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HPB is where the emergency take and specialist surgery meet most often. The domain covers gallstones, cholecystitis and cholecystectomy, bile duct stones, cholangitis and ERCP, bile duct injury and benign biliary disease; acute pancreatitis, its severity, collections and late complications, and chronic pancreatitis; pancreatic and periampullary cancer, cystic neoplasms and intraductal papillary mucinous neoplasms; colorectal liver metastases, hepatocellular carcinoma, cholangiocarcinoma and gallbladder cancer, benign and cystic liver lesions; and portal hypertension and liver failure.
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From the free sample — original, referenced, with the full explanation. Rate your confidence first.
A fit 46-year-old woman has had right upper quadrant pain for two days. Temperature is 38.1 °C, WCC 14 × 10⁹/L and CRP 120 mg/L, with normal liver function tests. Ultrasound shows a thick-walled gallbladder containing stones, pericholecystic fluid and a 4 mm common bile duct.
Which plan is most appropriate?
A 58-year-old woman with gallstone pancreatitis still needs high-flow nasal oxygen for respiratory failure on day 3. She is nauseated and has eaten almost nothing since admission. She is not vomiting, her abdomen is soft and bowel sounds are present.
What is the most appropriate nutritional strategy?
Acute pancreatitis for FRCS (Gen Surg): the revised Atlanta diagnosis and severity grades, collections by time, fluids and feeding, ERCP, cholecystectomy timing and the step-up approach.
Read · 9 minSafe cholecystectomy for FRCS (Gen Surg): the hepatocystic triangle, the critical view of safety, Rouvière’s sulcus, bail-out options and the Strasberg classification of bile duct injury.
Read · 8 minAt the level of a general surgeon who recognises, stages and refers: resectability in principle, the work-up, and the management of complications such as obstructive jaundice — rather than the operative detail an HPB surgeon would need.
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