Gangrenous Cholecystitis in an Urban VA Hospital

Wilson, Alan K.; Kozol, Robert A.; Salwen, Walter A.; Manov, L. J.; Tennenberg, Steven D.

doi:10.1006/jsre.1994.1064

Cited by 43 publications

(33 citation statements)

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“…1 To date, however, there are no defined guidelines available for triage of these patients to early surgical treatment. 4 The purpose of this study is to identify risk factors for the early recognition of acute gangrenous cholecystitis in patients admitted to the Emergency General Surgery Service (EGS). We hypothesize that in the EGS Service risk factors such as diabetes and high bilirubin are important considerations for the early diagnosis of acute gangrenous cholecystitis.…”

mentioning

confidence: 99%

Risk factors for acute gangrenous cholecystitis in emergency general surgery patients

Bourikian¹,

Anand²,

Aboutanos³

et al. 2015

The American Journal of Surgery

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mentioning

confidence: 99%

Risk factors for acute gangrenous cholecystitis in emergency general surgery patients

Bourikian¹,

Anand²,

Aboutanos³

et al. 2015

The American Journal of Surgery

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“…10-30% of patients with acute cholecystitis develop severe complications like empyema, gangrene or perforation [68][69][70] . Women develop calculous cholecystitis three times more often than men up to the age of 50 years [71] .…”

Section: Current Status Of Laparoscopic Therapy For Acute Cholecystitismentioning

confidence: 99%

Current Status of Laparoscopic Therapy of Cholecystolithiasis and Common Bile Duct Stones

Shamiyeh¹,

Wayand²

2005

Dig Dis

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Background: Laparoscopic cholecystectomy (LC) is the standard operation for gallstone disease. The aim of this review was to scrutinize the advantages and benefits of this minimal invasive technique compared to the conventional operation according to the available literature. Regarding the evidence-based medicine criteria, the current status of laparoscopy in the treatment of cholecystolithiasis, cholecystitis and common bile duct stones has been worked out. Methods: A Medline, PubMed, Cochrane search. Results: Ten randomized controlled trials (RCTs) are available comparing laparoscopic versus open cholecystectomy. The superiority of LC in less postoperative pain, shorter recovery and hospital stay is stated. Operation time was longer in the first years of LC. 3 RCTs deal with acute cholecystitis: one paper could not find any significant advantage of LC over conventional cholecystectomy, the other two found benefits in recovery, hospital stay and postoperative pain. The range of conversion is between 5 and 7% in elective cases and increases up to 27% for acute cholecystitis. With a rate of more than 90% in Europe, the standard procedure for common bile duct stones is ‘therapeutic splitting’ with endoscopy and retrograde cholangiopancreatography preoperatively followed by LC. Laparoscopic bile duct clearance is effective and safe in experienced hands, however, the only proven benefit is a slightly shorter hospital stay. Conclusion: The laparoscopic approach is preferred in elective cholecystectomy and acute cholecystitis. The minimal invasive technique has proven to be effective, gentle and safe. The main benefits are evident within the first postoperative days.

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“…24 Therefore, emergent cholecystectomy is advocated. 25 In a recent meta-analysis of Child-Pugh A and B cirrhotic patients who underwent laparoscopic cholecystectomy, the overall morbidity rate was found to be 21% compared with 8% (p ϭ 0.05) for the general population with the overall mortality not statistically different for the 2 groups (0.59% vs 0.13%). 22 However, several reports have shown that in the presence of Child-Pugh C cirrhosis, the mortality rate after cholecystectomy for acute cholecystitis is as high as 17% to 25%.…”

Section: Discussionmentioning

confidence: 95%

Type II Gall Bladder Perforation with Abdominal Wall Abscess in a Cirrhotic Patient: Case Report and Review of the Literature

Aljiffry¹,

Walsh²,

Peltekian³

et al. 2008

Journal of Surgical Education

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Gangrenous Cholecystitis in an Urban VA Hospital

Cited by 43 publications

References 0 publications

Risk factors for acute gangrenous cholecystitis in emergency general surgery patients

Risk factors for acute gangrenous cholecystitis in emergency general surgery patients

Current Status of Laparoscopic Therapy of Cholecystolithiasis and Common Bile Duct Stones

Type II Gall Bladder Perforation with Abdominal Wall Abscess in a Cirrhotic Patient: Case Report and Review of the Literature

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