Die akute Cholezystitis

Burmeister, Greta; Hinz, Sebastian; Schafmayer, Clemens

doi:10.1055/a-0631-9463

Cited by 6 publications

(6 citation statements)

References 87 publications

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“…Abdominal ultrasound is considered the most common used method of diagnosis of the presence of gallstones as it has the sensitivity of 90–95% [49] , [50] . Many other methods are used but are less frequent than abdominal ultrasound such as Computed Tomography (CT), Endoscopic Retrograde Cholangiopancreatography (ERCP), hepatobiliary iminodiacetic acid (HIDA) scan, or Magnetic Resonance Cholangiopancreatography (MRCP).…”

Section: Discussionmentioning

confidence: 99%

Pearl-white gallstones: A report of a case and a chemical analysis by FTIR and XRD

Dowais

Sharie

Araydah

et al. 2021

International Journal of Surgery Case Reports

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Introduction Gallstones' color is usually yellow, brown, black or more commonly a mixture of two or more of these colors in different proportions, depending on their composition, with yellow being the most commonly encountered color. Pearl-white gallstones are a very rare entity that has not been studied and reported sufficiently. Case presentation Our patient is a 44-year-old lady who was suffering from recurrent attacks of epigastric and right hypochondrial abdominal pain that was aggravated by consumption of fatty meals. Ultrasound Imaging revealed multiple gallbladder stones. After an elective cholecystectomy unusual pearl-white gallstones were found inside a distended gallbladder filled with transparent thick fluid. Chemical analysis To evaluate the chemical composition of these stones Fourier-transform infrared (FTIR) spectroscopy and X-Ray Diffraction (XRD) tests were performed and revealed that these stones are composed of cholesterol (99.6%) and calcium carbonate (0.4%). Discussion Gallstones are bile depositions of a solid consistency formed inside the gallbladder. Cholesterol, bilirubin, and other substances are involved in the composition of different kinds of gallstones. The presence of gallstones alone inside the gallbladder is usually presented as colicky abdominal pain. Cholecystectomy is a simple surgical removal of the gallbladder from it bed and is the definitive treatment of gallstone disease. Conclusion Pearl-white gallstones are rarely encountered and lack information about their pathogenesis, thus prompting further evaluation and studying.

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Section: Discussionmentioning

confidence: 99%

Pearl-white gallstones: A report of a case and a chemical analysis by FTIR and XRD

Dowais

Sharie

Araydah

et al. 2021

International Journal of Surgery Case Reports

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“…6 Despite the fact that that this procedure is taken as gold standard there are still controversial theories regarding its acceptance in cases of acute cholelithiasis and acute cholecystitis. 7 Acute cholecystitis is formed when a gall calculus wedges the common biliary duct (CBD). It is accompanied with crucial pain in right-upper abdomen requiring imperative management and treatment [8][9].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Cholecystectomy in Cases of Acute Cholecystitis

Aslam¹,

Memon²,

Kumar³

et al. 2023

PJMHS

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Objective: To evaluate the laparoscopic cholecystectomy procedure in cases of acute cholecystitis. Study Design: Cohort study Place and Duration of Study: Department of Surgery, Surgical Unit-1, SIMS/Services Hospital Lahore from 1st January 2021 to 30th June 2022. Methodology: One hundred and ninety eight cases which suffered from acute cholecystitis were enrolled. The age of the cases was within 35-60 years. The cases were divided into 3 groups; group A, group B and group C. The group selection was dependent on the interval period (between the onset of acute attack and the time of presentation for treatment). Group A was the one where interval period was <3 days, Group B has 3 to 7 days while it was >7 days in group C. The laparoscopic cholecystectomy was performed and operative outcomes were evaluated. Results: The mean age of the patients was 40.66±1.5 years with more females in each group than males. The cases of gall bladder empyema/mucocele were presented at the highest 68.8%. This was followed by the cases having Gall Bladder phlegmon identified in 24.74% of the cases. The rate of complication was highest in Group B while operation time and post-operative hospital stay was highest in Group A. The conversion rate from Laparoscopic to open cholecystectomy was measured as 3.03%. Conclusion: Laparoscopic cholecystectomy is a procedure which can be successfully achieved in acute cholecystitis cases with reduced conversion rate and complication attained through surgical expertise. Keywords: Laparoscopic cholecystectomy, Acute cholecystitis, Conversion rate

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“…The formation of stones in the gallbladder can stimulate gallbladder mucosa. Gallstones cause ~ 90% of cases of acute cholecystitis and can even lead to gallbladder cancer, which can be life-threatening [ 3 ]. Laparoscopic cholecystectomy is the standard treatment for patients with symptomatic cholecystolithiasis.…”

Section: Introductionmentioning

confidence: 99%

Changes in plasma bile acids are associated with gallbladder stones and polyps

Yin-ping

Zhu

et al. 2020

BMC Gastroenterol

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Background The development of gallbladder disease (GBD) is related to bile acid (BA) metabolism, and the rate of BA circulation increases the risk of biliary cancer. However, it is unclear whether patterns of circulating bile acids (BAs) change in patients with benign GBDs such as gallbladder stones and polyps. Herein, we compared and characterised plasma BA profiles in patients with cholecystolithiasis and non-neoplastic polyps with healthy controls, and explored relationships between plasma BA profiles, demographics, and laboratory test indices. Methods A total of 330 subjects (13 healthy controls, 292 cholecystolithiasis and 25 non-neoplastic polyps) were recruited and plasma BA profiles including 14 metabolites from patients with pathologically confirmed cholecystolithiasis and non-neoplastic polyps were compared with controls. BAs were quantitated by liquid chromatography and mass spectrometry, and statistical and regression analyses of demographics and laboratory test indices were performed. Results Females displayed a higher burden of GBD than males (63.36% cholecystolithiasis, 60% non-neoplastic polyps). Cholecystolithiasis and non-neoplastic polyps were associated with increased plasma total secondary BAs, while levels of primary BAs were lower than in healthy controls. Plasma ursodeoxycholic acid (UDCA), tauroursodeoxycholic acid (TUDCA), glycyurdeoxycholic acid (GUDCA), taurochenodeoxycholic acid (TCDCA) and glycochenodeoxycholic acid (GCDCA) were decreased significantly in GBDs, and ursodeoxycholic acid (UDCA) was negatively correlated with white blood cell count and neutrophil percentage. Conclusions Secondary BA levels were higher in patients with cholecystolithiasis and non-neoplastic polyps. White blood cell count and percentage of neutrophil in peripheral blood were negatively correlated with UDCA, indicating an anti-inflammation effect of UDCA.

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Die akute Cholezystitis

Cited by 6 publications

References 87 publications

Pearl-white gallstones: A report of a case and a chemical analysis by FTIR and XRD

Pearl-white gallstones: A report of a case and a chemical analysis by FTIR and XRD

Laparoscopic Cholecystectomy in Cases of Acute Cholecystitis

Changes in plasma bile acids are associated with gallbladder stones and polyps

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