Index admission laparoscopic cholecystectomy for acute cholecystitis restores Gastrointestinal Quality of Life Index (GIQLI) score

Yu, Hongyan; Chan, Esther Ern‐Hwei; Lingam, Pravin; Lee, Jingwen; Woon, Winston; Low, Jee Keem; Shelat, Vishal G

doi:10.14701/ahbps.2018.22.1.58

Cited by 21 publications

(24 citation statements)

References 30 publications

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“…[ 12 , 13 ] The GIQLI is 1 of the most widely used and validated questionnaires for the objective measurement of QoL including GB disease. [ 13 , 15 – 17 ] In this prospective multicenter study, most patients showed improved long-term PRO measurement of NRS pain score, QoL score, and GI symptoms using the GIQLI questionnaire compared to short-term PRO measurement (Fig. 2 ).…”

Section: Discussionmentioning

confidence: 80%

“…[ 12 – 14 ] The Gastrointestinal Quality of Life Index (GIQLI) is 1 of the most widely used questionnaires for the objective measurement of QoL in GI surgery, and its use is validated in gallstone disease. [ 13 , 15 – 17 ] The European Association for Endoscopic Surgery also recommends the GIQLI questionnaire for the evaluation of QoL for GB disease [ 18 ] ; thus, it should be utilized as a vital measure of outcome for studies on cholecystectomy. There have been various reports that anatomical factors may contribute to PRO and these include sphincter of Oddi dysfunction, [ 19 , 20 ] cystic-duct remnant neuroma, [ 21 ] and retained cystic-duct remnant calculi.…”

Section: Introductionmentioning

confidence: 99%

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Long-term patient-reported outcomes following laparoscopic cholecystectomy

et al. 2020

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Several studies have reported short-term results for post-cholecystectomy symptoms and quality of life (QoL). However, reports on long-term results are still limited. This study aimed to identify risk factors affecting short- and long-term patient-reported outcome (PRO) following laparoscopic cholecystectomy. From 2016 to 2017, a total of 476 patients from 5 institutions were enrolled. PRO was examined using the Numeric Rating Scale (NRS) pain score and the Gastrointestinal (GI) QoL Index questionnaire at postoperative 1 month and 1 year. Most of patients recovered well at postoperative 1 year compared to postoperative 1 month for the NRS pain score, QoL score, and GI symptoms. A high operative difficulty score (HR 1.740, P = .031) and pathology of acute or complicated cholecystitis (HR 1.524, P = .048) were identified as independent risk factors for high NRS pain scores at postoperative 1 month. Similarly, female sex (HR 1.571, P = .003) at postoperative 1 month and postoperative complications (HR 5.567, P = .001) at postoperative 1 year were independent risk factors for a low QoL. Also, age above 50 (HR 1.842, P = .001), female sex (HR 1.531, P = .006), and preoperative gallbladder drainage (HR 3.086, P = .001) were identified as independent risk factors for GI symptoms at postoperative 1 month. Most patients showed improved long-term PRO measurement in terms of pain, QoL, and GI symptoms. There were no independent risk factors for long-term postoperative pain and GI symptoms. However, postoperative complications were identified to affect QoL adversely at postoperative 1 year. Careful and long-term follow up is thus necessary for patients who experienced postoperative complications.

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Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Long-term patient-reported outcomes following laparoscopic cholecystectomy

et al. 2020

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“…TG18 advocates definitive surgical intervention (usually laparoscopic cholecystectomy) on the index admission in patients with acute cholecystitis or biliary pancreatitis, citing both prospective longitudinal studies and retrospective observational studies that demonstrated a significantly lower incidence of disease recurrence, hospital readmission, and overall disease-specific complications when the procedure was performed within 7 days of the onset of symptoms in the appropriate patient (recommending within 72 h as preferable) 5,17,[23][24][25][26][27][28][29][30] . However, 15 (60 per cent) of the 25 centres in the present study estimated that less than half of their patients routinely had index admission cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

Self-reported and actual adherence to the Tokyo guidelines in the European snapshot audit of complicated calculous biliary disease

et al. 2020

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Background: Complicated acute biliary calculous disease poses clinical challenges. The European Society of Trauma and Emergency Surgery (ESTES) snapshot audit of complicated biliary calculous disease aims to make novel comparisons between self-reported institutional adherence to the Tokyo guidelines (TG18) and 'real-world' contemporary practice across Europe. Methods: A preplanned analysis of a prospective observational multicentre audit that captured patients undergoing emergency admission for complicated biliary calculous disease (complicated cholecystitis, biliary pancreatitis, or choledocholithiasis with or without cholangitis) between 1 and 31 October 2018 was performed. An anonymized survey was administered to participating sites. Results: Following an open call for participation, 25 centres from nine countries enrolled 338 patients. All centres completed the anonymized survey. Fifteen centres (60 per cent) self-reported that a minority of patients were treated surgically on index admission, favouring interval cholecystectomy. This was replicated in the snapshot audit, in which 152 of 338 patients (45⋅0 per cent) underwent index admission cholecystectomy, 17 (5⋅0 per cent) had interval cholecystectomy, and the remaining 169 (50⋅0 per cent) had not undergone surgery by the end of the 60-day follow-up. Centres that employed a dedicated acute care surgery model of care were more likely to perform index admission cholecystectomy compared with a traditional general surgery 'on call' service (57 versus 38 per cent respectively; odds ratio 2⋅14 (95 per cent c.i. 1⋅37 to 3⋅35), P < 0⋅001). Six centres (24 per cent) self-reported routinely performing blood cultures in acute cholecystitis; patient-level audit data revealed that blood cultures were done in 47 of 154 patients (30⋅5 per cent). No centre self-reported omitting antibiotics in the management of acute cholecystitis, and 144 of 154 (93⋅5 per cent) of patients in the snapshot audit received antibiotics during their index admission. Conclusion: Awareness of TG18 recommendations was high, but self-reported adherence and objective snapshot audit data showed low compliance with TG18 in patients with complicated acute biliary calculous disease. Funding information No funding * Members of the ESTES Cohort Studies Group are co-authors of this study and may be found under the heading Collaborators.

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“…Additionally, IALC has significant association with positive quality of life index score. In spite of significantly longer operating times and technically difficult operative procedures involved, emergency LC through an ideal HGS offers all eligible patients with significantly shorter LOS in acute setting, reduced risks of wound infection, and fewer days “off work” after discharge from hospital . Coupled with this, a Cochrane review highlighted that IALC is financially beneficial and offers significantly better quality of life when compared with interval or delayed LC .…”

Section: Discussionmentioning

confidence: 99%