Gallstones in Chronic Liver Disease

Silva, Michael Anthony; Wong, Terence

doi:10.1016/j.gassur.2004.09.041

Cited by 39 publications

(23 citation statements)

References 93 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the severity of inflammation presents a limiting factor to immediate surgery, unacceptably high rates of morbidity and mortality remain in this patient group [27]. PTC is a safe and conservative procedure that can be performed without removing the gallbladder; reported rates of acute cholecystitis recurrence after cholecystostomy in patients with gallstones can be as high as 25% to 30% [28].…”

Section: Discussionmentioning

confidence: 99%

Delayed Laparoscopic Cholecystectomy Is Safe and Effective for Acute Severe Calculous Cholecystitis in Patients with Advanced Cirrhosis: A Single Center Experience

Yao

Huang

et al. 2014

Gastroenterology Research and Practice

View full text Add to dashboard Cite

Acute calculous cholecystitis is a common disease in cirrhotic patients. Laparoscopic cholecystectomy can resolve this problem but is performed based on the premise that the local inflammation must been controlled. An Initial ultrasound guided percutaneous transhepatic cholecystostomy may reduce the local inflammation and provide advantages in subsequent surgery. In this paper, we detailed our experience of treating acute severe calculous cholecystitis in patients with advanced cirrhosis by delayed laparoscopic cholecystectomy plus initiated ultrasound guided percutaneous transhepatic cholecystostomy and provided the analysis of the treatment effect. We hope this paper can provided a kind of standard procedure for this special disease; however, further prospective comparative randomized trials are needed to assess this treatment in cirrhotic patients with acute cholecystitis.

show abstract

Section: Discussionmentioning

confidence: 99%

Delayed Laparoscopic Cholecystectomy Is Safe and Effective for Acute Severe Calculous Cholecystitis in Patients with Advanced Cirrhosis: A Single Center Experience

Yao

Huang

et al. 2014

Gastroenterology Research and Practice

View full text Add to dashboard Cite

show abstract

“…In Child-Pugh A and B cirrhotic patients who undergo laparoscopic cholecystectomy, the overall mortality does not statistically differ from that of the general population. On the other hand the overall morbidity rate was found to be 21% compared with 8% for the general population in the meta-analysis of Silva et al [11]. In patients with Child-Pugh C cirrhosis the mortality rate after cholecystectomy for acute cholecystitis is as high as 17%-25% [12].…”

Section: Discussionmentioning

confidence: 99%

Acute gallbladder perforation with gallstones spillage in a cirrhotic patient

2010

View full text Add to dashboard Cite

Gallbladder perforation is a rare complication of cholecystitis and cholelithiasis. The high morbidity and mortality rates associated with this condition are due to delays in diagnosis and treatment since signs and symptoms of perforation do not differ significantly from those of uncomplicated cholecystitis. We report on a patient who was affected by Child-Pugh A alcoholic liver cirrhosis and who developed an acute gallbladder perforation with spillage of stones into the peritoneal cavity and give a review of the current literature.

show abstract

“…If the biliary excretion pathway is immature, accumulation of toxic amounts of Cu in the liver could be a risk if intake is chronically high, which would cause liver cirrhosis. Moreover, there are reports [10,11] stating that liver cirrhosis plays a very important role in the formation of gallstones. Pb is present only in the cholesterol stone samples from the eastern region, whereas they are not reported in the gallstone samples from the southern region.…”

Section: Resultsmentioning

confidence: 99%