Articles Related to cholecystectomy
Fifteen studies, representing over 2,500 patients, have found that up to 40% of patients continue to have abdominal pain and symptoms after cholecystectomy. As a result, there is increasing interest in non-operative approaches for managing patients with symptomatic gallstones. The goal of this study was to summarize the existing evidence and identify remaining evidence gaps for the medical treatment of symptomatic gallstone disease: including synthetic phospholipids, synthetic bile acids, choleretics, cholesterollowering medications, and diet
Ectopic liver tissue is an uncommon finding and may be found in multiple abdominal sites, most commonly on the gall bladder. It is usually asymptomatic and is discovered incidentally during cholecystectomy, but there are potential complications. We present a case of an ectopic liver seen on the gallbladder serosa during laparoscopic cholecystectomy being performed for symptomatic cholelithiasis, and briefly review the literature.
Routine intraoperative cholangiogram (IOC) during laparoscopic cholecystectomy (LC) helps to confirm biliary anatomy and reduce bile leaks. It also allows identification of common bile duct stones intraoperatively which in selected patients can be cleared transcystically in the same procedure which is much less morbid than through post-operative endoscopic retrograde cholangiopancreatography (ERCP). Despite this, some surgeons only selectively perform IOC or forgot it all together.
Sphincter of Oddi dysfunction (SOD) is a known gastrointestinal disorder that has been well documented but is difficult to diagnose noninvasively.
Guillain-barré syndrome (G.B. Syndrome) is an acute inflammatory poly-radiculoneuropathy characterized by weakness and areflexia typically following viral infection, vaccination, and rarely surgery. Acute Inflammatory Demyelinating Poly-radiculoneuropathy is the most common subtype of G.B. Syndrome. Although post-operative G.B. syndrome is a rare entity, there are few case reports of G.B. syndrome after gastric surgery. But there have been no reported case scenarios of atypical variety of this neurologic entity following hepato billiary surgery. Hence our objective is to put forward this message to the readers.