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Related Experiment Video

Updated: May 19, 2026

An Optimized LIVE/DEAD Assay Coupled with Flow Cytometry for Quantifying Post-Stress Survival in Yeast Cells

An Optimized LIVE/DEAD Assay Coupled with Flow Cytometry for Quantifying Post-Stress Survival in Yeast Cells

Published on: August 29, 2025

Is live problem better than dead cert?

Keta L Keens¹, Ravindra S Date

¹Department of Gastrointestinal Surgery, Lancashire Teaching Hospital Foundation Trust, Chorley, Lancashire, UK. ketakeens@doctors.org.uk

BMJ Case Reports

|August 29, 2012

Summary

This summary is machine-generated.

Cholecystoduodenal fistula (CDF) is a complication of chronic cholecystitis. Management varies by severity, with some cases requiring damage limitation surgery for optimal patient recovery.

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Area of Science:

Gastroenterology
Surgical Oncology

Background:

Cholecystoduodenal fistula (CDF) is a rare biliary enteric fistula, often resulting from chronic cholecystitis.
Diagnosis and management planning for CDF typically occur intraoperatively.
Laparoscopic approaches have been previously reported for CDF management.

Observation:

This study reports three cases of elective cholecystectomy with intraoperative diagnosis of CDF.
Two cases were successfully managed using laparoscopic techniques.
The third case involved a severe CDF, necessitating a modified approach of damage limitation surgery.

Findings:

The third case involved cholecystostomy with Foley's catheter and venting gastrostomy due to significant surgical risk.
All three patients achieved full postoperative recovery.
CDF severity dictates the surgical strategy, emphasizing individualized treatment plans.

Implications:

Damage limitation surgery is a viable option for severe CDF cases where continued intervention poses risks.
Tailored surgical management based on individual fistula characteristics is crucial for successful outcomes.
These findings expand the understanding of CDF treatment strategies, particularly in complex cases.