Why demerol for cholecystitis

Cholangitis in emergency medicine. Accessed January 14, Acute pancreatitis. Biochemical predictors for absence of common bile duct stones in patients undergoing laparoscopic cholecystectomy. Surg Endosc. Management of gallstones. Am Fam Physician. Brunetti JC. Cholelithiasis imaging. American College of Radiology. ACR Appropriateness Criteria: right upper quadrant pain. Cholelithiasis and cholecystitis. Bahram M, Gaballa G. The value of pre-operative magnetic resonance cholangiopancreatography MRCP in management of patients with gall stones.

Int J Surg. Role of magnetic resonance cholangiopancreatography for choledocholithiasis: analysis of patients with negative MRCP. Diagnostic accuracy of MRCP in choledocholithiasis. Radiol Med. Cholelithiasis: evaluation with CT. Cost-effective treatment of patients with symptomatic cholelithiasis and possible common bile duct stones. J Am Coll Surg. Accuracy of MRCP vs. ERCP in the evaluation of patients with bile duct obstruction in the setting of a randomized clinical trial. MRCP vs.

ERCP in the evaluation of biliary pathologies: review of current literature. J Dig Dis. The role of endoscopy in the evaluation of suspected choledocholithiasis. Gastrointest Endosc. Wilson PG. Indications and complications of ERCP. Gallstone disease: Management of intrahepatic stones. Murshid KR. Asymptomatic gallstones: should we operate? Saudi J Gastroenterol. Symptomatic, non-complicated gallbladder stone disease.

Operation or observation? A randomized clinical study. Complications of gallstone disease in kidney transplantation patients. Nephrol Dial Transplant. Gallbladder disease in the morbidly obese. Am J Surg.

Small gallstones, preserved gallbladder motility, and fast crystallization are associated with pancreatitis. Brosseuk D, Demetrick J. Laparoscopic cholecystectomy for symptoms of biliary colic in the absence of gallstones. Comparison of intravenous ketorolac and meperidine in the treatment of biliary colic.

J Emerg Med. Comparison of the effect of diclofenac with hyoscine-N-butylbromide in the symptomatic treatment of acute biliary colic. ANZ J Surg. Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis.

Cochrane Database Syst Rev. Laparoscopic cholecystectomy. Accessed March 25, Conversion from laparoscopic to open cholecystectomy: multivariate analysis of preoperative risk factors. J Postgrad Med. Using a risk score for conversion from laparoscopic to open cholecystectomy in resident training. Role of prophylactic antibiotics in laparoscopic cholecystectomy: a meta-analysis.

J Gastrointest Surg. Antibiotic prophylaxis for patients undergoing elective laparoscopic cholecystectomy. Current guidelines for antibiotic prophylaxis of surgical wounds.

Steel PA, Sharma R. Acute cholecystitis and biliary colic in emergency medicine. Extracorporeal shock wave lithotripsy of large difficult common bile duct stones: efficacy and analysis of factors that favor stone fragmentation. J Gastroenterol Hepatol. Tandan M, Reddy DN.

Extracorporeal shock wave lithotripsy for pancreatic and large common bile duct stones. World J Gastroenterol. Miniport versus standard ports for laparoscopic cholecystectomy. A review of the management of gallstone disease and its complications in pregnancy. Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review.

Murphy's sign, acute cholecystitis and elderly people. J R Coll Surg Edinb. Non-operative management of acute cholecystitis in the elderly. Br J Surg. Management of acute cholecystitis in critically ill patients: contemporary role for cholecystostomy and subsequent cholecystectomy. Am Surg. Percutaneous transhepatic cholecystostomy and delayed laparoscopic cholecystectomy in critically ill patients with acute calculus cholecystitis.

Laparoscopic versus open cholecystectomy in patients with liver cirrhosis: a prospective, randomized study. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.

Contact afpserv aafp. Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. May 15, Issue. Surgical and Nonsurgical Management of Gallstones. Related editorial: Functional Gallbladder Disorder: An Increasingly Common Diagnosis Patient information: See related handout on gallstones , written by the authors of this article. Author disclosure: No relevant financial affiliations. C 14 Expectant management is the best approach for patients with incidentally detected, asymptomatic gallstones.

B 4 , 26 , 27 Laparoscopic cholecystectomy remains the standard treatment for gallstones. A 34 Antibiotic prophylaxis is not required in low-risk patients undergoing elective laparoscopic cholecystectomy.

A 38 , 39 When indicated, laparoscopic cholecystectomy can be safely performed during any trimester of pregnancy. Enlarge Print Table 1. Risk Factors for Gallstones Demographics Family history, female sex, increasing age, specific races e. An extensive literature search failed to find the basis for the preference of meperidine over morphine in patients with cholecystitis and pancreatitis.

We speculate that this prejudice against morphine might possibly be based on old case reports, beginning with Walters et al. Lee F, Cundiff D. Meperidine vs Morphine in Pancreatitis and Cholecystitis.

Arch Intern Med. Coronavirus Resource Center. Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy Continue. Twitter Facebook. Whether these drugs adversely affect hepatobiliary scans is unknown.

We studied 13 healthy volunteer subjects, performing three hepatobiliary scans in each one. Scans were performed without opioid drugs and 30 minutes after intramuscularly administered meperidine, morphine, hydroxyzine, hydroxyzine plus meperidine, butorphanol, and nalbuphine.

Opioid drugs markedly delayed clearance of Tc-IDA from the common bile duct, simulating common bile duct obstruction.