The Risk of Cholecystectomy for Acute Cholecystitis in Diabetic Patients

Landau, Ofer; Deutsch, Alexander A.; Kött, I; Rivlin, Ehud; Reiss, R

doi:10.1097/00132586-199312000-00027

Cited by 13 publications

(12 citation statements)

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“…Especially cholecystitis seems to be a more serious disease in diabetic patients, with worse infectious sequelae and more rapid disease progression. Shpitz and associates 5 and Landau and coworkers 8 showed that diabetic patients more frequently developed gangrenous cholecystitis and gallbladder perforation. Pellegrini and Way 9 noted that 20% of all patients with emphysematous cholecystitis have diabetes mellitus.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy for Symptomatic Gallstones in Diabetic Patients

Bedirli¹,

Sözüer²,

Yüksel³

et al. 2001

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy for Symptomatic Gallstones in Diabetic Patients

Bedirli¹,

Sözüer²,

Yüksel³

et al. 2001

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…In 19 of the analyzed articles, diabetes was discussed as an independent risk factor for acute cholecystitis and in 14 of them diabetes was confirmed as an independent risk factor for developing this disease [1, [8][9][10][11][12][13][14][15][16][17][18][19]. Two studies analyzed this correlation in detail and in one it was significant only for women (p < 0,001), while in another it was significant only for men (p < 0,001) [20][21].…”

Section: Complicationsmentioning

confidence: 99%

Acute cholecystitis in patients with diabetes mellitus - systematic review

Łącka¹,

Spychalski²,

Dobrzycka³

et al. 2020

Eur J Trans Clin Med

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Introduction: According to the WHO, an estimated 422 million people are suffering from diabetes worldwide. Among them, the incidence of cholelithiasis is higher than in the healthy population. The aim of this literature review was to summarize the available evidence about acute cholecystitis in patients with diabetes. Materials and methods: This study adhered to the PRISMA guidelines. The course of hospitalization of patients with and without diabetes who underwent cholecystectomy due to acute cholecystitis was compared.Following information was abstracted from original studies: general study information, patient characteristics, complications, and recommendations for patients with diabetes. Results: Initial search provided 1632 results. After full text assessment, 40 studies met the inclusions criteria. Operative and postoperative complication rates were significantly higher among the diabetic patients. Diabetes is a risk factor for conversion from laparoscopic to open cholecystectomy method. The authors' opinions on elective surgery before the onset of acute cholecystitis symptoms are divided. Conclusions: Diabetic patients are at greater risk of developing complications. An individualized screening and treatment approach, as well as proper preparation of the diabetic patient for an elective cholecystectomy could have a positive effect on the outcome. However, the low quality of the data from the systematic review does not allow for meta-analysis, which is why we cannot draw strong conclusions.

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“…The degree of additional operative risk of operating patients with DM for acute cholecystitis too has been revisited and studies do not justify recommending chole-cystectomy in diabetics with AsGS. Early surgery, however, is highly recommended in diabetics with symptomatic GS and acute cholecystitis [36].…”

Section: Diabetes Mellitusmentioning

confidence: 99%