Evidence map›Paper›PMID 32007863›Full record

ArticleInternational journal of surgery case reports2020

An obese patient with acute cholecystitis, nonalcoholic steatohepatitis and cirrhosis: A case report.

Toru Zuiki, Jun Ohki, Toshio Horiuchi, Alan Kawarai Lefor, Fuyumi Shirakata, Yuka Hirota, Norio Hirota

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of surgery case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 52% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Toru ZuikiDepartment of Surgery, Yuki Hospital, Yuki 9629-1, Yuki City, Ibaraki, Japan. Electronic address: th-zuiki@jichi.ac.jp.
Jun OhkiDepartment of Surgery, Yuki Hospital, Yuki 9629-1, Yuki City, Ibaraki, Japan.
Toshio HoriuchiDepartment of Surgery, Yuki Hospital, Yuki 9629-1, Yuki City, Ibaraki, Japan; Department of Surgery, Jichi Medical University, Yakushiji 3311-1, Shimotsuke City, Tochigi, Japan.
Alan Kawarai LeforDepartment of Surgery, Jichi Medical University, Yakushiji 3311-1, Shimotsuke City, Tochigi, Japan.
Fuyumi ShirakataDepartment of Surgery, Yuki Hospital, Yuki 9629-1, Yuki City, Ibaraki, Japan; Department of Surgery, Jichi Medical University, Yakushiji 3311-1, Shimotsuke City, Tochigi, Japan.
Yuka HirotaHirota Institute for Surgical Pathology, Idaimae 3-6-5, Shimotuke City, Tochigi, Japan; Department of Human Pathology, Jichi Medical University, Yakushiji 3311-1, Shimotsuke City, Tochigi, Japan.
Norio HirotaHirota Institute for Surgical Pathology, Idaimae 3-6-5, Shimotuke City, Tochigi, Japan.
Jichi Medical University · JPYuki Animal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic cholecystectomy for patients with acute cholecystitis and liver cirrhosis is associated with increased risk. We present an obese patient with acute cholecystitis and liver cirrhosis caused by nonalcoholic steatohepatitis (NASH), who was successfully managed with laparoscopic cholecystostomy and a low-carbohydrate diet with exercise. PRESENTATION OF CASE: A 61-year-old woman presented with right upper quadrant abdominal pain. Ultrasonography and computed tomography were consistent with acute cholecystitis with multiple stones and cirrhosis. The patient had no history of alcohol intake, and serologic tests were negative. The patient's body mass index was 39 kg/m DISCUSSION: Laparoscopic cholecystostomy is a reasonable temporary alternative to cholecystectomy in patients with acute cholecystitis and increased surgical risk. Weight loss with diet and exercise can be effective in patients with NASH. A low-carbohydrate diet is a reasonable treatment for NASH, because glucose is converted to triglycerides and stored as lipid in the liver.

conclusionLaparoscopic cholecystostomy was effective in this obese patient with acute cholecystitis and NASH cirrhosis. Using a low-carbohydrate diet with exercise, her weight decreased, and subsequent open cholecystectomy was uneventful.

Indexed as

Acute cholecystitisLaparoscopic cholecystostomyLiver cirrhosisLow-carbohydrate dietNonalcoholic steatohepatitisObesity

Identifiers

PMID32007863
PMCPMC6997644
OpenAlexW3002341253

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.