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Related Concept Videos

Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

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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:
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Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

890
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...
890
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

915
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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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

3.6K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
3.6K
Gallbladder01:17

Gallbladder

3.1K
The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
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Related Experiment Video

Updated: Mar 31, 2026

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
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The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

Published on: January 31, 2025

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Acute Cholecystitis.

Jochen Schuld1, Matthias Glanemann1

  • 1Department of General, Visceral, Vascular and Pediatric Surgery, University of Saarland, Homburg/Saar, Germany.

Viszeralmedizin
|October 16, 2015
PubMed
Summary

Early laparoscopic cholecystectomy within 24 hours is recommended for acute cholecystitis in most patients. This approach reduces complications and hospital stays compared to delayed surgery.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Evidence-Based Medicine

Background:

  • Optimal timing for surgical intervention in acute cholecystitis remains debated due to limited high-evidence data.
  • Laparoscopic cholecystectomy within 72 hours has been the conventional approach.

Purpose of the Study:

  • To evaluate the optimal timing for laparoscopic cholecystectomy in acute cholecystitis.
  • To compare early versus delayed surgical intervention strategies.

Main Methods:

  • Systematic review of randomized controlled trials.
  • Analysis of studies focusing on early laparoscopic cholecystectomy for acute cholecystitis.

Main Results:

  • New Level 1b evidence from the ACDC study supports immediate laparoscopic cholecystectomy (within 24 hours) for ASA I-III patients.
Keywords:
Acute cholecystitisCholecystotomyInterdisciplinary managementLaparoscopic cholecystectomySurgery

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Last Updated: Mar 31, 2026

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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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  • Immediate surgery demonstrated reduced morbidity, shorter hospital stays, and lower costs compared to delayed surgery.
  • No consensus exists for critically ill patients due to insufficient data.
  • Conclusions:

    • Laparoscopic cholecystectomy within 24 hours is safe and preferred for ASA I-III patients with acute cholecystitis.
    • Treatment for critically ill patients requires interdisciplinary consensus based on individual comorbidities.