Understanding the reasons for the refusal of cholecystectomy in patients with cholelithiasis: how to help them in their decision?

Peron, Adilson; Schliemann, Ana Laura; Almeida, Fernando Antônio de

doi:10.1590/s0102-67202014000200007

Cited by 8 publications

(19 citation statements)

References 11 publications

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“…No Brasil, a colelitíase representa uma condição cirúrgica com 9,4% da prevalência global, com aumento da incidência em idosos e obesos 9 . A litogênese biliar é influenciada por múltiplos fatores e pode progredir sem sintomas para mais da metade dos casos 10 . A presença de colelitíase sintomática, em um caso com situs inversus totalis, pode ser um dilema diagnóstico com dor atípica em hipocôndrio esquerdo.…”

Section: Discussionunclassified

Colecistite calculosa em situs inversus totalis: abordagem laparoscópica

et al. 2019

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Situs inversus é uma anomalia congênita rara caracterizada pela transposição dos órgãos abdominais, vísceras e vasculatura, em relação ao sentido sagital, oferecendo uma imagem chamada de “imagem no espelho”. É classificado como total quando associado à dextrocardia, enquanto o situs inversus parcial afeta apenas um ou mais órgãos. Analisar um caso de anomalia congênita rara de situs inversus totalis submetido à colecistectomia com colangiografia por abordagem laparoscópica, para tratamento de colecistite calculosa. Paciente de sexo feminino, 42 anos, apresentava episódios de dor abdominal em cólica, localizada em epigástrio e hipocôndrio esquerdo, sendo diagnosticada a colecistite calculosa em situs inversus abdominal. Com a confirmação do diagnóstico de situs inversus totalis por radiografia simples de tórax, realizou-se a colecistectomia com colangiografia videolaparoscópica. A experiência do médico no manejo instrumental e do bloco operatório da imagem espelhada do situs inversus, proporciona uma colecistectomia laparoscópica segura.

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Section: Discussionunclassified

Colecistite calculosa em situs inversus totalis: abordagem laparoscópica

et al. 2019

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“…Higher prevalence of hospital admissions was observed in the female group (major quantities regarding the occurrence of hospitalizations, total amount spent, amount of hospital services, days of stay, number of deaths and mortality rate), while the average stay and the coefficient of mortality were higher in men, looking to demonstrate disease with different natural evolution in both gender. Hypotheses for the difference in gravity for the lithiasic disease would be derived from the anthropometric characteristics, body fat distribution and pain threshold 13 .…”

Section: Discussionmentioning

confidence: 99%

“…The main risk factors for it are: age over 50 years, gender (females have greater risk of developing gallstones because the number of pregnancies, use of oral contraceptives and natural hormonal factors), obesity (which favors the formation of gallstones) and diabetes mellitus type 2 11 , 13 , 19 .…”

Section: Introductionmentioning

confidence: 99%

Hospitalizations for Cholecystitis and Cholelithiasis in the State of Rio Grande Do Sul, Brazil

Nunes

Rosa

Bordin

2016

ABCD, arq. bras. cir. dig.

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Background: The cholelithiasis is disease of surgical resolution with about 60,000 hospitalizations per year in the Sistema Único de Saúde (SUS - Brazilian National Health System) of the Rio Grande do Sul state. Aim: To describe the profile of hospitalizations for cholecystitis and cholelithiasis performed by the SUS of Rio Grande do Sul state, 2011-2013. Methods: Hospital Information System data from the National Health System through morbidity list for cholelithiasis and cholecystitis (ICD-10 K80-K81). Variables studied were sex, age, number of hospitalizations and approved Hospitalization Authorizations (AIH), total amount and value of hospital services generated, days and average length of stay, mortality, mortality and case fatality ratio, from health regions of the Rio Grande do Sul. Results: During 2011-2013 there were 60,517 hospitalizations for cholecystitis and cholelithiasis, representing 18.86 hospitalizations per 10,000 inhabitants/year, most often in the age group from 60 to 69 years (41.34 admissions per 10,000 inhabitants/year) and female (27.72 hospitalizations per 10,000 inhabitants/year). The fatality rate presented an inverse characteristic: 13.52 deaths per 1,000 admissions/year for males, compared with 7.12 deaths per 1,000 admissions/year in females. The state had an average total amount spent and value of hospital services of R$ 16,244,050.60 and R$ 10,890,461.31, respectively. The health region "Capital/Gravataí Valley" exhibit the highest total expenditure and hospital services, and the largest number of deaths, and average length of stay. Conclusion: The hospitalization and lethality coefficients, the deaths, the length of stay and spending related to admissions increased from 50 years old. Females had a higher frequency and higher values spent on hospitalization, while the male higher coefficient of mortality and mean hospital stay.

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“…The eight qualitative studies from seven different countries: USA (n=2), 115 116 UK, 117 Brazil, 118 Canada, 119 Sweden, 120 the Netherland 121 and Spain 122 were identified including 324 participants (ranged from 12 to 162, median=19.5). They were predominantly women and their age ranged from 19 to 81 years.…”

Section: Open Accessmentioning

confidence: 99%

Identification and categorisation of relevant outcomes for symptomatic uncomplicated gallstone disease: in-depth analysis to inform the development of a core outcome set

et al. 2021

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BackgroundMany completed trials of interventions for uncomplicated gallstone disease are not as helpful as they could be due to lack of standardisation across studies, outcome definition, collection and reporting. This heterogeneity of outcomes across studies hampers useful synthesis of primary studies and ultimately negatively impacts on decision making by all stakeholders. Core outcome sets offer a potential solution to this problem of heterogeneity and concerns over whether the ‘right’ outcomes are being measured. One of the first steps in core outcome set generation is to identify the range of outcomes reported (in the literature or by patients directly) that are considered important.ObjectivesTo develop a systematic map that examines the variation in outcome reporting of interventions for uncomplicated symptomatic gallstone disease, and to identify other outcomes of importance to patients with gallstones not previously measured or reported in interventional studies.ResultsThe literature search identified 794 potentially relevant titles and abstracts of which 137 were deemed eligible for inclusion. A total of 129 randomised controlled trials, 4 gallstone disease specific patient-reported outcome measures (PROMs) and 8 qualitative studies were included. This was supplemented with data from 6 individual interviews, 1 focus group (n=5 participants) and analysis of 20 consultations. A total of 386 individual recorded outcomes were identified across the combined evidence: 330 outcomes (which were reported 1147 times) from trials evaluating interventions, 22 outcomes from PROMs, 17 outcomes from existing qualitative studies and 17 outcomes from primary qualitative research. Areas of overlap between the evidence sources existed but also the primary research contributed new, unreported in this context, outcomes.ConclusionsThis study took a rigorous approach to catalogue and map the outcomes of importance in gallstone disease to enhance the development of the COS ‘long’ list. A COS for uncomplicated gallstone disease that considers the views of all relevant stakeholders is needed.

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Understanding the reasons for the refusal of cholecystectomy in patients with cholelithiasis: how to help them in their decision?

Cited by 8 publications

References 11 publications

Colecistite calculosa em situs inversus totalis: abordagem laparoscópica

Colecistite calculosa em situs inversus totalis: abordagem laparoscópica

Hospitalizations for Cholecystitis and Cholelithiasis in the State of Rio Grande Do Sul, Brazil

Identification and categorisation of relevant outcomes for symptomatic uncomplicated gallstone disease: in-depth analysis to inform the development of a core outcome set

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