30/11/2019
Cholecystectomy in sickle cell disease
Case Study Maureen Ogan PgDip Peri-op Nursing
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Aims & Objectives • Anatomy of the gall bladder
Introduction • Sickle cell disease (SCD) is a genetic haemoglobinopathy • Most common in Afro-Caribbean and African people • Diagnosed in childhood with life long complications • SCD patients have progressive organ damage • Sickle cell disease is more symptomatic than sickle cell trait • 50% of adult patients with SCD get cholecystitis • Surgery for SCD patients triggers the disease related complications • Prognosis for these patients has improved in recent times hence awareness is important.
• To define Cholecystitis and Predisposing factors • Symptoms & investigations of cholecystitis • To explain sickle cell Disease : Anatomy, Epidemiology • Indications and types of sickle cell disease
• To present a surgical cholecystectomy case study for cholecystitis with sickle cell disease • To outline the peri-operative nursing care of the patient and post-operative complications of this procedure. • To provide awareness of sickle cell disease and its implication for surgical patients undergoing cholecystectomy.
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Anatomy of Gallbladder
Cholecystitis Define It is the inflammation of the gall bladder which can happen suddenly (acute) or over a long period (chronic).
Predisposing Factors • Race and demography • Obesity • Age • Haemolysis syndromes • Biliary infections • Gall bladder cancer
• Inflammatory bowel disorder • Ileal resection or bypass • Cystic fibrosis • Chronic pancreatitis • Cirrhosis (Rothrock 2011)
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