Gallbladder Perforation with Hemoperitoneum Secondary to Ulceration from Densely Packed Gallstones in a Minimally Symptomatic Patient
Elizabeth A Verrico, DO1, Lindsay Tse, DO2, Justin Sargent, DO1, Fred Wolodiger, MD3, Steven Shikiar, MD1. 1Hackensack Meridian Health Palisades Medical Center, 2Houston Methodist Hospital, 3Englewood Hospital and Medical CenterAcute cholecystitis is one of the most common general surgery pathologies. Perforated cholecystitis is a rare potentially life threatening complication of acute cholecystitis. It is often… Continue Reading
Recurrent Right Upper Quadrant Pain and Complications of Progression
Zachary Walker, Kejal Shah, MD, Michael P Meara, MD, MBA, FACS. The Ohio State University Wexner Medical CenterBackground: Complicated Cholelithiasis can result in episodes of cholangitis and Mirizzi syndrome, extrinsic compression of the common hepatic duct by a stone in the cystic duct or gallbladder. Endoscopic retrograde cholangiopancreatography (ERCP) can be used for diagnosis and… Continue Reading
Cholelithiasis in Sickle Cell Disease
Prachi Mahajan, MS, FRCS, FMAS, FIAGES. Mahajan ortho and surgical hospitalVidarbha region of Central India hosts a large population suffering from sickle cell disease ( SCD). Patients may be divided into 2 categories depending upon whether they harbour the sickle cell trait ' SA' pattern or ' SS' haemoglobinopathy. 25% of people suffering from either… Continue Reading
RESULTS IN THE ENDOSCOPIC MANAGEMENT OF GIANT COMMON BILE DUCT STONES: STENT AND PNEUMATIC DILATATION
Carlos Leal, MD, General Surgery, Gastroenterology1, Andres Mendoza, MD, General Surgery1, Luis Cabrera, MD, General Surgery1, Mauricio Pedraza1, Sebastian Sanchez1, Jean Pulido1, Daniel Gomez, MD, FACS2. 1Bosque University, 2CPOBackground: The endoscopic management of choledocholithiasis remains a challenge for the general surgeon due to the complications that can arise from it. Traditional management has been surgical, but in recent… Continue Reading
Endoscopic management of the difficult hepatic biliary duct stone with digital direct cholangiography
Renzo Pinto, Efrain J Isaacs, Laura Quintero, Luis F Cabrera, General Surgeon, Daniel Gomez, MD, FACS, Mauricio Pedraza, Jean Pulido. Bosque UniversityIntroduction:Digital direct cholangiography or Spyglass (Boston Scientific Corp., Natick, MA, USA) is a modern and simplified technique, which allows a single endoscopist a better visualization of the biliary tract and equipment maneuverability. Using this… Continue Reading
Intraoperative fluoroscopic-guided balloon choledocholithotomy and laparoscopic cholecystectomy : A new technique for the treatment of choledocholithiasis
Yasunobu Kobayashi, MD1, Hironori Ohdaira, MDPhD1, Mutsumi Kaji, MD1, Norihiko Suzuki, MD1, Satoshi Narihiro, MD1, Taigo Hata, MD1, Soujun Hoshimoto, MDPhD1, Masashi Yoshida, MDPhD1, Jun Horiguchi, MDPhD1, Eigoro Yamanouchi, MDPhD2, Masaki Kitajima, MDPhD1, Yutaka Suzuki, MDPhD1. 1Dept of Surgery, International University of Health and Welfare, 2Dept of Radiology, International University of Health and WelfareBackground: Patients with… Continue Reading
Hyperkinetic gallbladder: an indication for cholecystectomy?
Baongoc Nasri, MD, PhD1, Brian Gilchrist, MD2, Timothy Glass, MD1, Jonathan Saxe, MD1. 1St. Vincent Hospital, 2New York University Winthrop HospitalBackground: The main indications for laparoscopic cholecystectomy are stone related diseases in adults. With a normal abdominal ultrasound (US), a hepatobiliary iminodiacetic acid (HIDA) scan with ejection fraction (EF) is recommended to evaluate gallbladder function.… Continue Reading
Laparoscopic cholecystectomy: a review of operative timing and complications
Chetna Bakshi, MD, Gainosuke Sugiyama, MD, FACS, Charles Choy, MD, FACS, Gene Coppa, MD, FACS, Antonio Alfonso, MD, FACS, Paul Chung, MD. Zucker School of Medicine at Hofstra/NorthwellBackground: Laparoscopic cholecystectomy is one of the most common operations performed in general surgery in the United States. It has been suggested that increased operative time (OT) is correlated… Continue Reading
Determinant of quality of life after laparoscopic cholecystectomy
Heba A Elghalban, MD1, Nagwa Nashat, MD1, Rami R Mustafa, MD2, Hatem Soltan, MD3, Hala Shaheen, MD1, Taghreed Farahat, MD1. 1Family Medicine Department, Faculty of Medicine, Menoufia University, 2Department of surgery, Cleveland Medical Center, University Hosptals, 3Department of surgery, Faculty of medicne, Menoufia UniversityIntroduction: cholecystitis is a striking public health issue with high socioeconomic impact.… Continue Reading
Endoscopic Transpapillary Stenting for the Management of Acute Cholecystitis
Danielle Hayes, MD, Gary Lucas, MD, Bryce French, MD, Andrew Discolo, MD, Rajnish Mishra, MD, Sean Wells, MD. Swedish Medical Center - First HillIntroduction: Cholecystectomy is the gold standard treatment of acute cholecystitis. Patients with multiple comorbidities who are considered high-risk surgical candidates are commonly recommended to undergo percutaneous cholecystostomy tube placement; however, long-term external drainage… Continue Reading
Efficacy of pancreatic enzyme replacement therapy in the treatment of pancreatic exocrine insufficiency following pancreatic surgery, a systematic review
Alysha R Keehn, MD, MSc, candidate1, Stephen N Quigley, MD, FRCSC2, Elijah Dixon, MD, MSc, FRCSC1. 1University of Calgary, Department of Surgery, 2Memorial University, Department of SurgeryBackground: Mortality from pancreatic surgery has decreased over the years, however morbidity remains high. 45% of patients demonstrate pancreatic exocrine insufficiency prior to surgery with post-operative incidences ranging form… Continue Reading
Endoscopic Biliary Intervention Following Orthotopic Liver Transplantation
Krishnaraj Mahendraraj, MD, Guillermo Medrano Del Rosal, MD, Michelle Kruse, BS. Lincoln Medical CenterIntroduction: Biliary tract complications that require endoscopic decompression represent a greater challenge after liver transplantation than in non transplanted patients. Immunosuppressive therapy predisposes patients to a greater risk of infections and poor healing process. This comparative study analyzes risk factors and outcomes in… Continue Reading
Less invasive single port laparoscopic cholecystectomy with 2 fine needle forceps
Junko Takita, MD, Norihiro Haga, MD, Norihiro Masuda, MD, Yuta Shibasaki, MD. NHO Utsunomiya National HospitalIntroduction: Single port surgery (SPS) has been reported to reduce the abdominal wall damages. To reduce the length of umbilical scar and to keep the triangulation, we use 2 additional fine needle forceps for laparoscopic cholecystectomy (LC). Patients and Methods:… Continue Reading
SURGICAL RESPONSE IN PATIENTS WITH NORMOKINETIC BILIARY COLIC
Robert C Wright, MD, FACS, Rachel Robles, Haley Peffer, Nina Thach, Robert J Wright. Meridian Surgery CenterBACKGROUND: Clinical response of patients with symptomatic biliary colic but with atypical findings of gallbladder polyps, hyper-dynamic gallbladder and otherwise negative biliary work up are underrepresented in the literature. METHODS: A clinical outcome study with a retrospective design compared the pre-operative… Continue Reading
Comparison of long-term outcomes between laparoscopic and open liver resection in combined hepatocellular carcinoma and intrahepatic cholangiocarcinoma
So Hyun Kang, Woohyung Lee, Youngrok Choi, Ho-Seong Han, Yoo-Seok Yoon, Jai Young Cho, Kilhwan Kim, In-Gun Hyun, Sunjong Han. Seoul National University Bundang HospitalIntroduction: Combined hepatocellular carcinoma and cholagiocarcinoma (HCC-CCC) is a rare primary hepatic neoplasm with incidence reporting up to 3.5%. Liver resection is still the preferred method for curative treatment. With the… Continue Reading