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30 sty 2007 · When a diagnosis of acute cholecystitis is suspected, medical treatment, including NPO, intravenous fluids, antibiotics, and analgesia, together with close monitoring of blood pressure, pulse, and urinary output should be initiated.
28 paź 2019 · Flowcharts for the management of acute cholecystitis (AC) were presented in the Tokyo Guidelines 2007 (TG07) 1 and the Tokyo Guidelines 2013 (TG13) 2. The flowcharts allow practitioners in the clinical setting to understand treatment flow at a glance and have proven useful in the management of AC.
11 lut 2021 · Pathological findings in the acute cholecystitis. (A) The upper part is the mucosal surface. Whole layer necrosis is evident (dotted area, HE × 25). (B) Necrosis tissue (dotted area) is located adjacent to normal mucosal tissue (curly bracket) (HE × 50).
Acute cholecystitis (AC) represents the 3–10% of the causes of abdominal pain, especially in over 50 years old with cholecystolithiasis as main cause in up to 90–95% of the cases [1]. The diagnosis of AC can be made by the combination of multiple factors.
We propose a new flowchart for the treatment of acute cholecystitis (AC) in the Tokyo Guidelines 2018 (TG18). Grade III AC was not indicated for straightforward laparoscopic cholecystectomy (Lap-C).
For patients with mild (grade I) cholecystitis, early laparoscopic cholecystectomy is the preferred treatment. For patients with moderate (grade II) acute cholecystitis, early laparoscopic or open cholecystectomy is preferred.
In this review, we provide a possible flowchart in order to optimize treatments, resource and provide to patients a tailored approach. Keywords: Acute cholecystitis; EUS-gallbladder drainage; Fragile patients; Gallbladder drainage; Percutaneous gallbladder drainage; Transpapillary gallbladder drainage.
