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Acute Cholecystitis

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2. Systematic review with meta analysis: Early laparoscopic cholecystectomy appears better than delayed laparoscopic cholecystectomy for patients with acute cholecystitis

Systematic review with meta analysis: Early laparoscopic cholecystectomy appears better than delayed laparoscopic cholecystectomy for patients with acute cholecystitis Early laparoscopic cholecystectomy appears better than delayed laparoscopic cholecystectomy for patients with acute cholecystitis | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more (...) cholecystectomy for patients with acute cholecystitis Article Text Therapeutics/Prevention Systematic review with meta analysis Early laparoscopic cholecystectomy appears better than delayed laparoscopic cholecystectomy for patients with acute cholecystitis Kurinchi Gurusamy Statistics from Altmetric.com Commentary on : Wu XD , Tian X , Liu MM , et al . Meta-analysis comparing early versus delayed laparoscopic cholecystectomy for acute cholecystitis . Context Acute cholecystitis, also known as inflammation

2016 Evidence-Based Medicine (Requires free registration)

3. Differentiation of acute cholecystitis from chronic cholecystitis: Determination of useful multidetector computed tomography findings. (PubMed)

Differentiation of acute cholecystitis from chronic cholecystitis: Determination of useful multidetector computed tomography findings. The purpose of this study was to determine the diagnostic value of multidetector computed tomography (MDCT) imaging findings, to identify the most predictive findings, and to assess diagnostic performance in the diagnosis and differentiation of acute cholecystitis from chronic cholecystitis.In this retrospective study, we enrolled 382 consecutive patients (...) with pathologically proven acute or chronic cholecystitis who underwent computed tomography (CT) within 1 month before surgery. The CT findings were compared and logistic regression analysis was used to identify significant CT findings in predicting acute cholecystitis. Diagnostic performance of each CT finding and of combined findings was also assessed.Statistically significant CT findings distinguishing acute cholecystitis from chronic cholecystitis were increased gallbladder dimension (85.5% vs 50.6%, P < .001

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2018 Medicine

4. Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial. (PubMed)

Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial. To assess whether laparoscopic cholecystectomy is superior to percutaneous catheter drainage in high risk patients with acute calculous cholecystitis.Multicentre, randomised controlled, superiority trial.11 hospitals in the Netherlands, February 2011 to January 2016.142 high risk patients with acute calculous cholecystitis were (...) randomly allocated to laparoscopic cholecystectomy (n=66) or to percutaneous catheter drainage (n=68). High risk was defined as an acute physiological assessment and chronic health evaluation II (APACHE II) score of 7 or more.The primary endpoints were death within one year and the occurrence of major complications, defined as infectious and cardiopulmonary complications within one month, need for reintervention (surgical, radiological, or endoscopic that had to be related to acute cholecystitis

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2018 BMJ

5. Is cholecystectomy the treatment of choice for acute acalculous cholecystitis? A systematic review of the literature. (PubMed)

Is cholecystectomy the treatment of choice for acute acalculous cholecystitis? A systematic review of the literature. There is currently no consensus with regard to the use of cholecystectomy or percutaneous cholecystostomy as the therapy of choice for acute acalculous cholecystitis. The goal of this study was to review the scientific evidence on the management of these patients according to clinical and radiographic findings.A systematic review of the literature from 2000 to 2016 was performed (...) cholecystectomy. No prospective or randomized studies were identified using the search criteria. The data from the literature and analysis of results suggested that percutaneous cholecystostomy may be a definitive therapy for acute acalculous cholecystitis with no need for subsequent elective cholecystectomy.Percutaneous cholecystostomy may be the first treatment option for patients with acute acalculous cholecystitis except in cases with a perforation or gallbladder gangrene. Patients at low surgical risk

2017 Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

6. Performance of the Choledocholithiasis Diagnostic Score in Patients with Acute Cholecystitis (PubMed)

Performance of the Choledocholithiasis Diagnostic Score in Patients with Acute Cholecystitis The prevalence of choledocholithiasis among patients with acute cholecystitis is estimated to be between 9 and 16.5%. There are no validated algorithms to predict choledocholithiasis in this group of patients.The aim of this study was to evaluate the performance of the choledocholithiasis diagnostic score proposed by the American Society for Gastrointestinal Endoscopy, in patients with acute (...) cholecystitis.A retrospective cross-sectional study, covering a 4-year period at a secondary care hospital, was performed. All patients with an encoded diagnosis of acute cholecystitis and with at least one of the following procedures were included: endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound, magnetic resonance cholangiopancreatography, and intraoperative cholangiography.Among 4,369 patients with the diagnosis of acute cholecystitis, 40 (0.92%) had clinical or sonographic

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2017 GE Portuguese journal of gastroenterology

7. Risk prediction in acute cholecystitis: a systematic review and meta-analysis

Risk prediction in acute cholecystitis: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email

2019 PROSPERO

8. Cholecystitis

examination findings. Ultrasound is the definitive initial test; hepatobiliary iminodiacetic acid (HIDA) scanning and MRI may be helpful in cases where diagnosis is unclear. Treatment is early cholecystectomy. Definition Acute cholecystitis is acute gallbladder inflammation, and one of the major complications of cholelithiasis or gallstones. It develops in up to 10% of patients with symptomatic gallstones. Ziessman HA. Acute cholecystitis, biliary obstruction and biliary leakage. Semin Nucl Med. 2003 Oct (...) ;33(4):279-96. http://www.ncbi.nlm.nih.gov/pubmed/14625840?tool=bestpractice.com In most cases (90%), it is caused by complete cystic duct obstruction usually due to an impacted gallstone in the gallbladder neck or cystic duct, which leads to inflammation within the gallbladder wall. Ziessman HA. Acute cholecystitis, biliary obstruction and biliary leakage. Semin Nucl Med. 2003 Oct;33(4):279-96. http://www.ncbi.nlm.nih.gov/pubmed/14625840?tool=bestpractice.com In 5% of cases, bile inspissation

2018 BMJ Best Practice

9. Acute Hepatitis B with Pancreatitis and Cholecystitis Leading to Acute Liver Failure and Death (PubMed)

Acute Hepatitis B with Pancreatitis and Cholecystitis Leading to Acute Liver Failure and Death Acute liver failure is defined as severe acute liver injury, concurrent with encephalopathy and loss of hepatic synthetic function, in a patient without known pre-existing liver disease. Evaluation of acute liver failure in the emergency department should focus on identification of treatable causes. Acute liver failure from acute hepatitis B infection is a rare but potentially lethal occurrence. Multi (...) -organ dysfunction from acute liver failure may be exacerbated by metabolic and inflammatory reactions associated with acute pancreatitis, which accompanies approximately 5% of cases of acute viral hepatitis. Transplant-free survival rate with liver failure from acute hepatitis B is unfortunately less than 20%.

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2018 Clinical Practice and Cases in Emergency Medicine

10. Acute Acalculous Cholecystitis due to primary acute Epstein-Barr virus infection treated with laparoscopic cholecystectomy; a case report (PubMed)

Acute Acalculous Cholecystitis due to primary acute Epstein-Barr virus infection treated with laparoscopic cholecystectomy; a case report Epstein Barr virus (EBV) is a human herpes virus 4, transmitted through intimate contact between susceptible persons and asymptomatic EBV shedders. It usually presents with fever, pharyngitis and lymphadenopathy. Majority of individuals with primary EBV infection recover uneventfully. Acute Acalculous Cholecystitis (AAC) is usually seen in hospitalized (...) and critically ill patients with major trauma, shock, severe sepsis, total parenteral nutrition and mechanical ventilation.We report a 25-year- old woman presented with acute Epstein-Barr Virus (EBV)infection and hepatobiliary iminodiacetic acid (HIDA) scan confirmed presence of Acute Acalculous Cholecystitis (AAC). Conservative management was advised initially, but she had a laparoscopic cholecystectomy due to intolerable abdominal pain.AAC is a rare complication of acute EBV infection and it is usually

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2018 Annals of Medicine and Surgery

11. Percutaneous cholecystostomy-tube for high-risk patients with acute cholecystitis: current practice and implications for future research. (PubMed)

Percutaneous cholecystostomy-tube for high-risk patients with acute cholecystitis: current practice and implications for future research. While cholecystectomy (CCY) is the standard of care for gallstone-related acute cholecystitis, percutaneous cholecystostomy-tube (CCYT-tube) is an alternative option in patients with significant comorbid conditions. We sought to identify immediate and longitudinal hospital outcomes of patients who underwent CCYT-tube placement and determine predictors of CCYT (...) -tube placement and eventual CCY on a national level in the US.We identified all adults (age ≥ 18 years) with a primary diagnosis of acute calculous cholecystitis from January to November 2013 in the Nationwide Readmissions Database (NRD). The NRD allows longitudinal follow-up of a patient for one calendar year. Outcomes of patients undergoing CCY and CCYT-tube were compared. Separate univariable and multivariable regression analyses were performed to identify predictors of CCYT-tube placement

2019 Surgical endoscopy

12. Acute cholecystitis as a rare and overlooked complication in stroke patients: A retrospective monocentric study. (PubMed)

Acute cholecystitis as a rare and overlooked complication in stroke patients: A retrospective monocentric study. Acute cholecystitis (AC) is a rare but possible medical complication found in stroke patients. As many stroke patients present with neurologic symptoms, such as altered mental status, motor weakness, global aphasia, or dysarthria, clinical symptoms and signs of AC are often unexpressed or overlooked. As a result, the diagnosis of AC is often delayed with subsequent secondary (...) Rankin Scale (mRS), as well as radiological findings of abdominal computed tomography (CT) or ultrasonography.AC was diagnosed in 28 of the 2699 patients (1.04%). Of these patients with AC, gallbladder stones (calculous cholecystitis) were found in 4 patients (14.3%), and 24 patients (85.7%) were diagnosed with a calculous cholecystitis. Subgroup analysis revealed that of the 28 stroke patients with AC, those who underwent neurosurgical intervention (n = 15) had increased incidence of AC compared

2019 Medicine

13. Long term outcome and recurrence factors after percutaneous cholecystostomy as a definitive treatment for acute cholecystitis. (PubMed)

Long term outcome and recurrence factors after percutaneous cholecystostomy as a definitive treatment for acute cholecystitis. Percutaneous cholecystostomy (PC) has been frequently used as an alternative treatment for acute cholecystitis in seriously ill patients unfit for surgery. The aim of this study was to investigate the recurrence rate and risk factors of recurrence.Medical records of 102 patients who were followed up for more than 1 year after PC tube removal among 716 patients who (...) underwent PC for acute cholecystitis treatment were retrospectively analyzed.The recurrence rate of acute cholecystitis after PC tube removal was 20.6% (21/102), and the mean time to recur was 660 days. Underlying cancer (odds ratio [OR]: 3.369; 95% confidence interval [CI]: 1.006-11.282; P = 0.0489), PC duration shorter than 44 days (OR: 5.596; 95% CI: 1.35-23.201; P = 0.0176), and the presence of common bile duct stone in initial imaging studies (OR: 24.393; 95% CI: 2.696-220.746; P = 0.0045) were

2019 Journal of gastroenterology and hepatology

14. Natural Course of Acute Cholecystitis in Patients Treated With Percutaneous Transhepatic Gallbladder Drainage Without Elective Cholecystectomy. (PubMed)

Natural Course of Acute Cholecystitis in Patients Treated With Percutaneous Transhepatic Gallbladder Drainage Without Elective Cholecystectomy. Percutaneous transhepatic gallbladder drainage (PTGBD) is an alternative treatment for acute cholecystitis (AC). We aimed to understand the natural course of AC in patients treated with PTGBD but without later definitive treatments, such as laparoscopic cholecystectomy.This was a retrospective study of the period from June 2010 to December 2016, during

2019 Journal of Gastrointestinal Surgery

15. Optimum timing of emergency cholecystectomy for acute cholecystitis in England: population-based cohort study. (PubMed)

Optimum timing of emergency cholecystectomy for acute cholecystitis in England: population-based cohort study. Cholecystectomy on index admission for acute cholecystitis is associated with improved patient outcomes. The timing of intervention is mainly driven by service provision. This population-based cohort study aimed to evaluate timing of emergency cholecystectomy in England.Data from all consecutive patients undergoing surgery for acute cholecystitis on index admission in England from 1997

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2019 Surgical endoscopy

16. EUS-guided gallbladder drainage with a lumen-apposing metal stent versus endoscopic transpapillary gallbladder drainage for the treatment of acute cholecystitis (with videos). (PubMed)

EUS-guided gallbladder drainage with a lumen-apposing metal stent versus endoscopic transpapillary gallbladder drainage for the treatment of acute cholecystitis (with videos). There is an evolving role for EUS-guided transmural gallbladder drainage. Endoscopic transpapillary gallbladder drainage is a well-established, nonoperative treatment for acute cholecystitis. We compared the outcomes of 78 cases of EUS-guided versus transpapillary gallbladder drainage at a single, U.S.-based, high-volume (...) endoscopy center.Retrospective analysis performed for the study period May 2013 to January 2018, identified from a database of nonoperative patients with acute cholecystitis. Both electrocautery-enhanced and nonelectrocautery-enhanced lumen-apposing metal stents were used. For transpapillary drainage, guidewire access was obtained and then a transpapillary 7F x15 cm double-pigtail plastic stent was placed.In patients who had successful transpapillary or transmural drainage, demographics data were

2019 Gastrointestinal endoscopy

17. Endoscopic ultrasound-guided gallbladder drainage versus percutaneous cholecystostomy for high risk surgical patients with acute cholecystitis: a systematic review and meta-analysis. (PubMed)

Endoscopic ultrasound-guided gallbladder drainage versus percutaneous cholecystostomy for high risk surgical patients with acute cholecystitis: a systematic review and meta-analysis.  Recent evidence suggests that endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is an effective and safe alternative to percutaneous drainage (PT-GBD). We conducted a systematic review and meta-analysis to compare these two procedures in high risk surgical patients with acute cholecystitis (...) with acute cholecystitis who were unfit for surgery.© Georg Thieme Verlag KG Stuttgart · New York.

2019 Endoscopy

18. Epstein-Barr virus infection with acute acalculous cholecystitis in previously healthy children. (PubMed)

Epstein-Barr virus infection with acute acalculous cholecystitis in previously healthy children. Acute acalculous cholecystitis (AAC), an inflammatory process of the gallbladder (GB) in the absence of gallstones, typically occurs in seriously ill patients. AAC can complicate primary Epstein-Barr virus (EBV) infection, but it is an atypical clinical presentation.The aim of our study was to analyse AAC occurrence in children with primary symptomatic EBV infection who had been admitted

2019 International journal of clinical practice

19. Dementia in elderly patients undergoing early cholecystectomy for acute cholecystitis: a retrospective observational study. (PubMed)

Dementia in elderly patients undergoing early cholecystectomy for acute cholecystitis: a retrospective observational study. Dementia often adversely affects postoperative outcomes in surgical patients. This study evaluated postoperative outcomes among elderly patients with and without dementia undergoing early cholecystectomy for acute cholecystitis (AC).A total of 182 patients over 85 years of age who were diagnosed with AC and treated from January 2005 to March 2018 were reviewed

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2019 BMC Surgery

20. Robotic cholecystectomy for acute cholecystitis: Three case reports. (PubMed)

Robotic cholecystectomy for acute cholecystitis: Three case reports. Nowadays laparoscopic cholecystectomy is considered as criterion standard for surgical treatment of acute calculous cholecystitis. During the last few years, there has been growing interest about the robotic approach. Several authors have reported the superiority of robotic cholecystectomy, associated with a lower percentage of conversion especially in patients with intraoperative diagnosis of acute or gangrenous cholecystitis (...) . We report 3 case reports of moderate acute cholecystitis successfully treated by robotic cholecystectomy.Three patients presented moderate acute calculous cholecystitis with leukocytosis, fever, nausea, vomiting, and pain.Three patients of our study population had clinical and laboratory suspicion of moderate acute calculous cholecystitis verified by abdominal ultrasound examination, which found out cholelitiasis in all 3 cases. Final diagnosis was confirmed by intraoperative findings

2019 Medicine

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