5 year review of surgically managed calculous biliary tract diseases in Cebu Doctors Hospital (Record no. 3750)

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100 1# - MAIN ENTRY--PERSONAL NAME
Personal name Moscoso, Patricio H.
245 00 - TITLE STATEMENT
Title 5 year review of surgically managed calculous biliary tract diseases in Cebu Doctors Hospital
Statement of responsibility, etc. Patricio H. Moscoso
520 3# - SUMMARY, ETC.
Summary, etc. Biliary tract operations are still most frequent operation performed in advanced medical centers. All operations for calculous biliary tract diseases in the last 5 years were reviewed at the Cebu Doctors Hospital. The purpose of this review is to describe the profile of the surgically managed calculous biliary tract cases. A total of 157 patients underwent 174 operations and majority of these cases were females (61.7%) and males were (38.2%). Common presenting complaint was abdominal pain (90%). Ultrasound was the most reliable of all diagnostic procedures with accuracy rate of (90%). The most common indication for surgery is still chronic cholecystitis with 55.7% of all operations done, followed by chronic cholecystitis with choledocholithiasis, 26.4%. Acute choleclystitis and acute cholecystitis with choledocholithiasis comprised a minority group<br/>Cholecystectomy alone was the most frequent operation performed in 102 patients (58.6%), cholecystectomy with CBD exploration was done in 31% of all cases. Thirteen patients underwent CBDE as a primary procedure with biliary-enteric bypass operations and sphincteroplasty done for impacted stones in CBD wa well as retained stones<br/>Associated medical illness show cardiovascular in 17% and diabetes mellitus in 14%. Mortality and morbidity were directly related to age. In this study, patients above 50 years of age have higher morbidity and mortality. Infection was the leading cause of morbidity 9.5% and retained stones in 6%. Mortality rate was 1.2% (2 patients in 157 patients)<br/>With these data gathered, biliary tract operations are still considered safe and therefore are still the gold standard in the treatment of calculous biliary tract disease.<br/>
580 ## - LINKING ENTRY COMPLEXITY NOTE
Linking entry complexity note Cebu Doctors' Proceedings, 1992 8 (2) pages 59-64
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Biliary Tract Diseases
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Koha item type Journal Article
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    National Library of Medicine     DOH Central Library DOH Central Library Electronic Resource Section 03/23/2021   J000299 D0001J000299 03/23/2021 03/23/2021 Journal Article