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Related Experiment Videos

Screening for cholelithiasis prior to aortic reconstruction.

W E Evans1, J P Hayes, E A Waltke

  • 1Department of Surgery, Saint Anthony Medical Center, Columbus, Ohio 43205.

American Journal of Surgery
|February 1, 1989
PubMed
Summary

Preoperative oral cholecystography offers little value for screening gallbladder disease before aortic reconstruction. Cholecystectomy during aortic surgery appears safe, with a negligible risk of postoperative cholecystitis in asymptomatic patients.

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Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Gallstones (cholelithiasis) are common and can cause complications.
  • Patients undergoing aortic reconstruction may have undiagnosed gallbladder disease.
  • The role of preoperative screening for gallbladder disease in this population is unclear.

Purpose of the Study:

  • To evaluate the utility of preoperative oral cholecystography in identifying gallbladder disease.
  • To determine the incidence and complications of cholelithiasis in patients undergoing aortic reconstruction.
  • To assess the safety and outcomes of concurrent cholecystectomy during aortic reconstruction.

Main Methods:

  • Retrospective review of 785 patients undergoing aortic reconstruction over 11 years.

Related Experiment Videos

  • Preoperative oral cholecystography was performed in 394 patients to screen for cholelithiasis.
  • Outcomes including gallbladder disease identification, cholecystectomy, and postoperative cholecystitis were analyzed.

    • Main Results:

    • 18% of screened patients had gallbladder disease; 13 underwent cholecystectomy with aortic reconstruction.
    • Three patients (0.8%) developed postoperative cholecystitis, one with known disease, two with normal preoperative findings.
    • Preoperative oral cholecystography identified gallbladder disease in only 18% of patients.

    Conclusions:

    • Preoperative oral cholecystography has limited value as a screening tool for gallbladder disease in patients undergoing aortic reconstruction.
    • Cholecystectomy performed concurrently with aortic reconstruction is a safe procedure.
    • The risk of postoperative cholecystitis in asymptomatic patients with or without gallbladder disease is negligible.