Asymptomatic gallstones

Gibney, Eugene J.

doi:10.1002/bjs.1800770405

Cited by 119 publications

(86 citation statements)

References 64 publications

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“…The incidence of asymptomatic patients with gallstones who became symptomatic was 10% to 18% over a five to 15 year follow-up period (20). The present study showed that 54% of 13 patients underwent cholecystectomy, indicating that gallstones that developed after esophagectomy should not be treated as they are in the general population.…”

Section: Discussionmentioning

confidence: 55%

Acute Cholecystitis and Cholelithiasis Developed after Esophagectomy

Tachibana

Kinugasa

Yoshimura

et al. 2003

Canadian Journal of Gastroenterology

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BACKGROUND: Although the prevalence of gallstone disease after gastrectomy is reported to be high, its prevalence after esophagectomy is scarcely reported.MATERIALS AND METHODS: Gallbladder disease following an esophagectomy was prospectively evaluated in 237 patients with esophageal cancer by abdominal ultrasonography twice a year up to five years postoperatively. The median follow-up period was 18.6 months.RESULTS: One patient (0.4%) developed acute acalculous cholecystitis postoperatively, and 13 patients (5.5%) developed gallstone disease during the follow-up period. Nine (69%) of these 13 patients developed gallstone disease within two years, and another two patients developed the disease three years after esophagectomy. Another patient developed gallbladder debris at 35 months postoperatively, and one developed gallbladder polyps at 33 months. Seven of the 13 patients with gallstone disease underwent cholecystectomy between 13 and 125 months after esophagectomy: two developed acute cholecystitis; two had associated common bile duct stones; the remaining three patients had upper abdominal pain. Nine of the 13 patients who developed gallstone disease showed a history of alcoholism, whereas only 81 of 224 patients without gallstone disease had a similar history (P<0.05).CONCLUSION: A certain number of patients with esophageal carcinoma and a history of alcoholism develop cholelithiasis within three years after esophagectomy, and subsequently undergo cholecystectomy during the follow-up period.

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Section: Discussionmentioning

confidence: 55%

Acute Cholecystitis and Cholelithiasis Developed after Esophagectomy

Tachibana

Kinugasa

Yoshimura

et al. 2003

Canadian Journal of Gastroenterology

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“…Most gallstones are asymptomatic (2,3), being incidentally detected on routine abdominal ultrasound (4). Approximately 90% of acute cholecystitis cases have gallstones associated with secondary bacterial infections and gallbladder inflammation (5-7); the remaining 10% of cases have what is termed acalculous cholecystitis.…”

Section: Introductionmentioning

confidence: 99%

Removing gallbladder from intra abdominal area by a different technique

Gözeneli¹,

Tatlı²,

Yucel³

et al. 2017

J Turgut Ozal Med Cent

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Aim: Laparoscopic cholecystectomy is a widely performed technique worldwide. The use of laparoscopic threaded holders for this is routine but takes a lot of time and may tear the gallbladder. There are no wide-mouthed and short endoscopic instruments that can be used for removing the gallbladder without perforation. We look at gallbladder removal methods that are quick and do not involve damage at the end of laparoscopic cholecystectomy. Material and Methods: This prospective study was conducted on 30 laparoscopic cholecystectomy patients divided into two equal groups, one employing conventional laparoscopic cholecystectomy (CLC) and the other using a sponge holding forceps (SHF) (n=15, both groups) to demonstrate the effectiveness of our management. In the CLC group, the number of male patients was two (13.3 %) and female patients 13 (86.7%); in the SHF group, number of male patients was six (40%) and female patients nine (60%). When we compared the results statistically for bladder removal time, total operation time, gallbladder perforation, and wound infection, the p values were found to be 0.016, 0.182, 0.169, and 1, respectively. Results: Thirty patients were analyzed. The SHF group showed significantly better results than the CLC group for gallbladder removal time and better although not significantly better results for perforation of bladder, while there was no difference between the groups for wound infection. Conclusion: Removing the gallbladder with an SHF significantly shortens the duration of removal and also reduces perforations as compared to CLC.

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“…always endangers these patients. 4,6,7 Although literature advocates elective cholecystectomy after first episode of biliary pain (early management), still majority of the patients in developing countries like India neglect these symptoms. It might be due to poverty, illiteracy, scarcity of health facilities especially in rural areas, and low awareness levels about the disease.…”

Section: Introductionmentioning

confidence: 99%

“…always endangers these patients. 4,6,7 Although literature advocates elective cholecystectomy after first episode of biliary pain (early management), still majority of the ABSTRACT Background: Cholelithiasis is a commonly encountered entity by surgeons all over the globe. Its significantly higher incidence in certain regions of world like north India is a matter of concern.…”

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confidence: 99%

Gallstone disease menacing rural population in north India: a retrospective study of 576 cases in a rural hospital

Sangwan

Garg

et al. 2015

Int Surg J

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INTRODUCTIONCholelithiasis constitutes a significant health problem both in developing and developed world nations. It affects 10 to 15 % of the adult population in developed world nations.1 It is seven times more common in north than south India. Although it is having mortality rates as low as 0.6 % but its morbidity is much higher.2 The incidence of gallstone disease increases after age of 40 years and it becomes 4-10 times more common in old age.3 Mixed stones are the commonest variety in this region.1 Although only about 20 % cases of gallstones are symptomatic, but once symptomatic majority (>80 %) of these patients remain so.2 Approximately 3 % of the asymptomatic individual become symptomatic per year.4,5 Risk of gallstones related complications (1-2 % per year) such as pancreatitis, empyema of gallbladder, choledocholithiasis, mucocele, carcinoma, acute cholecystitis, gallbladder perforation etc. always endangers these patients. 4,6,7 Although literature advocates elective cholecystectomy after first episode of biliary pain (early management), still majority of the ABSTRACT Background: Cholelithiasis is a commonly encountered entity by surgeons all over the globe. Its significantly higher incidence in certain regions of world like north India is a matter of concern. Patients with recurrent symptoms of gallstones are having higher rates (1-2%/year) of complications. Methods: It is a retrospective study of 576 cases of gallstones managed in our rural institute. The aim of present study is to highlight the current status of gallstone disease and its complications in a rural population in North India. Results: Females were predominantly involved with a female/male ratio of 3.3:1. Majority of the cases (66.14%) belonged to young (20-50 years) age group. About 65 % of the cases presented with complicated gallstones revealing extent of burden faced by our patients. Serious complications like gallbladder perforation, pancreatitis and gallbladder carcinoma were also reported in a significantly higher percentage (approx. 13%) of the study group alarming the native population. More than half of the cases (58%) were managed by laparoscopic method without significant conversion rates (2.08%). Postoperative complications were detected in about 10% of the cases; all of them were managed conservatively except single case of bile duct injury needing hepaticojejunostomy. There was paucity of data related to complications of gallstone disease in Indian population making it a worth and unique attempt. Conclusions: Early detection and management of symptomatic gallstones is the key to prevent gallstones related complications.

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Asymptomatic gallstones

Cited by 119 publications

References 64 publications

Acute Cholecystitis and Cholelithiasis Developed after Esophagectomy

Acute Cholecystitis and Cholelithiasis Developed after Esophagectomy

Removing gallbladder from intra abdominal area by a different technique

Gallstone disease menacing rural population in north India: a retrospective study of 576 cases in a rural hospital

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