Barriers to elective cholecystectomy following emergency department discharge for symptomatic cholelithiasis.

Background: Patients with symptomatic cholelithiasis are often discharged from the Emergency Department (ED) and asked to follow-up for elective cholecystectomy. We aimed to identify the social determinants of health (SDOH) that serve as barriers to elective cholecystectomy and to assess the associated impact on patient outcomes.

Methods: We conducted a multi-institutional, retrospective cohort study of patients discharged from the ED with symptomatic cholelithiasis.

When Should the Appropriateness of PEG be Questioned?

Purpose Of Review: This review aims to analyze the evidence regarding the appropriateness of PEG placement in the following clinical situations: short bowel syndrome, head and neck cancer, dementia and palliative use in malignant bowel obstruction.

Recent Findings: Percutaneous endoscopic gastrostomy (PEG) tubes are placed for a variety of clinical indications by numerous different specialties. First described in 1980, PEG tubes are now the dominant method of enteral access.