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Open Access 01-12-2019 | Cholecystitis | Review

2017 WSES and SICG guidelines on acute calcolous cholecystitis in elderly population

Authors: Michele Pisano, Marco Ceresoli, Stefania Cimbanassi, Kurinchi Gurusamy, Federico Coccolini, Giuseppe Borzellino, Gianluca Costa, Niccolò Allievi, Bruno Amato, Djamila Boerma, Pietro Calcagno, Luca Campanati, Fabio Cesare Campanile, Alberto Casati, Osvaldo Chiara, Antonio Crucitti, Salomone di Saverio, Marco Filauro, Francesco Gabrielli, Angelo Guttadauro, Yoram Kluger, Stefano Magnone, Cecilia Merli, Elia Poiasina, Alessandro Puzziello, Massimo Sartelli, Fausto Catena, Luca Ansaloni

Published in: World Journal of Emergency Surgery | Issue 1/2019

Abstract

Background

Gallstone disease is very common afflicting 20 million people in the USA. In Europe, the overall incidence of gallstone disease is 18.8% in women and 9.5% in men. The frequency of gallstones related disease increases by age. The elderly population is increasing worldwide.

Aim

The present guidelines aims to report the results of the World Society of Emergency Surgery (WSES) and Italian Surgical Society for Elderly (SICG) consensus conference on acute calcolous cholecystitis (ACC) focused on elderly population.

Material and methods

The 2016 WSES guidelines on ACC were used as baseline; six questions have been used to investigate the particularities in elderly population; the answers have been developed in terms of differences compared to the general population and to statements of the 2016 WSES Guidelines. The Consensus Conference discusses, voted, and modified the statements. International experts contributed in the elaboration of final statements and evaluation of the level of scientific evidences.

Results

The quality of the studies available decreases when we approach ACC in elderly. Same admission laparoscopic cholecystectomy should be suggested for elderly people with ACC; frailty scores as well as clinical and surgical risk scores could be adopted but no general consensus exist. The role of cholecystostomy is uncertain.

Discussion and conclusions

The evaluation of pro and cons for surgery or for alternative treatments in elderly suffering of ACC is more complex than in young people; also, the oldest old age is not a contraindication for surgery; however, a larger use of frailty and surgical risk scores could contribute to reach the best clinical judgment by the surgeon. The present guidelines offer the opportunity to share with the scientific community a baseline for future researches and discussion.

Available only for authorised users

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Title: 2017 WSES and SICG guidelines on acute calcolous cholecystitis in elderly population
Authors: Michele Pisano
Marco Ceresoli
Stefania Cimbanassi
Kurinchi Gurusamy
Federico Coccolini
Giuseppe Borzellino
Gianluca Costa
Niccolò Allievi
Bruno Amato
Djamila Boerma
Pietro Calcagno
Luca Campanati
Fabio Cesare Campanile
Alberto Casati
Osvaldo Chiara
Antonio Crucitti
Salomone di Saverio
Marco Filauro
Francesco Gabrielli
Angelo Guttadauro
Yoram Kluger
Stefano Magnone
Cecilia Merli
Elia Poiasina
Alessandro Puzziello
Massimo Sartelli
Fausto Catena
Luca Ansaloni
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Cholecystitis
Antibiotic
Cholecystectomy
Published in: World Journal of Emergency Surgery / Issue 1/2019
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/s13017-019-0224-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

2017 WSES and SICG guidelines on acute calcolous cholecystitis in elderly population

Abstract

Background

Aim

Material and methods

Results

Discussion and conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Aim

Material and methods

Results

Discussion and conclusions

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