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Biliary Colic

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1. Are Nonsteroidal Anti-inflammatory Drugs Efficacious in Relieving Biliary Colic Pain?

Are Nonsteroidal Anti-inflammatory Drugs Efficacious in Relieving Biliary Colic Pain? Are Nonsteroidal Anti-inflammatory Drugs Efficacious in Relieving Biliary Colic Pain? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 70, Issue 6, Pages 822–824 Are Nonsteroidal Anti-inflammatory Drugs Efficacious in Relieving Biliary Colic Pain? x Brit Long , MD (EBEM Commentator) , x Michael D. April , MD, DPhil (...) (EBEM Commentator) Department of Emergency Medicine, SAUSHEC, Fort Sam Houston, TX DOI: | Publication History Published online: April 28, 2017 Expand all Collapse all Article Outline Take-Home Message Nonsteroidal anti-inflammatory drugs are beneficial in managing biliary colic pain compared with placebo. No difference was found in pain relief when nonsteroidal anti-inflammatory drugs were compared with opioids. Methods Data Sources Investigators searched the Cochrane Hepato-Biliary Group Controlled

2017 Annals of Emergency Medicine Systematic Review Snapshots

2. Non-steroid anti-inflammatory drugs for biliary colic. (PubMed)

Non-steroid anti-inflammatory drugs for biliary colic. Cholelithiasis refers to the presence of gallstones, which are concretions that form in the biliary tract, usually in the gallbladder. Cholelithiasis is one of the most common surgical problems worldwide and is particularly prevalent in most Western countries.Biliary colic is the term used for gallbladder pain experienced by a person with gallstones and without overt infection around the gallbladder. It is the most common manifestation (...) of cholelithiasis, observed in over one-third of people with gallstones over the course of 10 or more years. Non-steroid anti-inflammatory drugs (NSAIDs) have been widely used to relieve biliary colic pain, but their role needs further elucidation. They may decrease the frequency of short-term complications, such as mild form of acute cholecystitis, jaundice, cholangitis, and acute pancreatitis, but they may also increase the occurrence of more severe and possibly life-threatening adverse events

2016 Cochrane

3. Early versus delayed laparoscopic cholecystectomy for uncomplicated biliary colic. (PubMed)

Early versus delayed laparoscopic cholecystectomy for uncomplicated biliary colic. Uncomplicated biliary colic is one of the commonest indications for laparoscopic cholecystectomy. Laparoscopic cholecystectomy involves several months of waiting if performed electively. However, people can develop life-threatening complications during this waiting period.To assess the benefits and harms of early versus delayed laparoscopic cholecystectomy for people with uncomplicated biliary colic due (...) in the delayed laparoscopic cholecystectomy group. The complications that the participants suffered included pancreatitis (n = 1), empyema of the gallbladder (n = 1), gallbladder perforation (n = 1), acute cholecystitis (n = 2), cholangitis (n = 2), obstructive jaundice (n = 2), and recurrent biliary colic (requiring hospital visits) (n = 5). In total, 14 participants required hospital admissions for the above symptoms. All of these admissions occurred in the delayed group as all the participants were

2013 Cochrane

4. Can Bedside Emergency Ultrasonography Enhance Clinical Decisionmaking in Emergency Department Patients Presenting With Symptoms of Biliary Colic?

Can Bedside Emergency Ultrasonography Enhance Clinical Decisionmaking in Emergency Department Patients Presenting With Symptoms of Biliary Colic? SystematicReviewSnapshot TAKE-HOME MESSAGE Bedside emergency ultrasonography, though operator dependent, is typically accurate and occasionally diagnostic for biliary colic assessment. METHODS DATA SOURCES The authors searched MEDLINE, EMBASE, OpenSIGLE, the Cochrane Library, bibliographies of previous systemic reviews, and abstracts from major (...) emergency medicine confer- ence proceedings (2000 to 2009). STUDY SELECTION Studies were included that prospec- tively assessed the diagnostic accu- racy of emergency ultrasonography for cholelithiasis compared with a criterion reference standard of radiol- ogy-performed ultrasonography, computed tomography (CT), mag- netic resonance imaging (MRI), or surgical ?ndings, in emergency de- partment (ED) patients presenting with signs and symptoms of sus- pected biliary colic. DATA EXTRACTION AND SYNTHESIS

2013 Annals of Emergency Medicine Systematic Review Snapshots

5. Long standing biliary colic masking chylous ascites in laparoscopic roux-en-Y gastric bypass; a case report. (PubMed)

Long standing biliary colic masking chylous ascites in laparoscopic roux-en-Y gastric bypass; a case report. Chylous ascites is considered to be an intra-abdominal collection of creamy colored fluid with triglyceride content of > 110 mg/dL. Chylous ascites is an uncommon but serious complication of numerous surgical interventions. However, it is a rare complication of LRYGB. An internal hernia limb defect is thought to be the underlying etiology, where the hernia will cause lymphatic vessel

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2018 BMC Surgery

6. What happens to biliary colic patients in New York State? 10-year follow-up from emergency department visits. (PubMed)

What happens to biliary colic patients in New York State? 10-year follow-up from emergency department visits. Biliary colic is a common diagnosis for patients presenting to the emergency department (ED). The purpose of this study is to examine the outcomes of patients coming to the ED with biliary colic.The NYS longitudinal SPARCS database was used to identify patients presenting to the ED with biliary colic from 2005 to 2014. Through the use of a unique identifier, patients were followed (...) in NYS across multiple institutions. Patients who were lost to follow-up, with duplicated records, and those that underwent percutaneous cholecystectomy tubes were excluded from the analysis.Between 2005 and 2014, there were 72,376 patients who presented to an ED with biliary colic. The admission rate was 20.7-26.02%. Overall, most patients who presented to the ED did not undergo surgery (39,567, 54.7%), of which 35,204 (89%) had only one ED visit, while 4,363(11%) returned to the ED (≥ 2 visits

2017 Surgical endoscopy

7. Gallbladder Mucus Plug Mimicking Ascaris Worm: An Ambiguous Cause of Biliary Colic (PubMed)

Gallbladder Mucus Plug Mimicking Ascaris Worm: An Ambiguous Cause of Biliary Colic Biliary colic is a visceral pain caused by attempts of the gallbladder or bile duct to overcome the obstruction in the cystic duct or ampulla of Vater. Obstruction can be due to different etiologies such as stone, mass, worm, and rarely by mucus plug. We report the case of a 31-year-old gentleman who presented with recurrent biliary colic and weight loss. Work-up showed linear calcifications in the gallbladder

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2017 Case reports in surgery

8. Gall Bladder Agenesis: A Rare Embryonic Cause of Recurrent Biliary Colic (PubMed)

Gall Bladder Agenesis: A Rare Embryonic Cause of Recurrent Biliary Colic BACKGROUND Gallbladder agenesis (GA) is an extremely rare anatomic anomaly with a reported incidence of less than 0.5%. It is usually asymptomatic, but can present with features of biliary colic and cholecystitis. We present here a case of GA in a patient with recurrent biliary colic.  CASE REPORT A 24-year-old African American woman presented with recurrent episodes of right upper-quadrant abdominal pain. During her first (...) episode, she was found to have elevated transaminases and clinical features of cholecystitis, but ultrasound did not visualize a gallbladder and she was discharged with a diagnosis of biliary colic. She returned within a week with worsening liver enzymes, severe pain, and vomiting. A hepatobiliary iminodiacetic acid (HIDA) scan was done, which again did not show the gall bladder. On clinical suspicion of acute cholecystitis, she underwent laparoscopic surgery. Intraoperatively, the gall bladder fossa

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2017 The American journal of case reports

9. Biliary Colic

Biliary Colic Biliary Colic Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Biliary Colic Biliary Colic Aka: Biliary Colic From (...) the dislodges Intermittent "colicky" exacerbations of pain Mild abdominal aching for 1-2 days after attack Associated symptoms and No or chills (see differential diagnosis) IV. Signs RUQ abdominal tenderness Tenderness may persist for days after a Biliary Colic episode No signs of peritoneal irritation Distinguishes Biliary Colic from Dehydration from protracted V. Differential Diagnosis VI. Labs usually normal Mild elevation of s slightly elevated slightly elevated Pancreatic enzyme tests normal Amylase

2018 FP Notebook

10. Stop missing biliary colic

Stop missing biliary colic Stop missing biliary colic : EDE Blog • August 25, 2016 • Editor’s note: We’ve talked about the gallbladder before. And we will be talking about it again because the message needs to get out there. I will go out on a limb and state that it is still common for patients to present with epigastric pain that was previously diagnosed by the primary care physician or one of my colleagues in the ED as gastritis or “abdo pain NYD” and turns out to be biliary colic. Probably (...) happens about every third shift for me, including my last one. Conversely, I often get handovers at shift change waiting for their biliary scan in radiology. With a one minute look I can visualize a normal gallbladder and get the patient home or look into alternate diagnoses. And yet I still get a lot of apathy or pushback about learning to scan the gallbladder. Sigh. I can only believe those that often see abdominal pain patients are overconfident or delusional when they tell me that they see no use

2016 EDE Blog

11. Enzyme pattern of biliary colic: A counterintuitive picture (PubMed)

Enzyme pattern of biliary colic: A counterintuitive picture To evaluate the diagnostic value of serial biochemical blood tests in the diagnosis of biliary colic.Files were reviewed of 1039 patients who were admitted to the Share'e Zedek Medical Center emergency department between the years 2012-2013, and received the coding of acute biliary disease. Of these, the first 100 cases were selected that met the following criteria: (1) a diagnosis of biliary colic or symptomatic cholelithiasis; (2 (...) and ALKP did not fall. A sharp rise and fall in liver enzymes, especially during the first day, most prominently in AST and ALT, was seen in 70% percent of cases. In 65% of cases trans-abdominal sonography did not give diagnostic findings.Serial serum liver enzyme measurements are helpful in the initial diagnosis of acute biliary colic.

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2016 World journal of hepatology

12. Chronic biliary colic associated with ketamine abuse (PubMed)

Chronic biliary colic associated with ketamine abuse Biliary colic is a common clinical presentation, with the majority of cases being related to gallstone disease. However, rarely, patients may present with biliary symptoms without evidence of gallbladder stones - referred to as acalculous gallstone disease. This case report details a rare case of chronic biliary colic associated with ketamine abuse.A 24-year-old Caucasian female presented to the emergency department with a history

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2016 International medical case reports journal

13. Analgesic effect of paracetamol combined with low-dose morphine versus morphine alone on patients with biliary colic: a double blind, randomized controlled trial. (PubMed)

Analgesic effect of paracetamol combined with low-dose morphine versus morphine alone on patients with biliary colic: a double blind, randomized controlled trial. Numerous drugs have been proposed to alleviate pain in patients with biliary colic, especially opioids, but still there is a tendency to use less narcotics because of their side effects and the unwillingness of some patients. The present study aimed to compare the analgesic effect of paracetamol combined with low-dose morphine versus (...) morphine alone in patients with biliary colic.A randomized double-blind controlled trial was performed in 98 patients with biliary colic, recruited from two emergency departments from August 2012 to August 2013. Eleven patients were excluded and the remaining were randomized into two groups: group A received 0.05 mg/kg morphine+1 000 mg paracetamol in 100 mL normal saline and group B received 0.1 mg/kg morphine+normal saline (100 mL) as placebo. Pain scores were recorded using visual analogue scale

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2016 World journal of emergency medicine Controlled trial quality: predicted high

14. Biliary ascariasis: an uncommon cause for recurrent biliary colic after biliary sphincterotomy and common bile duct stone removal. (PubMed)

Biliary ascariasis: an uncommon cause for recurrent biliary colic after biliary sphincterotomy and common bile duct stone removal. Endoscopic retrograde cholangiography is the most commonly used technique for removal of common bile duct stones. Biliary sphincterotomy during the procedure facilitates stone retrieval from the common bile duct. However, sphincterotomy ablates the normal biliary sphincter mechanism. This facilitates duodeno-biliary reflex and can result in inward migration (...) of luminal parasite into the biliary system. In areas where ascariasis is endemic there is an increased risk of biliary ascariasis in postbiliary sphincterotomy patients. We report an unusual case where a patient presented with recurrent biliary colic after cholecystectomy and common bile duct stone extraction and was diagnosed to have biliary ascariasis with the help of endoscopic ultrasound examination of the biliary system.

2014 Tropical Doctor

15. Computed Tomography Imaging for the Diagnosis of Renal Colic

such as pyelonephritis, pain due to ectopic pregnancy, rupture or torsion of an ovarian cyst, or biliary colic may mimic the severe flank pain caused by urolithiasis. 3 Initial imaging such as helical non- contrast computerized tomography (CT) or ultrasonography (US) can help distinguish urolithiasis from these conditions in patients presenting to the ED with acute flank pain. 3 An American study showed that the use of CT scans for evaluation of flank pain in the ED signficantly increased (from 19.6% to 45.5 (...) Computed Tomography Imaging for the Diagnosis of Renal Colic TITLE: Computed Tomography Imaging for the Diagnosis of Renal Colic: A Review of Clinical and Cost-Effectiveness DATE: 14 November 2014 CONTEXT AND POLICY ISSUES Renal and ureteral stones (urolithiasis) are common problems in primary care practice and affect approximately 10% of the population. 1,2 Renal colic is a typical symptom of urolithiasis and frequently leads to emergency department (ED) visits. 2 Other conditions

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

16. CRACKCast E090 – Liver and Biliary Tract

the clinical presentation of cholecystitis. List laboratory, X-Ray (3) and US (4) findings Clinical presentation: Constant, steady upper abdominal pain (cystic duct is obstructed!) May radiate to back or shoulder Nausea and Vomiting Often similar self-limited recurrences in the past related to eating (biliary colic) Tenderness to the upper abdomen May have fever, tachycardia Laboratory findings: No pathognomic lab tests are recognized Leukocytosis (as good as a coin toss – 50/50) ALT/AST may be normal (...) CRACKCast E090 – Liver and Biliary Tract CRACKCast E090 - Liver and Biliary Tract - CanadiEM CRACKCast E090 – Liver and Biliary Tract In , by Chris Lipp July 6, 2017 This episode of CRACKCast covers Rosen’s Chapter 90, Liver and Biliary Tract. This chapter covers the various pathologies, diagnoses and treatments of the Liver and Biliary tract. Shownotes – 1) List 8 differential diagnoses for hepatitis The term hepatitis is general. Usually it refers to one of the TWO most common causes

2017 CandiEM

17. Analgesic Efficacy of Intravenous Ibuprofen in Biliary Colic

Analgesic Efficacy of Intravenous Ibuprofen in Biliary Colic Analgesic Efficacy of Intravenous Ibuprofen in Biliary Colic - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Analgesic Efficacy of Intravenous (...) Ibuprofen in Biliary Colic The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02268955 Recruitment Status : Unknown Verified November 2015 by Maricopa Integrated Health System. Recruitment status was: Recruiting First Posted : October 20, 2014 Last Update Posted : November 5, 2015 Sponsor: Maricopa

2014 Clinical Trials

18. Biliary Colic (Follow-up)

Biliary Colic (Follow-up) Acute Cholecystitis and Biliary Colic: Overview, Risk Factors, Evaluation of Biliary Colic and Cholecystitis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTk1MDAyMC1vdmVydmlldw (...) == processing > Acute Cholecystitis and Biliary Colic Updated: Jan 18, 2017 Author: Peter A D Steel, MBBS, MA; Chief Editor: Barry E Brenner, MD, PhD, FACEP Share Email Print Feedback Close Sections Sections Acute Cholecystitis and Biliary Colic Overview Overview Biliary colic and cholecystitis are in the spectrum of biliary tract disease. This spectrum ranges from asymptomatic gallstones to biliary colic, cholecystitis, choledocholithiasis, and cholangitis. [ ] Gallstones can be divided into 2 categories

2014 eMedicine.com

19. Biliary Colic (Diagnosis)

Biliary Colic (Diagnosis) Acute Cholecystitis and Biliary Colic: Overview, Risk Factors, Evaluation of Biliary Colic and Cholecystitis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTk1MDAyMC1vdmVydmlldw (...) == processing > Acute Cholecystitis and Biliary Colic Updated: Jan 18, 2017 Author: Peter A D Steel, MBBS, MA; Chief Editor: Barry E Brenner, MD, PhD, FACEP Share Email Print Feedback Close Sections Sections Acute Cholecystitis and Biliary Colic Overview Overview Biliary colic and cholecystitis are in the spectrum of biliary tract disease. This spectrum ranges from asymptomatic gallstones to biliary colic, cholecystitis, choledocholithiasis, and cholangitis. [ ] Gallstones can be divided into 2 categories

2014 eMedicine.com

20. Biliary Colic (Overview)

Biliary Colic (Overview) Acute Cholecystitis and Biliary Colic: Overview, Risk Factors, Evaluation of Biliary Colic and Cholecystitis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTk1MDAyMC1vdmVydmlldw (...) == processing > Acute Cholecystitis and Biliary Colic Updated: Jan 18, 2017 Author: Peter A D Steel, MBBS, MA; Chief Editor: Barry E Brenner, MD, PhD, FACEP Share Email Print Feedback Close Sections Sections Acute Cholecystitis and Biliary Colic Overview Overview Biliary colic and cholecystitis are in the spectrum of biliary tract disease. This spectrum ranges from asymptomatic gallstones to biliary colic, cholecystitis, choledocholithiasis, and cholangitis. [ ] Gallstones can be divided into 2 categories

2014 eMedicine.com

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