Percutaneous Cholecystostomy – A Safe Option in the Management of Acute Biliary Sepsis in the Elderly J.M. Howard, A.M. Hanly, M. Keogan, M. Ryan, J.V.

Slides:

Advertisements

Similar presentations

Acute cholecystitis Diagnosis.

Advertisements

Case 1. 1, Right lung. 2, Left lung. 3, Right ventricle. 4, Left ventricle. 5, Inferior vena cava. 6, Descending aorta. 7, Thoracic spine. 8, Rib. 9,

Biliary Disease In this segment we are going to be talking about the identification and diagnosis of biliary disease using various image techniques.

GALL BLADDER DISEASE Dr Suleiman Jastaniah,FRCS (Ed),FACS,Associted Prof.Umm- Alqura university.

Minimally invasive treatment of varicose veins: Endovenous laser ablation (EVLA) Georgios Galanopoulos, Constantinos Lambidis International Journal of.

How surgeons can find information online? Martin Hewitt International Journal of Surgery Volume 5, Issue 6, Pages (December 2007) DOI: /j.ijsu

“Emergency” definitive reconstruction of a necrotising fasciitis thigh debridement defect with a pedicled TRAM flap Tom Hughes, Jonathan T.S. Yu, Kai Yuen.

Raul Mederos, Lynda Humaran, Donald Minervini

Pancreaticobiliary duct changes of periampullary carcinomas: Quantitative analysis at MR imaging Dong Sheng Wu, Wei Xia Chen, Xiao Dong Wang, Riwaz Acharya,

Aspiration pneumonia as a complication of a rare type of hernia

Intestinal obstruction caused by intraoperative mass reduction of an incarcerated inguinal hernia—Report of a case Shih-Chung Wu, Chih-Chi Wang, Shyr-Ming.

Repair of large and giant incisional hernia with onlay mesh: Perspective of a tertiary care hospital of a developing country Ayaz Ahmad Memon, Aimal.

Intraoperative air leak test was useful for the detection of a small biliary fistula: A rare case of non-parasitic hepatic cysts with biliary communication

Uses and abuses of digital imaging in plastic surgery

The relationship between vasopressor dose and anastomotic leak in colon surgery: An experimental trial Tayfun Adanir, Okay Nazli, Cemal Kara, Murat Aksun,

Roux-en-Y duodenojejunostomy for surgical management of isolated duodenal obstruction due to chronic pancreatitis Himanshu Sharma, Sanjay Marwah, Priyanka.

Single-step treatment of gall bladder and bile duct stones: A combined endoscopic– laparoscopic technique Abdel Hamid Ghazal, Magdy A. Sorour, Mohamed.

Fig. 1. (a) Axial portal phase contrast enhanced CT shows a cystic lesion with a thick wall in the portocaval space (arrows). An asterisk denotes the common.

The ‘evil twin syndrome’ in chronic pelvic pain: A systematic review of prevalence studies of bladder pain syndrome and endometriosis S.A. Tirlapur,

Laparoscopic ventral hernia repair

T.P. Elamurugan, S. Jagdish, Vikram Kate, Subhash Chandra Parija

Dilated bile ducts. A: CT shows a dilated distal bile duct (arrowhead)

Does viewing of Surgical specimen improve patient satisfaction

P. Sooriakumaran, R. Kaba International Journal of Surgery

Diagnosis of acute appendicitis

Solitary fibrous tumor of the liver: Report of two cases and review of the literature Tarek Debs, Radwan Kassir, Imed Ben Amor, Francesco Martini, Antonio.

Solid pseudopapillary tumour of the pancreas: Incidence, prognosis and outcome of surgery (single center experience) Ayman El Nakeeb, Mohamed Abdel Wahab,

Kazuaki Kuwabara, Shinya Matsuda, Kiyohide Fushimi, Koichi B

Illicit drugs and surgery

Incidence of right-sided colonic tumors (non-appendiceal) in patient's ≥40 years of age presenting with features of acute appendicitis Suhail Aslam Khan,

Stapled cholecystojejunostomy for palliative treatment of the malignant jaundice; an effective and feasible alternative to hand-sewn method Michael C.

Anatomical margins of uncinectomy in endoscopic sinus surgery

Prateek K. Mehrotra, C.S. Ramachandran, Vijay Arora

Comparison of topical glyceryl trinitrate with lignocaine ointment for treatment of anal fissure: A randomised controlled trial J. Ahmad, S.I.H. Andrabi,

Interventional studies for preventing surgical site infections in sub-Saharan Africa – A systematic review Alexander M. Aiken, David M. Karuri, Anthony.

Day case laparoscopic cholecystectomy: Reducing the admission rate

Routine postoperative administration of vitamin D and calcium after total thyroidectomy: a meta-analysis Alvaro Sanabria, Luis C. Dominguez, Valentin.

Prateek K. Mehrotra, C.S. Ramachandran, Vijay Arora

Does viewing of Surgical specimen improve patient satisfaction

Changes in surgical training opportunities in Britain and South Africa

Skin graft meshing, over-meshing and cross-meshing

DRUJ instability after distal radius fracture: A comparison between cases with and without ulnar styloid fracture Gholam Hossein Kazemian, Hooman Bakhshi,

Anaesthesia for thyroid surgery: Perioperative management

Predictors of success of treatment of distal two thirds common bile duct strictures: A retrospective Cohort study over two years Hany M. El-Haddad, Mohamed.

Oesophagectomy in the management of end-stage achalasia – Case reports and a review of the literature Julia M. Howard, Laura Ryan, Kheng T. Lim, John.

Evaluation of patient’s understanding and recall of the consent process after open inguinal hernia repairs Mohammed M. Uzzaman, Sidhartha Sinha, Behnam.

E. Alabraba, E. Psarelli, K. Meakin, M. Quinn, M. Leung, M. Hartley, N

Intestinal obstruction caused by intraoperative mass reduction of an incarcerated inguinal hernia—Report of a case Shih-Chung Wu, Chih-Chi Wang, Shyr-Ming.

Muhammad Shoaib Nabi, Talat Waseem, Nauman Tarif, Kamran Khalid Chima

I. F. Anwar, S. K. Down, S. Rizvi, N. Farooq, A. Burger, A. Morgan, M

Gallbladder intestinal metaplasia in Pakistani patients with gallstones Muhammad Rizwan Khan, Syed Ahsan Raza, Zubair Ahmad, Sana Naeem, Shahid Pervez,

Esophagoplasty using previously resected stomach proposed by A. A

International Journal of Surgery

Academic requirements for Certificate of Completion of Training in surgical training: Consensus recommendations from the Association of Surgeons in Training/National.

V. Quan, B. Alaraimi, W. Elbakbak, A. Bouhelal, B. Patel

Single-step treatment of gall bladder and bile duct stones: A combined endoscopic– laparoscopic technique Abdel Hamid Ghazal, Magdy A. Sorour, Mohamed.

Laparoscopic ventral hernia repair

Dipesh H. Vasant, MRCP Gastrointestinal Endoscopy

B. Joseph Elmunzer, Paula M. Novelli, Jason R. Taylor, Cyrus R

A case of hemobilia secondary to cancer of the gallbladder confirmed by cholangioscopy and treated with a fully covered self-expanding metal stent Linda.

Erin Y. Chew, BS, Bibin T. Varghese, BS, Robert J. Sealock, MD

Benign expectoration of a surgical clip through a pneumonectomy stump

Treatment of resistant distal intestinal obstruction syndrome with a modified antegrade continence enema procedure I.J. Clifton, A.M. Morton, N.S. Ambrose,

Ruptured ovarian artery aneurysm: A case report

The rare case of a symptomatic atherosclerotic aneurysm of the superior epigastric artery mimicking an acute cholecystitis Sven Seifert, MD, Axel Denz,

Reviewer Acknowledgment

Cholelithiasis.

Deron J Tessier, MD, Colleen M Brophy, MD Journal of Vascular Surgery

Cecal fecaloma: A rare cause of right lower quadrant pain

Rena Yadlapati, Ryan Law, Srinadh Komanduri

Presentation transcript:

Percutaneous Cholecystostomy – A Safe Option in the Management of Acute Biliary Sepsis in the Elderly J.M. Howard, A.M. Hanly, M. Keogan, M. Ryan, J.V. Reynolds International Journal of Surgery Volume 7, Issue 2, Pages 94-99 (January 2009) DOI: 10.1016/j.ijsu.2009.01.002 Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 1 Case 1: CT scan demonstrating a very large distended gallbladder (14cm), with an ill-defined gallbladder wall and fluid seen in a pericholecystic distribution. The CBD is dilated at 1.6cm and a filling defect noted at the distal CBD. International Journal of Surgery 2009 7, 94-99DOI: (10.1016/j.ijsu.2009.01.002) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 2 Case 2: CT scan demonstrating a grossly distended gallbladder with a thick enhancing wall and evidence of acute cholecystitis without gallstones. Dilated caecum and proximal colon without evidence of an obstructing lesion. International Journal of Surgery 2009 7, 94-99DOI: (10.1016/j.ijsu.2009.01.002) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 3 Case 3: CT scan showing an enlarged gallbladder (15×5cm) causing distortion of surrounding structures and likely associated Mirizzi's syndrome. Dilated cystic and intrahepatic ducts with multiple gallstones noted within the gallbladder. International Journal of Surgery 2009 7, 94-99DOI: (10.1016/j.ijsu.2009.01.002) Copyright © 2009 Surgical Associates Ltd Terms and Conditions

Fig. 4 Case 3: A cholecystostomy tubogram demonstrating a number of filling defects within the gallbladder consistent with gallbladder calculi. The common duct is dilated and contains a large filling defect within its distal aspect. International Journal of Surgery 2009 7, 94-99DOI: (10.1016/j.ijsu.2009.01.002) Copyright © 2009 Surgical Associates Ltd Terms and Conditions