The presentation of gallstones and results of biliary surgery in a spinal cord injured population

Moonka, Ravi; Stiens, Steven A.; Eubank, William B.; Stelzner, Matthias

doi:10.1016/s0002-9610(99)00164-6

Cited by 10 publications

(7 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings are consistent with the previous literature showing that gallstone formation has to be more common after SCI. A prevalence study indicated a 31-percent rate of biliary calculus disease in SCI patients [11]. This is a significantly higher rate compared to noninjured males, as demonstrated in several prevalence studies [12][13][14].…”

Section: Ultrasound Surveillance Of the Gb In Scimentioning

confidence: 92%

“…To date, however, justification for this procedure has not surfaced. Moonka and associates, in their study on the prevalence and natural history of gallstones in SCI patients, specifically looked into "prophylactic cholecystectomy" and whether this practice would reduce the morbidity and mortality related to this disease [11]. Their study did not find evidence to support this recommendation.…”

Section: Ultrasound Surveillance Of the Gb In Scimentioning

confidence: 99%

See 1 more Smart Citation

Lack of justification for routine abdominal ultrasonography in patients with chronic spinal cord injury

Sipski¹,

Estores²,

Alexander³

et al. 2004

JRRD

View full text Add to dashboard Cite

Little evidence-based research is available to indicate which procedures should routinely be performed for screening exams in patients with spinal cord injuries (SCIs). It had been the procedure to routinely perform abdominal ultrasonography on a yearly basis at our medical center. Therefore, we conducted a retrospective study to determine whether the repetition of these procedures resulted in detection of any pathology warranting treatment that otherwise would have gone undetected. The electronic records of 174 individuals were reviewed, along with a total of 359 abdominal ultrasounds and exams. High incidences of abnormal findings were found in the liver, pancreas, spleen, gallbladder, and kidney; however, no specific interventions were noted solely on the basis of the ultrasound findings. Moreover, no added benefits could be documented through the performance of repetitive exams. We recommend that further evidence-based studies be performed to ascertain the benefits of performance of routine procedures in patients with SCIs.

show abstract

Section: Ultrasound Surveillance Of the Gb In Scimentioning

confidence: 92%

Section: Ultrasound Surveillance Of the Gb In Scimentioning

confidence: 99%

Lack of justification for routine abdominal ultrasonography in patients with chronic spinal cord injury

Sipski¹,

Estores²,

Alexander³

et al. 2004

JRRD

View full text Add to dashboard Cite

show abstract

“…Conversely, patients with complete spinal cord lesions continue to sense oesophageal or – less consistently – colorectal distension 66,67 . While symptoms may be more vague and thus contribute to diagnostic difficulties, patients with high spinal cord lesions develop abdominal symptoms with acute biliary diseases and appendicitis 68,69 . Taken together, these results suggest that vagal input reaches cortical levels and may thus contribute to perception.…”

Section: Vagal Afferents and Perceptionmentioning

confidence: 97%

Basic and clinical aspects of visceral sensation: transmission in the CNS

Bielefeldt

Christianson

Davis

2005

Neurogastroenterology Motil

View full text Add to dashboard Cite

Pain and discomfort are the leading cause for consultative visits to gastroenterologists. Acute pain should be considered a symptom of an underlying disease, thereby serving a physiologically important function. However, many patients experience chronic pain in the absence of potentially harmful stimuli or disorders, turning pain into the primary problem rather than a symptom. Vagal and spinal afferents both contribute to the sensory component of the gut-brain axis. Current evidence suggests that they convey different elements of the complex sensory experience. Spinal afferents play a key role in the discriminatory dimension, while vagal input primarily affects the strong emotional and autonomic reactions to noxious visceral stimuli. Drugs, surgical and non-pharmacological treatments can target these pathways and provide therapeutic options for patients with chronic visceral pain syndromes.

show abstract

“…Medtronic Synchromed 2® is compatible with magnetic resonance imagining respecting the guideline [11]. There is an increased incidence of gallbladder disease in patients with spinal cord injury, especially higher gallstones and cholecystitis incidence (17-31%) [12][13][14]. Since spinal cord injured patients lack visceral sensation, their clinical manifestations of gallstones could be relatively occult.…”

Section: Discussionmentioning

confidence: 99%

“…Since spinal cord injured patients lack visceral sensation, their clinical manifestations of gallstones could be relatively occult. A higher proportion of these individuals may present with advanced biliary disease compared with the general population [12,14]. Prophylactic cholecystectomy is not indicated for spinal cord injured patients [12,13].…”

Section: Discussionmentioning

confidence: 99%

Baclofen Pump Pseudo-Malfunctioning: Refractory Spasticity Associated to Cholecystitis

Mônaco¹

2017

OAJNN

View full text Add to dashboard Cite

There are several unleashing factors associated with spasticity worsening such as infection, pain, immobility, emotional factors, and others. Baclofen pumpis a standard treatment for selected severe spasticity cases. The authors report a case of a suspected baclofen pump malfunctioning in a paraplegic spastic patient secondary to spinal cord injury. Patient became refractory to intrathecal baclofen therapy (ITB), despite raising levels, in a complex flex mode infusion using Medtronic Infusion Pump Synchromed 2®. Image investigation and catheter patency tests were performed, without obstruction. Patient became from Modified Ashwoth Scale (MAS) 0 to 4 in different times during a day. The same occurred with Penn Spams Scale. Patient was diagnosed with cholecystitis andunderwent tolaparoscopic surgery. After gallbladder resection, patient became MAS 0 and Penn 0. Spasticity patients using ITB that become refractory to treatment should be evaluated for common unleashing factor, including cholecystitis, before suspecting of pump malfunctioning.

show abstract

The presentation of gallstones and results of biliary surgery in a spinal cord injured population

Cited by 10 publications

References 8 publications

Lack of justification for routine abdominal ultrasonography in patients with chronic spinal cord injury

Lack of justification for routine abdominal ultrasonography in patients with chronic spinal cord injury

Basic and clinical aspects of visceral sensation: transmission in the CNS

Baclofen Pump Pseudo-Malfunctioning: Refractory Spasticity Associated to Cholecystitis

Contact Info

Product

Resources

About