Acalculous cholecystitis in bone marrow transplant patients

Background. Acalculous cholecystitis (ACC) is an uncommon disorder of the biliary tract, accounting for approximately 6% of acute cholecystitis cases. In this study, cholecystitis was seen in 8 of 770 bone marrow transplant recipients, with ACC occurring in five (63%). Methods. Records of 592 alloge...

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Veröffentlicht in:Cancer 1993-01, Vol.71 (2), p.354-358
Hauptverfasser: Jardines, Lori A., O'Donnell, Margaret R., Johnson, Denise L., Terz, Jose J., Forman, Stephen J.
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container_end_page 358
container_issue 2
container_start_page 354
container_title Cancer
container_volume 71
creator Jardines, Lori A.
O'Donnell, Margaret R.
Johnson, Denise L.
Terz, Jose J.
Forman, Stephen J.
description Background. Acalculous cholecystitis (ACC) is an uncommon disorder of the biliary tract, accounting for approximately 6% of acute cholecystitis cases. In this study, cholecystitis was seen in 8 of 770 bone marrow transplant recipients, with ACC occurring in five (63%). Methods. Records of 592 allogenic and 150 autologous BMT patients were reviewed for risk factors associated with ACC. Results. Only the number of blood transfusions administered and the use of total parenteral nutrition were associated with ACC development. ACC occurred in 4 of 42 (9%) allogeneic recipients who required exchange transfusion for ABO incompatibility. ACC developed in one autogolous recipient alongside venoocclusive disease of the liver. There was no association between ACC development and preparative regimen, cyclosporine usage, graft versus host disease, or cytomegalovirus infection. Conclusions. ACC occurs more frequently in patients after ABO incompatible BMT requiring exchange transfusion than in other transplant recipients.
doi_str_mv 10.1002/1097-0142(19930115)71:2<354::AID-CNCR2820710214>3.0.CO;2-L
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Acalculous cholecystitis (ACC) is an uncommon disorder of the biliary tract, accounting for approximately 6% of acute cholecystitis cases. In this study, cholecystitis was seen in 8 of 770 bone marrow transplant recipients, with ACC occurring in five (63%). Methods. Records of 592 allogenic and 150 autologous BMT patients were reviewed for risk factors associated with ACC. Results. Only the number of blood transfusions administered and the use of total parenteral nutrition were associated with ACC development. ACC occurred in 4 of 42 (9%) allogeneic recipients who required exchange transfusion for ABO incompatibility. ACC developed in one autogolous recipient alongside venoocclusive disease of the liver. There was no association between ACC development and preparative regimen, cyclosporine usage, graft versus host disease, or cytomegalovirus infection. Conclusions. ACC occurs more frequently in patients after ABO incompatible BMT requiring exchange transfusion than in other transplant recipients.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/1097-0142(19930115)71:2&lt;354::AID-CNCR2820710214&gt;3.0.CO;2-L</identifier><identifier>PMID: 8422628</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>ABO Blood-Group System - immunology ; ABO incompatibility ; acalculous cholecystitis ; Acute Disease ; Adult ; Biological and medical sciences ; Blood Group Incompatibility ; bone marrow transplantation ; Bone Marrow Transplantation - adverse effects ; Cholecystitis - etiology ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Medical sciences ; Middle Aged ; Other diseases. 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Acalculous cholecystitis (ACC) is an uncommon disorder of the biliary tract, accounting for approximately 6% of acute cholecystitis cases. In this study, cholecystitis was seen in 8 of 770 bone marrow transplant recipients, with ACC occurring in five (63%). Methods. Records of 592 allogenic and 150 autologous BMT patients were reviewed for risk factors associated with ACC. Results. Only the number of blood transfusions administered and the use of total parenteral nutrition were associated with ACC development. ACC occurred in 4 of 42 (9%) allogeneic recipients who required exchange transfusion for ABO incompatibility. ACC developed in one autogolous recipient alongside venoocclusive disease of the liver. There was no association between ACC development and preparative regimen, cyclosporine usage, graft versus host disease, or cytomegalovirus infection. Conclusions. ACC occurs more frequently in patients after ABO incompatible BMT requiring exchange transfusion than in other transplant recipients.</description><subject>ABO Blood-Group System - immunology</subject><subject>ABO incompatibility</subject><subject>acalculous cholecystitis</subject><subject>Acute Disease</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blood Group Incompatibility</subject><subject>bone marrow transplantation</subject><subject>Bone Marrow Transplantation - adverse effects</subject><subject>Cholecystitis - etiology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jardines, Lori A.</creatorcontrib><creatorcontrib>O'Donnell, Margaret R.</creatorcontrib><creatorcontrib>Johnson, Denise L.</creatorcontrib><creatorcontrib>Terz, Jose J.</creatorcontrib><creatorcontrib>Forman, Stephen J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jardines, Lori A.</au><au>O'Donnell, Margaret R.</au><au>Johnson, Denise L.</au><au>Terz, Jose J.</au><au>Forman, Stephen J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acalculous cholecystitis in bone marrow transplant patients</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>1993-01-15</date><risdate>1993</risdate><volume>71</volume><issue>2</issue><spage>354</spage><epage>358</epage><pages>354-358</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>Background. Acalculous cholecystitis (ACC) is an uncommon disorder of the biliary tract, accounting for approximately 6% of acute cholecystitis cases. In this study, cholecystitis was seen in 8 of 770 bone marrow transplant recipients, with ACC occurring in five (63%). Methods. Records of 592 allogenic and 150 autologous BMT patients were reviewed for risk factors associated with ACC. Results. Only the number of blood transfusions administered and the use of total parenteral nutrition were associated with ACC development. ACC occurred in 4 of 42 (9%) allogeneic recipients who required exchange transfusion for ABO incompatibility. ACC developed in one autogolous recipient alongside venoocclusive disease of the liver. There was no association between ACC development and preparative regimen, cyclosporine usage, graft versus host disease, or cytomegalovirus infection. Conclusions. ACC occurs more frequently in patients after ABO incompatible BMT requiring exchange transfusion than in other transplant recipients.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>8422628</pmid><doi>10.1002/1097-0142(19930115)71:2&lt;354::AID-CNCR2820710214&gt;3.0.CO;2-L</doi><tpages>5</tpages></addata></record>
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subjects ABO Blood-Group System - immunology
ABO incompatibility
acalculous cholecystitis
Acute Disease
Adult
Biological and medical sciences
Blood Group Incompatibility
bone marrow transplantation
Bone Marrow Transplantation - adverse effects
Cholecystitis - etiology
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Medical sciences
Middle Aged
Other diseases. Semiology
title Acalculous cholecystitis in bone marrow transplant patients
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