دورية أكاديمية
أعرض في EDS

Negative workup? Laparoscopic cholecystectomy Still alleviates symptoms.

التفاصيل البيبلوغرافية
العنوان: Negative workup? Laparoscopic cholecystectomy Still alleviates symptoms.
المؤلفون: Sharrak A; Department of General Surgery, Corewell Health/Michigan State University, USA. Electronic address: aryana.sharrak@corewellhealth.org., Aubrey J; Department of General Surgery, Corewell Health/Michigan State University, USA., Hua T; Michigan State University College of Human Medicine, USA., Wang S; Michigan State University College of Human Medicine, USA., Zambito G; Department of General Surgery, Corewell Health Blodgett Hospital, USA., Banks-Venegoni A; Department of General Surgery, Corewell Health Blodgett Hospital, USA.
المصدر: American journal of surgery [Am J Surg] 2024 Apr; Vol. 230, pp. 39-42. Date of Electronic Publication: 2023 Dec 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0370473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1883 (Electronic) Linking ISSN: 00029610 NLM ISO Abbreviation: Am J Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Belle Mead, NJ : Excerpta Medica
Original Publication: New York.
مواضيع طبية MeSH: Cholecystectomy, Laparoscopic*/adverse effects , Cholecystectomy, Laparoscopic*/methods , Biliary Dyskinesia*/diagnosis , Biliary Dyskinesia*/surgery , Gallbladder Diseases*/surgery, Humans ; Female ; Adult ; Middle Aged ; Male ; Retrospective Studies ; Imino Acids ; Abdominal Pain/etiology ; Treatment Outcome
مستخلص: Background: Studies have shown that patients with abdominal pain and biliary dyskinesia (low ejection fraction <35 ​%) have significant improvement of symptoms following laparoscopic cholecystectomy, but there is lack of evidence that demonstrates whether patients with biliary symptoms and a normal ejection fraction (>35 ​%) will have similar results.
Methods: Retrospective, single center study of patients with biliary pain and negative workup, including HIDA with EF>35 ​%, who were treated with laparoscopic cholecystectomy from 2017 to 2022.
Results: There were 117 total patients. The mean age was 45.49 ​± ​15.5 years and 101 (86 ​%) were female. 101 (86 ​%) of patients underwent a right upper quadrant ultrasound, 91 had normal findings, 9 difficult to visualize anatomy and 1 had adenomyomatosis. All patients had a normal HIDA scan and ejection fraction 104 (89 ​%) of patients followed up in clinic within 30 days of surgical intervention. 87 (84 ​%) reported resolution of pre-operative symptomatology after surgical intervention. There was no statistically significant correlation between pain with CCK administration during HIDA (p ​= ​0.803) scan or ejection fraction (p ​= ​0.0977) with resolution of symptoms.
Conclusions: Laparoscopic cholecystectomy appears to be a beneficial intervention for patients with abdominal pain and normokinetic biliary disease. Offering surgical intervention early on can potentially save patients from exhaustive diagnostic investigations and possibly misdiagnosis.
Competing Interests: Declaration of competing interest None.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Acalculous biliary pain; Biliary pain; HIDA; Laparoscopic cholecystectomy; functional gallbladder disease
المشرفين على المادة: EK22QV7701 (lidofenin)
0 (Imino Acids)
تواريخ الأحداث: Date Created: 20231205 Date Completed: 20240322 Latest Revision: 20240322
رمز التحديث: 20240322
DOI: 10.1016/j.amjsurg.2023.11.035
PMID: 38052669
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1883
DOI:10.1016/j.amjsurg.2023.11.035