Clinical impact of bloodstream infection on acute cholecystitis indicated for emergency cholecystectomy

2021 ◽  
Author(s):  
Yusuke Hanabata ◽  
Kenya Yamanaka ◽  
Akina Shinkura ◽  
Makoto Kurimoto ◽  
Hikaru Aoki ◽  
...  
Keyword(s):  
Acute Cholecystitis ◽  
Bloodstream Infection ◽  
Clinical Impact ◽  
Emergency Cholecystectomy

scholarly journals Flavonifractor (Eubacterium) plautii bloodstream infection following acute cholecystitis

IDCases ◽  
2018 ◽  
Vol 14 ◽  
pp. e00461 ◽  
Author(s):  
Fabian K. Berger ◽  
Nadine Schwab ◽  
Matthias Glanemann ◽  
Rainer M. Bohle ◽  
Barbara Gärtner ◽  
...  
Keyword(s):  
Acute Cholecystitis ◽  
Bloodstream Infection

Emergency Cholecystectomy for Patients on Antiplatelet Therapy

2017 ◽  
Vol 83 (5) ◽  
pp. 486-490 ◽  
Author(s):  
Keiichi Akahoshi ◽  
Takanori Ochiai ◽  
Ayumi Takaoka ◽  
Takuya Kitamura ◽  
Daisuke Ban ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Acute Cholecystitis ◽  
Antiplatelet Therapy ◽  
Open Surgery ◽  
Massive Hemorrhage ◽  
Intraoperative Blood Loss ◽  
Local Inflammation ◽  
Conversion To Open Surgery ◽  
Difficult Decision ◽  
Emergency Cholecystectomy

The use of antiplatelet therapy (APT) and/or anticoagulant therapy (ACT) continues to increase due to the aging population. Because the management of patients with acute cholecystitis receiving APT/ACTis still unclear, surgeons are sometimes faced with the difficult decision to delay surgery. We aimed to analyze characteristics and surgical risks of patients who underwent emergency cholecystectomy for acute cholecystitis without discontinuing APT. We conducted a retrospective review of 113 patients between 2006 and 2014. Treatment outcomes among 13 patients who underwent cholecystectomy without discontinuing APT (the cAPT group), 11 patients who discontinued APT and ACT (the D group), and 89 patients who did not receive preoperative APT and/or ACT (the No APT group) were compared. There were no significant differences in intraoperative blood loss, conversion to open surgery, and bleeding-related complications. However, the incidence of intraoperative blood transfusion was higher in the cAPT group (P = 0.04). They presented with severe local inflammation; thus, it was difficult to stop bleeding from the gallbladder bed. Hemostatic tools for liver surgery were used to control bleeding. Emergency cholecystectomy was tolerable for patients with acute cholecystitis while continuing APT. However, in case of severe local inflammation, there is a greater risk for massive hemorrhage.

scholarly journals Optimum timing of emergency cholecystectomy for acute cholecystitis in England: population-based cohort study

2019 ◽  
Vol 33 (8) ◽  
pp. 2495-2502 ◽  
Author(s):  
Tom Wiggins ◽  
Sheraz R. Markar ◽  
Hugh MacKenzie ◽  
Omar Faiz ◽  
Dipankar Mukherjee ◽  
...  
Keyword(s):  
Cohort Study ◽  
Acute Cholecystitis ◽  
Population Based ◽  
Emergency Cholecystectomy

scholarly journals Clinical impact of abnormal liver funtion tests in patients with acute cholecystitis

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S727-S728
Author(s):  
P. Fernández Veiga ◽  
P. Senra Del Rio ◽  
R. Meléndez Villar ◽  
I. Otero Martínez ◽  
F. Ausania
Keyword(s):  
Acute Cholecystitis ◽  
Clinical Impact

scholarly journals Characterization and Clinical Impact of Bloodstream Infection Caused by Carbapenemase-Producing Enterobacteriaceae in Seven Latin American Countries

PLoS ONE ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. e0154092 ◽  
Author(s):  
Maria Virginia Villegas ◽  
Christian J. Pallares ◽  
Kevin Escandón-Vargas ◽  
Cristhian Hernández-Gómez ◽  
Adriana Correa ◽  
...  
Keyword(s):  
Bloodstream Infection ◽  
Latin American ◽  
Clinical Impact ◽  
Latin American Countries
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