Advertisement

Consultant Corner: Gallbladder Disease

  • Robert Riviello
  • Timothy JangEmail author
Chapter

Abstract

Patients with acute biliary disease who require surgery may rapidly develop sepsis and decompensate. Optimizing them for surgery requires accurate diagnosis, adequate volume resuscitation, early appropriate antibiotic administration, use of other interventional modalities when indicated, and consideration of comorbid conditions.

Keywords

Cholelithiasis Cholecystitis Cholangitis Gallstone pancreatitis Gallstone ileus 

References

  1. 1.
    Martini WZ, Cortez DS, Dubick MA. Comparisons of normal saline and lactated ringer’s resuscitation on hemodynamics, metabolic response, and coagulation in pigs after severe hemorrhagic shock. Scand J Trauma Resusc Emerg Med. 2013;21:86.CrossRefGoogle Scholar
  2. 2.
    Lobo DN, Awad S. Should chloride-rich crystalloids remain the mainstay of fluid resuscitation to prevent “pre-renal” acute kidney injury? Kidney Int. 2014;86:1096–105.CrossRefGoogle Scholar
  3. 3.
    Yunos NM, Bellomo R, Hegarty C. Association between a chloride-liberal vs. chloride-restrictive intravenous fluid administration strategy and kidney injury in critically ill adults. JAMA. 2012;255:821–9.Google Scholar
  4. 4.
    Shaw AD, Bagshaw SM, Goldstein SL, et al. Major complications, mortality, and resource utilization after open abdominal surgery: 0.9% saline compared to plasma-lyte. Ann Surg. 2012;255:821–9.CrossRefGoogle Scholar
  5. 5.
    Bochwerg B, Alhazzani W, Sindi A, et al. Fluid resuscitation in sepsis: a systematic review and network meta-analysis. Ann Intern Med. 2014;161:347–55.CrossRefGoogle Scholar
  6. 6.
    Fuks D, Cossee C, Regimbeau JM. Antimicrobial therapy in acute calculous cholecystitis. J Visc Surg. 2013;150:3–8.CrossRefGoogle Scholar
  7. 7.
    Sartelli M, VIale P, Koike K, Pea F, Tumietto F, vanGoor H, et al. WSES consensus conference: guidelines for first-line management of intra-abdominal infections. World J Emerg Surg. 2011;6:2.CrossRefGoogle Scholar
  8. 8.
    Grade M, Quintel M, Ghadimi BM. Standard perioperative management in gastrointestinal surgery. Langenbeck’s Arch Surg. 2011;396:591–606.CrossRefGoogle Scholar
  9. 9.
    Daveis SJ, Wilson RJT. Preoperative optimization of the high-risk surgical patient. Br J Anaesth. 2004;93:121–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Harvard University School of Medicine, Brigham and Women’s HospitalBostonUSA
  2. 2.Harbor-UCLA Medical Center, David Geffen School of Medicine at UCLATorranceUSA

Personalised recommendations