Risk Factors for Acute Cholecystitis and a Complicated Clinical Course in Patients With Symptomatic Cholelithiasis

Cho, Jai Young; Han, Ho Seong; Yoon, Yoo Seok; Ahn, Keun Soo

doi:10.1001/archsurg.2010.35

Cited by 69 publications

(66 citation statements)

References 28 publications

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“…Diabetics undergoing LC have a 2.5 times higher risk for CTO than nondiabetic patients (OR = 2.5; 95% CI: 1.3-4.4, P = 0.003) [43]. This might be because diabetic patients have a threefold greater risk for the development of AC than non-diabetics (OR 2.7; 95% CI: 1.8-4.2; P < 0.00005) [44]. Also, diabetics, especially if they are on insulin, have an 85% increased risk of preoperative GB perforation (adjusted OR = 1.85; 95% CI: 1.38-2.48; P < 0.001) [45].…”

Section: Actual Problems Of Emergency Abdominal Surgerymentioning

confidence: 99%

Risk Factors and Predictive Models for Conversion of Laparoscopic Cholecystectomy to Open Surgery, and Surgical Quality Outcome Measures

Beliaev¹,

Booth²

2016

Actual Problems of Emergency Abdominal Surgery

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Background: Laparoscopic cholecystectomy is the preferred surgical operation for symptomatic gallstone disease. Conversion of laparoscopic cholecystectomy to open surgery is used to prevent intra-abdominal organ injury, for open common bile duct exploration and to repair intra-abdominal organ injury. Objective:The objective of this chapter is to review risk factors and predictive models for conversion of laparoscopic cholecystectomy to open surgery, and surgical quality outcome measures. Methods:A narrative literature review using Pubmed, Medline, Cochrane library databases and Google search engine is described.Results: From the literature review, patient-and surgeon-related risk factors and predictive models for conversion of laparoscopic cholecystectomy to open surgery were identified. Patient-dependent risk factors included preoperative and intraoperative variables. Current conversion of laparoscopic cholecystectomy to open surgery predictive models use only patient-dependent risk factors and were not tested on an independent sample of patients. Surgical quality outcome measures incorporate an association between conversion and intra-abdominal organ injury that demonstrates that conversion was used as an emergency strategy to repair injuries rather than a safety measure. Conclusion:Conversion of laparoscopic cholecystectomy to open surgery risk stratification based on patient-and surgeon-dependent variables may allow a better management of the patient to keep conversion at low rates and to maintain benefits of minimally invasive surgery.

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Section: Actual Problems Of Emergency Abdominal Surgerymentioning

confidence: 99%

Risk Factors and Predictive Models for Conversion of Laparoscopic Cholecystectomy to Open Surgery, and Surgical Quality Outcome Measures

Beliaev¹,

Booth²

2016

Actual Problems of Emergency Abdominal Surgery

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“…1059 Patients who underwent laparoscopic cholecystectomy for symptomatic gallstones were taken in the period from 2004 to 2007 and found that the history of cerebrovascular accident (ischemic stroke or cerebral hemorrhage) was identified as an independent risk factor for acute cholecystitis. Approximately 85% of the patients who had a history of a cerebrovascular accident were presented with acute cholecystitis (7) . In the same context, the complication rate after the laparoscopic cholecystectomy for the patients with a history of CVA was also higher than for those patients without a history of CVA (7) .…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 85% of the patients who had a history of a cerebrovascular accident were presented with acute cholecystitis (7) . In the same context, the complication rate after the laparoscopic cholecystectomy for the patients with a history of CVA was also higher than for those patients without a history of CVA (7) . On the other side, a study was conducted on a convenience sample of 24 patients with an acute cholecystitis after an acute cerebral infarction.…”

Section: Discussionmentioning

confidence: 99%

Ischemic Cerebral Stroke Case Report, Complications and Associated Factors

Shahin¹

2017

IAM

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Cerebral stroke (CVA) is a medical emergency that can cause permanent neurological damage or even death. According to the WHO statistics, stroke was the second most frequent cause of death worldwide in 2012 and the main cause of disability. The present study reported 82 year-old female case admitted to the medical department of the Jordan University Hospital through the ER with hypertension, right side weakness, global aphasia, tongue heaviness, dysphagia and was diagnosed with ischemic stroke. Even though more data is emerging about CVA, more efforts are needed to understand risk factors, treatment options, associated complications and stroke-related complications. In this case, the treatment options were discussed as well as some complications associated with ischemic cerebral stroke. In conclusion, post-stroke infection is common among hospitalized patients as a result of compromised immunity; however, this infection may take different forms like pneumonia, urinary tract infection or other forms of infections. Utilizing proper measures for prevention, early detection and management using proper antibiotics are of vast importance for patients post cerebral stroke. On the other hand, Gallbladder stones and cholecystitis are common complications developed after cerebral stroke and prolonged immobility for bedridden patients. CK-MB elevation post stroke is not likely to be of a cardiac origin.

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“…A retrospective cohort study found an increased risk of biliary diseases in patients with type 2 diabetes [5]. Furthermore, diabetes has been reported to be one of risk factors for acute cholecystitis and a complicated clinical course in patients with symptomatic cholelithiasis [1]. Therefore, we are apt to diagnose diabetic patients manifesting symptoms of cholecystitis as having cholecystitis due to bacterial infection and cholelithiasis.…”

Section: Discussionmentioning

confidence: 99%

“…Diabetes has been reported to be one of risk factors for acute cholecystitis and complicated clinical course in patients with symptomatic cholelithiasis [1]. Gallbladder motility is significantly impaired in diabetic patients due to autonomic neuropathy as compared with healthy subjects [2-4].…”

Section: Introductionmentioning

confidence: 99%

A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes

et al. 2011

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An impairment of gallbladder motility due to autonomic neuropathy may cause cholestasis and result in gallbladder stone formation. Diabetes is one of risk factors for acute cholecystitis. Diabetes and steroid use are associated with the susceptibility to bacterial infections, we are apt to diagnose steroid-induced diabetic patients manifesting symptoms of cholecystitis as having acute bacterial infective cholecystitis. Here, we report a very rare steroid-induced diabetic patient complicated with gallbladder torsion-induced necrotizing cholecystitis due to a floating gallbladder.KeywordsCholecystitis; Diabetes; Floating gallbladder; Torsion

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Risk Factors for Acute Cholecystitis and a Complicated Clinical Course in Patients With Symptomatic Cholelithiasis

Abstract: For the patients with risk factors for AC, early cholecystectomy is recommended before the disease progresses to AC.

Cited by 69 publications

References 28 publications

Risk Factors and Predictive Models for Conversion of Laparoscopic Cholecystectomy to Open Surgery, and Surgical Quality Outcome Measures

Risk Factors and Predictive Models for Conversion of Laparoscopic Cholecystectomy to Open Surgery, and Surgical Quality Outcome Measures

Ischemic Cerebral Stroke Case Report, Complications and Associated Factors

A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes

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