Bile bacteria and sepsis in biliary surgery

1985 ◽  
Vol 72 (2) ◽  
pp. 152-152 ◽  
Author(s):  
A. V. Pollock
1984 ◽  
Vol 71 (11) ◽  
pp. 845-849 ◽  
Author(s):  
R. G. Willis ◽  
W. C. Lawson ◽  
E. M. Hoare ◽  
R. D. Kingston ◽  
P. A. Sykes

2020 ◽  
Vol 22 (1) ◽  
pp. 25-29
Author(s):  
Zubayer Ahmad ◽  
Mohammad Ali ◽  
Kazi lsrat Jahan ◽  
ABM Khurshid Alam ◽  
G M Morshed

Background: Biliary disease is one of the most common surgical problems encountered all over the world. Ultrasound is widely accepted for the diagnosis of biliary system disease. However, it is a highly operator dependent imaging modality and its diagnostic success is also influenced by the situation, such as non-fasting, obesity, intestinal gas. Objective: To compare the ultrasonographic findings with the peroperative findings in biliary surgery. Methods: This prospective study was conducted in General Hospital, comilla between the periods of July 2006 to June 2008 among 300 patients with biliary diseases for which operative treatment is planned. Comparison between sonographic findings with operative findings was performed. Results: Right hypochondriac pain and jaundice were two significant symptoms (93% and 15%). Right hypochondriac tenderness, jaundice and palpable gallbladder were most valuable physical findings (respectively, 40%, 15% and 5%). Out of 252 ultrasonically positive gallbladder, stone were confirmed in 249 cases preoperatively. Sensitivity of USG in diagnosis of gallstone disease was 100%. There was, however, 25% false positive rate detection. Specificity was, however, 75% in this case. USG could demonstrate stone in common bile duct in only 12 out of 30 cases. Sensitivity of the test in diagnosing common bile duct stone was 40%, false negative rate 60%. In the series, ultrasonography sensitivity was 100% in diagnosing stone in cystic duct. USG could detect with relatively good but less sensitivity the presence of chronic cholecystitis (92.3%) and worm inside gallbladder (50%). Conclusion: Ultrasonography is the most important investigation in the diagnosis of biliary disease and a useful test for patients undergoing operative management for planning and anticipating technical difficulties. Journal of Surgical Sciences (2018) Vol. 22 (1): 25-29


Mirizzi syndrome is described in the 1940s as follows: partial obstruction of the secondary common hepatic duct by gallstones, impacted on the cystic duct or gallbladder infundibulum, associated with the inflammatory response that involved the cystic duct and the common hepatic duct. As it is a rare and delicate condition, differential diagnosis is extremely important, in which the patient's clinical condition is verified through anamnesis and complementary exams, where immediately after the surgical intervention can be performed. This work aims to describe, through a literature review, the clinical aspects and the surgical technique in Mirizzi Syndrome. Were used as a database for research sites containing scientific articles available online such as Virtual Health Library (VHL), Scientific Electronic Library Online (Scielo) and PubMed. 154 articles were found through the descriptors, where after applying the inclusion and exclusion criteria 11 articles remained to write the work. According to the articles surveyed, it is clear that most of them do not report the syndrome as the main diagnosis, possibly because it is a pathology with signs and symptoms very close to other diseases of the bile duct, therefore leaving the syndrome sometimes described in the context of these other diseases. Finally, it concludes that even though the preoperative diagnosis is rare, it should be suspected in individuals undergoing biliary surgery.


Author(s):  
Takehiro Noji ◽  
Ayano Inoue ◽  
Yoshitsugu Nakanishi ◽  
Takahiro Tsuchikawa ◽  
Keisuke Okamura ◽  
...  

HPB ◽  
2020 ◽  
Vol 22 ◽  
pp. S2
Author(s):  
R.W. Day ◽  
T.E. Newhook ◽  
W. Dewhurst ◽  
M. Arvide ◽  
M. Bruno ◽  
...  

2013 ◽  
Vol 45 (5) ◽  
pp. 430-432 ◽  
Author(s):  
Benedetto Mangiavillano ◽  
Carmelo Luigiano ◽  
Ilaria Tarantino ◽  
Luca Barresi ◽  
Marco Dinelli ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Zhe Hao T. Teo ◽  
Boon Lim J. Tey ◽  
Chek Wun Foo ◽  
Wan Yi Wong ◽  
Jee Keem Low

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 190S
Author(s):  
Alexandru M. Botianu ◽  
Petre A. Botianu

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