acute cholecystitis. The study found that class 3 obesity (BMI 40.0 or higher) was associated with an increased likelihood of conversion to open surgery compared to class 1 and 2 obesity. Patients who underwent conversion to open surgery also had higher risks of blood transfusion and respiratory complications, as well as increased hospitalization costs and length of stay. These findings highlight the importance of understanding operative risks in obese patients to optimize clinical outcomes. [Extracted from the article]
DIGESTIVE system diseases, BILIOUS diseases & biliousness, STANDARD deviations, ELECTRONIC records, MULTILEVEL models
Abstract
A study conducted by the University of California Los Angeles (UCLA) examined the management of acute cholecystitis, a condition involving inflammation of the gallbladder. The researchers found that there is significant variability in the nonoperative management of this condition among hospitals. Factors such as older age, public insurance, small institution size, and certain hospital statuses were associated with increased odds of nonoperative management. The study suggests that strategies should be implemented to address disparities and ensure equitable care for patients with acute cholecystitis. [Extracted from the article]
CHOLECYSTITIS, DIAGNOSIS, DIGESTIVE system diseases, BILIOUS diseases & biliousness, CHOLANGIOGRAPHY
Abstract
A recent study conducted by researchers at the University of Connecticut examined the value of gallbladder distention on point-of-care ultrasound (PoCUS) for diagnosing acute cholecystitis. The study found that gallbladder distention on PoCUS was specific for cholecystitis and was associated with obstructing stone-in-neck (SIN), acute cholecystitis on subsequent pathology reports, and longer cholecystectomy operative times. The researchers concluded that measuring gallbladder dimensions as part of the assessment of cholecystitis may be advantageous. This information may be useful for individuals researching digestive system diseases and conditions, specifically acute cholecystitis. [Extracted from the article]
A study conducted at Parc Tauli University Hospital in Barcelona, Spain, explores the use of indocyanine green during emergency laparoscopic cholecystectomy for acute cholecystitis. The researchers aim to determine if the use of indocyanine green can reduce operating time and improve visualization of the bile duct, potentially reducing the risk of complications. The study is a randomized, controlled, multicenter trial involving 220 patients in both the control and intervention groups. The researchers hope that this study will contribute to establishing procedures for the use of indocyanine green in emergency settings. [Extracted from the article]
A study conducted at Sichuan University in China examined the clinical efficacy and safety of using ceftriaxone sodium and Xiaoyan Lidan tablets to treat acute cholecystitis. The study included 78 individuals with acute cholecystitis who were divided into two groups: one receiving ceftriaxone sodium alone and the other receiving a combination of Xiaoyan Lidan tablets and ceftriaxone sodium. The combination group showed a higher overall response rate and shorter resolution times for symptoms such as epigastric pain, fever relief, nausea, and vomiting compared to the monotherapy group. Additionally, the combination group had lower levels of inflammatory markers and similar rates of adverse reactions. The researchers concluded that the combination treatment was effective and safe in reducing inflammation and promoting patient recovery. [Extracted from the article]
CHOLECYSTITIS, DIGESTIVE system diseases, ANTIBIOTICS, BILIOUS diseases & biliousness
Abstract
A new report from researchers at Fondazione Policlinico Universitario Agostino Gemelli in Rome, Italy, provides updates on antibiotic regimens in the treatment of acute cholecystitis. Acute cholecystitis is a common surgical disease that can range in severity, with a mortality rate of 10-20% when combined with bacteremia. The standard of care for acute cholecystitis is early laparoscopic cholecystectomy, but antibiotic therapy is also crucial in preventing surgical complications and limiting the systemic inflammatory response. The choice of antibiotic should consider factors such as the severity of the infection, the source of the infection, and drug resistance. Antibiotic stewardship is essential for the proper management of bile-related infections. [Extracted from the article]
A recent study conducted by researchers from the Department of Radiology aimed to measure the diameter of the cystic artery using computed tomography (CT) in patients undergoing emergency surgery for acute cholecystitis. The study found that a cystic artery diameter greater than 1.9 mm was highly specific for the diagnosis of acute cholecystitis. The researchers suggest that measuring the cystic artery diameter can be used as an additional criterion in the evaluation of CT for the diagnosis of acute cholecystitis. This information may be useful for individuals conducting research on acute cholecystitis and related diagnostic methods. [Extracted from the article]
A recent study conducted at the University of Michigan explored the use of Tc-99m sestamibi as an alternative to mebrofenin for diagnosing acute cholecystitis during a supply chain disruption. The researchers found that sestamibi had excellent sensitivity and negative predictive value for diagnosing acute cholecystitis, making it a viable alternative when mebrofenin is unavailable. The study involved 41 patients who underwent hepatobiliary imaging with sestamibi, and the results were interpreted by multiple nuclear medicine physicians. The findings suggest that sestamibi can be used effectively in evaluating cystic duct obstruction during shortages of standard agents. [Extracted from the article]
CHOLECYSTITIS, RESEARCH personnel, DIAGNOSIS, DIGESTIVE system diseases, BILIOUS diseases & biliousness, MEDICAL sciences
Abstract
A researcher at the University of Bologna has published a comprehensive review on the diagnosis and treatment of acute cholecystitis, a common disease associated with gallstones. The review emphasizes the importance of early laparoscopic cholecystectomy (ELC) as the best treatment option, ideally performed within 72 hours of diagnosis. For patients who are not eligible for surgery, it is recommended to delay surgery for at least 6 weeks after the clinical presentation. The review also discusses special treatment approaches for pregnant women, cirrhotic patients, and the elderly. The research provides a practical approach to the diagnosis and treatment of acute cholecystitis based on evidence from the literature. [Extracted from the article]
A recent study conducted at Hayatabad Medical Complex examined the incidence of port site infection (PSI) after laparoscopic cholecystectomy, a surgical procedure to remove the gallbladder. The researchers aimed to identify factors that contribute to PSI and determine preventive measures. The study found that acute cholecystitis, the spilling of bile, stones, or pus, and the port of gallbladder removal were strongly associated with PSI. The majority of PSIs were superficial and more common in men. The researchers recommend exercising caution, particularly in cases where Mycobacterium tuberculosis may be the source of chronic deep surgical site infections. [Extracted from the article]
A study conducted by the University of Southern California examined the incidence and outcomes of bile duct injuries (BDI) during urgent cholecystectomy for acute cholecystitis. The study found that BDI occurred in 0.5% of patients who underwent urgent cholecystectomy, with the majority of cases occurring overnight or during the weekend. The attending surgeon was typically in their first year of practice. BDI was recognized during the operation in 50% of cases, and all patients experienced favorable outcomes with timely recognition and involvement of hepatobiliary surgery. The study suggests the need for increased proctorship for early career attendings and consideration of in-hours cholecystectomy for acute cholecystitis. Further research is recommended to validate these findings. [Extracted from the article]
CHOLECYSTITIS, LIVER diseases, MEDICAL screening, DIGESTIVE system diseases, UNIVERSITIES & colleges, BILIOUS diseases & biliousness
Abstract
A study conducted by researchers at Eulji University College of Medicine in Seoul, South Korea, compared the clinical outcomes of different treatments for patients with acute cholecystitis who were unfit for interval cholecystectomy. The study found that patients who underwent endoscopic gallbladder drainage conversion had lower rates of recurrent acute cholecystitis and unplanned readmission due to gallstone-related diseases compared to those who underwent conservative treatment after percutaneous cholecystostomy tube removal. The researchers concluded that endoscopic gallbladder drainage conversion may be a promising treatment option for high-risk patients undergoing percutaneous cholecystostomy. [Extracted from the article]
CHOLECYSTITIS, BILE ducts, GALLSTONES, RESEARCH personnel, BILIOUS diseases & biliousness, DIGESTIVE system diseases
Abstract
A recent study conducted by researchers from the School of Medicine and Health Sciences in Washington, D.C. explored the use of ultrasound in diagnosing acute cholecystitis and choledocholithiasis in pediatric patients. The study found that ultrasound is an important tool in evaluating these conditions, but accurately identifying the common bile duct (CBD) can be challenging. The researchers concluded that if a biliary ultrasound does not show gallbladder wall thickening, pericholecystic fluid, sonographic Murphy's sign, or choledocholithiasis, and the patient has normal laboratory values, then measuring the CBD is unlikely to result in missed diagnoses. The study provides valuable insights for healthcare professionals treating children with these conditions. [Extracted from the article]
CHOLECYSTITIS, RESEARCH personnel, DIGESTIVE system diseases, BILIOUS diseases & biliousness
Abstract
A researcher from Holbaek Hospital in Denmark has published new studies and findings on emphysematous cholecystitis, a potentially life-threatening variant of acute cholecystitis. Emphysematous cholecystitis is characterized by the presence of gas in the gallbladder wall/lumen due to the proliferation of gas-producing bacteria. Symptoms include upper right quadrant pain, fever, nausea, and vomiting, and early diagnosis and intervention are crucial to prevent serious complications and reduce the higher mortality rate compared to acute cholecystitis. The research emphasizes the importance of radiological assessment, especially CT scanning, for diagnosis. [Extracted from the article]
CHOLECYSTITIS, GALLSTONES, DIGESTIVE system diseases, COHORT analysis
Abstract
A nation-wide cohort study is being conducted in the Netherlands to determine the variation in treatment of cholecystitis and its impact on clinical outcomes. The study aims to compare patients who receive treatment according to guidelines with those who do not, focusing on total hospital stay and complications. Secondary aims include identifying factors related to guideline compliance, determining the best method of cystic duct closure, and predicting factors for concomitant common bile duct stones. The study will provide important information to create optimal and uniform cholecystitis treatment in the Netherlands. [Extracted from the article]
KLEBSIELLA pneumoniae, CHOLECYSTITIS, PORTAL vein, THROMBOPHLEBITIS, DIGESTIVE system diseases, RESEARCH personnel
Abstract
A report from researchers at the Icahn School of Medicine at Mount Sinai discusses a unique case of hypervirulent Klebsiella pneumoniae acute cholecystitis complicated by portal vein thrombophlebitis. The case involved a 66-year-old Burmese female who presented with various symptoms, including severe swelling, pain, discharge, and vision loss in her left eye, as well as abdominal pain. The patient was successfully treated with ceftriaxone for her intra-abdominal infections and received anticoagulation therapy following multidisciplinary discussions. The researchers emphasize the importance of early diagnosis and timely treatment in reducing mortality and preventing further complications. [Extracted from the article]
A recent study conducted at Robert Wood Johnson University Hospital compared the outcomes of patients with acute cholecystitis who underwent endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) versus percutaneous transhepatic gallbladder drainage (PT-GBD) before cholecystectomy (CCY). The study found that patients who received EUS-GBD had shorter operative times, faster symptom resolution, and shorter hospital stays compared to those who received PT-GBD. The researchers concluded that EUS-GBD is a viable option for gallbladder drainage and does not preclude patients from eventually undergoing CCY. [Extracted from the article]
CHOLECYSTITIS, PROGNOSIS, NEUTROPHIL lymphocyte ratio, MEDICAL schools, C-reactive protein, LEUCOCYTES
Abstract
A recent study conducted at Jawaharlal Nehru Medical College in Karnataka, India, has found that the neutrophil-to-lymphocyte ratio (NLR) can be used as a prognostic marker for severe acute cholecystitis (AC). AC is a common gastrointestinal condition that can lead to severe complications if not diagnosed promptly. The study collected data from 110 patients diagnosed with AC and found that NLR ranges can distinguish between mild, moderate, and severe AC. The researchers concluded that NLR can help determine disease severity and improve patient outcomes. [Extracted from the article]
MEDICAL education, CHOLECYSTITIS, MEDICAL schools, RESEARCH personnel, CYSTS (Pathology), DATA release
Abstract
Researchers at the GKT School of Medical Education have released new data on choledochal cysts, a rare congenital anomaly characterized by cystic dilations in the biliary trees. The research focuses on an atypical presentation of choledochal cysts in adulthood, as it primarily presents in children. The case study discusses a 50-year-old female who presented with severe colicky pain in the right upper quadrant of her abdomen. Diagnostic methods, treatment options, and potential outcomes for individuals with choledochal cysts during adulthood are also explored. The research contributes to existing knowledge on choledochal cysts by providing insight into clinical presentation, diagnostics, and treatment. [Extracted from the article]
A recent study conducted by researchers from the University of California Los Angeles (UCLA) examined the use of percutaneous cholecystostomy (PCT) as an alternative to cholecystectomy (CCY) in high-risk surgical candidates with severe acute cholecystitis. The study found that patients who received PCT had reduced odds of respiratory and infectious complications after eventual CCY compared to those who did not receive PCT. The study suggests that PCT may be helpful in bridging patients with grade III acute cholecystitis to eventual CCY. The findings were published in Surgery Open Science. [Extracted from the article]
GALLBLADDER, CHOLECYSTITIS, LAPAROSCOPIC surgery, DIGESTIVE system diseases, BILIOUS diseases & biliousness, SURGICAL blood loss
Abstract
A recent study conducted at Osaka University in Japan investigated the influence of percutaneous transhepatic gallbladder aspiration (PTGBA) on the surgical outcomes of subsequent laparoscopic cholecystectomy (LC) in patients with acute cholecystitis. The study included 63 patients who underwent LC after PTGBA, and the surgical outcomes were compared between the only-PTGBA group and the additional-PTGBD group. The researchers found that PTGBA for acute cholecystitis resulted in good surgical outcomes for subsequent LC, particularly in terms of postoperative complications. However, they noted that the additional-PTGBD after PTGBA failure could lead to increased operative difficulty and longer recovery. [Extracted from the article]
CHOLECYSTITIS, GALLBLADDER, RESEARCH personnel, DIGESTIVE system diseases, BILIOUS diseases & biliousness
Abstract
A study conducted in Italy examined the use of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) using lumen-apposing metal stents (LAMS) as a treatment for acute cholecystitis (AC) in fragile patients. The study included 116 patients from 19 Italian centers and found that EUS-GBD had high rates of technical and clinical success, although there were some adverse events. The study concluded that EUS-GBD is an effective treatment option for fragile patients with AC. Further research is needed to explore long-term outcomes and recurrence rates. [Extracted from the article]
A recent study conducted by researchers from Carol Davila University of Medicine and Pharmacy in Bucharest, Romania, focused on laparoscopic cholecystectomy (LC) as the standard treatment for acute cholecystitis. The study aimed to identify preoperative parameters that could predict surgical difficulties. The researchers found that patients in the difficult laparoscopic cholecystectomy (DLC) group experienced more complications compared to the normal LC group. Factors such as age, male sex, diabetes, delayed presentation, fever, and a positive Murphy sign were more frequently encountered in the DLC group. The study concluded that preoperative assessment of predictive factors for DLC is crucial for optimizing therapeutic decisions. [Extracted from the article]
CHOLECYSTITIS, RESEARCH personnel, CHOLECYSTECTOMY, DIGESTIVE system diseases, EMERGENCY room visits, BILIOUS diseases & biliousness
Abstract
Researchers at the University of California San Francisco (UCSF) have presented a case report on the treatment of acute cholecystitis, a common cause of Emergency Department presentation and hospital admission. The usual treatment for this condition is surgical removal of the gallbladder, but some patients may not be fit for surgery due to critical illness or comorbidities. In this case, a high-risk patient with multiple health conditions was successfully treated with cystic duct disimpaction without stenting, resulting in complete resolution of symptoms and abnormal lab findings. This research provides valuable insights into alternative treatment options for patients who are not suitable candidates for surgery. [Extracted from the article]
A newly launched clinical trial, NCT06227936, aims to analyze the complications of percutaneous cholecystostomy (PC) and review its indications in the literature. Acute cholecystitis (AC) is a common surgical emergency, and while laparoscopic cholecystectomy (LC) is the gold standard treatment, not all patients are suitable for surgery. PC is an alternative to LC but has high comorbidity. The study will be a retrospective analysis of 2000 cases of acute cholecystitis from January 2011 to December 2023, examining demographic characteristics, comorbidity severity, indications for PC, complications, and management. The trial is not yet recruiting and is expected to be completed by September 2024. [Extracted from the article]
MEDICAL sciences, NEUTROPHIL lymphocyte ratio, LEUCOCYTOSIS, CHOLECYSTITIS, DIAGNOSIS, MONONUCLEAR leukocytes
Abstract
A recent study conducted by the National University of Medical Sciences (NUMS) compared the diagnostic accuracy of high neutrophil-to-lymphocyte ratio levels with leukocytosis in detecting acute cholecystitis. The study included 118 patients with a clinical diagnosis of acute cholecystitis, and the diagnosis was confirmed using contrast-enhanced computed tomography. The results showed that both the total leukocyte count and the neutrophil-to-lymphocyte ratio were equally effective in diagnosing acute cholecystitis in clinically diagnosed patients. This research provides valuable insights into the diagnostic methods for acute cholecystitis. [Extracted from the article]
CHOLECYSTITIS, DIGESTIVE system diseases, BILIOUS diseases & biliousness
Abstract
A systematic review conducted by investigators at BARC in Maharashtra, India, aimed to assess the efficacy, safety, and outcomes of percutaneous cholecystostomy (PC) as a definitive or bridge therapy for acute cholecystitis in high-risk patients. The review found that PC demonstrates satisfactory technical and clinical success rates, comparable morbidity and mortality rates to bridge therapy, and favorable long-term outcomes. The research concluded that PC can be used as a definitive therapy in many patients and as a bridging treatment for others before subsequent cholecystectomy. This research has been peer-reviewed and published in the Indian Journal of Surgery. [Extracted from the article]
A recent study conducted by Afyonkarahisar Health Sciences University examined the effect of previous endoscopic retrograde cholangiopancreatography (ERCP) on subsequent laparoscopic cholecystectomy (LC) in patients with acute cholecystitis. The study found that previous ERCP did not impact the safety and effectiveness of LC in these patients. The researchers reviewed the files of 1500 patients who underwent LC and compared the rates of conversion to open cholecystectomy, operation times, complication rates, and hospital stays between three groups: those who underwent LC for asymptomatic cholelithiasis, those who underwent LC for acute cholecystitis, and those who underwent ERCP followed by LC for acute cholecystitis. The results showed no significant differences between the groups. This study provides valuable information for healthcare professionals and patients considering LC after ERCP for acute cholecystitis. [Extracted from the article]
CHILD patients, CHOLECYSTECTOMY, CHOLECYSTITIS, RESEARCH personnel, PATIENT readmissions, DIGESTIVE system diseases
Abstract
A recent study conducted by researchers at the University of California San Francisco (UCSF) focused on the outcomes and readmission rates of pediatric patients with acute cholecystitis who underwent index cholecystectomy versus those who did not. The study found that patients who did not undergo index cholecystectomy had a significantly higher rate of 30-day readmission compared to those who did. The researchers concluded that further research is needed to understand the barriers to index cholecystectomy despite its clear clinical benefit. This study was supported by the National Institutes of Health (NIH) in the United States. [Extracted from the article]
FIBRINOLYTIC agents, ACADEMIC medical centers, CHOLECYSTITIS, RESEARCH personnel, DIGESTIVE system diseases
Abstract
A study conducted at the University of Vermont Medical Center examined the management of acute cholecystitis in patients on anti-thrombotic therapy (ATT). The researchers found that patients on ATT were less likely to undergo operative management (OM) for acute cholecystitis compared to non-ATT patients. Among ATT patients, those on anticoagulation (AC) were more likely to receive OM than those on antiplatelet (AP) therapy. The study suggests that further research is needed to better define the management of acute cholecystitis in patients on ATT. [Extracted from the article]
A study conducted by researchers at the University of Washington examined the management of acute cholecystitis (AC) during pregnancy. The study found that cholecystectomy, or surgical removal of the gallbladder, was associated with a lower risk of adverse pregnancy outcomes (APOs) in patients with AC across all trimesters, with the greatest benefit observed in the third trimester. However, only a small percentage of patients underwent cholecystectomy, highlighting the need for greater adherence to guidelines and increased use of surgery, particularly in the third trimester. These findings support the recommendation of cholecystectomy during pregnancy and can inform decision-making discussions for pregnant individuals with AC. [Extracted from the article]
A recent study conducted by researchers at Tokyo Medical University focused on the treatment of acute cholecystitis, a condition characterized by inflammation of the gallbladder. The study presented a case of a woman in her 40s who developed bile peritonitis due to gallbladder perforation associated with acute cholecystitis. The patient underwent various procedures, including a partial cholecystectomy and drainage, and ultimately had an endoscopic nasobiliary drainage tube inserted, which led to a decrease in inflammation and improved enzyme levels. The researchers emphasized the importance of anticipating and managing potential complications in patients with severe acute cholecystitis. [Extracted from the article]
CHOLECYSTECTOMY, CHOLECYSTITIS, LAPAROSCOPIC surgery, LENGTH of stay in hospitals, TREATMENT effectiveness, BILIOUS diseases & biliousness
Abstract
A systematic review and meta-analysis conducted by researchers at NOVA Southeastern University compared the clinical outcomes of laparoscopic total cholecystectomy and laparoscopic subtotal cholecystectomy in patients with complicated acute cholecystitis. The study found that patients who underwent laparoscopic total cholecystectomy had a lower risk of postoperative bile leaks and subhepatic fluid collection, as well as a lower likelihood of mortality compared to those who underwent subtotal cholecystectomy. However, patients who underwent subtotal cholecystectomy had a longer hospital length of stay. The researchers suggest further research to determine the appropriate clinical scenarios and patient populations for the use of subtotal cholecystectomy. [Extracted from the article]
A recent study conducted at Tongji Hospital Affiliated to Tongji Medical College aimed to investigate the management strategies for acute cholecystitis in the third trimester of pregnancy. The study compared the effectiveness of three different treatments: surgical treatment, percutaneous transhepatic gallbladder drainage (PTGD), and conservative treatment. The study found that the readmission rate was lower in the surgical group, the preterm delivery rate was lower in the PTGD group, and the length of stay was shorter in the surgical group. The researchers concluded that the severity of the condition should be assessed, and treatment should be tailored accordingly, taking into account the patient's preferences. For mild cases, conservative treatment can be adopted, while for moderate or severe inflammation, PTGD can be performed before considering surgery after delivery. In critical cases, surgical intervention should be promptly performed. [Extracted from the article]
CHOLECYSTITIS, GALLBLADDER, MAGNETIC resonance imaging, DIGESTIVE system diseases, CONTRAST media, DIAGNOSIS
Abstract
A recent report from the University of British Columbia discusses new findings on acute cholecystitis, a common condition with a rising incidence. The research highlights advancements in imaging technologies that aid in the diagnosis and management of acute cholecystitis, including dual energy CT, contrast-enhanced and non-contrast perfusion ultrasound techniques, and MR imaging with hepatobiliary contrast agents. The report also mentions newer interventional techniques, such as lumen apposing metal stents, which provide more options for minimally invasive management. The researchers emphasize the importance for radiologists to be familiar with these advanced imaging methods and intervention techniques to improve the diagnosis and management of acute cholecystitis. [Extracted from the article]
CHOLECYSTITIS, GALLBLADDER, RESEARCH personnel, DIGESTIVE system diseases, COMPUTED tomography, BILIOUS diseases & biliousness
Abstract
A recent study conducted by researchers at the University of New Mexico focuses on the imaging diagnosis, treatment, and complications of acute cholecystitis, which is the most common benign disease of the gallbladder. The study reviews the appropriateness criteria for imaging evaluation and presents the recent articles on the use of ultrasound, CT, MR, and HIDA in diagnosing acute cholecystitis. The research also discusses the management of gallbladder polyps and adenomyomatosis, which can mimic gallbladder malignancies and acute cholecystitis. The study suggests using CT as the preferred imaging method for diagnosing acute cholecystitis. The research has been peer-reviewed and can be found in the journal Abdominal Radiology. [Extracted from the article]
A new study conducted at IRCCS Humanitas Research Hospital in Milan, Italy, has examined the use of a new dedicated electrocautery lumen-apposing metal stent (LAMS) for gallbladder drainage in patients with acute cholecystitis. The study included 54 patients who were not suitable for surgery and underwent endoscopic ultrasonography-guided gallbladder drainage using the new LAMS. The results showed a high rate of technical and clinical success, with a low incidence of adverse events. The researchers concluded that this new LAMS is a safe and effective option for high-surgical-risk patients with acute cholecystitis. [Extracted from the article]
A new study from Austin Health in Victoria, Australia has reported on cases of acute cholecystitis as a complication of diverting loop ileostomy. The study found that diverting ileostomy, which is commonly used in colorectal surgery, can lead to the development of symptomatic gallstones and cholecystitis. The researchers recommend that patients be counseled about the risks of gallstone complications before surgery and be educated about gallstone-related symptoms. They also suggest preoperative gallbladder imaging and close monitoring for the development of gallstone complications. This study lays the groundwork for further research on the relationship between diverting loop ileostomy and gallstone disease. [Extracted from the article]
CHOLECYSTITIS, GALLSTONES, CHOLANGIOSCOPY, DIGESTIVE system diseases, BILIOUS diseases & biliousness
Abstract
A study conducted at Jilin People's Hospital in China investigated the use of endoscopic retrograde cholangiopancreatography (ERCP) with a single-operator cholangioscopy system (SOC) for the treatment of acute cholecystitis secondary to choledocholithiasis. The study included 25 patients and found that the procedure was safe and effective, with a success rate of 92% and a mean procedure time of 36.6 minutes. No adverse events occurred, and there were no recurrences of cholecystitis during the follow-up period. The researchers concluded that ERCP+SOC could be a feasible alternative treatment for this condition, offering advantages such as reduced postoperative pain and a shorter hospital stay. [Extracted from the article]
CHOLECYSTITIS, RESEARCH personnel, DIGESTIVE system diseases, BILIOUS diseases & biliousness
Abstract
Biliary Tract Diseases and Conditions, Biliary Tract Surgical Procedures, Cholecystitis, Cholecystostomy, Acute Cholecystitis, Digestive System Diseases and Conditions, Gallbladder Diseases and Conditions, Gastroenterology, Health and Medicine, Surgery Keywords: Acute Cholecystitis; Biliary Tract Diseases and Conditions; Biliary Tract Surgical Procedures; Cholecystitis; Cholecystostomy; Digestive System Diseases and Conditions; Gallbladder Diseases and Conditions; Gastroenterology; Health and Medicine; Surgery EN Acute Cholecystitis Biliary Tract Diseases and Conditions Biliary Tract Surgical Procedures Cholecystitis Cholecystostomy Digestive System Diseases and Conditions Gallbladder Diseases and Conditions Gastroenterology Health and Medicine Surgery 535 535 1 10/24/23 20231024 NES 231024 2023 OCT 23 (NewsRx) -- By a News Reporter-Staff News Editor at Gastroenterology Week -- A new study on acute cholecystitis is now available. [Extracted from the article]
https://www.ncbi.nlm.nih.gov/pubmed?term=24112675 - Simorov A, Ranade A, Parcells J, Shaligram A, Shostrom V, Boilesen E, Goede M, Oleynikov D. Emergent cholecystostomy is superior to open cholecystectomy in extremely ill patients with acalculous cholecystitis: a large multicenter outcome study. Epub 2020 Aug 18.
https://www.ncbi.nlm.nih.gov/pubmed?term=22000114 - Rodriguez-Sanjuan JC, Arruabarrena A, Sanchez-Moreno L, Gonzalez-Sanchez F, Herrera LA, Gomez-Fleitas M. Acute cholecystitis in high surgical risk patients: percutaneous cholecystostomy or emergency cholecystectomy?. [Extracted from the article]
CHOLECYSTITIS, GALLBLADDER, UNIVERSITY hospitals, DIGESTIVE system diseases, BILIOUS diseases & biliousness, SURGICAL drainage
Abstract
Keywords: Acute Cholecystitis; Biliary Tract Diseases and Conditions; Cholecystitis; Digestive System Diseases and Conditions; Gallbladder; Gallbladder Diseases and Conditions; Gastroenterology; Health and Medicine EN Acute Cholecystitis Biliary Tract Diseases and Conditions Cholecystitis Digestive System Diseases and Conditions Gallbladder Gallbladder Diseases and Conditions Gastroenterology Health and Medicine 385 385 1 10/09/23 20231010 NES 231010 2023 OCT 9 (NewsRx) -- By a News Reporter-Staff News Editor at Gastroenterology Week -- New study results on acute cholecystitis have been published. Acute Cholecystitis, Biliary Tract Diseases and Conditions, Cholecystitis, Digestive System Diseases and Conditions, Gallbladder, Gallbladder Diseases and Conditions, Gastroenterology, Health and Medicine. [Extracted from the article]