TY - JOUR
T1 - Gallbladder Dysfunction
T2 - Cholecystitis, Choledocholithiasis, Cholangitis, and Biliary Dyskinesia
AU - Wilkins, Thad
AU - Agabin, Edward
AU - Varghese, Jason
AU - Talukder, Asif
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2017/12
Y1 - 2017/12
N2 - The prevalence of gallstones is 10% to 15% in adults. Individuals with acute cholecystitis present with right upper quadrant pain, fever, and leukocytosis. Management includes supportive care and cholecystectomy. The prevalence of choledocholithiasis is 10% to 20%, and serious complications include cholangitis and gallstone pancreatitis. The goal of management in individuals with choledocholithiasis consists of clearing common bile duct stones. Acute ascending cholangitis is a life-threatening condition involving acute inflammation and infection of the common bile duct. Treatment includes intravenous fluids, analgesia, intravenous antibiotics, and biliary drainage and decompression. Biliary dyskinesia includes motility disorders resulting in biliary colic in the absence of gallstones.
AB - The prevalence of gallstones is 10% to 15% in adults. Individuals with acute cholecystitis present with right upper quadrant pain, fever, and leukocytosis. Management includes supportive care and cholecystectomy. The prevalence of choledocholithiasis is 10% to 20%, and serious complications include cholangitis and gallstone pancreatitis. The goal of management in individuals with choledocholithiasis consists of clearing common bile duct stones. Acute ascending cholangitis is a life-threatening condition involving acute inflammation and infection of the common bile duct. Treatment includes intravenous fluids, analgesia, intravenous antibiotics, and biliary drainage and decompression. Biliary dyskinesia includes motility disorders resulting in biliary colic in the absence of gallstones.
KW - Acute cholecystitis
KW - Ascending cholangitis
KW - Biliary dyskinesia
KW - Choledocholithiasis
KW - Cholelithiasis
KW - Functional gallbladder disorder
KW - Sphincter of Oddi disorders
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U2 - 10.1016/j.pop.2017.07.002
DO - 10.1016/j.pop.2017.07.002
M3 - Review article
C2 - 29132521
AN - SCOPUS:85030638369
SN - 0095-4543
VL - 44
SP - 575
EP - 597
JO - Primary Care - Clinics in Office Practice
JF - Primary Care - Clinics in Office Practice
IS - 4
ER -