journal
MENU ▼
Read by QxMD icon Read
search

Surgical Clinics of North America

journal
https://read.qxmd.com/read/30846043/preface
#1
EDITORIAL
J Bart Rose
No abstract text is available yet for this article.
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846042/biliary-issue
#2
EDITORIAL
Ronald F Martin
No abstract text is available yet for this article.
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846041/role-of-transplant-in-biliary-disease
#3
REVIEW
Margaret M Romine, Jared White
Orthotopic liver transplantation (OLT) has many roles in biliary disease. OLT provides excellent results for patients with unresectable hilar cholangiocarcinoma. OLT prolongs survival in primary biliary cirrhosis not responsive to therapy and improves quality of life. OLT remains the durable option for patients with primary sclerosing cholangitis and complications of end-stage liver disease or recurrent cholangitis secondary to biliary obstruction. Indications for OLT after bile duct injury are chronic liver disease secondary to biliary cirrhosis and acute liver failure from associated vascular injury...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846040/endoscopic-management-of-biliary-disorders-diagnosis-and-therapy
#4
REVIEW
Rajesh Krishnamoorthi, Andrew Ross
Endoscopic retrograde cholangiopancreatography (ERCP) has evolved from a diagnostic and therapeutic tool to a predominantly therapeutic tool. There is a limited role for diagnostic ERCP with widespread availability of magnetic resonance cholangiopancreatography and endoscopic ultrasound (EUS). Since its introduction, EUS evolved from a diagnostic imaging modality to one with combined diagnostic and therapeutic capabilities. Currently, ERCP remains the standard of care for biliary decompression. In future, it is possible that EUS guided transmural biliary drainage may replace ERCP for certain indications...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846039/ampullary-cancer
#5
REVIEW
Rui Zheng-Pywell, Sushanth Reddy
Compared with other periampullary tumors, cancers of the ampulla of Vater are rare. These tumors tend to present earlier than their pancreatic and distal bile duct brethren. In addition to the hypothesis that they are also less biologically aggressive, ampullary cancers tend to have better survival than other types of periampullary cancers. The mortality from this disease remains high, and much can still be learned about ampullary cancers.
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846038/gallbladder-cancer-diagnosis-surgical-management-and-adjuvant-therapies
#6
REVIEW
Laura Hickman, Carlo Contreras
Gallbladder cancer (GBC) is an often lethal disease, but surgical resection is potentially curative. Symptoms may be misdiagnosed as biliary colic; over half of new diagnoses are made after laparoscopic cholecystectomy for presumed benign disease. Gallbladder polyps >1 cm should prompt additional imaging and cholecystectomy. For GBC diagnosed after cholecystectomy, tumors T1b and greater necessitate radical cholecystectomy. Radical cholecystectomy includes staging laparoscopy, hepatic resection, and locoregional lymph node clearance to achieve R0 resection...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846037/cholangiocarcinoma
#7
REVIEW
Adeel S Khan, Leigh Anne Dageforde
Cholangiocarcinoma is a rare malignancy and accounts for 2% of all malignancies. Incidence is on the increase in the Western world. Cholangiocarcinoma arises from the malignant growth of the epithelial lining of the bile ducts and can be found all along the biliary tree. It can be classified into subtypes based on location: intrahepatic (arising from the intrahepatic biliary tract in the hepatic parenchyma), perihilar (at the hilum of the liver involving the biliary confluence) and distal (extrahepatic, often in the head of the pancreas)...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846036/premalignant-lesions-of-the-biliary-tract
#8
REVIEW
Zaheer S Kanji, Flavio G Rocha
Although the most common presentation of biliary disorder in North America is secondary to gallstone disease, an awareness of benign biliary cystic neoplasms is important because of the risk of malignant transformation. The incidence of premalignant cystic neoplasms of the bile duct is not well characterized and they often are detected incidentally for suspicion of other abdominal disorders. This article describes the 4 most common premalignant biliary cystic neoplasms: biliary mucinous cystic neoplasms, intraductal papillary mucinous neoplasms of the bile duct, intraductal tubular papillary neoplasms of the bile duct, and choledochal cysts...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846035/an-update-on-iatrogenic-biliary-injuries-identification-classification-and-management
#9
REVIEW
Joshua T Cohen, Kevin P Charpentier, Rachel E Beard
Common bile duct injury is a feared complication of cholecystectomy, with an incidence of 0.1% to 0.6%. A majority of injuries go unnoticed at index operation, and postoperative diagnosis can be difficult. Patient presentation can vary from vague abdominal pain to uncontrolled sepsis and peritonitis. Diagnostic evaluation typically begins with ultrasound or CT scan in the acute setting, and source control is paramount at time of presentation. In a stable patient, hepatobiliary iminodiacetic acid scan can be useful in identifying an ongoing bile leak, which requires intervention...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846034/technical-aspects-of-bile-duct-evaluation-and-exploration-an-update
#10
REVIEW
William Scott Helton, Subhashini Ayloo
Consensus guidelines recommend patients with symptomatic cholelithiasis and suspected choledocholithiasis have common bile duct exploration (CBDE) at the time of cholecystectomy to prevent downstream problems. Despite superiority of single-stage cholecystectomy with CBDE, 2-stage precholecystectomy/postcholecystectomy with endoscopic clearance of the duct is commonly practiced. This is related to inadequate training in minimally invasive techniques, lack of technical support for efficient and safe CBDE, and surgeons' inexperience with complex biliary pathologic condition...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846033/an-update-on-technical-aspects-of-cholecystectomy
#11
REVIEW
Dominic E Sanford
Laparoscopic cholecystectomy has revolutionized the field of surgery, and is currently the gold standard in the treatment for symptomatic cholelithiasis. The goal of every laparoscopic cholecystectomy should be attainment of the critical view of safety before cutting the cystic duct and artery to reduce the risk of bile duct injury. Open cholecystectomy is most commonly performed when laparoscopic cholecystectomy is converted to open or when laparoscopic cholecystectomy is contraindicated. Robotic cholecystectomy is a safe alternative to conventional laparoscopic cholecystectomy, and follows the same basic operative principles...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846032/gallstone-disease-cholecystitis-mirizzi-syndrome-bouveret-syndrome-gallstone-ileus
#12
REVIEW
Farzad Alemi, Natalie Seiser, Subhashini Ayloo
Gallstone disease is a leading cause of morbidity in the United States and usually requires surgical or endoscopic interventions for diagnosis and/or treatment. Although gallstone disease is classically associated with the inflammatory sequela of cholecystitis, gallstones can also contribute to other clinical presentations such as gallstone ileus, Mirizzi syndrome, and Bouveret syndrome. This article explores the common-and uncommon-causes of surgical pathology owing to gallstones with an emphasis on clinical identification, diagnostics, and management options...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846031/bile-metabolism-and-lithogenesis-an-update
#13
REVIEW
Austin R Dosch, David K Imagawa, Zeljka Jutric
Bile is composed of multiple macromolecules, including bile acids, free cholesterol, phospholipids, bilirubin, and inorganic ions that aid in digestion, nutrient absorption, and disposal of the insoluble products of heme catabolism. The synthesis and release of bile acids is tightly controlled and dependent on feedback mechanisms that regulate enterohepatic circulation. Alterations in bile composition, impaired gallbladder relaxation, and accelerated nucleation are the principal mechanisms leading to biliary stone formation...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846030/an-update-on-biliary-dyskinesia
#14
REVIEW
Clancy J Clark
Biliary dyskinesia is a functional disorder of the gallbladder or sphincter of Oddi. While cholecystectomy for symptomatic cholelithiasis is widely accepted, debate remains regarding the clinical benefit of invasive procedures for biliary dyskinesia. This article will review current best evidence in the diagnosis and management of biliary dyskinesia.
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846029/autoimmune-diseases-of-the-biliary-tract-a-review
#15
REVIEW
Christina W Lee, Sean Ronnekleiv-Kelly
The management of autoimmune hepatobiliary disorders remains a challenging and emerging area of investigation. An awareness of cholestatic liver diseases is critical to appropriate recognition and management of these challenging diseases, because patients often present asymptomatically, and diagnosis is limited by the lack of disease-specific markers and diagnostic studies. Furthermore, there is a paucity of treatment options because the pathophysiology underlying autoimmune biliary diseases remains largely unknown...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846028/cholangitis-causes-diagnosis-and-management
#16
REVIEW
Jesse K Sulzer, Lee M Ocuin
Acute cholangitis remains a potentially lethal disease if not appropriately diagnosed in a timely fashion. Modern diagnostic and therapeutic modalities have greatly decreased mortality from acute cholangitis. This article aims to provide an up-to-date synopsis of empirically tested diagnostic criteria as well as an overview of the expanding interventions available.
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30846027/embryology-anatomy-and-imaging-of-the-biliary-tree
#17
REVIEW
Jad E Abou-Khalil, Kimberly A Bertens
"The anatomy of the biliary tree is notoriously variable. This variation is the bane of the hepatobiliary surgeon, to whom an understanding of biliary anatomic variation is key to the planning and safe conduct of liver surgery, from oncological resections to split-liver transplantation. The hepatic diverticulum, also termed "the liver bud," is the first semblance of the biliary system in the human embryo. A variety of techniques used in the mid twentieth century for imaging the biliary tree have since been abandoned in favor of more practical, safer, less invasive, and more sensitive and specific contemporary methods...
April 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30471745/transplant-2018
#18
EDITORIAL
Ronald F Martin
No abstract text is available yet for this article.
February 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30471744/pancreas-transplantation-indications-techniques-and-outcomes
#19
REVIEW
Mariya L Samoylova, Deeplaxmi Borle, Kadiyala V Ravindra
Pancreas transplantation treats insulin-dependent diabetes with or without concurrent end-stage renal disease. Pancreas transplantation increases survival versus no transplant, increases survival when performed as simultaneous pancreas-kidney versus deceased-donor kidney alone, and improves quality of life. Careful donor and recipient selection are paramount to good outcomes. Several technical variations exist for implantation: portal versus systemic vascular drainage and jejunal versus duodenal versus bladder exocrine drainage...
February 2019: Surgical Clinics of North America
https://read.qxmd.com/read/30471743/pediatric-abdominal-organ-transplantation
#20
REVIEW
Christine S Hwang, Malcolm Macconmara, Dev M Desai
Pediatric liver and kidney transplantation have become the standard and accepted treatment for children with end-stage renal and liver disease. Since the first successful kidney transplant in 1954 by Dr Joseph Murray and the first liver transplant by Dr Thomas Starzl, the scope of indications for visceral organ transplantation as well as the range of recipient and donor ages has expanded. The first pediatric liver and kidney transplants, simultaneous multivisceral transplants, living-donor and donation-after-cardiac-death organs have evolved rapidly into the standard of care for end-stage renal and liver failure in children...
February 2019: Surgical Clinics of North America
journal
journal
21568
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"