www.fgks.org   »   [go: up one dir, main page]
Wikipedia

Biliary colic: Difference between revisions

Browse history interactively
← Previous editNext edit →
Content deleted Content added
VisualWikitext
→‎Surgery: I have added a little bit of motivation for people who are having the surgery
Tags: Reverted extraneous markup references removed Visual edit
m Reverted edits by 2405:6E00:CD4:D100:DCE0:EA2A:9F78:6C0E (talk) (HG) (3.4.10)
Line 66:
 
===Surgery===
'''Hello I want to say we are all here because our family or you have biliary colic'''''Italic text''. It is unclear whether those experiencing a gallstone attack should receive surgical treatment or not.<ref name="SBU17" /> The scientific basis to assess whether surgery outperformed other treatment was insufficient and better studies were needed as of a SBU report in 2017.<ref name="SBU17" /> Treatment of biliary colic is dictated by the underlying cause.<ref name="auto">{{cite journal |vauthors= Sigmon S, Dayal N, Meseeha M |url=https://www.lecturio.com/concepts/forearm/| title=Biliary Colic|website=National Center for Biotechnology Information, U.S. National Library of Medicine. |year=2021|pmid=28613523|access-date= 8 July 2021}}</ref> The presence of gallstones, usually visualized by ultrasound, generally necessitates a surgical treatment ([[cholecystectomy|removal of the gall bladder]], typically via [[laparoscopy]]). <ref name="auto"/> Removal of the gallbladder with surgery, known as a [[cholecystectomy]], is the definitive surgical treatment for biliary colic. <ref>{{cite web |url=https://www.lecturio.com/concepts/cholecystectomy-approaches-and-technique/| title=Cholecystectomy: Approaches and Technique|website=The Lecturio Medical Concept Library |access-date= 8 July 2021}}</ref>
A 2013 Cochrane review found tentative evidence to suggest that early gallbladder removal may be better than delayed removal.<ref name=Guru2013>{{cite journal |last1=Gurusamy |first1=K. S. |last2=Koti |first2=R. |last3=Fusai |first3=G. |last4=Davidson |first4=B. R. |title=Early versus delayed laparoscopic cholecystectomy for uncomplicated biliary colic |journal=Cochrane Database Syst Rev |volume=6 |issue= 6|page=CD007196 |date=2013 |pmid=23813478 |doi=10.1002/14651858.CD007196.pub3 }}</ref> Early laparoscopic cholecystectomy happens within 72 hours of diagnosis.<ref name="Duncan" /> In a Cochrane review that evaluated receiving early versus delayed surgery, they found that 23% of those who waited on average 4 months ended up in hospital for complications, compared to none with early intervention with surgery.<ref name="Duncan" /><ref name=Guru2013 /> Early intervention has other advantages including a reduced number of visits to the emergency department, fewer conversions to open surgery, less operating time required, and reduced time in hospital postoperatively.<ref name="Duncan" /> The Swedish agency SBU estimated in 2017 that increasing acute phase surgeries could free multiple in-hospital days per patient and would additionally spare pain and suffering in wait of receiving an operation.<ref name="SBU17" /> The report found that those with acute inflammation of the gallbladder can be surgically treated in the acute phase, within a few days of symptom debut, without increasing the risk for complications (compared to when the surgery is done later in an asymptomatic stage).<ref name="SBU17" />
 
 
==Epidemiology==
Retrieved from "https://en.wikipedia.org/wiki/Biliary_colic"