Acalculous disease of the gall bladder.

Williamson, R. C. N.

doi:10.1136/gut.29.6.860

Cited by 38 publications

(24 citation statements)

References 80 publications

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“…Acute cholecystitis is caused by gallbladder stones in 90% to 95% of cases [30][31][32][33] and acalculous cholecystitis accounts for 3.7% to 14% of cases of AC [34][35][36][37]. Our results were similar to these figures.…”

Section: Discussionsupporting

confidence: 90%

Descriptive review of acute cholecystitis: Japan‐Taiwan collaborative epidemiological study

Yokoe

Takada

Hwang

et al. 2017

J Hepato Biliary Pancreat

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Background Since the publication of the Tokyo Guidelines (TG13) for the management of acute cholecystitis (AC), multidirectional studies have been published. However, epidemiological research about AC with big data was not projected. The aim of this study was to reveal the actual clinical conditions of AC. Method The study was designed as an international multicenter retrospective study of AC in Japan and Taiwan from 2011 to 2013. The factors investigated comprised data related to demographic, history, physical examinations, laboratory and imaging findings. Based on these data, we investigated the various values of AC, and real situation with respect to severity and treatment. Results A total of 5,459 patients with AC were reviewed. Thirty-day mortality rate was 1.1%. Based on the diagnostic criteria, 4,088 patients had a definite diagnosis and 291 had a suspected diagnosis. According to the severity grading, 939 patients were classified as Grade III, 2,308 as Grade II, and 2,130 as Grade I. Cholecystectomy was performed in total of 4,266 patients and 2,765 patients had laparoscopic cholecystectomy. The main etiologies were gallbladder stones in 4,623 cases. Conclusion This epidemiological study with large population will undoubtedly contribute to establish the best practice for managing AC worldwide.

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Section: Discussionsupporting

confidence: 90%

Descriptive review of acute cholecystitis: Japan‐Taiwan collaborative epidemiological study

Yokoe

Takada

Hwang

et al. 2017

J Hepato Biliary Pancreat

View full text Add to dashboard Cite

show abstract

“…The incidence is much higher in the pae› diatric age group [2] than in adults, where it is reported to vary from 1.5 to 10% [2,3]. Of the three cases in the present series, one was in the paediatric age group and two were adults.…”

Section: Discussionmentioning

confidence: 51%

“…A multitude of predisposing factors such as acute illness in childhood, specific fevers, extensive burns, polytrauma, and major sur› gical procedures (non-biliary) have been at› tributed as the cause [1,2,[4][5][6]. The patho› genesis which is probably multifactorial in› cludes a possible biliary stasis, increased bile viscocity and lithogenicity, and gall bladder ischaemia [1,7].…”

Section: Discussionmentioning

confidence: 99%

“…cholecystectomy [1,2,4,7]. In the critically ill, ultrasound guided per cutaneous cholecystostomy has also been described [7].…”

Section: Discussionmentioning

confidence: 99%

“…2 A thinly built female aged 24 years presented with clinical features of acute cholecystitis and jaundice. She was febrile, jaundiced, with a positive Murphy's sign, though the gall bladder was not palpable.…”

Section: Case Reportsmentioning

confidence: 99%

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