Gallstone Ileus Case Study

Treatments include Surgery and medications to dissolve the gallstones. Nearly all cholecystectomies are performed with laparoscopy. If tests show the gallbladder has severe inflammation, infection, or scarring from other operations, the surgeon may perform open surgery to remove the gallbladder. In some cases, open surgery is planned; however, sometimes these problems are discovered during the laparoscopy and the surgeon must make a larger incision. If gallstones

Postoperative nursing care after a laparoscopic cholecystectomy includes monitoring for complications such as bleeding, making the patient comfortable, and preparing the patient for discharge. Assessment findings for poor wound healing include redness, tenderness, swelling, purulent drainage, pain, and fever. Monitoring white blood cell count is a way to see if there is a presence of a bacterial infection. Maintaining good fluid intake and nutrition promotes fast and good wound healing. The carbon dioxide can irritate the phrenic nerve

The most important of the gall stone diet is to eat the food stated above in small meals. You can eat these said food more than thrice a day but you have to eat them in small amounts. Rather than eating full meals for your breakfast, lunch and dinner, it is more advisable to eat little servings of food every now and then. This way, when you eat in small amounts you give your stomach time to fully digest the food that you've just intake. Thus, preventing constipation and gall stone

Should the Galls complaint be dismissed? The circumstance between Stephen Gall and McKeesport Municipal Water Authority is whether or not the UCC still applies if under the condition of contaminated water. McKeesport claims that this will not apply because water is not considered a sale of good. However, I believe that under the UCC this case will not be dismissed because McKeesport is promising a good, which is water. I believe the UCC applies because McKeesport was in charge of maintaining water that is what they are in charge of selling; water is their good. However, in Oklahoma they have their own version of the Uniform Commercial Code (UCC). That is if it is "governed “transactions in goods,” with “goods” being defined as” all things (including specially manufactured goods) which are movable at the time of identification to the contract for sale (Breach of Contract)." I would believe that the UCC would vary depending

Antibiotics will be prescribed to the cat to clear infections or bacterial complications that are causing the gallstones to form. Antibiotics may also be prescribed before surgery in order to prevent infection from occurring after surgery. Ursodeoxycholic acid may be prescribed twice a day in order to dissolve small gallstones that aren't blocking the bile duct. S-Adenosylmethionine, or SAMe, may also be given in order to improve bile production and function of the liver.

If you have gallstones or an infected gallbladder, your doctor may advise you to have surgery. Gallbladder removal is one of the many surgical procedures that can be done laparoscopically. That means recovery is usually much quicker and the hospital stay is shorter than surgeries that require a full incision. Here's a look at how laparoscopic gallbladder removal is done and what to expect as you recover from it.

DS is a 57-year-old white female whit a history of diverticulitis who presents to the clinic for an evaluation of abdominal pain. She stated that she began experiencing left lower quadrant pain last night that worsened through the night and into this morning. The pain is described as dull, occasionally cramping, rated 7/10 in severity. The patient also stated that this pain is similar to previous episodes of diverticulitis. The patient stated that she took Gas-X this morning with little relief. She was able to move her bowels yesterday and this morning, both reportedly normal. The patient denied any fever, chills, chest pain, shortness of breath, nausea, vomiting, diarrhea, melena, hematochezia, or any other symptoms. At this time, there were

Gallstone is a condition where gallstones are either in the gallbladder (cholithiasis) or common bile duct(choledocholithiasis). Choledocholithiasis is frequently associated with obstruction of the biliary tree , which can lead to acute ascending cholangitis , that a serious infection of the bile ducts. Gallstones within the ampulla of Vater can obstruct the exocrine system of the pancreas , which can result in pancreatitis. [4]

Obesity is one of the major risk factors for gallstones, especially in women. A large clinical study showed that being even moderately overweight increases one’s risk for developing gallstones.

Gallstones hold a very close annoying factor in my heart. As a registered nurse in a very busy Emergency Room, I find myself dealing with at least 2-4 gallstone/pain ER admits on every shift. I believe that one of the main reasons for the recurrent visits is due to the lack of education regarding their diet. My goal with this Outreach Project was to provide education regarding a healthy diet along with quick references to both the inappropriate and appropriate foods needed in order to manage the diagnosis of gallstones.

Cholelithiasis is the medical term for gallstones. The gallbladder is a small, pear-shaped organ situated in the upper part of the right abdomen below the liver. Gallstones are solid particles that build up in the gallbladder. The size of gallstones can range in size from that of sand grain to that of a golf ball. There may be a single large stone or several small and large stones of different sizes in the gallbladder. Approximately 10-15% of the adult population in the west is known to develop gall stones annually. Stones in the gallbladder form due to an imbalance in the chemical constituents of bile. Due to this, one or more components of bile get precipitated. The exact reason for this imbalance is not known. Patients suffering from this disease may experience a sudden pain ( called gall bladder attack, also called biliary colic)in the upper right abdomen. This pain occurs when the biliary ducts are blocked by the gallstones. Gallstones have been observed in people of all age groups. However, the risk increases with age. Obesity increases the risk of formation of gallstones. In females, oestrogen leads to secretion of more cholesterol, excess of which leads to formation of stones. Thus, the risk is higher in females. Genetic reasons also contribute to cholelithiasis. Other factors that increase risk of gallstones include

Background and aim: Bile duct leak is an infrequent but serious disorder. The great majority occurs after hepatobiliary surgery. Early recognition and adequate multidisciplinary approach is the cornerstone for the optimal final outcomes. Traditionally, surgery has been the gold standard for the management of bile leak, but it is associated with significant morbidity and mortality. Biliary endoscopic procedures have become the treatment of choice, as simple, noninvasive procedure, with low morbidity and mortality, short hospital stay, and coast effective, with demonstrated results comparable to those achieved with surgery. We aim to evaluate the optimal management of postoperative bile leak.

The purpose of this prospective study is to compare short term outcomes following early and conventional enteral feeding following anastomosis in colorectal surgeries.

Fistulectomy was reported as an adequate surgical technique for the management of the simple or the low transsphincteric anal fistula. When a complicated transsphincteric or suprasphincteric fistula in encountered, the application of advancement flaps, an anal plug, a fibrin glue, ligation of the intersphincteric fistula tract (LIFT), radiofrequency ablation, a loose seton, etc. is among the preferred treatment options32.

In the present series, the EWL results of SG were as good as those of GB. SG after GB gave similar results to those obtained by a successful GB procedure. Our results showed that a second restrictive procedure can be performed after failure of GB. Complications were less frequent in the SG group but were more serious. The reoperation rate under general anesthesia was lower in the SG group. There was no significant difference in terms of quality of life between the three groups.