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Published in: World Journal of Emergency Surgery 1/2014

Open Access 01-12-2014 | Review

Acute cholecystitis: WSES position statement

Authors: Fabio Cesare Campanile, Michele Pisano, Federico Coccolini, Fausto Catena, Ferdinando Agresta, Luca Ansaloni

Published in: World Journal of Emergency Surgery | Issue 1/2014

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Abstract

Background

The management of acute calculous cholecystitis still offers room for debate in terms of diagnosis, severity scores, treatment options and timing for surgery.

Material and methods

A systematic review about the treatment of acute cholecystitis has been completed. The recommendations of recent guidelines have also been examined taking into account the results of the review.

Results

The evidence available in the literature supports the recommendation about laparoscopic cholecystectomy as treatment of choice for acute cholecystitis. Surgery should be performed as soon as possible after the diagnosis because early treatment reduces total hospital stay and does not increase complication or conversion rates. The antibiotics can play different roles and attention should be posed to the risk of emerging resistance. A surgical or percutaneous drainage of the gallbladder is advocated by some authors in the advanced forms of inflammation or patients with severe co-morbidities; however, the available evidence does not support it, and further studies are necessary to clarify its role.
Appendix
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Metadata
Title
Acute cholecystitis: WSES position statement
Authors
Fabio Cesare Campanile
Michele Pisano
Federico Coccolini
Fausto Catena
Ferdinando Agresta
Luca Ansaloni
Publication date
01-12-2014
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2014
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-9-58

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