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biliary dyskinesia/obesidad
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14 resultados
Prediction of symptom improvement in children with biliary dyskinesia.
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BACKGROUND
Rates of cholecystectomy for biliary dyskinesia are rising. Our objective was to identify clinical determinants of symptom improvement in children undergoing cholecystectomy for biliary dyskinesia.
METHODS
This retrospective cohort study included patients undergoing cholecystectomy for
Obesity Increases Operative Time in Children Undergoing Laparoscopic Cholecystectomy.
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BACKGROUND
Few studies have assessed the impact of obesity on laparoscopic cholecystectomy (LC) in pediatric patients.
METHODS
Children who underwent LC were identified from the 2012 to 2013 American College of Surgeons' National Surgical Quality Improvement Program Pediatrics data. Patient
Laparoscopic cholecystectomy for biliary dyskinesia: Which patients have long term benefit?
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OBJECTIVE
Biliary dyskinesia (BD) is described as biliary colic in the absence of gallstones. The diagnosis relies on imaging studies and decreased excretion of bile in response to cholecystokinin during quantitative cholescintigraphy. The purpose of this study was to evaluate the success of
Pathologic changes in biliary dyskinesia.
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OBJECTIVE
For children with upper abdominal pain and evaluation for acalculous biliary disease, laparoscopic cholecystectomy is an accepted treatment with inconsistent outcomes. The purpose of this study was to identify predictors of outcomes.
METHODS
One hundred sixty-seven children underwent
Concomitant cholecystectomy during laparoscopic Roux-en-Y gastric bypass in obese patients is not justified: a meta-analysis.
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While LRYGB has become a cornerstone in the surgical treatment of morbidly obese patients, concomitant cholecystectomy during LRYGB remains a matter of debate. The aim of this meta-analysis was to estimate the rate and morbidity of subsequent cholecystectomy after laparoscopic Roux-en-Y gastric
Two-Incision Laparoscopic Cholecystectomy in Children.
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OBJECTIVE
To evaluate two-incision laparoscopic cholecystectomy (2I-LC) in children, and compare outcomes with four-port laparoscopic cholecystectomy (4P-LC).
METHODS
A retrospective review was performed on children (≤21 years) with gallbladder disease treated with 2I-LC or 4P-LC between February
Contemporary experience with cholecystectomy: establishing 'benchmarks' two decades after the introduction of laparoscopic cholecystectomy.
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With quality and public reporting of increasing importance, benchmarks are anticipated to grow in relevance. We studied cholecystectomy in a practice in an urban tertiary care hospital. A total of 1083 cholecystectomies were performed in 2008 and 2009. Laparoscopic cholecystectomy was performed in
[The occurrence of gallbladder contractility disorders in children with some diseases presenting as abdominal pain].
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Gallbladder dyskinesia is not mentioned among current (ROME III) classification of the functional gastrointestinal disorders in children. However both own clinical experience and a few published data spike for the appearance these disturbances also in the developmental age.
OBJECTIVE
Ultrasound (US)
Gallbladder disease in children.
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Biliary disease in children has changed over the past few decades, with a marked rise in incidence-perhaps most related to the parallel rise in pediatric obesity-as well as a rise in cholecystectomy rates. In addition to stone disease (cholelithiasis), acalculous causes of gallbladder pain such as
Broad clinical utilization of NOTES: is it safe?
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BACKGROUND
Natural orifice transluminal endoscopic surgery (NOTES) has been the focus of several studies as a less invasive alternative to conventional laparoscopy to access and treat intracavitary organs. For the last 5 years, much has been accomplished with animal studies, yet the clinical
Effects of bioactive agents on biliary motor function.
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Our understanding of biliary motility under normal and pathophysiologic conditions is still incomplete, but there have been recent advances. Of particular interest are the mechanisms involved in gallbladder filling and emptying, with a focus on understanding the processes underlying impaired
Trends in management of gallbladder disorders in children.
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Gallbladder disorders have been recognized with increasing frequency in pediatric patients. This study aimed to identify recent trends in management and compare the effectiveness of laparoscopic (LC) over open cholecystectomy (OC) by a retrospective chart analysis of all cholecystectomies from 1990
Clinical characteristics and risk factors for symptomatic pediatric gallbladder disease.
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OBJECTIVE
Our center previously reported its experience with pediatric gallbladder disease and cholecystectomies from 1980 to 1996. We aimed to determine the current clinical characteristics and risk factors for symptomatic pediatric gallbladder disease and cholecystectomies and compare these
MR imaging of the gallbladder: a pictorial essay.
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The gallbladder serves as the repository for bile produced in the liver. However, bile within the gallbladder may become supersaturated with cholesterol, leading to crystal precipitation and subsequent gallstone formation. The most common disorders of the gallbladder are related to gallstones and
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