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Prevalence and risk factors of gallbladder polypoid lesion in a healthy population
Electronic Poster Abstracts pancreatic and bile duct) and if the resection of the cyst was a complete or partial. Results: We report a female patient of 76 years with dilatation of the extrahepatic and left intrahepatic bile duct. She presented with epigastric pain, no jaundice. This particular dilatation of the bile duct is not within the Todani Classification. Patient’s age, clinical evaluation, tumor markers and biliary anatomy was assessed and then she underwent a radical surgery of the bile duct with extension of surgical margins and Roux-Y biliodigestive anastomosis. She had an uneventful recovery and early discharge. The pathological study showed a choledochal cyst, without evidence of malignancy. After the optimal outcomes she is now being managed by Liver Division and Gastroenterology for regular monitoring and controls. Conclusion: Not all the cases of choledochal cyst can be included in Todani’s classification like this case. We think that is necessary to propose a new classification with other criteria in addition to the dilatation of the cyst.
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B (controls)-fasting from midnight before surgery. Postoperative nausea and vomiting and visual analogue score for pain were noted and analyzed for 24 h. Results: Mean score of nausea in 0e6 h in group A was significantly lower as compared to group B (p = 0.001). Difference in mean score of nausea in 6e24 h between groups was not significant (p > 0.05). Mean score of vomiting in 0e6 and 6e24 h in group A was significantly less than group B (p = 0.001). Mean score of pain in group A was significantly less than group B in 0e6 h (p = 0.001) and 6e24 h (p = 0.05). Conclusion: Preoperative carbohydrate-rich drink has a beneficial effect in reducing the incidence of postoperative nausea, vomiting and pain in patients undergoing laparoscopic cholecystectomy. Consumption of oral carbohydrate drinks up to 2 h prior to surgery is not associated with additional complications.
EP03F-032 PREVALENCE AND RISK FACTORS OF GALLBLADDER POLYPOID LESION IN A HEALTHY POPULATION
[Choledocal cyst non-classificable]
EP03F-031 EFFECTS OF PREOPERATIVE CARBOHYDRATES DRINKS ON POSTOPERATIVE OUTCOME AFTER LAPAROSCOPIC CHOLECYSTECTOMY H. Gundogdu1, E. Ersoy2, S. Akbaba2 and O. Yazicioglu2 1 General Surgery, and 2Ataturk Training and Research Hospital, Turkey Objectives: Postoperative nausea and vomiting is the most common cause for postoperative period of patients undergoing laparoscopic cholecystectomy. Overnight fasting changes patient metabolic state and influences their perioperative stress response. Preoperative carbohydrate loading may have accelerated recovery and better overall outcome after abdominal surgery. The aim of the study was to investigate the effects of preoperative carbohydrate-rich drinks on postoperative nausea and vomiting and pain after laparoscopic cholecystectomy. Methods: A total of 100 patients posted for laparoscopic cholecystectomy were included in the study and were randomized into two groups. Group A (experiment)receiving the carbohydrate-rich drink before surgery, group HPB 2016, 18 (S1), e385ee601
Y. S. Choi1, S. W. Seo1, S. E. Lee1 and J. H. Do2 1 Surgery, and 2Internal Medicine, Chung-Ang University Hospital, Republic of Korea Purpose: To determine the prevalence of and investigate the risk factors for gallbladder (GB) polypoid lesion in a healthy population. Materials and methods: A total of 23,827 subjects who underwent abdominal ultrasonography in conjunction with health screening examinations were retrospectively analyzed. The prevalence of and risk factors for GB polypoid lesion were evaluated. In addition, risk factors according to the number of polypoid lesions and the presence of stone(s) with polypoid lesion were investigated. To analyze risk factors, a control group was established in a 1:2 ratio matched for age and sex. Results: The prevalence of GB polypoid lesion was identified in 9.96%. By multivariate analysis, chronic hepatitis B infection (CHB) and the presence of metabolic syndrome (MS) were risk factors for GB polypoid lesions. CHB and MS were significant independent risk factors for multiple GB polypoid lesions compared with the solitary GB polypoid lesion. In addition, gastric Helicobacter pylori infection and MS were significant risk factors for GB polypoid lesion with stone compared with the GB polypoid lesion without stone. Conclusion: The prevalence of GB polypoid lesion in a healthy Korean population was 9.96%. Patients with CHB and MS need to be carefully examined for such lesions.
EP03F-033 MICROBIAL PROFILE AND ANTIBIOTIC SENSITIVITY PATTERN IN PATIENTS WITH ACUTE CHOLANGITIS: A PROSPECTIVE PREVALENCE STUDY H. Othman1 and I. Ismail2 1 Surgery, University Kebangsaan Malaysia, and 2Surgery, Hospital Sultanah Aminah, Malaysia
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B (controls)-fasting from midnight before surgery. Postoperative nausea and vomiting and visual analogue score for pain were noted and analyzed for 24 h. Results: Mean score of nausea in 0e6 h in group A was significantly lower as compared to group B (p = 0.001). Difference in mean score of nausea in 6e24 h between groups was not significant (p > 0.05). Mean score of vomiting in 0e6 and 6e24 h in group A was significantly less than group B (p = 0.001). Mean score of pain in group A was significantly less than group B in 0e6 h (p = 0.001) and 6e24 h (p = 0.05). Conclusion: Preoperative carbohydrate-rich drink has a beneficial effect in reducing the incidence of postoperative nausea, vomiting and pain in patients undergoing laparoscopic cholecystectomy. Consumption of oral carbohydrate drinks up to 2 h prior to surgery is not associated with additional complications.
EP03F-032 PREVALENCE AND RISK FACTORS OF GALLBLADDER POLYPOID LESION IN A HEALTHY POPULATION
[Choledocal cyst non-classificable]
EP03F-031 EFFECTS OF PREOPERATIVE CARBOHYDRATES DRINKS ON POSTOPERATIVE OUTCOME AFTER LAPAROSCOPIC CHOLECYSTECTOMY H. Gundogdu1, E. Ersoy2, S. Akbaba2 and O. Yazicioglu2 1 General Surgery, and 2Ataturk Training and Research Hospital, Turkey Objectives: Postoperative nausea and vomiting is the most common cause for postoperative period of patients undergoing laparoscopic cholecystectomy. Overnight fasting changes patient metabolic state and influences their perioperative stress response. Preoperative carbohydrate loading may have accelerated recovery and better overall outcome after abdominal surgery. The aim of the study was to investigate the effects of preoperative carbohydrate-rich drinks on postoperative nausea and vomiting and pain after laparoscopic cholecystectomy. Methods: A total of 100 patients posted for laparoscopic cholecystectomy were included in the study and were randomized into two groups. Group A (experiment)receiving the carbohydrate-rich drink before surgery, group HPB 2016, 18 (S1), e385ee601
Y. S. Choi1, S. W. Seo1, S. E. Lee1 and J. H. Do2 1 Surgery, and 2Internal Medicine, Chung-Ang University Hospital, Republic of Korea Purpose: To determine the prevalence of and investigate the risk factors for gallbladder (GB) polypoid lesion in a healthy population. Materials and methods: A total of 23,827 subjects who underwent abdominal ultrasonography in conjunction with health screening examinations were retrospectively analyzed. The prevalence of and risk factors for GB polypoid lesion were evaluated. In addition, risk factors according to the number of polypoid lesions and the presence of stone(s) with polypoid lesion were investigated. To analyze risk factors, a control group was established in a 1:2 ratio matched for age and sex. Results: The prevalence of GB polypoid lesion was identified in 9.96%. By multivariate analysis, chronic hepatitis B infection (CHB) and the presence of metabolic syndrome (MS) were risk factors for GB polypoid lesions. CHB and MS were significant independent risk factors for multiple GB polypoid lesions compared with the solitary GB polypoid lesion. In addition, gastric Helicobacter pylori infection and MS were significant risk factors for GB polypoid lesion with stone compared with the GB polypoid lesion without stone. Conclusion: The prevalence of GB polypoid lesion in a healthy Korean population was 9.96%. Patients with CHB and MS need to be carefully examined for such lesions.
EP03F-033 MICROBIAL PROFILE AND ANTIBIOTIC SENSITIVITY PATTERN IN PATIENTS WITH ACUTE CHOLANGITIS: A PROSPECTIVE PREVALENCE STUDY H. Othman1 and I. Ismail2 1 Surgery, University Kebangsaan Malaysia, and 2Surgery, Hospital Sultanah Aminah, Malaysia