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

• Victoria Busto Bea ^[4] ; Agustín Caro Patón ^[1] ; Rocío Aller dela Fuente ^[2] ; Manuel González Sagrado ^[3] ; Francisco Javier García Alonso ; Manuel Pérez-Miranda Castillo ^[3]
  1. [1] Universidad de Valladolid

     Universidad de Valladolid

     Valladolid, España

     
  2. [2] Hospital Universitario de Valladolid

     Hospital Universitario de Valladolid

     Valladolid, España

     
  3. [3] Hospital Universitario Pío del Río Hortega

     Hospital Universitario Pío del Río Hortega

     Valladolid, España

     
  4. [4] Complejo Hospitalario de Navarra. Pamplona, Navarra. Spain

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• Localización: Revista Española de Enfermedades Digestivas, ISSN-e 2340-4167, ISSN 1130-0108, Vol. 111, Nº. 9, 2019, págs. 667-671
• Idioma: inglés
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• Resumen

  • Aim: to describe the management of acute calculous cholecystitis in a tertiary teaching hospital and the outcomes obtained. Material and methods: a retrospective single tertiary center cohort study. 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. Conclusions: delayed cholecystectomy is still commonly performed, even though it is related with a high frequency of preoperative recurrences