What is cholecystectomy with grams?

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Specializes in Skilled Nursing/Rehab.

Hello all!

Prepping for clinical tomorrow - my patient is having a laparoscopic cholecystectomy with possible grams. I know what a laparoscopic cholecystectomy is (laparoscopic removal of gallbladder) but I cannot find the meaning of "with grams."

I googled it, and also looked in both of my med/surg textbooks. The only info I found online was a medical transcriptionist website where one of them was asking others what it meant.... another transcriptionist suggested that it MIGHT mean with "cholangiograms" but no one confirmed.

I also searched this website first... sorry if this is a repeat! Thanks for any help you can provide!

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Specializes in Skilled Nursing/Rehab.

Intraoperative cholangiogram and gallstones

So I found this website about intraoperative cholangiograms... I am going to assume that is what the "with grams" means, unless I hear otherwise!

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Specializes in NICU, ICU, PICU, Academia.

You are correct.

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Specializes in Skilled Nursing/Rehab.

Yay! Thanks, meanmaryjean! :)

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

I had to stop there a minute...grams? Hummmm....Oh Yeah :facepalm: cholangiogram

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is this an approved abbreviation?

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Specializes in Hospital Education Coordinator.

brings up a good point - we should not have to guess! MD needs to make orders clear.

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Specializes in Skilled Nursing/Rehab.

My instructor called ahead to the clinical site, and got this assignment for me. I probably should have just asked her what it meant, but she handed me a little note in class with it written down and I was distracted... Not sure if it is an approved abbreviation, but it appears to be one that the staff of this particular ambulatory surgery center is familiar with.

BTW - it ended up being just a lap chole, no grams. :)

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From an editorial standpoint, I opine that it ought to have been written as, " ... with 'grams ," indicating a contraction, the beginning of the word being omitted. :)

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Specializes in diagnostic medical sonographer.

I thought "Nice of him to let his Grandma be with him."

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Specializes in Nurse Anesthesiology.

Its a Lap Chole with a IOC. IOC is Intraoperative Choleangiogram which means the surgeon puts a small knick into the common bile duct and injects contrast dye into it to see if there are any stones inside the duct. You can have gallstones but you can also get CBD stones which would not be fixed by just removing the gallbladder. Many surgeons don't do them on every gallbladder case though.

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Specializes in retired LTC.

To PassinGAS - TY for the info. I still continue to learn stuff from this site even after 10 yrs retirement. TY

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