Management of Gallstone

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Laparoscopic Management of Gallstone Ileus

Gallstone ileus is an uncommon entity that was first described by Bartholin in 1654. Despite advances in perioperative care, morbidity and mortality remain high in patients with gallstone ileus because: 1) they are geriatric patients; 2) they often have multiple comorbidities; 3) presentation to the hospital is delayed; 4) many are volume depleted with electrolyte abnormalities; and 5) the diag...

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Definitive management of gallstone pancreatitis in England

INTRODUCTION The aim of this study was to investigate whether definitive treatment of gallstone pancreatitis (GSP) by either cholecystectomy or endoscopic sphincterotomy in England conforms with British Society of Gastroenterology (BSG) guidelines and to validate these guidelines. METHODS Hospital Episode Statistics data were used to identify patients admitted for the first time with GSP betw...

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Diagnosis and Management of Gallstone Disease

OBJECTIVES After participating in the continuing education activity, primary care physicians should be able to: 1. Understand the risk factors and natural history of gallstone disease 2. Understand the symptoms and complications related to gallstones 3. Be aware of the variety of methods for diagnosing gallbladder disease 4. Be aware of surgical and nonsurgical options for treating gallstones 5...

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Gallstone Ileus: Dilemma in the Management

Gallstone ileus is a mechanical intestinal obstruction caused due to impaction of a large gallstone within the bowel. The ideal treatment of gallstone ileus remains controversial, with the main dilemma being between a one-stage and a two-stage surgical procedure. A 69-year old male patient presented with gallstone ileus. A one-stage procedure with enterolithotomy and primary closure of duodenal...

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Management of gallstone pancreatitis: effects of deviation from clinical guidelines.

CONTEXT Recently published management guidelines for acute pancreatitis provide a standard against which practice can be measured. Specifically it is recommended all patients with gallstone induced pancreatitis have definitive clearance of gallstones within four weeks. OBJECTIVE To determine if practice in our institution followed these guidelines and to analyse the effects of delayed clearan...

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ژورنال

عنوان ژورنال: The Korean Journal of Gastroenterology

سال: 2018

ISSN: 1598-9992,2233-6869

DOI: 10.4166/kjg.2018.71.5.253