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

to describe the management of acute calculous cholecystitis in a tertiary teaching hospital and the outcomes obtained. a retrospective single tertiary center cohort study. medical records of 487 patients were analyzed. The mean follow-up was 44.5 ± 17.0 months. Treatment alternatives were cholecyste...

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Veröffentlicht in:	Revista española de enfermedades digestivas 2019-09, Vol.111 (9), p.667-671
Hauptverfasser:	Busto Bea, Victoria, Caro Patón, Agustín, Aller Dela Fuente, Rocío, González Sagrado, Manuel, García-Alonso, Francisco Javier, Pérez-Miranda Castillo, Manuel
Format:	Artikel
Sprache:	eng ; spa
Schlagworte:	Care and treatment Cholecystitis Endoscopic retrograde cholangiopancreatography Endoscopic ultrasonography Health aspects Medical records Surgery Teachers
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creator	Busto Bea, Victoria Caro Patón, Agustín Aller Dela Fuente, Rocío González Sagrado, Manuel García-Alonso, Francisco Javier Pérez-Miranda Castillo, Manuel
description	to describe the management of acute calculous cholecystitis in a tertiary teaching hospital and the outcomes obtained. a retrospective single tertiary center cohort study. 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. delayed cholecystectomy is still commonly performed, even though it is related with a high frequency of preoperative recurrences.
doi_str_mv	10.17235/reed.2019.6260/2019
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source	DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects	Care and treatment Cholecystitis Endoscopic retrograde cholangiopancreatography Endoscopic ultrasonography Health aspects Medical records Surgery Teachers
title	Acute calculous cholecystitis: a real-life management study in a tertiary teaching hospital
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