Year 2019 / Volume 111 / Number 9
Original
Acute calculous cholecystitis: a real-life management study in a tertiary teaching hospital

667-671

DOI: 10.17235/reed.2019.6260/2019

Victoria Busto Bea, Agustín Caro Patón, Rocío Aller dela Fuente, Manuel González Sagrado, Francisco Javier García-Alonso, Manuel Pérez-Miranda Castillo,

Abstract
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.
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Busto Bea V, Caro Patón A, Aller dela Fuente R, González Sagrado M, García-Alonso F, Pérez-Miranda Castillo M, et all. Acute calculous cholecystitis: a real-life management study in a tertiary teaching hospital. 6260/2019


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Publication history

Received: 04/03/2019

Accepted: 28/03/2019

Online First: 18/07/2019

Published: 05/09/2019

Article revision time: 22 days

Article Online First time: 136 days

Article editing time: 185 days


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