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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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Chronic Pancreatitis II: Collaborative Care01:29

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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:
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Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Acute Pancreatitis I: Introduction01:27

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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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Related Experiment Video

Updated: Mar 19, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

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2016 WSES guidelines on acute calculous cholecystitis.

L Ansaloni1, M Pisano1, F Coccolini1

  • 1General Surgery I, Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Bergamo, Italy.

World Journal of Emergency Surgery : WJES
|June 17, 2016
PubMed
Summary
This summary is machine-generated.

New guidelines address uncertainties in acute calculus cholecystitis management. Laparoscopic cholecystectomy is recommended for most patients, excluding high-risk individuals, to improve surgical outcomes.

Keywords:
Abdominal infectionsAcute calcolous cholecystitisAntibioticBiliary tree stonesCholecystectomyDiagnosisEndoscopic ultrasoundGallbladder percutaneous drainageMagnetic resonanceSurgical risk

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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
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Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Surgical Guidelines Development
  • Emergency Surgery Protocols

Background:

  • Acute calculus cholecystitis presents management ambiguities.
  • Existing clinical practices lack standardized protocols.
  • The World Society of Emergency Surgery identified critical knowledge gaps.

Purpose of the Study:

  • To establish comprehensive guidelines for acute calculus cholecystitis.
  • To clarify diagnostic criteria and treatment strategies.
  • To provide an evidence-based algorithm for patient management.

Main Methods:

  • Systematic review of existing literature.
  • Consensus development by the World Society of Emergency Surgery.
  • Formulation of diagnostic and therapeutic algorithms.

Main Results:

  • Guidelines cover diagnosis, antimicrobial therapy, and common bile duct stone evaluation.
  • Identification of high-risk patients is crucial for treatment decisions.
  • Laparoscopic cholecystectomy is the preferred surgical approach for most patients.

Conclusions:

  • The proposed algorithm prioritizes laparoscopic cholecystectomy post-diagnosis and risk assessment.
  • Guidelines serve as a decision-support tool, not a replacement for clinical judgment.
  • Management should be individualized, especially for high-risk patients.