Biomedical subjects

Ranveig K Aspevik

Publications and source records attributed to Ranveig K Aspevik.

3 recordsLinked to original sources

PubMed2005

[Complaints before and after cholecystectomy].

BACKGROUND: It may be difficult to decide whether a patient's discomfort is related to known gallbladder stones. MATERIAL AND METHODS: A questionnaire regarding pre- and postoperative complaints and satisfaction with treatment was sent to 211 patients a median 51 months after they had undergone cholecystectomy at Rana district hospital during the May 1993 to March 2001 period. RESULTS: 97% of the patients returned our questionnaire. 80% had experienced sudden bursts of pain; in 91% of them the pain was relieved. 71% reported no complaints after cholecystectomy, 26% still had some discomfort after the operation. Two thirds of these had experienced discomfort for several years. 22% reported new or different symptoms. After surgery our patients reported a significant reduction in symptoms like sudden pain, constant pain, nausea/vomiting and bloating. 94% were very satisfied or satisfied with the outcome; 1% regretted having undergone the procedure. INTERPRETATION: Sudden attacks of pain are likely to be relieved after cholecystectomy. Our patients also experienced a number of different types of discomfort both before and after the cholecystectomy. Similar complaints also are reported by persons without gallstones, hence it is difficult to interpret the relief or worsening of these symptoms in relation to the cholecystectomy.

Abdominal Pain↗

PubMed2004

[Gallbladder surgery in a district hospital--a prospective registration].

BACKGROUND: Health authorities and patients are expected to be more active in inquiring about the outcome of surgery for each specific hospital. Prospective registration performed in a district hospital has to go on for years until the results can be evaluated. Specific data for gallbladder surgery performed in Norwegian district hospitals have not been reported before. MATERIAL AND METHODS: All 220 cholecystectomies carried out from May 1993 to March 2001 were registered prospectively. RESULTS: Two surgeons performed 93% of the operations with an average annual operator volume of 28. The operation rate was 8.5 per 10,000 inhabitants. The need for conversion was 9%. The peri and postoperative complication rate for laparoscopic and converted operations was 11%. INTERPRETATION: Our operation rate is somewhat higher than the average in Norway. The number of annual operations in a district hospital is somewhat low, but as almost all procedures are carried out by a limited number of surgeons, operator volume is compatible with data from larger hospitals in Norway. The need for conversion and the rate and seriousness of complications peri and postoperatively does not seem to be higher in this district hospital than in county and university hospitals in Norway.

Adolescent↗

PubMed2002

[Agenesis of the gallbladder].

BACKGROUND: Agenesis of the gallbladder, first described in 1701, is a rare, congenital malformation with an incidence of 0.01% to 0.04%. The condition can be associated with other and multiple anomalies. The diagnosis can be a random discovery during an abdominal operation or at autopsy, or an astonishing perioperative finding in a patient presenting with symptoms compatible with gallstone disease. MATERIAL AND METHODS: We present a young man with symptoms interpreted as related to gallstones. The preoperative ultrasound was misaprehended, describing a small, shrunken gallbladder filled with stones. RESULTS: At laparoscopy we found no gallbladder, but a small accumulation of connective tissue and a cord-like structure believed to be the cystic duct. Attempts to cannulate this structure failed. Postoperative endoscopic retrograde cholangiography (ERC) showed normal intra- and extrahepatic biliary ducts, but no gallbladder or cystic duct. Five years after the laparoscopy the patient still experiences attacks of pain located to the right hypogastric area. INTERPRETATION: Though agenesis of the gallbladder is a rare condition, surgeons and radiologists should be aware of it. Uncertain ultrasound pictures should be supplied by more advanced CT or MR techniques to avoid unnecessary operations searching for an absent gallbladder.

Adult↗