Clinical approach to patients with thick wall gallbladder

Background Thick wall gallbladder (TWGB) is not an uncommon finding on ultrasonography especially in region with high prevalence of gall stones disease like north India. On most occasion, these thickening could be because of benign disorders but malignancy are not a rare cause of it. Preoperative di...

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Veröffentlicht in:Egyptian Journal of Radiology and Nuclear Medicine 2023-12, Vol.54 (1), p.184-9, Article 184
Hauptverfasser: Ahmed, Meraj, Nag, Hirdaya Hulas, Meena, Pankaj
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creator Ahmed, Meraj
Nag, Hirdaya Hulas
Meena, Pankaj
description Background Thick wall gallbladder (TWGB) is not an uncommon finding on ultrasonography especially in region with high prevalence of gall stones disease like north India. On most occasion, these thickening could be because of benign disorders but malignancy are not a rare cause of it. Preoperative distinction between benign and malignant causes of TWGB is important as the surgical treatment entirely differ. Despite after thorough evaluation with various imaging modalities, a definitive diagnosis cannot be reached on many occasion. The aim of our study was to review the literature for the diagnosis and management approach in patients with TWGB. Methods We perform a thorough online search of full text articles related with thick wall GB published in English literature. After doing a critical appraisal of available literature, a comprehensive narrative review was described. Conclusions In this review, the authors have described a clinical algorithmic approach by detailing the diagnostic utility of various imaging modalities and also different surgical options for treatment especially in cases of ambiguity.
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On most occasion, these thickening could be because of benign disorders but malignancy are not a rare cause of it. Preoperative distinction between benign and malignant causes of TWGB is important as the surgical treatment entirely differ. Despite after thorough evaluation with various imaging modalities, a definitive diagnosis cannot be reached on many occasion. The aim of our study was to review the literature for the diagnosis and management approach in patients with TWGB. Methods We perform a thorough online search of full text articles related with thick wall GB published in English literature. After doing a critical appraisal of available literature, a comprehensive narrative review was described. Conclusions In this review, the authors have described a clinical algorithmic approach by detailing the diagnostic utility of various imaging modalities and also different surgical options for treatment especially in cases of ambiguity.</description><identifier>ISSN: 2090-4762</identifier><identifier>ISSN: 0378-603X</identifier><identifier>EISSN: 2090-4762</identifier><identifier>DOI: 10.1186/s43055-023-01137-3</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdomen ; Accuracy ; Antigens ; Bile ducts ; Care and treatment ; Chronic cholecystitis ; Database searching ; Diagnosis ; Edema ; Endoscopy ; Evidence-based medicine ; Gallbladder cancer ; Gallbladder carcinoma ; Gallbladder diseases ; Gallstones ; Hepatitis ; Hypertension ; Imaging ; Inflammation ; Internet/Web search services ; Interventional Radiology ; Liver cirrhosis ; Medicine ; Medicine &amp; Public Health ; Nuclear Medicine ; Online searching ; Pancreatitis ; Peritonitis ; Radiology ; Review ; Thick wall gallbladder ; Tomography ; Ultrasonic imaging ; Ultrasound imaging ; Xanthogranulomatous cholecystitis</subject><ispartof>Egyptian Journal of Radiology and Nuclear Medicine, 2023-12, Vol.54 (1), p.184-9, Article 184</ispartof><rights>The Author(s) 2023</rights><rights>COPYRIGHT 2023 Springer</rights><rights>The Author(s) 2023. 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On most occasion, these thickening could be because of benign disorders but malignancy are not a rare cause of it. Preoperative distinction between benign and malignant causes of TWGB is important as the surgical treatment entirely differ. Despite after thorough evaluation with various imaging modalities, a definitive diagnosis cannot be reached on many occasion. The aim of our study was to review the literature for the diagnosis and management approach in patients with TWGB. Methods We perform a thorough online search of full text articles related with thick wall GB published in English literature. After doing a critical appraisal of available literature, a comprehensive narrative review was described. 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subjects Abdomen
Accuracy
Antigens
Bile ducts
Care and treatment
Chronic cholecystitis
Database searching
Diagnosis
Edema
Endoscopy
Evidence-based medicine
Gallbladder cancer
Gallbladder carcinoma
Gallbladder diseases
Gallstones
Hepatitis
Hypertension
Imaging
Inflammation
Internet/Web search services
Interventional Radiology
Liver cirrhosis
Medicine
Medicine & Public Health
Nuclear Medicine
Online searching
Pancreatitis
Peritonitis
Radiology
Review
Thick wall gallbladder
Tomography
Ultrasonic imaging
Ultrasound imaging
Xanthogranulomatous cholecystitis
title Clinical approach to patients with thick wall gallbladder
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