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Adverse Events after Percutaneous Transhepatic Biliary Drainage: A Ten-Year Retrospective Analysis.
J Vasc Interv Radiol
December 2024
Department of Radiology, Section of Vascular and Interventional Radiology, Northwestern University, Chicago, IL. Electronic address:
Purpose: To determine the adverse events (AEs) rate associated with percutaneous transhepatic biliary drainage (PTBD) and identify risk factors for their occurrence.
Materials And Methods: This single-center retrospective study included 2310 PTBD (right-side: 1164; left-sided: 966; bilateral: 180) interventions for biliary obstruction (benign/malignant) in 449 patients between 2010-2020. Patients with percutaneous cholecystostomy alone were excluded.
A Case of Robotic Cholecystectomy in a Patient With Decompensated Cirrhosis and Portal Hypertension.
Cureus
August 2024
Department of Surgery, Texas Tech University Health Sciences Center, Amarillo, USA.
In patients with liver cirrhosis, approximately one-third experience pigmented cholelithiasis. In parallel to this, cirrhotics consequently encounter a greater prevalence of acute cholecystitis. Traditionally, the definitive treatment for acute cholecystitis in non-cirrhotic patients is cholecystectomy.
View Article and Find Full Text PDFA Case Report of Sepsis Secondary to Perforated Cholecystitis in the Presence of Severe Aortic Stenosis: Diagnosis and Management.
Cureus
May 2024
General Surgery, AdventHealth Florida, Tavares, USA.
Gallbladder perforation is a rare complication of acute cholecystitis that is associated with significant morbidity and mortality. Many cases of gallbladder perforation are not diagnosed until surgery, as the physical symptoms closely mimic acute cholecystitis. Gallbladder perforation is most common among older males with associated comorbidities, and preoperative assessment of comorbidities, particularly cardiac, is critical to determine the appropriate clinical course.
View Article and Find Full Text PDFImproving outcomes in emergency general surgery: Construct of a collaborative quality initiative.
J Trauma Acute Care Surg
May 2024
From the Department of Surgery (M.R.H., B.L.H., L.G., K.A.K., J.L.J., J.N.M., J.W.S., L.M.N.), University of Michigan Medical School; Center for Healthcare Outcomes and Policy (M.R.H., P.U.N., L.G., J.W.S.), and National Clinical Scholars Program (P.U.N.), University of Michigan, Ann Arbor, Michigan; Department of Surgery (P.U.N.), Brigham and Women's Hospital, Boston, Massachusetts; Department of Surgery (A.Y.Y.), Corewell Health, Grand Rapids; Department of Surgery (H.J.L.), Sparrow Health System, Lansing; Department of Surgery (R.J.G.), Trinity Health Ann Arbor, Ann Arbor; and Department of Surgery (E.J.M.), University of Michigan Health-West, Wyoming, Michigan.
Background: Emergency general surgery conditions are common, costly, and highly morbid. The proportion of excess morbidity due to variation in health systems and processes of care is poorly understood. We constructed a collaborative quality initiative for emergency general surgery to investigate the emergency general surgery care provided and guide process improvements.
View Article and Find Full Text PDFEUS-guided cholecystojejunostomy for management of acute cholecystitis in a patient with cirrhosis, ascites, and Roux-en-Y gastric bypass anatomy.
Gastrointest Endosc
June 2024
Department of Gastroenterology, Hepatology, and Nutrition, Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA.
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