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Article: Biliary sludge and cholecystitis

TitleBiliary sludge and cholecystitis
Authors
KeywordsBiliary sludge
Cholecystectomy
Cholecystitis
Cholelithiasis
Issue Date2003
PublisherBailliere Tindall. The Journal's web site is located at http://www.elsevier.com/locate/bpg
Citation
Bailliere's Best Practice And Research In Clinical Gastroenterology, 2003, v. 17 n. 3, p. 383-396 How to Cite?
AbstractBiliary sludge develops commonly in critically ill patients and may be associated with biliary colic, acute pancreatitis or acute cholecystitis. Sludge often resolves upon resolution of the underlying pathogenetic factor. It is generally diagnosed on sonography. Treatment of sludge itself is unnecessary unless further complications develop. Acute acalculous cholecystitis also develops frequently in critically ill patients. It may be difficult to diagnose in these patients, manifesting only as unexplained fever, leukocytosis or sepsis. Sonography and hepatobiliary scintigraphy are the most useful diagnostic tests. Management decisions should take into account the underlying co-morbid conditions. For many patients, percutaneous cholecystostomy may be the best management option. Cholecystostomy may also provide definitive drainage as patients recover and underlying critical illness resolves.
Persistent Identifierhttp://hdl.handle.net/10722/92499
ISSN
2015 Impact Factor: 3.897
2015 SCImago Journal Rankings: 1.406
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorKo, CWen_HK
dc.contributor.authorLee, SPen_HK
dc.date.accessioned2010-09-17T10:48:06Z-
dc.date.available2010-09-17T10:48:06Z-
dc.date.issued2003en_HK
dc.identifier.citationBailliere's Best Practice And Research In Clinical Gastroenterology, 2003, v. 17 n. 3, p. 383-396en_HK
dc.identifier.issn1521-6918en_HK
dc.identifier.urihttp://hdl.handle.net/10722/92499-
dc.description.abstractBiliary sludge develops commonly in critically ill patients and may be associated with biliary colic, acute pancreatitis or acute cholecystitis. Sludge often resolves upon resolution of the underlying pathogenetic factor. It is generally diagnosed on sonography. Treatment of sludge itself is unnecessary unless further complications develop. Acute acalculous cholecystitis also develops frequently in critically ill patients. It may be difficult to diagnose in these patients, manifesting only as unexplained fever, leukocytosis or sepsis. Sonography and hepatobiliary scintigraphy are the most useful diagnostic tests. Management decisions should take into account the underlying co-morbid conditions. For many patients, percutaneous cholecystostomy may be the best management option. Cholecystostomy may also provide definitive drainage as patients recover and underlying critical illness resolves.en_HK
dc.languageengen_HK
dc.publisherBailliere Tindall. The Journal's web site is located at http://www.elsevier.com/locate/bpgen_HK
dc.relation.ispartofBailliere's Best Practice and Research in Clinical Gastroenterologyen_HK
dc.subjectBiliary sludgeen_HK
dc.subjectCholecystectomyen_HK
dc.subjectCholecystitisen_HK
dc.subjectCholelithiasisen_HK
dc.titleBiliary sludge and cholecystitisen_HK
dc.typeArticleen_HK
dc.identifier.emailLee, SP: sumlee@hku.hken_HK
dc.identifier.authorityLee, SP=rp01351en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S1521-6918(03)00026-Xen_HK
dc.identifier.pmid12763503-
dc.identifier.scopuseid_2-s2.0-0346723076en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0346723076&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume17en_HK
dc.identifier.issue3en_HK
dc.identifier.spage383en_HK
dc.identifier.epage396en_HK
dc.identifier.isiWOS:000183396900006-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridKo, CW=7202596492en_HK
dc.identifier.scopusauthoridLee, SP=7601417497en_HK

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