Año 2019 / Volumen 111 / Número 9
Original
Acute calculous cholecystitis: a real-life management study in a tertiary teaching hospital

667-671

DOI: 10.17235/reed.2019.6260/2019

Victoria Busto Bea, Agustín Caro Patón, Rocío Aller dela Fuente, Manuel González Sagrado, Francisco Javier García-Alonso, Manuel Pérez-Miranda Castillo,

Resumen
Aim: to describe the management of acute calculous cholecystitis in a tertiary teaching hospital and the outcomes obtained. Material and methods: a retrospective single tertiary center cohort study. Results: medical records of 487 patients were analyzed. The mean follow-up was 44.5 ± 17.0 months. Treatment alternatives were cholecystectomy (64.3%), conservative treatment (23.0%), endoscopic retrograde cholangiopancreatography (17.4%), percutaneous cholecystostomy (10.7%) and endoscopic ultrasound-guided gallbladder drainage (0.8%). Most cholecystectomies were delayed (88.8%). Recurrences occurred in 38.2% of patients. Although cholecystectomy was the therapeutic approach with the lowest recurrence rate once performed, 44.6% of patients that underwent delayed surgery had pre-surgical recurrences. Conclusions: delayed cholecystectomy is still commonly performed, even though it is related with a high frequency of preoperative recurrences.
Share Button
Nuevo comentario
Comentarios
No hay comentarios para este artículo.
Bibliografía
1 Okamoto K, Suzuki K, Takada T, et al. Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci. 2018;25(1):55–72.
2 Wu XD, Tian X, Liu MM, et al. Meta-analysis comparing early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg. 2015;102(11):1302-13.
3 Cheruvu CV, Eyre-Brook IA. Consequences of prolonged wait before gallbladder surgery. Ann R Coll Surg Engl. 2002;84(1):20-2.
4 Cameron IC, Chadwick C, Phillips J, et all. Management of acute cholecystitis in UK hospitals: time for a change. Postgrad Med J. 2004;80(943):292-4.
5 Yamashita Y, Takada T, Hirata K. A survey of the timing and approach to the surgical management of patients with acute cholecystitis in Japanese hospitals. J Hepatobiliary Pancreat Surg. 2006;13(5):409-15.
6 Mori Y, Itoi T, Baron TH, et al. Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018;25(1):87–95.
7 American Society of Anesthesiologists. 2015 Relative Value Guide Book: A Guide for Anesthesia Values. American Society of Anesthesiologists; 2014.
8 Yokoe M, Takada T, Strasberg SM, et al. TG13 diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2013;20(1):35-46.
9 Kiriyama S, Takada T, Strasberg SM, et al. TG13 guidelines for diagnosis and severity grading of acute cholangitis (with videos). J Hepatobiliary Pancreat Sci. 2013;20(1):24-34.
10 Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis-2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013;62(1):102-11.
11 de Mestral C, Rotstein OD, Laupacis A, et al. A population-based analysis of the clinical course of 10,304 patients with acute cholecystitis, discharged without cholecystectomy. J Trauma Acute Care Surg. 2013;74(1):26-30; discussion -1.
12 Barreiro E, Mancebo A, Varela P, et al. Reingresos por pancreatitis aguda biliar edematosa en pacientes sin colecistectomía. Rev Esp Enferm Dig. 2016;108(8):473-8.
13 Hasbahceci M, Cengiz MB, Malya FU, et al. The impact of a percutaneous cholecystostomy catheter in situ until the time of cholecystectomy on the development of recurrent acute cholecystitis: a historical cohort study. Rev Esp Enferm Dig. 2018;110(10):629-33.
14 Keulemans YC, Rauws EA, Huibregtse K, et al. Current management of the gallbladder after endoscopic sphincterotomy for common bile duct stones. Gastrointest Endosc. 1997;46(6):514-9.
15 Zhou Y, Zha WZ, Fan RG, et al. A two-stage versus single-stage procedure for the management of cholecysto-choledocholithiasis in elderly patients: a retrospectively cohort study. Rev Esp Enferm Dig. 2018;111(3):176-81.
Artículos relacionados

Carta

Linfoma T hepatoesplénico y enfermedad inflamatoria intestinal

DOI: 10.17235/reed.2023.9472/2023

Carta

New technique for the endoscopic removal of long foreign bodies

DOI: 10.17235/reed.2023.9398/2022

Editorial

Menos endoscopistas deberían hacer más CPRE

DOI: 10.17235/reed.2023.9507/2022

Carta

An uncommon colonic polyp

DOI: 10.17235/reed.2022.9160/2022

Carta

Migración de clip tras colecistectomía

DOI: 10.17235/reed.2021.8156/2021

Carta

POEMS syndrome: an uncommon cause of peritoneal effusion

DOI: 10.17235/reed.2021.8027/2021

Imagen en Patología Digestiva

Phlebosclerotic colitis: an unusual cause of abdominal pain and hematochezia

DOI: 10.17235/reed.2020.7358/2020

Original

Apendicopatía neurogénica. A propósito de 8 casos

DOI: 10.17235/reed.2017.4520/2016

Imagen en Patología Digestiva

Porcelain gallbladder

Caso Clínico

Melanoma esofágico primario: descripción de un caso

DOI: 10.17235/reed.2016.3908/2015

Carta al Editor

Descripción de un caso de evolución inusual de apendicitis epiploica

DOI: 10.17235/reed.2015.3796/2015

Carta al Editor

Absceso hepático por Eikenella Corrodens

DOI: 10.17235/reed.2015.3613/2014

Instrucciones para citar
Busto Bea V, Caro Patón A, Aller dela Fuente R, González Sagrado M, García-Alonso F, Pérez-Miranda Castillo M, et all. Acute calculous cholecystitis: a real-life management study in a tertiary teaching hospital. 6260/2019


Descargar en un gestor de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica
Este artículo ha sido visitado 796 veces.
Este artículo ha sido descargado 219 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 04/03/2019

Aceptado: 28/03/2019

Prepublicado: 18/07/2019

Publicado: 05/09/2019

Tiempo de revisión del artículo: 22 días

Tiempo de prepublicación: 136 días

Tiempo de edición del artículo: 185 días


Compartir
Este artículo aun no tiene valoraciones.
Valoración del lector:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
La REED es el órgano oficial de la Sociedad Española de Patología Digestiva, la SociedadEspañola de Endoscopia Digestiva y la Asociación Española de Ecografía Digestiva
Política de cookies Política de Privacidad Aviso Legal © Copyright 2023 y Creative Commons. Revista Española de Enfermedades Digestivas