Sickle-cell disease surgery: Difference between revisions

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==Surgery==
==Surgery==
Surgical intervention is generally not recommended for the management of sickle-cell disease. However, elective splenectomy can be performed after the first episode of a splenic sequestration crisis.<ref name="pmid22924029">{{cite journal| author=Ballas SK, Kesen MR, Goldberg MF, Lutty GA, Dampier C, Osunkwo I et al.| title=Beyond the definitions of the phenotypic complications of sickle cell disease: an update on management. | journal=ScientificWorldJournal | year= 2012 | volume= 2012 | issue=  | pages= 949535 | pmid=22924029 | doi=10.1100/2012/949535 | pmc=3415156 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22924029  }} </ref> [[Cholecystectomy]] can be done for patients who develop [[cholecystitis\\ or symptoms of [[gallbladder disease]].<ref name="pmid22924029">{{cite journal| author=Ballas SK, Kesen MR, Goldberg MF, Lutty GA, Dampier C, Osunkwo I et al.| title=Beyond the definitions of the phenotypic complications of sickle cell disease: an update on management. | journal=ScientificWorldJournal | year= 2012 | volume= 2012 | issue=  | pages= 949535 | pmid=22924029 | doi=10.1100/2012/949535 | pmc=3415156 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22924029  }} </ref> For patients who develop [[choledocholithiasis]], endoscopic retrograde cholangiopancreatography (ERCP) may be done.
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:<ref name="pmid22924029">{{cite journal| author=Ballas SK, Kesen MR, Goldberg MF, Lutty GA, Dampier C, Osunkwo I et al.| title=Beyond the definitions of the phenotypic complications of sickle cell disease: an update on management. | journal=ScientificWorldJournal | year= 2012 | volume= 2012 | issue=  | pages= 949535 | pmid=22924029 | doi=10.1100/2012/949535 | pmc=3415156 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22924029  }} </ref><ref name="pmid22924029">{{cite journal| author=Ballas SK, Kesen MR, Goldberg MF, Lutty GA, Dampier C, Osunkwo I et al.| title=Beyond the definitions of the phenotypic complications of sickle cell disease: an update on management. | journal=ScientificWorldJournal | year= 2012 | volume= 2012 | issue=  | pages= 949535 | pmid=22924029 | doi=10.1100/2012/949535 | pmc=3415156 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22924029  }} </ref>
*First episode of a splenic sequestration crisis
*[[Cholecystitis]] or symptoms of [[gallbladder disease]]
*[[Choledocholithiasis]]


==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 15:32, 7 August 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shyam Patel [2]

Overview

Surgical intervention is generally not recommended for the management of sickle-cell disease. However, certain surgeries may be performed for specific complications.

Surgery

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:[1][1]

References

  1. 1.0 1.1 Ballas SK, Kesen MR, Goldberg MF, Lutty GA, Dampier C, Osunkwo I; et al. (2012). "Beyond the definitions of the phenotypic complications of sickle cell disease: an update on management". ScientificWorldJournal. 2012: 949535. doi:10.1100/2012/949535. PMC 3415156. PMID 22924029.