Cholecystostomy in acute cholecystitis

Gingrich, Richard A.; Awe, William C.; Boyden, Allen M.; Peterson, Clare G.

doi:10.1016/0002-9610(68)90509-6

Cited by 38 publications

(10 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, the mortality of cholecystostomy in acute cholecystitis, 23% in Group I, is reported as 20-25% in other current series (Field and Jones, 1970;Gingrich et al, 1968). The high mortality, compared with that of 0-5% of emergency cholecystectomy, probably reflects the severe disease of the patient rather than the selection of operation.…”

mentioning

confidence: 55%

“…Cholecystostomy, how-~ver, is an infrequently performed procedure In most centres. Several authors in the past two decades (Sparkman, 1959;Field and Jones, 1970;Gingrich et al, 1968) have pointed out the value of the operation under certain cir-c~mstances. For example, Becker (1957) stu-dIed 1,060 patients with acute cholecystitis and C~ncluded that one-third of 68 patients who dIed would have survived if cholecystostomy had been performed instead of cholecystectomy.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Cholecystostomy: Indications and Results

Welch

1974

Int J Clinical Practice

View full text Add to dashboard Cite

mentioning

confidence: 55%

mentioning

confidence: 99%

Cholecystostomy: Indications and Results

Welch

1974

Int J Clinical Practice

View full text Add to dashboard Cite

“…In Figure 1, we described the search and selection process in a flow diagram. The initial search yielded 7271 articles, of which six studies were selected and analyzed [7][8][9][10][11][12]. Of these six studies, two were randomized controlled trials (RCTs) (7,12) , the remaining four studies were retrospective (8)(9)(10)(11).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The initial search yielded 7271 articles, of which six studies were selected and analyzed [7][8][9][10][11][12]. Of these six studies, two were randomized controlled trials (RCTs) (7,12) , the remaining four studies were retrospective (8)(9)(10)(11). Three studies were conducted in the USA [8,9,11], two in China [10,12], and one in South Korea [7].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

EUS-Guided gallbladder drainage vs percutaneous transhepatic drainage in patients with acute cholecystitis: a systematic review and meta-analysis

Guzmán-Calderón¹,

Chacaltana1²,

Díaz-Arocutipa³

et al. 2023

Rev Gastroenterol Peru

View full text Add to dashboard Cite

En ocasiones, no es posible realizar una colecistectomía debido a que el paciente no es apto para la cirugía, y se debe optar por un manejo no quirúrgico. En estos pacientes, el manejo no quirúrgico puede ser a través del drenaje transhepático percutáneo de la vesícula o bien el drenaje ecoendoscópico de la misma. En el presente trabajo decidimos comparar la eficacia y seguridad de ambas técnicas en el manejo no quirúrgico de pacientes con colecistitis aguda. Métodos: Se realizó una revisión sistemática en diferentes bases de datos, como PubMed, OVID, Medline y Cochrane Databases. Este metanálisis considera estudios publicados hasta septiembre de 2021. Se seleccionaron seis estudios (2 estudios aleatorizados controlados). Estos estudios incluyeron 749 pacientes. La edad media fue de 72,81 ± 7,41 años, y los varones representaron el 57,4%. El éxito técnico del drenaje ecoendoscópico fue menor que el del drenaje percutáneo (RR, 0,97; IC del 95 %, 0,95-0,99), mientras que las tasas de éxito clínico y de eventos adversos fueron similares en ambos grupos. Se reportaron 21 muertes en los seis estudios. La tasa de mortalidad global fue del 2,80%, sin diferencias en ambos grupos (2,84% y 2,77% en el grupo ecoendoscópico y en el percutáneo, respectivamente). El drenaje ecoendoscópico y el drenaje percutáneo fueron técnicas exitosas para el drenaje de la vesícula biliar en pacientes con colecistitis aguda que no son tributarios de cirugía. El drenaje ecoendoscópico tiene una tasa de éxito clínico similar y una tasa de eventos adversos similar al drenaje percutáneo. El alto éxito técnico y la baja tasa de eventos adversos del abordaje ecoendoscópico de la vesícula biliar hacen de esta técnica una excelente alternativa para pacientes con colecistitis aguda que no pueden ser intervenidos quirúrgicamente.

show abstract

“…The mortality rate in patients with AC in the 1960s was comparatively high at 4% [ 25 , 26 ]. However, since the 2000s, this rate decreased to <1% with improvements in medical treatment [ 27 – 29 ].…”

Section: Introductionmentioning

confidence: 99%

Factor Analysis Influencing Postoperative Hospital Stay and Medical Costs for Patients with Definite, Suspected, or Unmatched Diagnosis of Acute Cholecystitis according to the Tokyo Guidelines 2013

Hayasaki

Takahashi

Fujii

et al. 2016

Gastroenterology Research and Practice

View full text Add to dashboard Cite

Purpose. To identify significant independent preoperative factors influencing postoperative hospital stay (PHS) and medical costs (MC) in 171 patients who underwent cholecystectomy for benign gallbladder diseases and had definite, suspected, or unmatched acute cholecystitis (AC) diagnosis according to the Tokyo Guidelines 2013 (TG13). Methods. The 171 patients were classified according to the combination of diagnostic criteria including local signs of inflammation (A), systemic signs of inflammation (B), and imaging findings (C): A+ B+ C (definite diagnosis, n = 84), A+ B (suspected diagnosis, n = 25), (A or B) + C (n = 10), A (n = 41), and B (n = 11). Results. The A+ B + C and (A or B) + C groups had equivalent PHS and MC, suggesting that imaging findings were essential for AC diagnosis. PHS and MC were significantly increased in the order of severity grades based on TG13. Performance status (PS), white blood cell count, and severity grade were identified as preoperative factors influencing PHS by multivariate analysis, and significant independent preoperative factors influencing MC were age, PS, preoperative biliary drainage, hospital stay before surgery, albumin, and severity grade. Conclusion. PS and severity grade significantly influenced prolonged PHS and increased MC.

show abstract

Cholecystostomy in acute cholecystitis

Cited by 38 publications

References 5 publications

Cholecystostomy: Indications and Results

Cholecystostomy: Indications and Results

EUS-Guided gallbladder drainage vs percutaneous transhepatic drainage in patients with acute cholecystitis: a systematic review and meta-analysis

Factor Analysis Influencing Postoperative Hospital Stay and Medical Costs for Patients with Definite, Suspected, or Unmatched Diagnosis of Acute Cholecystitis according to the Tokyo Guidelines 2013

Contact Info

Product

Resources

About