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

  1. Victoria Busto Bea 1
  2. Agustín Caro Patón 2
  3. Rocío Aller de la Fuente 3
  4. Manuel González Sagrado 4
  5. Francisco Javier García Alonso
  6. Manuel Perez Miranda Castillo 4
  1. 1 Complejo Hospitalario de Navarra. Pamplona, Navarra. Spain
  2. 2 Universidad de Valladolid. Valladolid, Spain
  3. 3 Hospital Clínico Universitario de Valladolid. Valladolid. Spain
  4. 4 Hospital Universitario Río Hortega. Valladolid, Spain
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Revue:
Revista Española de Enfermedades Digestivas

ISSN: 2340-416,  1130-0108

Année de publication: 2019

Volumen: 111

Número: 9

Pages: 667-671

Type: Article

DOI: 10.17235/REED.2019.6260/2019 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Revista Española de Enfermedades Digestivas

Résumé

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

La source de données: Dialnet