Alternatively, a strategy that involves preoperative ERCP, EUS, or MRCP may be considered for patients at intermediate risk, depending on local availability, expertise, and cost issues. A proposed algorithm for the management of patients with suspected CBD stones undergoing laparoscopic cholecystectomy ...
McAlister VC, Davenport E, Renouf E. Cholecystectomy deferral in patients with endoscopic sphincterotomy. Cochrane Database Syst Rev. 2007;(4):CD006233. Google Scholar Reinders JS, Goud A, Timmer R, Kruyt PM, Witteman BJ, Smakman N, et al. Early laparoscopic cholecystectomy improves outcomes...
Laparoscopic cholecystectomy for an abnormal hepato-iminodiacetic acid scan: a worthwhile procedure. Am Surg. 2000;66(1):30–2. CAS PubMed Google Scholar Geenen JE, Hogan WJ, Dodds WJ, Toouli J, Venu RP. The efficacy of endoscopic sphincterotomy after cholecystectomy in patients with sphincte...
continuing flank pain after cholecystectomy hi, please help me! im 29, female and in pain! i had a cholecystectomy a year ago. i continue to have a dull ache in my back under my right ribs/flank. … ER found nothing I'm a 42 year old female with no health issues. I have had ext...
Routine use of cholangiography was initially proposed to reduce injury after the widespread and rapid adoption of laparoscopic cholecystectomy was found to result in a higher incidence of biliary injuries (Fletcher et al, 1999; Flum et al, 2003). However, risk of injury to the CBD or a ...
Background: Gallbladders (GBs) are routinely sent for pathologic examination after cholecystectomy to rule out the presence of malignancy. Primary GB neoplasms, while rare, include aggressive adenocarcinomas (ACA) with poor prognosis and a timely diagnosis can have a significant effect on a patient'...
Gallstones, cholecystectomy, and the risk for developing pancreatic cancer. Br J Cancer. 2002;86:1081–4. Article CAS PubMed PubMed Central Google Scholar Ye W, Lagergren J, Nyren O, Ekbom A. Risk of pancreatic cancer after cholecystectomy: a cohort study in Sweden. Gut. 2001;49:678–...
Gallbladder surgery is called acholecystectomy. The incisions made to remove your gallbladder are very small. The surgery is generally considered low-risk, and many patients go home the same day following their procedure. If a larger incision is necessary, your healing may be extended....
17 In the absence of symptoms, prophylactic cholecystectomy is not routinely advocated, although removal of all gallbladders is indicated if only one is found to be pathologic.18 Septation Septation of the gallbladder (Fig. 36.3) is often diagnosed on preoperative ultrasonography. It most commo...
Deferring cholecystectomy after bile duct clearance in choledocholithiasis has been associated with an increase in recurrent biliary pain, jaundice or cholangitis, need for repeat ERCP, and mortality.1 In patients who are not surgical candidates, EUS-guided gallbladder drainage (EUS-GBD) is a ...