Gallbladder cholecystectomy

Gallbladder disease (symptomatic and treated by cholecystectomy or asymptomatic) Endometriosis... 

Excessive amounts of BAs can accumulate in the GI tract (e.g. as a result of gallbladder surgery or cholecystectomy). These can be treated by the use of... 

Surgical management of gallbladder carcinoma is based on local extension of the cancer. For example, T1 lesions require cholecystectomy alone, while many experts have advocated radical cholecystectomy for T2 lesions. There are several reasons for this recommendation. Specifically, Yamaguchi andTsuneyoshi (61) reported 44% positive microscopic margins in patients having T2 lesions who underwent only simple cholecystectomy. Additionally, T2 lesions are associated with an increased incidence of nodal... 

Cholagogue. An agent that stimulates the bile flow to the intestines. Cholecystectomy. Surgical removal of the gallbladder. 

Dissolution of radiolucent, noncalcified gallstones when cholecystectomy is not recommended treatment of biliary cirrhosis PO 8-10 mg/kg/day in 2-3 divided doses. Treatment may require months. Obtain ultrasound image of gallbladder at 6-mo intervals for firsf year. If gallsfones have dissolved, confinue fherapy and repeat ultrasound within 1-3 mo. 

A 13-year-old boy received long-term intravenous ceftriaxone after surgical drainage of a right frontal subdural empyema secondary to sinusitis. After about 5 weeks he developed abdominal pain with profuse emesis his serum amylase was 1133 U/1 and lipase 3528 U/1. Abdominal ultrasound showed cholehthiasis, and he had an uncomplicated cholecystectomy. The material in the gallbladder was 100% ceftriaxone. 

Acute and chronic cholecystitis has been reported after floxuridine hepatic artery infusion (3). Chemotherapy in this patient was associated with persistent epigastric pain with radiation to the back which was not accompanied by any fever or white blood cell elevation. Cholecystectomy showed a shrunken, thickened fibrotic gallbladder that was filled with thick, pasty, hemorrhagic material. There were no gallstones. 

A 60-year-old man received intramuscular morphine 10 mg with scopolamine 0.4 mg as premedication and 40 minutes later complained of sharp right upper quadrant pain radiating to the back. The symptoms were identical to the gallbladder pain he had experienced in the past and for which he had had a cholecystectomy 25 years before. He had complete relief from intravenous naloxone 0.9 mg. 

Gallbladder disease is a commonly cited complication of oral estrogen use. The Nurses Health Study showed that the age-adjusted relative risk of cholecystectomy is 2.2 for women currently taking 0.625 mg CEE. In this stndy, the risk of cholecystectomy increased with duration of hormone therapy nse and did not resolve after discontinnation. Transdermal estrogen is an alternative to oral therapy for women at high risk for cholelithiasis. 

Bile contains a large number of diverse proteins, some resulting from leakage of hepatocellular protein and others derived from plasma (A9, R6). In certain cases, the liver may secrete specific proteins into bile to bind and thus prevent the reabsorption of potential toxins and thus facilitate fecal excretion of these substances (S3). As an example, copper is excreted principally by the biliary route, bound to a carrier protein that prevents intestinal absorption of the biliary copper (G6). The GST can bind a wide range of substances and we have studied the GST content of human bile using material obtained from intact gallbladders following removal at cholecystectomy. 

The client diagnosed with emphysema is admitted to the surgical unit for a cholecystectomy (gallbladder removal). Which postoperative intervention should the nurse implement ... 

Use of KL-3 adhesive in abdominal surgery. KL-3 adhesive was used dini-cally for resection in ulcerative disease of the stomach and duodenum, in appendectomies, for sealing sutimes of the bile duct in choledochos-tomies, and to close the gallbladder bed following cholecystectomies... 

In 1878, American physician J. Marion Sims performed the first cholecystectomy (gallbladder removal), but the patient died. When French physician Philippe Mouret performed the first laparoscopic cholecystectomy in 1987, itwas a success. Most American Civil War surgeons had a basic kit, which contained amputation tools a saw, pliers, hook, and a few knives of different sizes. Less than 1 percent of the doctors on either side had ever performed surgery before going off to war. At the time, medical school training took two years and there were no licensing boards. 

Biliary tract Nine subjects with Prader-Willi syndrome (mean age 15 years) received either octreotide 30 mg or saline intramuscularly every 4 weeks for 16 weeks. After a 24-week wash-out period, they then received the alternative therapy. Three developed gallbladder abnormalities on ultrasound by the end of the octreotide phase two went on to have cholecystectomy 12-24 months later [39 ]. 

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