Although ACC is an inflammatory process at the beginning, a secondary infection can occur in the case of continuous bile stasis due to cystic duct occlusion by calculus and oedema, which can lead to sepsis. While many clinicians advocate routine administration of antibiotics in all patients diagnose...
Conclusion Patients were more likely to have delayed cholecystectomy after initial antibiotic therapy or cholecystostomy without the benefit of a lower conversion rate when compared to the early group, but they had higher recurrent episodes of cholecystitis/pancreatitis or cholangitis....
There are many differences between the Japanese Evidenced-Based Guidelines for acute cholangitis and cholecystitis and the International clinical guidelines for acute cholangitis and cholecystitis ('Tokyo Guidelines'). The present study examines the differences of utility of both guidelines based on actual ...
However, Chinese scholars (7,25) find that there is no difference between the expression of Ki67, P53, EGFR, survivin, and PCNA in GA and in chronic cholecystitis. In addition, an article (26) has reported that DNA in the mucosa of GA is similar to that in normal mucosa, suggesting th...
摘要: Diagnosis of acute cholecystitis involves clinical, laboratory, and radiographic findings. The Tokyo Guidelines for the Management of Acute Cholangitis and Cholecystitis (TG13) provide a diagnostic al关键词: Acute cholecystitis Diagnosis Ultrasound Scintigraphy HIDA Computed tomography Magnetic resonance...
[63–66]. A study by Cull et al showed that recurrent episodes of pancreatitis, cholecystitis, and cholangitis were significantly less likely after early than delayed cholecystectomy, irrespective of whether delayed cholecystectomy was preceded by percutaneous cholecystostomy [65]. These findings ...
Acute biliary infection (acute cholecystitis and acute cholangitis) is one of the common emergency conditions which carries significant morbidity and mortality. The risk factors are often associated with gallstones, biliary stasis and bile infection. Gra
The most common presenting feature was right upper quadrant abdominal pain and no patient had associated cholangitis. Only three patients had fever at presentation; however, three more patients developed fever after hospitalization. Nine patients had leukocytosis, and the most common biochemical ...
another cholecystitis, pancreatitis, cholangitis, and gallstone ileus. Late cholecystectomy is considered worse than early cholecystectomy because of higher costs, risk of additional gallstone complications and worse quality of life [8,9,10,11]. How common it is for patients to have complications ...
It is with a certain interest that we read the new Tokyo Guidelines 2018 about the therapeutic management of acute cholangitis and calculous cholecystitis, especially the article "Tokyo Guidelines 2018: antimicrobial therapy for acute cholangitis and cholecystitis", written by Gomi et al. and ...