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Cholecysitits and alcalculous cholecystits for the icu dude

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4 papers 0 to 25 followers
By Jason Mann No BS pulmonary critical care fellow
Anton Simorov, Ajay Ranade, Jeremy Parcells, Abhijit Shaligram, Valerie Shostrom, Eugene Boilesen, Matthew Goede, Dmitry Oleynikov
BACKGROUND: Morbidity and mortality are very high for critically ill patients who develop acute acalculous cholecystitis (AAC). The aim of this study was to compare outcomes in extremely ill patients with AAC treated with percutaneous cholecystostomy (PC), laparoscopic cholecystectomy (LC), or open cholecystectomy (OC), which were also analyzed together in the LC-plus-OC (LO) group. METHODS: Discharge data from the University HealthSystem Consortium database were accessed using International Classification of Diseases codes...
December 2013: American Journal of Surgery
Bryan C Morse, J Brandon Smith, Richard B Lawdahl, Richard H Roettger
The diagnosis of acute cholecystitis in critically ill patients carries a high mortality rate. Although decompression and drainage of the gallbladder through a cholecystostomy tube may be used as a temporary treatment of acute cholecystitis in this population, there is still some debate about the management of the tube and the subsequent need for a cholecystectomy. This series evaluates the clinical course and outcomes of critically ill patients who underwent the insertion of cholecystostomy tubes for the initial treatment of acute cholecystitis...
July 2010: American Surgeon
Jason L Huffman, Steven Schenker
Although recognized for more than 150 years, acute acalculous cholecystitis (AAC) remains an elusive diagnosis. This is likely because of the complex clinical setting in which this entity develops, the lack of large prospective controlled trials that evaluate various diagnostic modalities, and thus dependence on a small data base for clinical decision making. AAC most often occurs in critically ill patients, especially related to trauma, surgery, shock, burns, sepsis, total parenteral nutrition, and/or prolonged fasting...
January 2010: Clinical Gastroenterology and Hepatology
Jamie E Anderson, Tazo Inui, Mark A Talamini, David C Chang
BACKGROUND: Acute acalculous cholecystitis is often managed with cholecystectomy or cholecystostomy, but data guiding surgical practice are lacking. MATERIALS AND METHODS: Longitudinal analysis of the California Office of Statewide Health Planning and Development Patient Discharge Data was performed from 1995-2009. Patients with acute acalculous cholecystitis were identified by International Classification of Diseases 9 code. Cox proportional hazard analysis found predictors of time to death, adjusting for patient demographics, sepsis, shock, frailty, Charlson comorbidity index, length of stay, insurance status, teaching hospital status, and year...
August 2014: Journal of Surgical Research
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