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[PMID]: 29247966
[Au] Autor:Zahedian A; Ahangar SK; Asghari Y
[Ad] Address:Clinical Research Development Center, Shahid Beheshti Hospital, Sargord Ghasemi Street, Shahid Keshvari Square, Babol, Mazandaran, Iran.
[Ti] Title:Post cholecystectomy syndrome need to redo laparoscopic completion surgery: A case report.
[So] Source:Int J Surg Case Rep;42:145-147, 2017 Dec 09.
[Is] ISSN:2210-2612
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Cholecystectomy is the standard treatment for symptomatic gallbladder stone disease. However, symptoms such as abdominal pain and dyspepsia may persist even after surgery, if the gallbladder is incompletely removed known as postcholecystectomy syndrome. CASE PRESENTATION: A 55-year-old man with a history of open cholecystectomy presented with a complaint of recurrent pain on his upper abdomen. Abdominal ultrasonography and magnetic resonance cholangiopancreatography revealed a cystic structure in the gallbladder fossa, with a filling defect at the midpoint of the cystic duct, suggesting a retained stone in the cystic duct and residual gallbladder. Therefore, he underwent completion laparoscopic cholecystectomy. He had an uneventful postoperative period with relief of the recurrent pain. DISCUSSION: Proper dissection and identification of the gallbladder and cystic duct junction is necessary for complete removal of the gallbladder and preventing postcholecystectomy syndrome. Patients with a retained stone in the residual gallbladder should undergo surgery, and the laparoscopic method can be performed by a surgeon with expertise in this revision surgery. CONCLUSION: In post-cholecystectomy syndrome, symptomatic Patients with retained stone in partially removed gall bladder by open method needs laparoscopic cholecystectomy by an expert surgeon to relieve their symptoms.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171216
[Lr] Last revision date:171216
[St] Status:Publisher

  2 / 461 MEDLINE  
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[PMID]: 29117670
[Au] Autor:Shin Y; Choi D; Lee KG; Choi HS; Park Y
[Ad] Address:Department of Food and Nutrition, Hanyang University College of Human Ecology, Seoul, Korea.
[Ti] Title:Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease.
[So] Source:Korean J Intern Med;, 2017 Nov 10.
[Is] ISSN:2005-6648
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:Background/Aims: After cholecystectomy, patients have reported postcholecystectomic syndromes such as abdominal symptoms, dyspepsia, and diarrhea, which suggest a relationship between cholecystectomic symptoms and diet, although the details of this association remain unclear. The present study investigated the hypothesis that dietary intake of nutrients and foods was significantly associated with postcholecystectomic syndromes. Methods: Gallstone patients (n = 59) who underwent laparoscopic cholecystectomy were enrolled, and dietary intake and clinical parameters were assessed immediately postcholecystectomy and 3 months later. Results: There were no significant differences in biochemical measurements or characteristics between symptomatic and asymptomatic patients. Immediately postcholecystectomy, there were no significant differences in consumption of nutrients or foods between symptomatic and asymptomatic patients. However, 3 months after cholecystectomy, symptomatic patients consumed more animal protein, cholesterol, and eggs, and fewer vegetables than did asymptomatic patients. Multivariable-adjusted regression analyses also indicated that the risk for symptoms was positively associated with intake of animal protein, cholesterol, and eggs, but negatively associated with intake of vegetables after adjusting for confounders. In addition, symptomatic patients consumed more bread-based breakfast foods, while asymptomatic patients consumed more rice. Conclusions: Postcholecystectomic syndromes were positively associated with intake of cholesterol, animal protein, and eggs, and negatively associated with intake of vegetables, suggesting that diet was plays a role in postcholecystectomic syndromes.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171109
[Lr] Last revision date:171109
[St] Status:Publisher
[do] DOI:10.3904/kjim.2016.223

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[PMID]: 28583777
[Au] Autor:Bouche M; Mesureur S; Forzini T; Buisson P
[Ad] Address:Service de chirurgie pédiatrique viscérale, CHU d'Amiens, avenue Laennec-Salouel, 80054 Amiens cedex 1, France.
[Ti] Title:Coliques hépatiques révélant une agénésie de la vésicule biliaire : un diagnostic préopératoire difficile. [Isolated gallbladder agenesis mimicking biliary colic: A difficult preoperative diagnosis].
[So] Source:Arch Pediatr;24(7):634-636, 2017 Jul.
[Is] ISSN:1769-664X
[Cp] Country of publication:France
[La] Language:fre
[Ab] Abstract:Isolated gallbladder agenesis is a very rare and unrecognized congenital anomaly. Patients are usually asymptomatic, but 23% present with symptoms suggestive of biliary colic. Ultrasound investigation often fails to diagnose this malformation, misinterpreted as scleroatrophic gallbladder, leading to unnecessary and potentially dangerous surgery. We report on a case of a 9-year-old child who complained of biliary colic. Ultrasound showed a possible scleroatrophic gallbladder. This diagnosis was in doubt, however, because the patient had no previous history of cholecystitis. Finally, magnetic resonance cholangiopancreatography failed to show any gallbladder. The absence of the visualization of the gallbladder in a context of right upper quadrant pain should suggest gallbladder agenesis. Pain can be explained by the so-called postcholecystectomy syndrome.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1706
[Cu] Class update date: 170619
[Lr] Last revision date:170619
[St] Status:In-Process

  4 / 461 MEDLINE  
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[PMID]: 28574052
[Au] Autor:Shkliaev AE; Bessonov AG; Gorbunov IV; Muravtseva OV; Klestov KB; Zykov SI
[Ad] Address:Chair of Faculty Therapy with Courses of Endocrinology and Haematology, Izhevsk State Medical Academy of the RF Public Health Ministry, Izhevsk, Russia.
[Ti] Title:Anevrizma gastroduodenal'noi arterii u patsientki s postkholetsistéktomicheskim sindromom. [Aneurysm of the gastroduodenal artery in a female patient with the postcholecystectomy syndrome (a clinical case report)].
[So] Source:Angiol Sosud Khir;23(1):165-169, 2017.
[Is] ISSN:1027-6661
[Cp] Country of publication:Russia (Federation)
[La] Language:rus
[Ab] Abstract:Aneurysms of visceral arteries appear to belong to rare and potentially lethal vascular diseases. The most important role in the aetiology of aneurysms of the gastroduodenal artery is plaid by either acute or chronic pancreatitis. The article deals with a clinical case report concerning a saccular partially thrombosed aneurysm having developed in a 77-year-old woman presenting with the postcholecystectomic syndrome and detected on ultrasonographic examination of the abdominal-cavity vessels. Timely radiodiagnosis (SCT angiography of abdominal cavity vessels), adequate and timely performed endovascular occlusion of the cavity of the aneurysm with metal spirals performed in a timely manner made it possible to attain a favourable outcome. Little is known regarding the understanding of the aetiology and lack of full clarity in therapeutic approaches to aneurysms of visceral arteries predetermine the necessity to continue collecting clinical case reports concerning this rarely encountered vascular pathology in order to generalize and work out an appropriate therapeutic-and-diagnostic algorithm.
[Mh] MeSH terms primary: Arteries
Blood Vessel Prosthesis Implantation/methods
Duodenum/blood supply
Endovascular Procedures/methods
Postcholecystectomy Syndrome/complications
Stomach/blood supply
[Mh] MeSH terms secundary: Aged
Aneurysm/diagnosis
Aneurysm/etiology
Aneurysm/physiopathology
Aneurysm/surgery
Arteries/diagnostic imaging
Arteries/pathology
Computed Tomography Angiography/methods
Female
Humans
Treatment Outcome
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1708
[Cu] Class update date: 170831
[Lr] Last revision date:170831
[Js] Journal subset:IM
[Da] Date of entry for processing:170603
[St] Status:MEDLINE

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[PMID]: 28495436
[Au] Autor:Zhang J; Lu Q; Ren YF; Dong J; Mu YP; Lv Y; Zhang XF
[Ad] Address:Department of Hepatobiliary Surgery, Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Xi'an Jiaotong University Xi'an, Shaanxi Province, 710061, China; Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center Xi'an, Shaanxi Province
[Ti] Title:Factors relevant to persistent upper abdominal pain after cholecystectomy.
[So] Source:HPB (Oxford);19(7):629-637, 2017 Jul.
[Is] ISSN:1477-2574
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Cholecystectomy is a routine procedure for treatment of upper abdominal pain (UAP) and other atypical symptoms associated with gallstones. UAP, however, persists in some cases postoperatively. The present study was to identify the risk factors relevant to persistent UAP after cholecystectomy. METHODS: 1714 symptomatic patients undergoing cholecystectomy for gallstones were enrolled. All the patients were asked to complete a biliary symptom questionnaire. The risk factors for persistent postcholecystectomy UAP and features related to sustained relief of postcholecystectomy UAP were evaluated. RESULTS: 172 (10%) patients complained UAP after cholecystectomy. In multivariate analysis, female gender, preoperative UAP occurring >24h before admission, and each episode of UAP >30min were independently associated with persistent postoperative UAP (all p < 0.05). 132 (76.7%) patients reported sustained relief of postcholecystectomy UAP, the causes of which remained unknown but were attributed to functional postcholecystectomy syndrome. Shorter duration of preoperative UAP (occurring within 24 h before admission), less frequency of postoperative UAP (≤1 episode per day) and administration of choleretic medications were independently associated with postoperative UAP relief (all p < 0.05). CONCLUSION: Females with longer historical and more frequent preoperative UAP are more likely to develop postcholecystectomy UAP. Choleretic medications are effective in relieving postoperative UAP.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1705
[Cu] Class update date: 170715
[Lr] Last revision date:170715
[St] Status:In-Process

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[PMID]: 28210510
[Au] Autor:Jones JD; Pawa R
[Ad] Address:Division of Gastroenterology, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
[Ti] Title:Single-Operator Peroral Cholangioscopy for Extraction of Cystic Duct Stones in Postcholecystectomy Mirizzi Syndrome.
[So] Source:Case Rep Gastrointest Med;2017:1710501, 2017.
[Is] ISSN:2090-6528
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Mirizzi syndrome is an exceptionally rare diagnosis with an annual incidence of less than 1% in developed countries. In this disease process, stone burden in the cystic duct or gallbladder neck leads to common hepatic duct obstruction, either by mechanical compression or secondary inflammation. Mirizzi syndrome is classified into one of four types based on the presence and severity of cholecystobiliary fistulization. Treatment is primarily surgical in nature and largely dictated by the type of Mirizzi syndrome encountered. It is typically diagnosed in the preoperative or operative setting of cholecystectomy; however, there have been rare occurrences of postcholecystectomy diagnosis. Factors thought to predispose to postcholecystectomy disease include low insertion of the cystic duct and long remnant duct length. Few case reports exist describing this phenomenon and its management, which is made exceptionally difficult due to the presence of inflammation and surgical adhesion. We present the case of a young female with postcholecystectomy Mirizzi syndrome who underwent successful endoscopic management using peroral cholangioscopy and electrohydraulic lithotripsy. We also provide a brief overview of both Mirizzi syndrome and peroral cholangioscopy.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1702
[Cu] Class update date: 170220
[Lr] Last revision date:170220
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1155/2017/1710501

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[PMID]: 27815165
[Au] Autor:Fettig DM; Martínez Alcalá A; Schwingel GE; Mönkemüller K
[Ad] Address:Basil I. Hirschowitz Center of Excellence, Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
[Ti] Title:Cholangitis many years after choledochoduodenostomy.
[So] Source:Gastrointest Endosc;85(2):452, 2017 Feb.
[Is] ISSN:1097-6779
[Cp] Country of publication:United States
[La] Language:eng
[Mh] MeSH terms primary: Bile Ducts, Intrahepatic/surgery
Cholangiopancreatography, Endoscopic Retrograde/methods
Cholangitis/surgery
Choledochostomy
Cholelithiasis/surgery
Postcholecystectomy Syndrome/surgery
Postoperative Complications/surgery
Sphincterotomy, Endoscopic/methods
[Mh] MeSH terms secundary: Aged, 80 and over
Cholangitis/etiology
Cholelithiasis/complications
Humans
Male
Postcholecystectomy Syndrome/complications
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Entry month:1709
[Cu] Class update date: 170918
[Lr] Last revision date:170918
[Js] Journal subset:IM
[Da] Date of entry for processing:161106
[St] Status:MEDLINE

  8 / 461 MEDLINE  
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[PMID]: 28393506
[Au] Autor:Gallego Mellado N; Albertos Mira-Marcelí N; Deltell Colomer P; Kuan Argüello ME; Mira Navarro J; Gonzálvez Piñera J
[Ad] Address:Servicio de Cirugía Pediátrica. Hospital General Universitario de Alicante.
[Ti] Title:Síndrome postcolecistectomía en niños ¿realidad o mito? [Postcholecystectomy syndrome in children, fact or fiction?]
[So] Source:Cir Pediatr;29(3):115-119, 2016 Jul 10.
[Is] ISSN:0214-1221
[Cp] Country of publication:Spain
[La] Language:spa
[Ab] Abstract:INTRODUCTION: The postcholecystectomy syndrome (SPC) is broadly defined and published in adults, whereas in the pediatric population are hardly any articles about it. Up to a third of adults have dyspeptic symptoms without organic cause the first year after cholecystectomy. Our goal is to determine the incidence of SPC in our population. METHODS: An observational study was performed, collecting data from patients who had been done laparoscopic cholecystectomy in our hospital since 2005. Patients diagnosed choledochal cyst and biliary atresia were excluded. The following data were collected: type of dyspeptic symptoms, scheduled office visits and emergency units in the first postoperative year and in the following. Children who did not make any visits, a telephone survey was conducted. RESULTS: Data from 36 patients, including 3 patients who were excluded for presenting organic cause, were collected. The most frequent diagnosis was idiopathic cholelithiasis (64,7%). Sixteen children (48,5%) had postoperative symptoms in the first year, of which 14 went to scheduled office visit and 6 emergent (2 required hospitalization). The main symptoms were abdominal postoperative pain (100%), nausea (62,5%) and vomiting (50%). After the first year (6 patients were excluded for less follow-up), only 5 patients (18,5%) continued to symptoms (p= 0,015), 2 required visit to programmatically consultation and no one emergent. CONCLUSION: In our sample, SPC in children exists and improves after the first year. So postoperative follow-up is an important fact, and only further tests must be done if signs of organic cause.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1704
[Cu] Class update date: 170410
[Lr] Last revision date:170410
[St] Status:In-Data-Review

  9 / 461 MEDLINE  
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[PMID]: 27628230
[Au] Autor:Rybachkov VV; Dubrovina DE
[Ad] Address:Department of Hospital Surgery, Yaroslavl State Medical University, Russia.
[Ti] Title:Posledstviya kholetsistektomii (s kommentariem). [The consequences of cholecystectomy].
[So] Source:Khirurgiia (Mosk);(8):55-60, 2016.
[Is] ISSN:0023-1207
[Cp] Country of publication:Russia (Federation)
[La] Language:rus
[Ab] Abstract:AIM: to analyze the consequences of cholecystectomy. MATERIAL AND METHODS: 348 patients were under observation within 10  years after cholecystectomy. Surgery for destructive and chronic cholecystitis was performed in 115 and 233 patients respectively. The consequences of cholecystectomy were assessed using bile acids level in blood plasma, stomach and duodenal pressure, pancreatic and stomach changes. RESULTS AND DISCUSSION: It was established that lithocholic, deoxycholic, taurodeoxycholic acids were increased by 44% within 10 years after surgery. At the same time glycocholic and tauroursodeoxycholic acids were decreased by 21.5% in 5 years after surgery. Bile acids level changes were associated with changes of stomach and duodenal pressure. The most pronounced disorders were observed in distal duodenum. There was more than 2.8-fold excess of normal pressure in this area. Duodenal hypertension was accompanied by pancreatic ducts enlargement in 9.5% of cases and increased echogenicity in 93% of cases. CONCLUSION: Changes of the level and proportion of blood plasma bile acids and hypertension in upper gastrointestinal tract are the most important in chronic pancreatitis pathogenesis after cholecystectomy. Such conditions occur within first 3 years after surgery.
[Mh] MeSH terms primary: Bile Acids and Salts
Cholecystectomy/adverse effects
Long Term Adverse Effects
Postcholecystectomy Syndrome
[Mh] MeSH terms secundary: Adult
Aged
Bile Acids and Salts/analysis
Bile Acids and Salts/blood
Cholecystectomy/methods
Cholecystitis/surgery
Duodenal Diseases/diagnosis
Duodenal Diseases/physiopathology
Female
Humans
Long Term Adverse Effects/blood
Long Term Adverse Effects/diagnosis
Long Term Adverse Effects/physiopathology
Male
Middle Aged
Pancreas/diagnostic imaging
Pancreas/physiopathology
Postcholecystectomy Syndrome/blood
Postcholecystectomy Syndrome/diagnosis
Postcholecystectomy Syndrome/physiopathology
Stomach Diseases/diagnosis
Stomach Diseases/physiopathology
[Pt] Publication type:JOURNAL ARTICLE
[Nm] Name of substance:0 (Bile Acids and Salts)
[Em] Entry month:1701
[Cu] Class update date: 170621
[Lr] Last revision date:170621
[Js] Journal subset:IM
[Da] Date of entry for processing:160916
[St] Status:MEDLINE
[do] DOI:10.17116/hirurgia2016855-60

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[PMID]: 27434946
[Au] Autor:Nichitaylo MY; Zagriychuk MS; Gutsulyak AI; Gomon AV; Stokolos AV; Prysyazhnyuk VV
[Ti] Title:[POSTCHOLECYSTECTOMY SYNDROME: CLASSIFICATION, THE RISK FACTORS, CRITERIA OF THE DIAGNOSIS ESTABLISHMENT, TREATMENT-DIAGNOSTIC ALGORITHM].
[So] Source:Klin Khir;(4):12-6, 2016 Apr.
[Is] ISSN:0023-2130
[Cp] Country of publication:Ukraine
[La] Language:ukr
[Ab] Abstract:Own experience of surgical treatment of patients for postcholecystectomy syndrome (PCHES) in a 2010 - 2015 yrs period was enlighten. The PCHES modified classification was adduced, the immediate and remote results of the patients' treatment were analyzed, technical aspects and peculiarities of performance of some operative interventions, the risk factors for the PCHES occurrence were analyzed.
[Mh] MeSH terms primary: Bile Ducts/surgery
Gallbladder/surgery
Postcholecystectomy Syndrome/classification
Postcholecystectomy Syndrome/diagnosis
[Mh] MeSH terms secundary: Algorithms
Bile Ducts/pathology
Bile Ducts/physiopathology
Cholecystectomy/methods
Cholecystectomy/rehabilitation
Duodenum/pathology
Duodenum/physiopathology
Female
Gallbladder/pathology
Gallbladder/physiopathology
Humans
Male
Pancreas/pathology
Pancreas/physiopathology
Postcholecystectomy Syndrome/physiopathology
Postcholecystectomy Syndrome/surgery
Retrospective Studies
Risk Factors
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1608
[Cu] Class update date: 161018
[Lr] Last revision date:161018
[Js] Journal subset:IM
[Da] Date of entry for processing:160721
[St] Status:MEDLINE


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