Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11556
Title: Outcomes of patients with histologically proven acute acalculous cholecystitis.
Authors: Nikfarjam, Mehrdad;Manya, Kiran;Fink, Michael A;Hadj, Andrew K;Muralidharan, Vijayaragavan;Starkey, Graham;Jones, Robert M;Christophi, Christopher
Affiliation: Department of Surgery, Austin Health, University of Melbourne, Melbourne, Victoria, Australia. mehrdad.nikfarjam@gmail.com
Issue Date: 3-Sep-2012
Citation: Anz Journal of Surgery 2012; 82(12): 918-22
Abstract: Acute acalculous cholecystitis (AAC) is traditionally described in the setting of critical illness, where the diagnosis is based on clinical assessment and imaging criteria. Very few studies have assessed the features and outcomes of AAC in patients treated by cholecystectomy.Patients with histologically confirmed acute cholecystitis treated in a specialized unit in a tertiary hospital between 2005 and 2011 were identified from prospectively maintained database. Retrospective review of data was undertaken and patients with AAC were compared with those patients with acute cholecystitis and confirmed gallstones.AAC was identified in 35 of 412 (8.5%) patients with acute cholecystitis. These patients were older (69 years versus 61 years; P = 0.004) and were more likely to be febrile (46% versus 21%; P = 0.001) and hypotensive (23% versus 5%; P < 0.001) at initial presentation. There was a higher incidence of chronic obstructive airways disease (COAD) in the AAC group (26% versus 6%; P < 0.001). Other co-morbidities were similar among the groups. Operative outcomes were similar between the groups. There were no overall differences in postoperative complications between AAC and calculous acute cholecystitis patients (17% versus 16%; P = 0.063). However, the postoperative length of stay was higher in the AAC group (5 days versus 3 days; P = 0.026).AAC more commonly occurs in older patients and those with COAD. The operative outcomes and complications of AAC treated by cholecystectomy are similar to cases of acute calculous cholecystitis.
Internal ID Number: 22943584
URI: http://ahro.austin.org.au/austinjspui/handle/1/11556
DOI: 10.1111/j.1445-2197.2012.06202.x
URL: http://www.ncbi.nlm.nih.gov/pubmed/22943584
Type: Journal Article
Subjects: Acalculous Cholecystitis.complications.surgery
Adolescent
Adult
Aged
Aged, 80 and over
Cholecystectomy
Cholecystitis, Acute.complications.surgery
Female
Humans
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Young Adult
Appears in Collections:Journal articles

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