Year 2019 / Volume 111 / Number 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,

Abstract
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
New comment
Comments
No comments for this article
References
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.
Related articles

Letter

Hepatosplenic T-cell lymphoma and inflammatory bowel disease

DOI: 10.17235/reed.2023.9472/2023

Letter

New technique for the endoscopic removal of long foreign bodies

DOI: 10.17235/reed.2023.9398/2022

Editorial

Fewer endoscopists should perform more ERCPs

DOI: 10.17235/reed.2023.9507/2022

Letter

An uncommon colonic polyp

DOI: 10.17235/reed.2022.9160/2022

Letter

Clip migration after cholecystectomy

DOI: 10.17235/reed.2021.8156/2021

Letter

POEMS syndrome: an uncommon cause of peritoneal effusion

DOI: 10.17235/reed.2021.8027/2021

Digestive Diseases Image

Phlebosclerotic colitis: an unusual cause of abdominal pain and hematochezia

DOI: 10.17235/reed.2020.7358/2020

Original

Neurogenic ppendicopathy. A report of 8 cases

DOI: 10.17235/reed.2017.4520/2016

Digestive Diseases Image

Porcelain gallbladder

Case Report

Primary esophageal melanoma: report of a case

DOI: 10.17235/reed.2016.3908/2015

Letter to the Editor

Unusual course of epiploic appendicitis

DOI: 10.17235/reed.2015.3796/2015

Letter to the Editor

Liver abscess by Eikenella Corrodens

DOI: 10.17235/reed.2015.3613/2014

Citation tools
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


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 468 visits.
This article has been downloaded 217 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 04/03/2019

Accepted: 28/03/2019

Online First: 18/07/2019

Published: 05/09/2019

Article revision time: 22 days

Article Online First time: 136 days

Article editing time: 185 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology