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  1. Article: Clinicopathological and Molecular Insights into Gallbladder Cancer.

    de Reuver, Philip R / van der Post, Rachel S

    Cancers

    2023  Volume 15, Issue 10

    Abstract: Although gallbladder cancer (GBC) is rare, it is one of the few cancers with a higher mortality rate than incidence, accounting for 1 [ ... ]. ...

    Abstract Although gallbladder cancer (GBC) is rare, it is one of the few cancers with a higher mortality rate than incidence, accounting for 1 [...].
    Language English
    Publishing date 2023-05-12
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15102728
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: "One-day, one-stay, and one-step" lessons from the Danish guidelines for the treatment of gallstone disease.

    Verdonk, Robert C / de Reuver, Philip R

    Hepatobiliary surgery and nutrition

    2023  Volume 12, Issue 4, Page(s) 607–610

    Language English
    Publishing date 2023-07-05
    Publishing country China (Republic : 1949- )
    Document type Editorial ; Comment
    ZDB-ID 2812398-0
    ISSN 2304-389X ; 2304-3881
    ISSN (online) 2304-389X
    ISSN 2304-3881
    DOI 10.21037/hbsn-23-307
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Time to revisit indications for cholecystectomy - Author's reply.

    de Reuver, Philip R

    Lancet (London, England)

    2019  Volume 394, Issue 10211, Page(s) 1804

    MeSH term(s) Abdominal Pain ; Cholecystectomy ; Gallstones/surgery ; Humans
    Language English
    Publishing date 2019-11-27
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(19)32615-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Tailoring diagnosis and treatment in symptomatic gallstone disease.

    Latenstein, Carmen S S / de Reuver, Philip R

    The British journal of surgery

    2022  Volume 109, Issue 9, Page(s) 832–838

    Abstract: Background: There is a lack of consensus in selecting patients who do or do not benefit from surgery when patients present with abdominal pain and gallbladder stones are present. This review aimed to give an overview of results from recent trials and ... ...

    Abstract Background: There is a lack of consensus in selecting patients who do or do not benefit from surgery when patients present with abdominal pain and gallbladder stones are present. This review aimed to give an overview of results from recent trials and available literature to improve treatment decisions in patients with uncomplicated cholecystolithiasis.
    Methods: First, an overview of different symptom criteria for laparoscopic cholecystectomy in patients with uncomplicated cholecystolithiasis is given, based on national and international guidelines. Second, treatment outcomes (absence of biliary colic, pain-free state, biliary and surgical complications) are summarized, with data from three clinical trials. Finally, personal advice for treatment decisions in patients with uncomplicated cholecystolithiasis is provided, based on recent trials, the available literature, and expert opinion.
    Results: This review describes different guidelines and criteria sets for uncomplicated cholecystolithiasis, provides an overview of outcomes after cholecystectomy, and advises on treatment decisions in patients with abdominal pain and gallbladder stones. After cholecystectomy, biliary colic is resolved in 95 per cent of patients. However, non-specific abdominal pain persists in 40 per cent. Irritable bowel syndrome and functional dyspepsia significantly increase the risk of persistent pain. Age, previous abdominal surgery, baseline pain score on a visual analogue scale, pain characteristics, nausea, and heartburn are part of the SUCCESS criteria, and are associated with clinically relevant pain reduction after gallbladder removal.
    Conclusion: The surgical community can now give more personalized advice on surgery to improve care for patients with abdominal pain and uncomplicated cholecystolithiasis.
    MeSH term(s) Abdominal Pain/etiology ; Cholecystectomy, Laparoscopic ; Colic/complications ; Gallbladder Diseases/complications ; Gallstones/complications ; Gallstones/diagnosis ; Gallstones/surgery ; Humans ; Prospective Studies
    Language English
    Publishing date 2022-06-03
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1093/bjs/znac154
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Gallbladder polyps and the challenge of distinguishing benign lesions from cancer.

    van Dooren, Mike / de Reuver, Philip R

    United European gastroenterology journal

    2022  Volume 10, Issue 7, Page(s) 625–626

    MeSH term(s) Gallbladder Diseases/diagnosis ; Gallbladder Diseases/pathology ; Gastrointestinal Neoplasms ; Humans ; Polyps/diagnosis ; Polyps/pathology
    Language English
    Publishing date 2022-08-11
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 2728585-6
    ISSN 2050-6414 ; 2050-6406
    ISSN (online) 2050-6414
    ISSN 2050-6406
    DOI 10.1002/ueg2.12287
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Referral rate of patients with incidental gallbladder cancer and survival: outcomes of a multicentre retrospective study.

    van Dooren, Mike / de Savornin Lohman, Elise A J / van der Post, Rachel S / Erdmann, Joris I / Hoogwater, Frederik J H / Groot Koerkamp, Bas / van den Boezem, Peter B / de Reuver, Philip R

    BJS open

    2024  Volume 8, Issue 2

    Abstract: Background: Treatment outcomes of incidental gallbladder cancer generally stem from tertiary referral centres, while many patients are initially diagnosed and managed in secondary care centres. Referral patterns of patients with incidental gallbladder ... ...

    Abstract Background: Treatment outcomes of incidental gallbladder cancer generally stem from tertiary referral centres, while many patients are initially diagnosed and managed in secondary care centres. Referral patterns of patients with incidental gallbladder cancer are poorly reported. This study aimed to evaluate incidental gallbladder cancer treatment in secondary centres, rates of referral to tertiary centres and its impact on survival.
    Methods: Medical records of patients with incidental gallbladder cancer diagnosed between 2000 and 2019 in 27 Dutch secondary centres were retrospectively reviewed. Patient characteristics, surgical treatment, tumour characteristics, referral pattern and survival were assessed. Predictors for overall survival were determined using multivariable Cox regression.
    Results: In total, 382 patients with incidental gallbladder cancer were included. Of 243 patients eligible for re-resection (pT1b-pT3, M0), 131 (53.9%) were referred to a tertiary centre. The reason not to refer, despite indication for re-resection, was not documented for 52 of 112 non-referred patients (46.4%). In total, 98 patients underwent additional surgery with curative intent (40.3%), 12 of these in the secondary centre. Median overall survival was 33 months (95% c.i. 24 to 42 months) in referred patients versus 17 months (95% c.i. 3 to 31 months) in the non-referred group (P = 0.019). Referral to a tertiary centre was independently associated with improved survival after correction for age, ASA classification, tumour stage and resection margin (HR 0.60, 95% c.i. 0.38 to 0.97; P = 0.037).
    Conclusion: Poor incidental gallbladder cancer referral rates were associated with worse survival. Age, performance status, resection margin or tumour stage should not preclude referral of a patient with incidental gallbladder cancer to a tertiary centre.
    MeSH term(s) Humans ; Gallbladder Neoplasms/epidemiology ; Gallbladder Neoplasms/surgery ; Gallbladder Neoplasms/diagnosis ; Retrospective Studies ; Margins of Excision ; Incidental Findings ; Neoplasm Staging ; Referral and Consultation
    Language English
    Publishing date 2024-03-22
    Publishing country England
    Document type Multicenter Study ; Journal Article
    ISSN 2474-9842
    ISSN (online) 2474-9842
    DOI 10.1093/bjsopen/zrae013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A Potential Definitive Solution Is Preferable: In reply to Toro and colleagues.

    van Dijk, Aafke H / de Reuver, Philip R

    Journal of the American College of Surgeons

    2018  Volume 226, Issue 3, Page(s) 332–333

    MeSH term(s) Cholecystectomy
    Language English
    Publishing date 2018-02-26
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1181115-8
    ISSN 1879-1190 ; 1072-7515
    ISSN (online) 1879-1190
    ISSN 1072-7515
    DOI 10.1016/j.jamcollsurg.2017.11.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Patients with Clinically Suspected Gallstone Disease: A More Selective Ultrasound May Improve Treatment Related Outcomes.

    Thunnissen, Floris M / Comes, Daan J / Geenen, Remy W F / Riviere, Deniece / Latenstein, Carmen S S / Lantinga, Marten A / Schers, Henk J / van Laarhoven, Cornelis J H M / Drenth, Joost P H / Atsma, Femke / de Reuver, Philip R

    Journal of clinical medicine

    2023  Volume 12, Issue 12

    Abstract: This study aimed to quantify the confirmation of gallstones on ultrasound (US) in patients with suspicion of gallstone disease. To aid general practitioners (GPs) in diagnostic workup, a model to predict gallstones was developed. A prospective cohort ... ...

    Abstract This study aimed to quantify the confirmation of gallstones on ultrasound (US) in patients with suspicion of gallstone disease. To aid general practitioners (GPs) in diagnostic workup, a model to predict gallstones was developed. A prospective cohort study was conducted in two Dutch general hospitals. Patients (≥18 years) were eligible for inclusion when referred by GPs for US with suspicion of gallstones. The primary outcome was the confirmation of gallstones on US. A multivariable regression model was developed to predict the presence of gallstones. In total, 177 patients were referred with a clinical suspicion of gallstones. Gallstones were found in 64 of 177 patients (36.2%). Patients with gallstones reported higher pain scores (VAS 8.0 vs. 6.0,
    Language English
    Publishing date 2023-06-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12124162
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Treatment patterns and survival in older adults with unresected nonmetastatic biliary tract cancers.

    Belkouz, Ali / de Savornin Lohman, Elise / Thumma, Jyothi R / Groot Koerkamp, Bas / de Reuver, Philip R / van Oijen, Martijn G H / Punt, Cornelis J A / Nathan, Hari / Klümpen, Heinz-Josef

    Journal of geriatric oncology

    2023  Volume 14, Issue 3, Page(s) 101447

    Abstract: Introduction: The optimal treatment for unresected nonmetastatic biliary tract cancer (uBTC) is not well-established. The objective of this study was to analyze the treatment patterns and compare the differences in overall survival (OS) between ... ...

    Abstract Introduction: The optimal treatment for unresected nonmetastatic biliary tract cancer (uBTC) is not well-established. The objective of this study was to analyze the treatment patterns and compare the differences in overall survival (OS) between different treatment strategies amongst older adults with uBTC.
    Materials and methods: We identified patients aged ≥65 years with uBTC using the Surveillance, Epidemiology, and End Results (SEER)-Medicare database (2004-2015). Treatments were classified into chemotherapy, chemoradiotherapy, and radiotherapy. The primary outcome was OS. The differences in OS were analyzed using Kaplan-Meier curves and multivariable Cox proportional hazard regression.
    Results: A total of 4352 patients with uBTC were included. The median age was 80 years and median OS was 4.1 months. Most patients (67.3%, n = 2931) received no treatment, 19.1% chemotherapy (n = 833), 8.1% chemoradiotherapy (n = 354), and 5.4% radiotherapy alone (n = 234). Patients receiving no treatment were older and had more comorbidities. Chemotherapy was associated with significantly longer OS than no treatment in uBTC (hazard ratio [HR] 0.87, 95% confidence interval [CI] 0.79-0.95), but no difference was found in the subgroups of intrahepatic cholangiocarcinoma (iCCA; HR 0.87, 95% CI 0.75-1.00) and gallbladder carcinoma (GBC; HR 1.09, 95% CI 0.86-1.39). In the sensitivity analyses, capecitabine-based chemoradiotherapy showed significantly longer OS in uBTC compared to chemotherapy (adjusted HR 0.71, 95% CI 0.53-0.95).
    Discussion: A minority of older patients with uBTC receive systemic treatments. Chemotherapy was associated with longer OS compared to no treatment in uBTC, but not in the subgroups of iCCA and GBC. The efficacy of chemoradiotherapy, especially in perihilar cholangiocarcinoma using capecitabine-based chemoradiotherapy, may be further evaluated in prospective clinical trials.
    MeSH term(s) Humans ; Aged ; United States ; Aged, 80 and over ; Capecitabine ; Prospective Studies ; Medicare ; Biliary Tract Neoplasms/drug therapy ; Chemoradiotherapy ; Treatment Outcome
    Chemical Substances Capecitabine (6804DJ8Z9U)
    Language English
    Publishing date 2023-02-26
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2556813-9
    ISSN 1879-4076 ; 1879-4068
    ISSN (online) 1879-4076
    ISSN 1879-4068
    DOI 10.1016/j.jgo.2023.101447
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Persistent and new-onset symptoms after cholecystectomy in patients with uncomplicated symptomatic cholecystolithiasis: A post hoc analysis of 2 prospective clinical trials.

    Thunnissen, Floris M / Baars, Cléo / Arts, Rianne / Latenstein, Carmen S S / Drenth, Joost P H / van Laarhoven, Cornelis J H M / Lantinga, Marten A / de Reuver, Philip R

    Surgery

    2023  Volume 174, Issue 4, Page(s) 781–786

    Abstract: Background: Laparoscopic cholecystectomy is the gold standard for treating biliary colic in patients with gallstones, but post-cholecystectomy abdominal pain is commonly reported. This study investigates which symptoms are likely to persist and which ... ...

    Abstract Background: Laparoscopic cholecystectomy is the gold standard for treating biliary colic in patients with gallstones, but post-cholecystectomy abdominal pain is commonly reported. This study investigates which symptoms are likely to persist and which may develop after a cholecystectomy.
    Methods: Patients from 2 previous prospective trials who underwent laparoscopic cholecystectomy for symptomatic cholecystolithiasis were included. Patients completed questionnaires on pain and gastrointestinal symptoms before surgery and at 6 months follow-up. The prevalence of persistent and new-onset abdominal symptoms was evaluated.
    Results: A total of 820 patients received cholecystectomy and were included, 75.4% female (n = 616/820) mean age 49.4 years (standard deviation 13.7). At baseline, 74.1% (n = 608/820) of patients met all criteria for biliary colic. Cholecystectomy successfully resolved biliary colic in 94.8% (n = 327/345) of patients, but 36.5% (n = 299/820) of patients reported persistent abdominal pain after 6 months of follow-up. The prevalence of most abdominal symptoms reduced significantly. Symptoms such as flatulence (17.8%, n = 146/820) or restricted eating (14.5%, n = 119/820) persisted most often. New-onset symptoms were frequent bowel movements (9.6%, n = 79/820), bowel urgency (8.5%, n = 70/820), and new-onset diarrhea (8.4%, 69/820).
    Conclusion: Postcholecystectomy symptoms are mainly flatulence, frequent bowel movements, and restricted eating. Newly reported symptoms are mainly frequent bowel movements, bowel urgency, and diarrhea. The present findings give clinical guidance in informing, managing, and treating patients with symptoms after cholecystectomy.
    MeSH term(s) Humans ; Female ; Middle Aged ; Male ; Colic/epidemiology ; Colic/etiology ; Colic/surgery ; Cholecystolithiasis/complications ; Cholecystolithiasis/surgery ; Flatulence/complications ; Flatulence/surgery ; Prospective Studies ; Cholecystectomy/adverse effects ; Abdominal Pain/diagnosis ; Abdominal Pain/epidemiology ; Abdominal Pain/etiology ; Cholecystectomy, Laparoscopic/adverse effects ; Gallbladder Diseases/surgery ; Diarrhea/etiology ; Bile Duct Diseases/surgery
    Language English
    Publishing date 2023-08-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2023.06.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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