Presentation
Abdominal pain is the most common chief complaint of patients presenting to the emergency department in the United States, and emergency physicians routinely encounter patients with postcholecystectomy syndrome. [ncbi.nlm.nih.gov]
Gastrointestinal
- Right Upper Quadrant Tenderness
[…] patient) 2.3 0.66 48 79 Palpable gallbladder 2.0 0.99 2 99 Fever 1.8 0.81 35 80 Right upper quadrant tenderness 1.7 0.43 77 54 Table 2. [aafp.org]
AC was defined by the clinical, biochemical and radiological findings. 11 Findings considered were right upper quadrant tenderness, fever, a raised white cell count, ultrasonography features of cholecystitis (including tenderness localised to the gallbladder [doi.org]
- Fat Intolerance
intolerance 1.3 0.83 43 68 Tenderness of upper abdomen 1.3 0.73 62 53 Food intolerance 1.2 0.86 51 57 Upper abdominal pain 1.2 0.74 68 43 Acute cholecystitis Murphy sign* (general population) 5.0 0.4 65 87 Chills 2.6 0.9 13 95 Right upper quadrant pain [aafp.org]
Workup
On workup, she was found to have gall stones, and her condition was at last attributed to biliary colic after months of follow-up in the Department of Pediatrics. [ncbi.nlm.nih.gov]
Medically unstable conditions warranting further evaluation include: Well-documented coronary heart disease associated with angina after strenuous exercise usually does not need any additional preoperative workup. [clinicalpainadvisor.com]
A cholecystokinin-HIDA scan is helpful in patients with suspected gallstones, but who have normal findings on ultrasonography and workup for their symptoms (e.g., upper endoscopy, upper gastrointestinal series, negative Helicobacter pylori serology). [aafp.org]
X-Ray
- Nonvisualization of the Gallbladder
No study that we encountered looked at nonvisualization of the gallbladder (GB) during surgery as a risk factor. [ncbi.nlm.nih.gov]
Treatment
What Are the Alternative Medical and Surgical Treatments of Gallstone Disease? In the past 20 years, a variety of treatment options for gallstone disease have been developed. [consensus.nih.gov]
Not all consultants participate in the treatment package option as displayed above. The fixed cost will be confirmed in writing at time of booking your treatment. Prices can be subject to change. [bmihealthcare.co.uk]
Maybe a new treatment scale containing these data should be created for the treatment of acute cholecystitis. [panafrican-med-journal.com]
In 18% of patients, the cholecystectomy was differed for 4 to 8 weeks, after additional medical treatment and 7 patients were discharged on only conservative medical treatment. [intechopen.com]
Prognosis
Normal results The prognosis for cholecystitis and cholelithaisis patients who receive cholecystectomy is generally good. Overall, cholecystectomy relieves symptoms in about 95% of cases. [surgeryencyclopedia.com]
Normal results The prognosis for cholecystitis and cholelithiasis patients who receive cholecystectomy is generally good. Overall, cholecystectomy relieves symptoms in about 95% of cases. [encyclopedia.com]
Prognosis A small number of people are affected with post cholecystectomy syndrome, which has symptoms like gastrointestinal distress and/or constant pain in the right upper quadrant of the abdomen. [healthpages.org]
Prognosis Patients who show early signs of multiple organ failure (renal failure, disseminated intravascular coagulation [DIC], alterations in the level of consciousness, and shock) as well as evidence of acute cholangitis (fever accompanied by chills [doi.org]
Etiology
Pathology of a retained gallbladder remnant is an exceedingly rare etiology of this pain. [ncbi.nlm.nih.gov]
The primary etiology of acute cholangitis/cholecystitis is the presence of stones. Next to stones, the most significant etiology of acute cholangitis is benign/malignant stenosis of the biliary tract. [doi.org]
Introduction Acute pancreatitis is a common gastrointestinal disorder and in the majority of patients the etiology is either alcohol-associated or biliary, i.e. caused by gallstones or sludge (37, 40),. [pancreapedia.org]
Epidemiology
[…] evidence, further discussion took place on terminology, etiology, and epidemiological data. [doi.org]
Rome Group for the Epidemiology and Prevention of Cholelithiasis (GREPCO). Am J Epidemiol. 1984; 119:796-805. Patino JF, Quintero GA. – Asyptomatic Cholelitiasis Revited. World J Surg. 1998; 22:1119-24. [revistas.unifoa.edu.br]
The epidemiology of pancreatitis and pancreatic cancer. Gastroenterology 144(6): 1252-1261, 2013. PMID: 23622135. Yadav D and Lowenfels AB. Trends in the epidemiology of the first attack of acute pancreatitis: a systematic review. [pancreapedia.org]
Pathophysiology
The exact pathophysiological process by which this occurs is not clearly understood but is thought to involve involution of the cystic duct with the attached clip into the lumen of the common bile duct as a consequence of compression by local structures [academic.oup.com]
Gadacz Article First Online: 30 January 2007 Abstract This article discusses the definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis. [doi.org]
Pulmonary pathophysiology. The essentials, pp. 1 [24.] M.D. Altose, R.O. Crapo, A. Wanner The determination of static lung volumes Chest, 86 (1984), pp. 471-489 [25.] P.H. Quanjer, G.J. Tammeling, J.E. Cotes, O.F. Pedersen, R. Peslin, J.C. [archbronconeumol.org]
The increased incidence of postoperative pulmonary complications in patients with COPD is caused by the combination of the pulmonary pathophysiology and comorbidities, often cardiac disease. [clinicalpainadvisor.com]
Prevention
Indications to Laparoscopic Cholecystectomy -- Biliary Tree Stones -- Laparoscopy and Acute Cholecystitis: The Evidence -- Number of Trocars, Types of Dissection, Exploration of Bile Duct, Drainage and Analgesia -- Complications: How to Prevent and [worldcat.org]
You should increase your fiber intake gradually to prevent gastrointestinal upset. If you are dealing with diarrhea, avoid caffeine and spicy foods, which can make it worse. [livestrong.com]