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Acute calculous cholecystitis: a real-life management study in a tertiary teaching hospital
Busto Bea, Victoria; Caro Patón, Agustín; Aller dela Fuente, Rocío; González Sagrado, Manuel; García-Alonso, Francisco Javier; Pérez-Miranda Castillo, Manuel.
Affiliation
  • Busto Bea, Victoria; Complejo Hospitalario de Navarra. Department of Gastroenterology. Pamplona. Spain
  • Caro Patón, Agustín; Universidad de Valladolid. Department of Medicine Dermatology and Toxicology. Valladolid. Spain
  • Aller dela Fuente, Rocío; Hospital Clínico Universitario de Valladolid. Department of Gastroenterology. Valladolid. Spain
  • González Sagrado, Manuel; Hospital Universitario Río Hortega. Research Unit. Valladolid. Spain
  • García-Alonso, Francisco Javier; Hospital Universitario Río Hortega. Department of Gastroenterology. Valladolid. Spain
  • Pérez-Miranda Castillo, Manuel; Hospital Universitario Río Hortega. Department of Gastroenterology. Valladolid. Spain
Rev. esp. enferm. dig ; 111(9): 667-671, sept. 2019. tab
Article in English | IBECS | ID: ibc-190349
Responsible library: ES1.1
Localization: BNCS
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
RESUMEN
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Collection: National databases / Spain Database: IBECS Main subject: Cholecystectomy / Gallstones / Cholecystitis / Cholangiopancreatography, Endoscopic Retrograde Limits: Aged / Female / Humans / Male Language: English Journal: Rev. esp. enferm. dig Year: 2019 Document type: Article Institution/Affiliation country: Complejo Hospitalario de Navarra/Spain / Hospital Clínico Universitario de Valladolid/Spain / Hospital Universitario Río Hortega/Spain / Universidad de Valladolid/Spain
Search on Google
Add to My VHL
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Collection: National databases / Spain Database: IBECS Main subject: Cholecystectomy / Gallstones / Cholecystitis / Cholangiopancreatography, Endoscopic Retrograde Limits: Aged / Female / Humans / Male Language: English Journal: Rev. esp. enferm. dig Year: 2019 Document type: Article Institution/Affiliation country: Complejo Hospitalario de Navarra/Spain / Hospital Clínico Universitario de Valladolid/Spain / Hospital Universitario Río Hortega/Spain / Universidad de Valladolid/Spain