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https://www.readbyqxmd.com/read/28409378/percutaneous-cholecystostomy-prognostic-factors-and-comparison-to-cholecystectomy
#1
Tyler J Loftus, Elisha M Collins, Camille G Dessaigne, Amber N Himmler, Alicia M Mohr, Ryan M Thomas, Charles E Hobson, George A Sarosi, William J Zingarelli
BACKGROUND: Data regarding long-term outcomes following percutaneous cholecystostomy (PC) are limited, and comparisons to cholecystectomy (CCY) are lacking. We hypothesized that chronic disease burden would predict 1-year mortality following PC, and that outcomes following PC and CCY would be similar when controlling for preprocedural risk factors. METHODS: We performed a 10-year retrospective cohort analysis of patients with acute cholecystitis managed by PC (n = 114) or CCY (n = 234)...
April 13, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28375803/routine-use-of-prophylactic-antibiotics-during-laparoscopic-cholecystectomy-does-not-reduce-the-risk-of-surgical-site-infections
#2
Pinar Sarkut, Sadik Kilicturgay, Hikmet Aktas, Yilmaz Ozen, Ekrem Kaya
BACKGROUND: Laparoscopic cholecystectomy (LC) is the gold standard for the treatment of symptomatic gallbladder stones. As infections are rare in uncomplicated LC, it is widely accepted that prophylactic antibiotics need not be administered, and guidelines do not support routine antibiotic prophylaxis during elective LC. However, routine antibiotic prophylaxis for elective LC is still popular in many clinical settings. We investigated this situation in our department. METHOD: This randomized double-blind controlled study included 570 patients who underwent LC between March 2007 and February 2010...
April 4, 2017: Surgical Infections
https://www.readbyqxmd.com/read/28371480/percutaneous-and-endoscopic-gallbladder-drainage-for-the-acute-cholecystitis-international-multicenter-comparative-study-by-a-propensity-score-matched-analysis
#3
Takao Itoi, Tadahiro Takada, Tsann-Long Hwang, Itaru Endo, Kohei Akazawa, Fumihiko Miura, Miin-Fu Chen, Yi-Yin Jan, Chen-Guo Ker, Hsiu-Po Wang, Harumi Gomi, Masamichi Yokoe, Seiki Kiriyama, Hiroki Yamaue, Masaru Miyazaki, Masakazu Yamamoto
BACKGROUND: Tokyo Guideline 2013 (TG13) proposed three drainage technique for the treatment of acute cholecystitis. We evaluated the clinical efficacy and adverse events between percutaneous transhepatic intervention (PTGBI) including percutaneous transhepatic drainage (PTGBD) and percutaneous transhepatic aspiration (PTGBA) and endoscopic transpapillary gallbladder drainage (EGBD). METHODS: A cohort study was performed using propensity score matching to reduce treatment selection bias...
March 29, 2017: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/28371094/updated-comprehensive-epidemiology-microbiology-and-outcomes-among-patients-with-acute-cholangitis
#4
Harumi Gomi, Tadahiro Takada, Tsann-Long Hwang, Kohei Akazawa, Rintaro Mori, Itaru Endo, Fumihiko Miura, Seiki Kiriyama, Naohisa Matsunaga, Takao Itoi, Masamichi Yokoe, Miin-Fu Chen, Yi-Yin Jan, Chen-Guo Ker, Hsiu-Po Wang, Keita Wada, Hiroki Yamaue, Masaru Miyazaki, Masakazu Yamamoto
BACKGROUND: The international practice guidelines for patients with acute cholangitis and cholecystitis were released in 2007 (TG 07) and revised in 2013 (TG 13).This study investigated updated epidemiology and outcomes among patients with acute cholangitis on a larger scale for the first time. METHODS: This is an international multi-center retrospective observational study in Japan and Taiwan. All consecutive patients older than 18 years of age and given a clinical diagnosis of acute cholangitis by clinicians between January 1, 2011 and December 31, 2012 were enrolled...
March 29, 2017: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/28316140/descriptive-review-of-acute-cholecystitis-japan-taiwan-collaborative-epidemiological-study
#5
Masamichi Yokoe, Tadahiro Takada, Tsann-Long Hwang, Itaru Endo, Kohei Akazawa, Fumihiko Miura, Toshihiko Mayumi, Rintaro Mori, Miin-Fu Chen, Yi-Yin Jan, Chen-Guo Ker, Hsiu-Po Wang, Takao Itoi, Harumi Gomi, Seiki Kiriyama, Hiroki Yamaue, Masaru Miyazaki, Masakazu Yamamoto
BACKGROUND AND AIMS: Since the publication of the Tokyo Guidelines (TG13) for the management of acute cholecystitis (AC), multidirectional studies have been published. However epidemiological research about AC with big data was not projected. The aim of this study was to reveal the actual clinical conditions of AC. METHOD: The study was designed as an international multicenter retrospective study of AC in Japan and Taiwan from 2011 to 2013. The factors investigated comprised data related to demographic, history, physical examinations, laboratory and imaging findings...
March 18, 2017: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/28289668/the-efficacy-of-laparoscopic-cholecystectomy-without-discontinuation-in-patients-on-antithrombotic-therapy
#6
Jong Hyuk Yun, Hae Il Jung, Hyoung Uk Lee, Moo-Jun Baek, Sang Ho Bae
PURPOSE: Laparoscopic cholecystectomy (LC) is one of the most commonly performed surgeries in the world today. However, there is no consensus regarding whether LC can be performed in patients with acute cholecystitis while on antithrombotic therapy. The objective of our study was to describe postoperative outcomes of patients who underwent emergent LC without interruption to antithrombotic therapy. METHODS: We performed a retrospective review of patients who underwent LC for acute cholecystitis while on antithrombotic therapy from 2010 to 2015 at Soonchunhyang Universtiy Cheonan Hospital...
March 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28261768/percutaneous-cholecystostomy-a-curative-treatment-modality-forelderly-and-high-asa-score-acute-cholecystitis-patients
#7
Hüseyin Kerem Tolan, Aslıhan Semiz Oysu, Fatih Başak, İbrahim Atak, Mustafa Özbağrıaçık, Adnan Özpek, Mert Kaskal, Fikret Ezberci, Gürhan Baş
BACKGROUND: Acute cholecystitis (AC) is a common emergency seen by general surgeons. Optimal treatment is laparoscopic cholecystectomy (LC); however, in cases where surgery cannot be performed due to high risk of morbidity and mortality, such as in elderly patients with comorbid diseases, other treatment modalities may be used. Percutaneous cholecystostomy (PC) is one alternative method to treat AC. PC can be used to provide drainage of the gall bladder and control infection. Subsequently, interval cholecystectomy can be performed when there are better conditions...
January 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28149138/role-of-procalcitonin-in-evaluation-of-the-severity-of-acute-cholecystitis
#8
Yucel Yuzbasioglu, Hikmet Duymaz, Ceren Sen Tanrikulu, Huseyin Cahit Halhalli, Mirac Ozturk Koc, Meral Tandoğan, Figen Coskun
OBJECTIVE: The aim of this study is to investigate the relationship between procalcitonin (PCT) level and the severity of acute cholecystitis. MATERIALS AND METHODS: This study included 200 patients diagnosed with acute cholecystitis. To diagnose and assess the severity of acute cholecystitis; physical examination and abdominal ultrasound findings were evaluated and blood samples were taken to determine white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and levels of coagulation factors, blood gas, C-reactive protein (CRP) and PCT...
October 2016: Eurasian Journal of Medicine
https://www.readbyqxmd.com/read/28127715/the-optimal-treatment-of-patients-with-mild-and-moderate-acute-cholecystitis-time-for-a-revision-of-the-tokyo-guidelines
#9
Charlotte S Loozen, Maaike M Blessing, Bert van Ramshorst, Hjalmar C van Santvoort, Djamila Boerma
INTRODUCTION: According to the Tokyo Guidelines, severity of acute cholecystitis is divided into three grades based on the degree of inflammation and the presence of organ dysfunction. These guidelines recommend grade I (mild) acute cholecystitis to be treated with early laparoscopic cholecystectomy and grade II (moderate) acute cholecystitis with delayed cholecystectomy. Yet, several studies have shown that, for acute cholecystitis in general, early cholecystectomy is superior to delayed cholecystectomy in terms of complication rate, duration of hospital stay and costs...
January 26, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28074277/patient-reported-outcomes-for-acute-gallstone-pathology
#10
Ed Parkin, Martyn Stott, Joy Brockbank, Simon Galloway, Ian Welch, Andrew Macdonald
BACKGROUND: A number of prominent surgical trials and clinical guidelines regard length of hospital stay and rates of daycase surgery as being of upmost importance following cholecystectomy. However, it is unclear whether these outcomes also matter to patients. This study aimed to identify the factors patients regard as most important when admitted with acute gallstone pathology. METHODS: A 41-item survey was produced by combining outcomes assessed in recent clinical trials with results from a preliminary patient questionnaire...
January 10, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28069529/outcomes-in-older-patients-with-grade-iii-cholecystitis-and-cholecystostomy-tube-placement-a-propensity-score-analysis
#11
Francesca M Dimou, Deepak Adhikari, Hemalkumar B Mehta, Taylor S Riall
BACKGROUND: The Tokyo Guidelines recommend initial cholecystostomy tube drainage, antibiotics, and delayed cholecystectomy in patients with grade III cholecystitis. STUDY DESIGN: We used Medicare data (1996 to 2010) to identify patients 66 years and older who were admitted with grade III acute cholecystitis. We evaluated adherence to the Tokyo Guidelines and compared mortality, readmission, and complication rates with and without cholecystostomy tube placement in a propensity-matched (1:3) cohort of patients with grade III cholecystitis...
April 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28063415/efficacy-of-preoperative-percutaneous-cholecystostomy-in-the-management-of-acute-cholecystitis-according-to-severity-grades
#12
Seong Yeol Kim, Kyo-Sang Yoo
Background/Aims: The aim of this retrospective study was to assess the efficacy of percutaneous cholecystostomy (PC) for patients with acute cholecystitis (AC) according to severity. Methods: A total of 325 patients who underwent cholecystectomy between January 2008 and October 2010 were enrolled. Patients were classified into three groups based on severity grade according to the Tokyo guidelines for AC: grade I (mild), grade II (moderate), and grade III (severe)...
January 6, 2017: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/28024739/pneumococcal-biliary-tract-infections-how-rare-are-they
#13
Hiroshi Morioka, Mitsutaka Iguchi, Mitsuru Oodate, Masaki Yoneda, Futoshi Ushijima, Aki Hirabayashi, Nobuyuki Tetsuka, Yuka Tomita, Daizo Kato, Tetsuya Yagi
Pneumococcal biliary tract infections (PBTIs) were reported as rare due to the bacterium's bile solubility. The purpose of this study was to determine the occurrence and clinical characteristics of PBTIs. A retrospective case series review was conducted from January 2006 to August 2014 at a tertiary referral university hospital in Japan. Patients with a blood or bile culture positive for Streptococcus pneumoniae diagnosed with definite cholangitis or cholecystitis according to Tokyo Guideline 2013 were enrolled in this study...
December 23, 2016: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://www.readbyqxmd.com/read/27904248/percutaneous-cholecystostomy-evidence-based-current-clinical-practice
#14
REVIEW
Karan Gulaya, Shamit S Desai, Kent Sato
The role of percutaneous cholecystostomy (PC) in the management of acute cholecystitis and cholangitis is outlined in the revised 2013 Tokyo Guidelines. These two emergencies constitute the vast majority of PC performed today for therapeutic purposes, and research has repeatedly shown the utility of PC in these conditions. PC is typically employed in the management of critically ill patients who are not surgical candidates. Indications and contraindications to PC are reviewed. Additional innovative applications of PC have been developed since it was first described in 1980...
December 2016: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/27834012/postoperative-complications-of-laparoscopic-cholecystectomy-for-acute-cholecystitis-a-comparison-to-the-acs-nsqip-risk-calculator-and-the-tokyo-guidelines
#15
Roxanne L Massoumi, Colleen M Trevino, Travis P Webb
BACKGROUND: We compared observed postoperative outcomes from laparoscopic cholecystectomy performed for acute cholecystitis (AC) to outcomes predicted by the ACS-NSQIP risk calculator.We also noted and compared any differences in observed outcomes across the different Tokyo Guidelines (TG) levels of AC severity.We hypothesized that ACS-NSQIP would accurately predict complications and length of stay (LOS) and that increased TG severity levels would correlate with more complications, increased conversion to open surgery, and longer LOS...
November 10, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27822294/erratum-to-2016-wses-guidelines-on-acute-calculous-cholecystitis
#16
L Ansaloni, M Pisano, F Coccolini, A B Peitzmann, A Fingerhut, F Catena, F Agresta, A Allegri, I Bailey, Z J Balogh, C Bendinelli, W Biffl, L Bonavina, G Borzellino, F Brunetti, C C Burlew, G Camapanelli, F C Campanile, M Ceresoli, O Chiara, I Civil, R Coimbra, M De Moya, S Di Saverio, G P Fraga, S Gupta, J Kashuk, M D Kelly, V Khokha, H Jeekel, R Latifi, A Leppaniemi, R V Maier, I Marzi, F Moore, D Piazzalunga, B Sakakushev, M Sartelli, T Scalea, P F Stahel, K Taviloglu, G Tugnoli, S Uraneus, G C Velmahos, I Wani, D G Weber, P Viale, M Sugrue, R Ivatury, Y Kluger, K S Gurusamy, E E Moore
[This corrects the article DOI: 10.1186/s13017-016-0082-5.].
2016: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/27804044/tokyo-guidelines-2013-may-be-too-restrictive-and-patients-with-moderate-and-severe-acute-cholecystitis-can-be-managed-by-early-cholecystectomy-too
#17
Vinoban Amirthalingam, Jee Keem Low, Winston Woon, Vishalkumar Shelat
OBJECTIVE: The aim of this study was to determine whether early laparoscopic cholecystectomy (LC) is safe and feasible for patients diagnosed with moderate (grade 2) and severe (grade 3) acute cholecystitis (AC) according to the Tokyo Guidelines 2013 (TG13). BACKGROUND: Early cholecystectomy is the current accepted standard of care for patients with mild (grade 1) and selected grade 2 AC based on TG13. For selected grade 2 and grade 3 AC, early percutaneous cholecystostomy (PC) followed by delayed cholecystectomy is recommended...
November 1, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27598871/the-treatment-of-critically-ill-patients-with-acute-cholecystitis
#18
Peter C Ambe, Sarantos Kaptanis, Marios Papadakis, Sebastian A Weber, Stefan Jansen, Hubert Zirngibl
BACKGROUND: Besides cholecystectomy (CC), percutaneous cholecystostomy (PC) has been recommended for the management of critically ill patients with acute cholecystitis. However, solid evidence on the benefit of PC in this subgroup of patients is lacking. METHODS: In accordance with the PRISMA guidelines for systematic reviews, we systematically searched the Cochrane Library, CINAHL, MEDLINE, Embase, and Scopus for relevant studies published between 2000 and 2014...
August 22, 2016: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/27460142/the-yield-of-fever-inflammatory-markers-and-ultrasound-in-the-diagnosis-of-acute-cholecystitis-a-validation-of-the-2013-tokyo-guidelines
#19
K Naidu, E Beenen, S Gananadha, C Mosse
BACKGROUND: Each year, 1-4 % of people with known gallstones become symptomatic, either presenting with biliary colic or as acute cholecystitis. The distinction between both diagnoses remains challenging. To aid the proper diagnosis, the revised 2013 Tokyo Guidelines (TG 2013) were proposed with a self-acclaimed diagnostic accuracy of over 90 %. However, this accuracy has not been verified by others so far. OBJECTIVE: To determine the accuracy of the TG 2013 guidelines in the diagnosis of acute cholecystitis both in its single components of fever, inflammatory markers and US features and of the combined application of the TG 2013 guidelines as a whole...
December 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27429137/management-of-acute-cholecystitis
#20
Prabhava Bagla, Juan C Sarria, Taylor S Riall
PURPOSE OF REVIEW: Various aspects of the management of acute calculous cholecystitis, including type and timing of surgery, role of antibiotics, and nonoperative management, remain controversial. This review focuses on recently published studies addressing the timing of cholecystectomy, use of cholecystostomy tubes, and role of antibiotics in this condition. RECENT FINDINGS: In most cases, the diagnosis of acute cholecystitis can be initially confirmed with an abdominal ultrasound...
October 2016: Current Opinion in Infectious Diseases
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