Acute calculous cholecystitis: a real-life management study in a tertiary teaching hospital.

Authors :: Busto Bea V
Caro Patón A
Aller Dela Fuente R
González Sagrado M
García-Alonso FJ
Pérez-Miranda Castillo M
Source :: Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 2019 Sep; Vol. 111 (9), pp. 667-671.
Publication Year :: 2019
Abstract: Aim: to describe the management of acute calculous cholecystitis in a tertiary teaching hospital and the outcomes obtained.<br />Material and Methods: a retrospective single tertiary center cohort study.<br />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.<br />Conclusions: delayed cholecystectomy is still commonly performed, even though it is related with a high frequency of preoperative recurrences.

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