ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2014
Management of acute cholecystitis: prevalence of percutaneous cholecystostomy and delayed cholecystectomy in the elderly.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- The impact of anti-thrombotic therapy on bleeding outcomes and thrombosis following laparoscopic cholecystectomy: a meta-analysis.Updates in surgery · 2024Pooled it
- Percutaneous cholecystostomy in elderly patients with acute cholecystitis: a systematic review and meta-analysis.Updates in surgery · 2024Pooled it
- Perioperative outcomes after laparoscopic cholecystectomy in elderly patients: a systematic review and meta-analysis.Surgical endoscopy · 2020Pooled it
- Efficacy and safety of B-mode ultrasound-guided percutaneous transhepatic gallbladder drainage combined with laparoscopic cholecystectomy for acute cholecystitis in elderly and high-risk patients.BMC gastroenterology · 2015Trial
- Acute cholecystitis treated with urgent cholecystectomy achieves higher rate of critical view of safety when compared to interval cholecystectomy after tube cholecystostomy.Surgical endoscopy · 2025Article
- Acute cholecystitis management at a tertiary care center: are we following current guidelines?Langenbeck's archives of surgery · 2024Article
- Characteristics and outcome of elderly patients admitted for acute Cholecystitis to medical or surgical wards.Israel journal of health policy research · 2020Article
- Natural Course of Acute Cholecystitis in Patients Treated With Percutaneous Transhepatic Gallbladder Drainage Without Elective Cholecystectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Cholecystectomy for Complicated Gallbladder and Common Biliary Duct Stones: Current Surgical Management.Frontiers in surgery · 2020Review
- Outcomes and limitations in EUS-guided gallbladder drainage.Endoscopic ultrasound · 2019Review
- Clinical outcomes of laparoscopic cholecystectomy in elderly patients after preoperative assessment and optimization of comorbidities.Annals of hepato-biliary-pancreatic surgery · 2018Article
- Conservative management of acute calculous cholecystitis complicated by pancreatitis in an elderly woman: A case report.Medicine · 2018Article
- Role of percutaneous cholecystostomy for acute acalculous cholecystitis: clinical outcomes of 271 patients.European radiology · 2018Article
- Outcome comparison between percutaneous cholecystostomy and cholecystectomy: a 10-year population-based analysis.BMC surgery · 2017Article
- Percutaneous cholecystostomy: prognostic factors and comparison to cholecystectomy.Surgical endoscopy · 2017Article
- 2016 WSES guidelines on acute calculous cholecystitis.World journal of emergency surgery : WJES · 2016Review
- Training vs practice: A tale of opposition in acute cholecystitis.World journal of hepatology · 2015Review
- Actinomyces infection causing acute right iliac fossa pain.BMJ case reports · 2014Article
- Tube cholecystostomy before cholecystectomy for the treatment of acute cholecystitis.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- A Management Algorithm for High-Grade Acute Cholecystitis in High-Risk Patients.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPublished guidelines recommend early cholecystectomy for acute cholecystitis in the elderly. Alternatively, percutaneous cholecystostomy can be used in compromised patients.
methodsWe reviewed 806 elderly patients diagnosed with biliary disease retrospectively identified through billing and diagnosis codes. Two hundred sixty-five patients with histologically documented acute cholecystitis were selected.
resultsInitially, 75 patients had percutaneous cholecystostomy (Group 1), 64 (24 % underwent interval cholecystectomy, 74 (28 %) early (Group 2), and 127 (48 %) delayed cholecystectomy (Group 3). Group 1 was more likely to have American Society of Anesthesiologists (ASA) scores of 4 when compared to those in Groups 2 and 3 (p = 0.04). No difference existed among the groups when patients with an ASA of 4 were excluded: conversion rates (11 %), biliary leak, bowel injury, need for reoperation, or 30 days mortality. Patients in Group 1 and in Group 3 were five times (p = 0.04) and four times (p = 0.06) more likely, respectively, than those in Group 2 to have recurrent episodes of pancreatitis, cholecystitis, and cholangitis.
conclusionPatients were more likely to have delayed cholecystectomy after initial antibiotic therapy or cholecystostomy without the benefit of a lower conversion rate when compared to the early group, but they had higher recurrent episodes of cholecystitis/pancreatitis or cholangitis.
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