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Related Concept Videos

Cholecystitis01:20

Cholecystitis

29
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
29
Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

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The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
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Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
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Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
563
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

900
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Gastritis II: Pathophysiology01:26

Gastritis II: Pathophysiology

52
The pathophysiology of gastritis begins with the colonization of the stomach lining by Helicobacter pylori (H. pylori). This bacterium spreads mainly via the oral-oral route through saliva or shared utensils, and can also be transmitted in overcrowded or unhygienic environments through contaminated water, despite its brief survival outside the body.ColonizationOnce ingested, H. pylori enters the stomach and begins colonization by navigating through the mucus layer lining the stomach wall. It...
52

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Related Experiment Video

Updated: May 4, 2026

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
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[Cholecystitis in high risk patients].

S A Sovtsov, E V Prilepina

    Khirurgiia
    |December 24, 2013
    PubMed
    Summary

    This study identified key factors like patient age and disease severity that impact acute cholecystitis outcomes. A tailored surgical approach based on these factors significantly reduced postoperative mortality.

    Area of Science:

    • Gastroenterology and Hepatology
    • Surgical Oncology
    • Critical Care Medicine

    Context:

    • Acute cholecystitis is a common surgical emergency with variable patient outcomes.
    • Effective management requires understanding prognostic indicators.
    • Previous strategies lacked a tailored approach based on multifactorial analysis.

    Purpose:

    • To identify major factors influencing treatment outcomes in acute cholecystitis.
    • To develop differentiated surgical tactics based on identified prognostic factors.
    • To evaluate the efficacy of a differential approach in reducing postoperative mortality.

    Summary:

    • Analysis of 5129 acute cholecystitis patients revealed key factors: age, comorbidities, abdominal destruction, delayed hospitalization, surgical approach, ASA stage, and SIRS criteria.

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  • A differential surgical strategy was developed based on these prognostic indicators.
  • This tailored approach resulted in a low postoperative lethality rate of 1.0±0.2%.

    • Impact:

    • Provides evidence-based guidelines for optimizing surgical management of acute cholecystitis.
    • Highlights the importance of patient-specific factors in surgical decision-making.
    • Demonstrates a significant reduction in mortality through a personalized treatment strategy.