Why demerol for cholecystitis
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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.
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