Treatment of Gallstones - What Is the Right Choice

Pruthi, H S; Varadarajulu, R

doi:10.1016/s0377-1237(17)30299-x

Cited by 3 publications

(2 citation statements)

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“…6 Cholecystectomy is ideal for patients who are willing for surgery which results in a permanent cure for gallstones with no chance of recurrence (in the gall bladder) and requires no long term follow up or medication. 7 Laparoscopic cholecystectomy (LC) has become the accepted gold standard for operative management of gallstone disease worldwide which is a minimal access approach for the removal of the gall bladder together with its stones. 7,8 Prophylactic antibiotics prevent infections even though they do not reduce rates of bactibilia.…”

Section: Discussionmentioning

confidence: 99%

“…7 Laparoscopic cholecystectomy (LC) has become the accepted gold standard for operative management of gallstone disease worldwide which is a minimal access approach for the removal of the gall bladder together with its stones. 7,8 Prophylactic antibiotics prevent infections even though they do not reduce rates of bactibilia. 8 Mean age of the patients of our study was 45.6 years.…”

Section: Discussionmentioning

confidence: 99%

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Study of correlation between gallstones and bactibilia

Dutta

Majumdar²,

Das³

et al. 2023

Int J Clin Trials

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Background: Now a days Cholecystectomy is one of the commonly performed operations. Most common cause is Gallstones. So, we planned this study to determine to find out any association between gallstone and microbiological spectrum in bile in cholelithiasis patients undergoing laparoscopic or open cholecystectomy. Methods: Total 140 patients of chronic calculous cholecystitis admitted in the department of general surgery, KPC medical college & hospital, Jadavpur, Kolkata, during August 2021 to July 2022 for cholecystectomy were included in this study. All patients underwent either laparoscopic or open cholecystectomy. During cholecystectomy bile was collected and sent to the department of microbiology for bacteriological profile of bile. Gallstone is classified based on morphology following gallstone retrieved from the gall bladder. Results: Out of 140 cases 115 cases done laparoscopic cholecystectomy and 25 cases done open cholecystectomy. In this study bile culture test negative in 105 cases and positive in 35 of cases. Escherichia coli was the most common micro-organism found in 20 cases, Enterococcus species in 8 cases, in 5 cases Staphylococcus aureus and 2 mixed infections. In culture negative case mostly gallstones were larger, 2 to 3 in number and yellowish in colour. In culture positive cases mostly, gallstone was more than 3 in number, smaller, black and brown in colour. Conclusions: In the light of above obtained results, the authors concluded that multiple, small, dark and brown in colour gallstone in cholelithiasis patients often show bactibilia. The low incidence of bacterbilia may suggest restriction of use of antibiotics in mild biliary pain.

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