Cholecystectomy https://greenmedinfo.com/taxonomy/term/48636/all en Abdominal wall abscess following laparoscopic cholecystectomy has been reported. https://greenmedinfo.com/article/abdominal-wall-abscess-following-laparoscopic-cholecystectomy-has-been-reporte PMID:  J Altern Complement Med. 2008 Apr;14(3):277-85. PMID: 21078253 Abstract Title:  Abdominal wall abscess following laparoscopic cholecystectomy: an unusual late complication of lost gallstones. Abstract:  Laparoscopic cholecystectomy (LC) is associated with a significant risk of gallbladder perforation with spillage of bile and stones into the peritoneal cavity. The retrieval of the spilled stones is not always possible by laparoscopic technique. Majority of these cases do not have any problem in future but sometimes the lost stones lead to serious complications. The authors present a case of lost gallstones, which resulted into an abdominal wall abscess and discharging sinus 9 years after LC. This late presentation is among the very few reports after LC. Risk factors for gallbladder perforation, various techniques to avoid spillage of stones, possible complications and their management is discussed. https://greenmedinfo.com/article/abdominal-wall-abscess-following-laparoscopic-cholecystectomy-has-been-reporte#comments Cholecystectomy Human: Case Report Wed, 26 Jan 2011 23:28:06 +0000 greenmedinfo 60485 at https://greenmedinfo.com Chholecystectomy is associated with persistent symptoms following the procedure. https://greenmedinfo.com/article/chholecystectomy-associated-persistent-symptoms-following-procedure PMID:  Ann Surg. 1947 Jul;126(1):31-55. PMID: 17858976 Abstract Title:  The Persistence of Symptoms Following Cholecystectomy. Abstract:  Up to 40 percent of the cholecystectomies performed do not improve symptoms.  View the entire free article here. https://greenmedinfo.com/article/chholecystectomy-associated-persistent-symptoms-following-procedure#comments Cholecystectomy Gallbladder Surgery: Removal Surgical Procedures Human Study Wed, 26 Jan 2011 22:47:53 +0000 greenmedinfo 60482 at https://greenmedinfo.com Cholestectomy may result in malabsorption of vitamin D and thereby contribute to osteoporosis and osteopenia. https://greenmedinfo.com/article/cholestectomy-may-result-malabsorption-vitamin-d-and-thereby-contribute-osteop PMID:  Eksp Klin Gastroenterol. 2010(4):14-20. PMID: 20623948 Abstract Title:  [Disorders of bone mineral density in patients with cholelithiasis and postcholecystectomic syndrome]. Abstract:  AIM: to justify the role of biliary insufficiency (BI) in the development of disorders of bone mineral density (BMD) in patients with cholelithiasis and after cholecystectomy, to introduce with main methods of diagnosis, prevention and treatment of osteoporosis and osteopenia in biliary pathology. Recent literature data showed that development of BI in the CL and PS leads to malabsorption of vitamin D and thereby contribute to the development of osteoporosis and osteopenia. The main method of diagnosis of BMD is twoenergic X-ray densitometry. https://greenmedinfo.com/article/cholestectomy-may-result-malabsorption-vitamin-d-and-thereby-contribute-osteop#comments Cholecystectomy Digestive System Surgical Procedures Empyema: Gallbladder Postcholecystectomy syndrome Vitamin D Diseases that are Linked Review Wed, 26 Jan 2011 22:41:30 +0000 greenmedinfo 60481 at https://greenmedinfo.com Expectant management (i.e. doing nothing) of gallstone disease is a valid therapeutic approach in the majority of patients. https://greenmedinfo.com/article/expectant-management-ie-doing-nothing-gallstone-disease-valid-therapeutic-appr PMID:  J Gastroenterol Hepatol. 2010 Apr;25(4):719-24. PMID: 20492328 Abstract Title:  Natural history of gallstone disease: Expectant management or active treatment? Results from a population-based cohort study. Abstract:  BACKGROUND AND AIMS: The knowledge of natural history is essential for disease management. We evaluated the natural history (e.g. frequency and characteristics of symptoms and clinical outcome) of gallstones (GS) in a population-based cohort study.METHODS: A total of 11 229 subjects (6610 men, 4619 women, age-range: 29-69 years, mean age: 48 years) were studied. At ultrasonography, GS were present in 856 subjects (338 men, 455 women) (7.1%). GS were followed by means of a questionnaire inquiring about the characteristics of specific biliary symptoms.RESULTS: At enrollment, 580 (73.1%) patients were asymptomatic, 94 (11.8%) had mild symptoms and 119 (15.1%) had severe symptoms. GS patients were followed up for a mean period of 8.7 years; 63 subjects (7.3%) were lost to follow up. At the end of the follow up, of the asymptomatic subjects, 453 (78.1%) remained asymptomatic; 61 (10.5%) developed mild symptoms and 66 (11.4%) developed severe symptoms. In subjects with mild symptoms, the symptoms disappeared in 55 (58.5%), became severe in 23 (24.5%), remained stable in 16 (17%); in subjects with severe symptoms, the symptoms disappeared in 62 (52.1%), became mild in 20 (16.8%) and remained stable in 37 (31.1%). A total of 189 cholecystectomies were performed: 41.3% on asymptomatic patients, 17.4% on patients with mild symptoms and 41.3% on patients with severe symptoms.CONCLUSIONS: This study indicates that: (i) asymptomatic and symptomatic GS patients have a benign natural history; (ii) the majority of GS patients with severe or mild symptoms will no longer experience biliary pain; and (iii) a significant proportion of cholecystectomies are performed in asymptomatic patients. Expectant management still represents a valid therapeutic approach in the majority of patients. https://greenmedinfo.com/article/expectant-management-ie-doing-nothing-gallstone-disease-valid-therapeutic-appr#comments Cholecystectomy Gallbladder Surgery: Removal Gallstones Doing Nothing Surgical Procedures Watchful Waiting Meta Analysis Wed, 02 Feb 2011 21:24:06 +0000 greenmedinfo 60713 at https://greenmedinfo.com Gallstone disease is responsible for 1.83% of the surgical deaths recorded in Scotland. https://greenmedinfo.com/article/gallstone-disease-responsible-183-surgical-deaths-recorded-scotland PMID:  World J Surg. 2010 Dec 23. Epub 2010 Dec 23. PMID: 21181471 Abstract Title:  Mortality associated with the treatment of gallstone disease: a 10-year contemporary national experience. Abstract:  BACKGROUND: Gallstones remain a common clinical problem requiring skilled operative and nonoperative management. The aim of the present population-based study was to investigate causes of gallstone-related mortality in Scotland. METHODS: Surgical deaths were peer reviewed between 1997 and 2006 through the Scottish Audit of Surgical Mortality (SASM); data were analyzed for patients in whom the principal diagnosis on admission was gallstone disease. RESULTS: Gallstone disease was responsible for 790/43,271 (1.83%) of the surgical deaths recorded, with an overall mortality for cholecystectomy of 0.307% (176/57,352), endoscopic retrograde cholangiopancreatography (ERCP) of 0.313% (117/37,345), and cholecystostomy of 2.1% (12/578) across the decade. However, the majority of patients who died were elderly (47.6%≥80 years or older) and were managed conservatively. Deaths following cholecystectomy usually followed emergency admission (76%) and were more likely to have been associated with postoperative medical complications (n = 189) than surgical complications (n = 36). DISCUSSION: Although cholecystectomy is a relatively safe procedure, patients who die as a result of gallstone disease tend to be elderly, to have been admitted as emergency cases, and to have had co-morbidities. Future combined medical and surgical perioperative management may reduce the mortality rate associated with gallstones. https://greenmedinfo.com/article/gallstone-disease-responsible-183-surgical-deaths-recorded-scotland#comments Cholecystectomy Cholecystostomy Surgical Procedures Meta Analysis Thu, 27 Jan 2011 21:45:28 +0000 greenmedinfo 60496 at https://greenmedinfo.com Postcholecystectomy post-prandial diarrhea is a significant new symptom after cholecystectomy. https://greenmedinfo.com/article/postcholecystectomy-post-prandial-diarrhea-significant-new-symptom-after-chole PMID:  Trop Gastroenterol. 2000 Jul-Sep;21(3):144-8. PMID: 11084841 Abstract Title:  Symptomatic outcome after laparoscopic cholecystectomy. Abstract:  AIMS: Patients with gallstones often present with multiple complaints. We wanted to study the major complaints of our patients undergoing laparoscopic cholecystectomy and the symptomatic relief afforded by the operation.METHODS: We studied 113 patients with symptomatic gallstone disease who underwent laparoscopic cholecystectomy in a single surgical unit. Patients with proven common bile duct stones, obstructive jaundice, cholangitis, present or past associated abdominal pathology or cholecystoenteric fistula were excluded from the study. The mean follow up period was 18 months (range 10-22 months). A detailed account of the symptoms of gallstones, length of post-operative stay, persistence of symptoms, development of fresh symptoms and resumption of fat containing diet were assessed.RESULTS: The male to female ratio was 1:4. Common presenting symptoms were abdominal pain (96%), flatulence or feeling of fullness of abdomen (85%), heartburn (66%), belching (62%), sour eructation (52%), vomiting (48%) and nausea (45%). Mean postoperative hospital stay was 28 hours (range 9-68 hours). Biliary pain was relieved in 99% of patients after laparoscopic cholecystectomy (p https://greenmedinfo.com/article/postcholecystectomy-post-prandial-diarrhea-significant-new-symptom-after-chole#comments Cholecystectomy Diarrhea Surgical Procedures Human Study Wed, 26 Jan 2011 22:54:35 +0000 greenmedinfo 60484 at https://greenmedinfo.com