Acute calculous cholecystitis: a real-life management study in a tertiary teaching hospital

被引：4

作者：

Busto Bea, Victoria ^{[1
]}

Caro Paton, Agustin ^{[2
]}

Aller de la Fuente, Rocio ^{[3
]}

Gonzalez Sagrado, Manuel ^{[4
]}

Garcia Alonso, Francisco Javier ^{[5
]}

Perez-Miranda Castillo, Manuel ^{[5
]}

机构：

[1] Complejo Hosp Navarra, Dept Gastroenterol, C Irunlarrea 3, Navarra 31008, Spain

[2] Univ Valladolid, Dept Med Dermatol & Toxicol, Valladolid, Spain

[3] Hosp Clin Univ Valladolid, Dept Gastroenterol, Valladolid, Spain

[4] Hosp Univ Rio Hortega, Res Unit, Valladolid, Spain

[5] Hosp Univ Rio Hortega, Dept Gastroenterol, Valladolid, Spain

来源：

REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS | 2019年 / 111卷 / 09期

关键词：

Acute calculous cholecystitis; Treatment; Cholecystectomy; Outcomes; Recurrence rate; GALLBLADDER;

D O I：

10.17235/reed.2019.6260/2019

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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 preoperative recurrences. Conclusions: delayed cholecystectomy is still commonly performed, even though it is related with a high frequency of pre-surgical recurrences.

引用

页码：667 / 671

页数：5

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