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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
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...
900
Acute Pancreatitis I: Introduction01:25

Acute Pancreatitis I: Introduction

24
Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...
24
Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

1.5K
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
1.5K
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

906
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
906
Chronic Pancreatitis I: Introduction01:25

Chronic Pancreatitis I: Introduction

26
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80%...
26

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Updated: May 1, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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Cholecystitis.

Lawrence M Knab1, Anne-Marie Boller2, David M Mahvi2

  • 1Department of Surgery, Northwestern University Feinberg School of Medicine, Lurie Building Room 3-250, 303 East Superior Street, Chicago, IL 60611, USA.

The Surgical Clinics of North America
|April 1, 2014
PubMed
Summary
This summary is machine-generated.

Acute cholecystitis, gallbladder inflammation, is best diagnosed with cholescintigraphy and treated with laparoscopic cholecystectomy. Early surgery improves outcomes and reduces risks, even during pregnancy.

Keywords:
Acalculous cholecystitisAcute cholecystitisCholecystectomyChronic cholecystitisGallstones

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Diagnostic Imaging

Background:

  • Acute cholecystitis involves gallbladder inflammation, often due to cystic duct obstruction.
  • Cholescintigraphy offers high sensitivity for diagnosing cholecystitis.
  • Laparoscopic cholecystectomy is the established treatment for acute cholecystitis.

Purpose of the Study:

  • To review the diagnosis and treatment of acute cholecystitis.
  • To emphasize the benefits of early surgical intervention.
  • To address the challenges of cholecystitis during pregnancy.

Main Methods:

  • Literature review of diagnostic and therapeutic strategies for acute cholecystitis.
  • Analysis of outcomes associated with early versus delayed surgical intervention.
  • Evaluation of surgical safety in pregnant patients.

Main Results:

  • Early laparoscopic cholecystectomy is associated with shorter hospital stays and fewer complications.
  • Laparoscopic surgery is generally safe for mother and fetus in pregnant patients.
  • Caution is advised for gallstone pancreatitis in pregnancy.

Conclusions:

  • Prompt surgical management of acute cholecystitis optimizes patient outcomes.
  • Laparoscopic cholecystectomy is the preferred treatment, offering advantages over open procedures.
  • Surgical intervention for cholecystitis in pregnancy requires careful consideration but is typically safe.