Outcomes following cholecystectomy in human immunodeficiency virus-positive patients treated with antiretroviral therapy: A retrospective cohort study

Aso, Kenta; Ito, Kyoji; Takemura, Nobuyuki; Tsukada, Kunihisa; Inagaki, Fuyuki; Mihara, Fuminori; Oka, Shinichi; Kokudo, Norihiro

doi:10.35772/ghm.2022.01051

Cited by 1 publication

(1 citation statement)

References 33 publications

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“…However, in such patients, the presence of an additional comorbidity contraindicates ELC. Particular caution must be observed in patients receiving steroid treatment, immunosuppressive therapy (e.g., transplant recipients), or biological drugs [60][61][62][63]. If laparoscopic cholecystectomy cannot be performed during the primary admission for AC, DLC should be planned after complete clinical recovery and at least 6 weeks after clinical onset [2] (Table 1).…”

Section: Surgery (Cholecystectomy)mentioning

confidence: 99%

The Diagnosis and Treatment of Acute Cholecystitis: A Comprehensive Narrative Review for a Practical Approach

Mencarini,

Vestito,

Zagari

et al. 2024

JCM

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Acute cholecystitis (AC), generally associated with the presence of gallstones, is a relatively frequent disease that can lead to serious complications. For these reasons, AC warrants prompt clinical diagnosis and management. There is general agreement in terms of considering early laparoscopic cholecystectomy (ELC) to be the best treatment for AC. The optimal timeframe to perform ELC is within 72 h from diagnosis, with a possible extension of up to 7–10 days from symptom onset. In the first hours or days after hospital admission, before an ELC procedure, the patient’s medical management comprises fasting, intravenous fluid infusion, antimicrobial therapy, and possible administration of analgesics. Additionally, concomitant conditions such as choledocholithiasis, cholangitis, biliary pancreatitis, or systemic complications must be recognized and adequately treated. The importance of ELC is related to the frequent recurrence of symptoms and complications of gallstone disease in the interval period between the onset of AC and surgical intervention. In patients who are not eligible for ELC, it is suggested to delay surgery at least 6 weeks after the clinical presentation. Critically ill patients, who are unfit for surgery, may require rescue treatments, such as percutaneous or endoscopic gallbladder drainage (GBD). A particular treatment approach should be applied to special populations such as pregnant women, cirrhotic, and elderly patients. In this review, we provide a practical diagnostic and therapeutic approach to AC, even in specific clinical situations, based on evidence from the literature.

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Section: Surgery (Cholecystectomy)mentioning

confidence: 99%

The Diagnosis and Treatment of Acute Cholecystitis: A Comprehensive Narrative Review for a Practical Approach

Mencarini,

Vestito,

Zagari

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

Outcomes following cholecystectomy in human immunodeficiency virus-positive patients treated with antiretroviral therapy: A retrospective cohort study

Abstract: Patients and Methods PatientsRecords of consecutive HIV-positive patients who underwent cholecystectomy between January 2010 and December 2020 were reviewed retrospectively at the (P1)

Cited by 1 publication

References 33 publications

The Diagnosis and Treatment of Acute Cholecystitis: A Comprehensive Narrative Review for a Practical Approach

The Diagnosis and Treatment of Acute Cholecystitis: A Comprehensive Narrative Review for a Practical Approach

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