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JAMA Jul 2022
Topics: Cholecystitis, Acute; Humans; Review Literature as Topic
PubMed: 35788798
DOI: 10.1001/jama.2022.7771 -
Advances in Surgery 2014Laparoscopic cholecystectomy is widely established as the standard operation in acute cholecystectomy. Valid data from several prospective studies, including a recent... (Review)
Review
Laparoscopic cholecystectomy is widely established as the standard operation in acute cholecystectomy. Valid data from several prospective studies, including a recent large randomized multicenter trial, are available, demonstrating that early cholecystectomy is associated with less morbidity, a shorter length of hospital stay, and lower total hospital costs compared with delayed cholecystectomy after a conservative treatment period with antibiotics. Early cholecystectomy within 24 hours of hospital admission is the therapy of choice in patients fit for surgery and should be implemented as the standard treatment algorithm for this condition.
Topics: Anti-Bacterial Agents; Cholecystectomy; Cholecystectomy, Laparoscopic; Cholecystitis, Acute; Hospital Costs; Humans; Length of Stay; Severity of Illness Index; Time Factors
PubMed: 25293613
DOI: 10.1016/j.yasu.2014.05.008 -
Neurology India 2019Although acute cholecystitis after stroke is rare, an immediate diagnosis and treatment is required.
BACKGROUND
Although acute cholecystitis after stroke is rare, an immediate diagnosis and treatment is required.
MATERIAL AND METHODS
In the past five years, we observed six patients with acute cholecystitis during the initial hospitalization for stroke.
RESULTS
Three patients had cardiac embolism, two had subarachnoid hemorrhage, and one had intra-cerebral hemorrhage. Four had calculous cholecystitis and two had acalculous cholecystitis. One of the patients with acalculous cholecystitis had hemorrhagic cholecystitis. The most commonly presented symptom was fever (50%), whereas only one patient (17%) had abdominal pain. Three patients (50%) were completely asymptomatic.
CONCLUSIONS
Acute cholecystitis and stroke are closely associated, and anti-thromboembolic drugs may cause hemorrhagic cholecystitis. Stroke patients tend to have atherosclerotic risk factors resulting in ischemic injury of the gallbladder. Furthermore, severe hemiparesis, a fasting state, dehydration, or bacteremia, which are occasionally exhibited by stroke patients, are known risk factors for acalculous cholecystitis. Stroke patients, especially patients with aphasia and consciousness disturbance, require immediate abdominal examination, if acute cholecystitis is suspected.
Topics: Acute Disease; Aged; Cholecystitis, Acute; Female; Hospitalization; Humans; Male; Middle Aged; Paresis; Risk Factors; Stroke
PubMed: 31085856
DOI: 10.4103/0028-3886.258055 -
Revue Medicale Suisse Jun 2023Acute cholecystitis is an inflammation of the gallbladder most often related to gallstones. The diagnostic and severity criteria are well described by the Tokyo...
Acute cholecystitis is an inflammation of the gallbladder most often related to gallstones. The diagnostic and severity criteria are well described by the Tokyo criteria. Early laparoscopic cholecystectomy remains the treatment of choice. It can also be performed in elderly patients and in pregnant women during any trimester. For patients not eligible for surgery, percutaneous or echo-endoscopic gallbladder drainage (EUS-GBD) are effective treatment alternatives. The management of acute cholecystitis must therefore be adapted to each patient by carefully evaluating the risks and benefits associated with surgery.
Topics: Pregnancy; Aged; Humans; Female; Cholecystitis, Acute; Inflammation; Cholecystectomy, Laparoscopic; Drainage; Gallstones
PubMed: 37314256
DOI: 10.53738/REVMED.2023.19.831.1175 -
Revista Espanola de Enfermedades... Oct 2023The common treatment of acute cholecystitis due to cholestasis is percutaneous transhepatic gallbladder drainage (PTGBD) or EUS-guided gallbladder drainage (EUS-GBD)...
The common treatment of acute cholecystitis due to cholestasis is percutaneous transhepatic gallbladder drainage (PTGBD) or EUS-guided gallbladder drainage (EUS-GBD) or cholecystectomy. The new generation of direct vision endoscopy represented by Spy glass has successfully entered the gallbladder duct and gallbladder. On this basis, we apply similar direct visualization system for treatment.
Topics: Humans; Endosonography; Cholecystitis, Acute; Gallbladder; Cholecystectomy; Drainage; Endoscopy, Gastrointestinal; Treatment Outcome; Retrospective Studies
PubMed: 36633184
DOI: 10.17235/reed.2023.9432/2022 -
The American Journal of Gastroenterology May 2023
Topics: Humans; Mirizzi Syndrome; Cholecystitis, Acute; Cholecystectomy
PubMed: 36584364
DOI: 10.14309/ajg.0000000000002169 -
BMJ Case Reports Nov 2023
Topics: Humans; Acute Disease; Cholecystitis; Cholecystitis, Acute; Male; Middle Aged
PubMed: 37918945
DOI: 10.1136/bcr-2023-257166 -
Zeitschrift Fur Gastroenterologie Sep 2021Cholecystectomy is the gold standard in the treatment of acute cholecystitis, but has a significantly increased risk in multimorbid patients or in the severe course of... (Review)
Review
Cholecystectomy is the gold standard in the treatment of acute cholecystitis, but has a significantly increased risk in multimorbid patients or in the severe course of acute cholecystitis. In such cases, drainage of the damaged gallbladder in combination with antibiotic therapy may be superior to primary surgery. The drainage can either be performed as sonographically guided percutaneous transhepatic gallbladder drainage or as EUS-guided transmural stent placement or endoscopic-transpapillary gallbladder drainage. These minimally invasive alternatives to cholecystectomy can be used both as long-term therapy for permanently inoperable patients and temporarily for patients in whom the cholecystectomy is intended after improvement of the general condition. In this overview, the various drainage methods are discussed with regard to technical requirements, immediate and long-term clinical results and complications. With advances in stent design, EUS-guided transmural stent placement from the stomach or duodenum into the gallbladder is becoming the preferred method of gallbladder drainage in centers with the appropriate expertise.
Topics: Cholecystitis, Acute; Drainage; Endoscopy; Endosonography; Humans; Stents; Treatment Outcome
PubMed: 34507376
DOI: 10.1055/a-1540-8019 -
Medicina (Kaunas, Lithuania) Apr 2023: Acute cholecystitis (AC) is a common surgical emergency. Recent evidence suggests that serum procalcitonin (PCT) is superior to leukocytosis and serum C-reactive... (Review)
Review
: Acute cholecystitis (AC) is a common surgical emergency. Recent evidence suggests that serum procalcitonin (PCT) is superior to leukocytosis and serum C-reactive protein in the diagnosis and severity stratification of acute infections. This review evaluates the role of PCT in AC diagnosis, severity stratification, and management. : PubMed, Embase, and Scopus were searched from inception till 21 August 2022 for studies reporting the role of PCT in AC. A qualitative analysis of the existing literature was conducted. : Five articles, including 688 patients, were included. PCT ≤ 0.52 ng/mL had fair discriminative ability (Area under the curve (AUC) 0.721, < 0.001) to differentiate Grade 1 from Grade 2-3 AC, and PCT > 0.8 ng/mL had good discriminatory ability to differentiate Grade 3 from 1-2 AC (AUC 0.813, < 0.001). PCT cut-off ≥ 1.50 ng/mL predicted difficult laparoscopic cholecystectomy (sensitivity 91.3%, specificity 76.8%). The incidence of open conversion was higher with PCT ≥ 1 ng/mL (32.4% vs. 14.6%, = 0.013). A PCT value of >0.09 ng/mL could predict major complications (defined as open conversion, mechanical ventilation, and death). : Current evidence is plagued by the heterogeneity of small sample studies. Though PCT has some role in assessing severity and predicting difficult cholecystectomy, and postoperative complications in AC patients, more evidence is necessary to validate its use.
Topics: Humans; Procalcitonin; ROC Curve; C-Reactive Protein; Cholecystectomy, Laparoscopic; Cholecystitis, Acute; Biomarkers; Retrospective Studies
PubMed: 37109763
DOI: 10.3390/medicina59040805 -
The Journal of Emergency Medicine Mar 2022
Topics: Cholecystitis, Acute; Dextrocardia; Humans
PubMed: 35067391
DOI: 10.1016/j.jemermed.2021.11.022