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[Analysis of clinical course of severe acute biliary and non biliary pancreatitis: a comparative study.]
Conclusion: Female patients suffering from severe biliary acute pancreatitis have higher morbidity and mortality rate. Therefore an elective cholecystectomy is suggested in old female patients with serious co-morbidity and gallstones, before any complications. PMID: 20133246 [PubMed - in process] (Source: Orvosi Hetilap)... MORE...
POSTED 02/06/2010 at 09:46 PM --


LA BioMed Study Finds Operations Can Be Safely Performed Within 48 Hours Of Admission
Patients with mild gallstone pancreatitis usually stay in the hospital for several days, waiting for the symptoms to subside, before undergoing surgery to remedy the condition. A new study from researchers at Los Angeles Biomedical Research Institute (LA BioMed) indicates patients may no longer have to wait so long for surgery and could leave the hospital sooner... (Source: Health News from Medical News Today)... MORE...
POSTED 02/05/2010 at 03:00 AM --


LA BioMed Study Finds Operations Can Be Safely Performed Within 48 Hours Of Admission
Patients with mild gallstone pancreatitis usually stay in the hospital for several days, waiting for the symptoms to subside, before undergoing surgery to remedy the condition. A new study from researchers at Los Angeles Biomedical Research Institute (LA BioMed) indicates patients may no longer have to wait so long for surgery and could leave the hospital sooner... (Source: GastroIntestinal News From Medical News Today)... MORE...
POSTED 02/05/2010 at 03:00 AM --


A prospective randomized trial comparing two-stage versus single-stage management of patients with gallstone disease and common bile duct stones
Conclusions  The results showed equivalent success rate in terms of morbidity and hospital stay. Laparoscopic approach seems to be favorable because of the smaller number of procedures and hospital visits. Content Type Journal ArticleDOI 10.1007/s00464-010-0891-7Authors Virinder K. Bansal, All India Institute of Medical Sciences Department of Surgical Disciplines Room No. 5045, 5th Floor, Teaching Block New Delhi IndiaMahesh C. Misra, All India Institute of Medical Sciences Department of Surgical Disciplines Room No. 5045, 5th Floor, Teaching Block New Delhi IndiaPramod Garg, All India Institute of Medical Sciences Department of Gastroenterology New Delhi IndiaManik Prabhu, All India Institute of Medical Sciences Department of Surgical Disciplines Room No. 5045, 5th Flo...... MORE...
POSTED 02/05/2010 at 02:43 AM --


Simultaneous/Incidental Cholecystectomy During Gastric/Esophageal Resection: Systematic Analysis of Risks and Benefits
Conclusions  Approximately 6% of patients undergoing upper GI surgery are expected to require cholecystectomy during follow-up. Because late cholecystectomies can be performed safely and because the additional calculated morbidity for these operations is lower than the morbidity for simultaneous cholecystectomy, it cannot generally be recommended to remove a normal acalculous gallbladder during upper GI surgery. Content Type Journal ArticleDOI 10.1007/s00268-010-0444-1Authors Sonja Gillen, Technische Universität München Department of Surgery Ismaningerstrasse 22 81675 Munich GermanyChristoph W. Michalski, Technische Universität München Department of Surgery Ismaningerstrasse 22 81675 Munich GermanyTibor Schuster, Technische Universität München Institute of Medic...... MORE...
POSTED 02/05/2010 at 02:34 AM --


Presence of Gallstones or Kidney Stones and Risk of Type 2 Diabetes
Recent evidence suggests that gallstones and kidney stones are associated with insulin resistance, but the relation between stone diseases and the risk of developing type 2 diabetes mellitus is not clear. Participants in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam Study (Potsdam, Germany) provided information about the presence of gallstones and kidney stones at recruitment between 1994 and 1998. On biennial questionnaires, participants reported newly diagnosed type 2 diabetes mellitus, and confirmation was obtained from treating physicians. During a mean follow-up period of 7.0 years between 1994 and 2005, 849 incident cases of type 2 diabetes were identified among 25,166 participants. After adjustment for sex, age, waist circumference, and lifestyle ri...... MORE...
POSTED 02/04/2010 at 07:09 PM --


Laparoscopic cholecystectomy for cholelithiasis in children
Conclusion:</b> Laparoscopic chloecystectomy is a safe and efficacious treatment for pediatric cholelithiasis. The cause for increased incidence of pediatric gallstones and their natural history needs to be further evaluated. (Source: Journal of Indian Association of Pediatric Surgeons)... MORE...
POSTED 02/04/2010 at 09:42 AM --


Prophylactic Cholecystectomy in Midgut Carcinoid Patients
Conclusions  In our study the incidence of gallstone-related complications seems to be higher than in the general population. We recommend that prophylactic cholecystectomy is liberally performed during laparotomy for MGC if patients are planned to undergo treatment with somatostatin analogs. Content Type Journal ArticleDOI 10.1007/s00268-010-0428-1Authors Olov Norlén, Uppsala University Department of Surgery SE-751 85 Uppsala SwedenOla Hessman, Uppsala University Department of Surgery SE-751 85 Uppsala SwedenPeter Stålberg, Uppsala University Department of Surgery SE-751 85 Uppsala SwedenGöran Åkerström, Uppsala University Department of Surgery SE-751 85 Uppsala SwedenPer Hellman, Uppsala University Department of Surgery SE-751 85 Uppsala Sweden Journal Wo...... MORE...
POSTED 02/04/2010 at 12:44 AM --


Incidence, Prevalence, Etiology, and Prognosis of First-Time Chronic Pancreatitis in Young Patients: A Nationwide Cohort Study
Conclusion  The prevalence of CP, especially in women, increased over time. Genetic causes that partly or totally could explain the CP were found in 54.90% (95% CI (40.45–68.62)) of those with idiopathic CP, as a minimum estimation 1.9% (95% CI (1.00–3.47)) of the total cohort had HP. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10620-009-1118-4Authors Maiken Joergensen, University of Southern Denmark Department of Medical Gastroenterology S, Odense University Hospital Sdr. Boulevard 29 5000 Odense C DenmarkKlaus Brusgaard, University of Southern Denmark Department of Biochemistry, Pharmacology and Genetics, Odense University Hospital Sdr. Boulevard 29 5000 Odense C DenmarkDorthe Gylling Crüger, University of Southern Denmark Department of Cli...... MORE...
POSTED 01/28/2010 at 01:02 AM --


Use of Rigid Nephroscope for Laparoscopic Common Bile Duct Exploration—A Single-Center Experience
Conclusions  A rigid nephroscope can be used for managing all types of common bile duct calculi irrespective of site, size, composition, or degree of impaction. Its use can be expected to become the standard for laparoscopic common bile duct exploration, especially for removing large calculi from a dilated common bile duct. Content Type Journal ArticleDOI 10.1007/s00268-010-0397-4Authors Muneer Khan, Government Medical College Srinagar Department of Surgery Karan Nagar Srinagar 190010 Jammu and Kashmir IndiaSyed Javid Farooq Qadri, Government Medical College Srinagar Department of Surgery Karan Nagar Srinagar 190010 Jammu and Kashmir IndiaSyed Sajad Nazir, Government Medical College Srinagar Department of Surgery Karan Nagar Srinagar 190010 Jammu and Kashmir India ...... MORE...
POSTED 01/27/2010 at 02:24 PM --


Multiple abdominal granuloma caused by spilled gallstones with imaging findings that mimic malignancy
Abstract: Multiple abdominal granulomas caused by spilled gallstones during a laparoscopic cholecystectomy are a rare complication. The images of the granuloma mimicked malignancy. (Source: American Journal of Surgery)... MORE...
POSTED 01/27/2010 at 09:28 AM --


A Cupful of Health Benefits
(NaturalNews) Patients coming to the Whitaker Wellness Institute sometimes express surprise that we serve coffee. Doesn't it increase the body's acidity? Aren't health-conscious people supposed to drink tea instead? Isn't caffeine bad for you?If coffee were harmful, then every morning emergency rooms around the world would be choked with people suffering the ill effects of our favorite breakfast beverage. Of course, this isn't the case. Coffee is not harmful. On the contrary, I consider it to be a health food, and hundreds of studies bear this out.From Protection Against Parkinson's...Research shows that drinking coffee reduces the risk of Parkinson's disease by as much as 80 percent and protects against other neurodegenerative disorders such as Alzheimer's. It increases insulin sensitivit...... MORE...
POSTED 01/27/2010 at 01:00 AM --


Gallstone Ileus
A 64-year-old woman who had no known medical conditions or surgical history presented with a 2-day history of epigastric fullness and vomiting. The physical examination was unremarkable except for abdominal ... (Source: New England Journal of Medicine)... MORE...
POSTED 01/26/2010 at 06:00 PM --


Transcylindrical cholecystectomy under local anesthesia plus sedation. A pilot study
EndoscopyDOI: 10.1055/s-0029-1243860 The practice of laparoscopic cholecystectomy under local anesthesia is almost anecdotal. For 15 years we have been using a “transcylindrical cholecystectomy” technique for the treatment of cholelithiasis, cholecystitis, and choledocholithiasis. The present study was undertaken to assess the feasibility of transcylindrical cholecystectomy under local anesthesia through a prospective and longitudinal efficacy study.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: Endoscopy)... MORE...
POSTED 01/26/2010 at 08:23 AM --


Open, small-incision, or laparoscopic cholecystectomy for patients with symptomatic cholecystolithiasis. An overview of Cochrane Hepato-Biliary Group reviews
Background Patients with symptomatic cholecystolithiasis are treated by three different techniques of cholecystectomy: open, small-incision, or laparoscopic. There is no overview on Cochrane systematic reviews on these three interventions. Objectives To summarise Cochrane reviews that assess the effects of different techniques of cholecystectomy for patients with symptomatic cholecystolithiasis. Methods The Cochrane Database of Systematic Reviews (CDSR) was searched for all systematic reviews evaluating any interventions for the treatment of symptomatic cholecystolithiasis (Issue 4 2008). Main results Three systematic reviews that included a total of 56 randomised trials with 5246 patients are included in this overview of reviews. All three reviews used identical inclusion criteria for tr...... MORE...
POSTED 01/26/2010 at 08:13 AM --


Gastric Schwannoma: Two Cases of Laparoscopic Resection and a Review of the Literature
We present two cases of patients who were found to have gastric masses that were both successfully removed laparoscopically. Patient 1 was a 68 year old female who presented with abdominal pain and abnormal liver function tests. Ultrasound confirmed gallstones and a CT scan identified a 3.6cm x 4.2cm mass arising in the gastric fundus. Endoscopic ultrasound identified a submucosal mass and biopsy suggested a schwannoma. Patient 2 was a 45 year female who presented with an 8 month history of abdominal pain which radiated to the right side of the abdomen. The initial impression was cholecystitis, however, ultrasound failed to show evidence of gallstones or inflammation. CT scan identified a 3cm mass in the proximal body of the stomach, which endoscopic ultrasound confirmed as a submucosal ma...... MORE...
POSTED 01/25/2010 at 10:42 AM --


Predictors of In-Hospital Mortality Following Cholecystectomy among Hospitalized Patients
Introduction: Gallstone disease is important, occurring in 20% of the US population and carrying the second highest economic burden (nearly $6.5 billion annually) among digestive diseases in the US. Though cholecystectomy is a common procedure, mortality remains significant among certain subsets of the US population. Among adult patients hospitalized for cholecystitis and who underwent cholecystectomy, we identified predictors of in-hospital mortality. Methods: This is a cross-sectional study using the Health Care Utilization Project-Nationwide Inpatient Sample (HCUP-NIS), the largest all-payer type inpatient database in the U.S. We identified all adult patients age 18-100 years, hospitalized in non-federal hospitals with cholecystitis between 1999-2006, who underwent cholecystectomy as th...... MORE...
POSTED 01/25/2010 at 10:40 AM --


Percutaneous Cholecystostomy: A Safe Alternative to Cholecystectomy in High Risk Patients
Objective: Cholecystectomy is widely accepted as the treatment of choice for acute cholecystitis. Critically ill, high operative risk patients may require alternate treatment approaches. Percutaneous cholecystostomy (PC) is a minimally invasive procedure that may be of use in this patient population. The purpose of this study was to determine the safety and efficacy of PC in the treatment of acute cholecystitis at a major tertiary referral center. Methods: Records of patients undergoing PC at our institution, between January 2001 and June 2009, were retrospectively reviewed. Data were collected about age, gender, length of stay, admission diagnosis, clinical indices, co-morbidities, indication for PC, American Society of Anaesthesiologists (ASA) physical status classification, radiologic f...... MORE...
POSTED 01/25/2010 at 10:40 AM --


Pediatric cholelithiasis and laparoscopic management: A review of twenty two cases
Conclusion:</b> Laparoscopic chloecystectomy is confirmed to be a safe and efficacious treatment for pediatric cholelithiasis. The cause for an increased incidence of pediatric gallstones and their natural history need to be further evaluated. (Source: Journal of Minimal Access Surgery)... MORE...
POSTED 01/22/2010 at 09:41 AM --


Genetic variants involved in gallstone formation and capsaicin metabolism, and the risk of gallbladder cancer in Chilean women.
CONCLUSION: Genetic variants involved in gallstone formation such as the apolipoprotein B rs693 and CETP rs708272 polymorphisms may be related to the risk of developing GBC in Chilean women. PMID: 20082485 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)... MORE...
POSTED 01/20/2010 at 06:00 PM --


 

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