Related Experiment Video
Updated: Jan 30, 2026
07:44
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
6.8K
Biliary Disease in Immunocompromised Patients: a Single-Center Retrospective Analysis
Justin George1, Marc Cohen1, Stewart Whitney1
1Mount Sinai Department of General Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, 15th floor, New York, NY, 10029, USA.
Summary
Calculous cholecystitis is more common than acalculous cholecystitis in immunocompromised patients. Both conditions are successfully treated with laparoscopic cholecystectomy, showing low complication rates.
Area of Science:
- Gastroenterology
- Immunology
- Surgical Oncology
Background:
- Acute cholecystitis poses a significant threat to immunocompromised individuals.
- Understanding its incidence, clinical course, and management in this population is crucial.
Purpose of the Study:
- To determine the incidence of acute cholecystitis in immunocompromised patients.
- To analyze the clinical course and management strategies for both calculous and acalculous forms of the disease in this group.
Main Methods:
- A single-center database was queried for acute cholecystitis cases between 2003 and 2016.
- Patients with concomitant neutropenia, leukopenia, leukemia, or lymphoma were identified.
- Data on demographics, diagnostics, and management were collected and analyzed.
Main Results:
- Out of 4525 acute cholecystitis patients, 120 were immunocompromised.
- Calculous acute cholecystitis occurred in 65.8% of cases, while acalculous occurred in 34.2%.
- Laparoscopic cholecystectomy was the primary management for both types, with similar low complication rates.
Conclusions:
- Contrary to common belief, calculous cholecystitis is more prevalent than acalculous cholecystitis in immunocompromised patients.
- Laparoscopic cholecystectomy is an effective and safe treatment for both forms of acute cholecystitis in this vulnerable population.
- Low conversion rates to open surgery were observed.
More Related Videos
07:36Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
2.4K
07:32Author Spotlight: Investigating Immune Cell Dynamics in the Tumor Microenvironment — Challenges and Innovations in Cancer Prognosis
Published on: April 12, 2024
2.0K
Related Concept Videos
01:13Patient-centered Care
3.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.0K
02:33Lattice Centering and Coordination Number
11.5K
The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
Types of Unit Cells
Imagine taking a large number of identical...
Types of Unit Cells
Imagine taking a large number of identical...
11.5K
00:58Center of Gravity
6.7K
The center of gravity (COG) of an object is the point where the object's total weight is considered to be concentrated. Knowing the location of the center of gravity is useful when predicting the behavior of a moving object or designing static structures. In a uniform gravitational field, the center of gravity is similar to the center of mass (COM); yet, these two points can be positioned differently. For example, the Moon's center of mass lies very close to its geometric center, but...
6.7K
01:15Center of Gravity
2.2K
The center of gravity is the point at which an object's weight appears to be concentrated and can be used to balance the object perfectly. This point is essential in mechanics as it provides information regarding a body's stability and moments of inertia. The center of gravity does not always have to fall within the shape or boundaries of the body; it may also lie outside the body in certain cases.
To determine its location, the principle of moments can be utilized by dividing the object into...
To determine its location, the principle of moments can be utilized by dividing the object into...
2.2K
00:59Center of Mass
2.0K
The center of mass is the point at which the total mass of an object can be said to be concentrated. It is a fundamental principle in mechanics and physics that applies to all objects regardless of their shape or size. The center of gravity is the point at which an object’s weight appears to be concentrated and can be used to balance the object perfectly.
The knowledge of the center of mass can also help us to describe and predict the motion of objects. For example, when a ball is thrown...
The knowledge of the center of mass can also help us to describe and predict the motion of objects. For example, when a ball is thrown...
2.0K
01:20Instantaneous Center of Zero Velocity
833
General plane motion, often observed in a rolling wheel, refers to a type of movement where the wheel is simultaneously rotating and translating. This complex motion can be understood by breaking it down into individual components.
To analyze this, consider two points on the wheel: point A and point B. The absolute velocity of point B can be expressed as the vector sum of the absolute velocity of point A and the relative velocity of point B with respect to point A. To simplify this analysis,...
To analyze this, consider two points on the wheel: point A and point B. The absolute velocity of point B can be expressed as the vector sum of the absolute velocity of point A and the relative velocity of point B with respect to point A. To simplify this analysis,...
833