SURGICAL OUTCOMES FOLLOWING PERCUTANEOUS CHOLECYSTOSTOMY PLACEMENT: A RETROSPECTIVE CHART REVIEW
Julia F Kohn, BS1, Alexander Trenk, MD2, Kristine Kuchta, MS2, Woody Denham, MD2, John Linn, MD2, Stephen Haggerty, MD2, Ray Joehl, MD2, Michael Ujiki, MD2. 1University of Illinois at Chicago; NorthShore University HealthSystem, 2NorthShore University HealthSystemINTRODUCTION: Laparoscopic cholecystectomy is a common procedure in the United States, and is safe even in patients with acute disease. … Continue Reading
ADVANTAGES AND LIMITATIONS ABOUT EARLY LAPAROSCOPIC CHOLECYSTECTOMY: EXPERIENCE IN A DISTRICT HOSPITAL
Susanna Mazzocato, MD1, Angela Maurizi, MD2, Damiana Mandriani, MD2, Fernando De Rose, MD2, Roberto Campagnacci, MD, PhD2. 1Department of General Surgery, Università Politecnica delle Marche, 60126 Ancona, Italy, 2General Surgery, ASUR Regione Marche, "Carlo Urbani" Hospital, Jesi, ItalyINTRODUCTION: The standard treatment for lithiasic acute cholecystitis remains the laparoscopic cholecystectomy despite the timing of surgery is… Continue Reading
REDUCED CONSCIOUSNESS, MALIGNANCY AND QUICK SEQUENTIAL ORGAN FAILURE ASSESSMENT (QSOFA) SCORE PREDICT MORTALITY IN OCTOGENERIAN PATIENTS WITH ACUTE CHOLANGITIS
Charleen S Yeo1, Joseph Wong2, Lavisha Punjabi2, Winston Woon1, Jee Keem Low1, Terence Huey1, Junnarkar Sameer1, Vishal Shelat1. 1Tan Tock Seng Hospital, 2Lee Kong Chian School of MedicineIntroduction With improvements in healthcare access and technology, admissions of octogenarian population with acute cholangitis (AC) are increasing. Octogenarians are vulnerable to inferior outcomes. There is no study… Continue Reading
Outcomes of Percutaneous Cholecystostomy in Malignant Biliary Obstruction
Mena Boules, MD, Madonna Michael, MD, Essa M Aleassa, MD, MSc, Gareth Morris-Stiff, MD, PhD. Cleveland ClinicIntroduction: Management of malignant biliary obstruction not amenable to surgery is usually by means of ERCP or PTHC. However, on occasions, these routes are not accessible and the alternate decompressive technique of percutaneous cholecystostomy (PC) has to be adopted.… Continue Reading
Association of Biliary Disease and Reflux
Melanie Boyle, Daivyd Palencia, Philip Leggett. Houston Northwest Medical CenterBackground: There are very few studies assessing the relationship between gastroesophageal reflux and biliary disease. This is surprising as they share presenting symptoms as well as risk factors, particularly obesity. Our group previously produced a review of 36 patients in our practice who had undergone some… Continue Reading
Is high morbidity and cost associated with tube cholecystostomy worth it? A paradigm shift
Steven Schulberg, DO, Jonathan Gumer, DO, Matt Goldstein, Vadim Meytes, DO, George Ferzli, MD. NYU Langone Hospital - BrooklynIntroduction: Acute cholecystitis is a common surgical disease with roughly 500,000 cholecystectomies performed in the US annually. The current dogma revolves around the “72 hour rule” advocating early cholecystectomy if within the window, and if beyond 72… Continue Reading
IS ROUTINE HISTOPATHOLOGY NECESSARY FOR ALL GALLBLADDER SPECIMENS?
Andrea Zaw, MD, Farrukh A Khan, MD, Prashanth Ramachandra, MD, Piotr Krecioch, MD, Leslie Anewenah, MD. Mercy Catholic Medical CenterIntroduction: Benign gallbladder disease is commonly treated with Laparoscopic cholecystectomy (LC). Gallbladder cancer (GBC) is a rare malignancy characterized by high invasiveness and poor survival. In our institution, all gallbladder specimens are routinely sent to pathology,… Continue Reading
LONG-TERM OUTCOMES AFTER SUBTOTAL CHOLECYSTECTOMY: A RETROSPECTIVE CASE SERIES
Julia F Kohn, BS1, Alexander Trenk, MD2, Woody Denham, MD2, John Linn, MD2, Stephen Haggerty, MD2, Ray Joehl, MD2, Michael Ujiki, MD2. 1University of Illinois at Chicago; NorthShore University HealthSystem, 2NorthShore University HealthSystemINTRODUCTION: Subtotal cholecystectomy, where the infundibulum of the gallbladder is transected to avoid dissecting within a heavily inflamed triangle of Calot, has been… Continue Reading
ENDOSCOPIC TRANS-PAPILLARY GALLBLADDER DRAINAGE (ETGBD) IN ACUTE CHOLECYSTITIS: A SINGLE CENTER EXPERIENCE
Arun Kritsanasakul, Chotirot Angkurawaranon, Jerasak Wannapraset, Thawee Rattanachu-ek, Kannikar Laohavichitra. Rajavithi HospitalBackground: Surgery is the mainstay of treatment for cholecystitis, however, it may not be safe or feasible in some circumstances such as severe cholecystitis or cholecystitis in extremely high-risk patients. Gallbladder drainage may be an appropriate alternative or a bridging option prior to cholecystectomy.… Continue Reading
The application of supine position in ERCP: Is it as safe and effective as prone position?
Luyang Zhang, MD, Minhua Zheng, MD, Zhihai Mao, MD. Department of General Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Minimally Invasive Surgery Center, Shanghai, ChinaObjective: To investigate if ERCP (endoscopic retrograde cholangiopancreatography)conducted with patient in supine position is as safe and effective as in traditional prone position. Methods: 52 consecutive… Continue Reading
Choledochal cyst excision in adults: Experience by laparoscopic approach
Sarrath Sutthipong, MD, Panot Yimcharoen, MD, Poschong Suesat, MD. Bhumibol Adulyadej HospitalBackground: Choledochal cyst (CC) is a rare disease, characterized by dilatations of the extra- or/and intrahepatic bile ducts. CCs occur most frequently in Asian and female populations. CC is associated with biliary lithiasis and considered at risk of malignant transformation. Todani’s classification dividing CC… Continue Reading
Endoscopic Retrograde Cholangiopancreatogram (ERCP) Stent Occlusion After Sphincterotomy Due to Bleeding and Clot Formation
Shinban Liu, DO, David Parizh, DO, Vadim Meytes, DO, Mohan Kilaru, MD. NYU Langone Hospital - BrooklynIntroduction: Acute cholangitis is an ascending infection of the biliary tree secondary to obstruction and can be severe if proper intervention and treatment are not performed in a timely fashion. The most common management of cholangitis with ductal obstruction… Continue Reading
Laparoscopic Narrow Band Imaging for Intraoperative Diagnosis of Tumor Invasiveness in Gallbladder Carcinoma: A Preliminary Study
Yukio Iwashita, Hiroki Uchida, Teijiro Hirashita, Yuichi Endo, Kazuhiro Tada, Kunihiro Saga, Hiroomi Takayama, Masayuki Ohta, Masafumi Inomata. Oita University Faculty of MedicineIntroduction: Determining tumor invasiveness before operation is one of the most important unsolved issues in the management of gallbladder cancer. We hypothesized that the assessment of irregular vessels on the gallbladder wall may… Continue Reading
DOES SELECTIVE USE OF HEPATOBILIARY SCINTIGRAPHY (HIDA) SCAN FOR DIAGNOSIS OF ACUTE CHOLECYSTITIS, FOLLOWING EQUIVOCAL NON-DIAGNOSTIC GALLBLADDER ULTRASONOGRAPHY, AFFECT OUTCOMES
Fahad Ali, BA, Amir Aryaie, MD, Eneko Larumbe, PhD, Mark Williams, MD, Edwin Onkendi, MD. Texas Tech University Health Sciences CenterIntroduction: Acute cholecystitis (AC) is diagnosed by characteristic gallbladder ultrasonographic findings (high specificity, low sensitivity). Hepatobiliary scintigraphy (HIDA) may be needed to confirm AC (higher sensitivity and specificity). The aim of this study was to… Continue Reading
Identifying factors contributing to morbidity in recurrent cholangitis
Emanuel A Shapera, MD1, Matteusz Lapucha, MD1, Lauren Baumgarten, MD1, Steven Kaspick, MD1, Cyrus Rahnema, MD1, Matthew Johnson, MD, MMS, FACS2, Paul Nelson, MD, FACS1. 1Mountain View Hospital, 2Desert Surgical AssociatesIntroduction: Recurrent Cholangitis can be caused by parasitical, calculous or malignant disease. We sought to determine clinical factors associated with recurrent cholangitis in two Las… Continue Reading