Management of Uncomplicated Gallstones and Benign Gallbladder Disease

2017 ◽  
Author(s):  
Rebecca C Britt ◽  
Jessica R Burgess
Keyword(s):  
Gallbladder Disease ◽  
Gallstone Disease ◽  
Sphincter Of Oddi ◽  
General Surgeon ◽  
Sphincter Of Oddi Dysfunction ◽  
Gallbladder Polyps ◽  
Symptomatic Cholelithiasis ◽  
Common Problems ◽  
Oddi Dysfunction ◽  
Asymptomatic Gallstones

Gallbladder disease is one of the most common problems that the general surgeon will encounter. This comprehensive review discusses the management of uncomplicated gallstone disease, functional gallbladder disease, and gallbladder polyps. It provides indications for cholecystectomy in the asymptomatic patient. There is a thorough review of the diagnosis and management of symptomatic cholelithiasis, including special situations such as pregnancy and cirrhosis, and the latest evidence regarding routine versus selective cholangiography during cholecystectomy. This review also discusses the latest updates to the criteria for diagnosing functional gallbladder disease and sphincter of Oddi dysfunction.  This review contains 6 figures, 6 tables, and 99 references. Key words: asymptomatic gallstones, biliary dyskinesia, cholangiography, gallbladder polyps, laparoscopic cholecystectomy, sphincter of Oddi dysfunction, symptomatic cholelithiasis

Management of Uncomplicated Gallstones and Benign Gallbladder Disease

2018 ◽  
Author(s):  
Rebecca C Britt ◽  
Jessica R Burgess
Keyword(s):  
Gallbladder Disease ◽  
Gallstone Disease ◽  
Sphincter Of Oddi ◽  
General Surgeon ◽  
Sphincter Of Oddi Dysfunction ◽  
Gallbladder Polyps ◽  
Symptomatic Cholelithiasis ◽  
Common Problems ◽  
Oddi Dysfunction ◽  
Asymptomatic Gallstones

Gallbladder disease is one of the most common problems that the general surgeon will encounter. This comprehensive review discusses the management of uncomplicated gallstone disease, functional gallbladder disease, and gallbladder polyps. It provides indications for cholecystectomy in the asymptomatic patient. There is a thorough review of the diagnosis and management of symptomatic cholelithiasis, including special situations such as pregnancy and cirrhosis, and the latest evidence regarding routine versus selective cholangiography during cholecystectomy. This review also discusses the latest updates to the criteria for diagnosing functional gallbladder disease and sphincter of Oddi dysfunction.  This review contains 6 figures, 6 tables, and 99 references. Key words: asymptomatic gallstones, biliary dyskinesia, cholangiography, gallbladder polyps, laparoscopic cholecystectomy, sphincter of Oddi dysfunction, symptomatic cholelithiasis

scholarly journals Hymecromone in the treatment of biliary diseases: options and prospects

2020 ◽  
Vol 18 (5) ◽  
pp. 66-74
Author(s):  
A.V. Okhlobystin ◽  
◽  
A.K. Ufimtseva ◽  
Keyword(s):  
Ursodeoxycholic Acid ◽  
Gallstone Disease ◽  
Experimental Studies ◽  
Oral Intake ◽  
Sphincter Of Oddi ◽  
Gallbladder Motility ◽  
Sphincter Of Oddi Dysfunction ◽  
Biliary Sludge ◽  
Treatment Safety ◽  
Oddi Dysfunction

Pharmacological treatment of biliary dyskinesia is to a great extend aimed at reducing smooth muscle spasms and recovering gallbladder motility. Prolonged courses of myotropic antispasmodics are used as the basic therapy. Hymecromone is notable to its predominantly spasmolytic action on the bile ducts and the sphincter of Oddi without any significant effect on the gallbladder contractility, and therefore it is safe in patients with cholecystolythiasis. Hymecromone decreases the severity of cholestasis, prevents the formation of cholesterol crystals and therefore, the development of cholelithiasis. It is effective both as a monotherapy and in combination with ursodeoxycholic acid for treatment of biliary sludge and prevention of the progression of gallstone disease. Its local action on the biliary tract and low systemic bioavailability after oral intake increases the treatment safety. Experimental studies demonstrated the antifibrotic and antihyperglycaemic effect of the drug. Key words: biliary dysfunction, cholelithiasis, sphincter of Oddi dysfunction, biliary sludge, hymecromone, ursodeoxycholic acid

An endoscopic animal model of sphincter of Oddi dysfunction

2001 ◽  
Vol 120 (5) ◽  
pp. A390-A391 ◽  
Author(s):  
A BAK ◽  
R PERINI ◽  
M MUSCARA ◽  
P COTTON ◽  
R HAWES ◽  
...  
Keyword(s):  
Animal Model ◽  
Sphincter Of Oddi ◽  
Sphincter Of Oddi Dysfunction ◽  
Oddi Dysfunction

Sphincter of Oddi dysfunction in children with recurrent pancreatitis and anomalous pancreaticobiliary union: an etiologic concept

1999 ◽  
Vol 50 (2) ◽  
pp. 194-199 ◽  
Author(s):  
Moises Guelrud ◽  
Claudio Morera ◽  
Magaly Rodriguez ◽  
Domingo Jaen ◽  
Reinaldo Pierre
Keyword(s):  
Sphincter Of Oddi ◽  
Sphincter Of Oddi Dysfunction ◽  
Recurrent Pancreatitis ◽  
Oddi Dysfunction

Pain on common bile duct injection during ERCP: does it indicate sphincter of Oddi dysfunction?

1990 ◽  
Vol 36 (5) ◽  
pp. 458-461 ◽  
Author(s):  
Michael J. Schmalz ◽  
Joseph E. Geenen ◽  
Walter J. Hogan ◽  
Wylie J. Dodds ◽  
Rama P. Venu ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Sphincter Of Oddi ◽  
Sphincter Of Oddi Dysfunction ◽  
Oddi Dysfunction
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