Acute cholecystitis natural history, complications and prognosis: Difference between revisions
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===Complications=== | ===Complications=== | ||
Common complications of acute cholecystitis include:<ref name="pmid13689586">{{cite journal |vauthors=BYRNE JJ, BERGER RL |title=The pathogenesis of acute cholecystitis |journal=Arch Surg |volume=81 |issue= |pages=812–6 |year=1960 |pmid=13689586 |doi= |url=}}</ref> | Common complications of acute cholecystitis include:<ref name="pmid13689586">{{cite journal |vauthors=BYRNE JJ, BERGER RL |title=The pathogenesis of acute cholecystitis |journal=Arch Surg |volume=81 |issue= |pages=812–6 |year=1960 |pmid=13689586 |doi= |url=}}</ref><ref name="pmid2238655">{{cite journal |vauthors=Reiss R, Nudelman I, Gutman C, Deutsch AA |title=Changing trends in surgery for acute cholecystitis |journal=World J Surg |volume=14 |issue=5 |pages=567–70; discussion 570–1 |year=1990 |pmid=2238655 |doi= |url=}}</ref><ref name="pmid3605024">{{cite journal |vauthors=Roslyn JJ, Thompson JE, Darvin H, DenBesten L |title=Risk factors for gallbladder perforation |journal=Am. J. Gastroenterol. |volume=82 |issue=7 |pages=636–40 |year=1987 |pmid=3605024 |doi= |url=}}</ref><ref name="pmid2083919">{{cite journal |vauthors=Lorenz RW, Steffen HM |title=Emphysematous cholecystitis: diagnostic problems and differential diagnosis of gallbladder gas accumulations |journal=Hepatogastroenterology |volume=37 Suppl 2 |issue= |pages=103–6 |year=1990 |pmid=2083919 |doi= |url=}}</ref><ref name="pmid2200556">{{cite journal |vauthors=Clavien PA, Richon J, Burgan S, Rohner A |title=Gallstone ileus |journal=Br J Surg |volume=77 |issue=7 |pages=737–42 |year=1990 |pmid=2200556 |doi= |url=}}</ref> | ||
*[[Gangrene of Gall Bladder]] is the most common complication of acute cholecystitis if left untreated and in elderly patients with an underlying disease of [[diabetes]]. | |||
*Perforation of Gall Bladder results due to the gangrene of the gall bladder and leads to pericholecystic abscess. Peritonitits may also occur as a result of gall bladder perforation these patients develop septicemia and have a high mortality rate. | |||
*Cholecystoenteric fistula usually occurs due to the perforation of gall bladder directly into the duodenum or jejunum. | |||
*Emphysematous cholecystitis | |||
*[[Gallstone ileus]] | |||
===Prognosis=== | ===Prognosis=== |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
OR
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
OR
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of (disease name) usually develop in the first/ second/ third decade of life, and start with symptoms such as ___.
- The symptoms of (disease name) typically develop ___ years after exposure to ___.
- If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
Complications
Common complications of acute cholecystitis include:[1][2][3][4][5]
- Gangrene of Gall Bladder is the most common complication of acute cholecystitis if left untreated and in elderly patients with an underlying disease of diabetes.
- Perforation of Gall Bladder results due to the gangrene of the gall bladder and leads to pericholecystic abscess. Peritonitits may also occur as a result of gall bladder perforation these patients develop septicemia and have a high mortality rate.
- Cholecystoenteric fistula usually occurs due to the perforation of gall bladder directly into the duodenum or jejunum.
- Emphysematous cholecystitis
- Gallstone ileus
Prognosis
- Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
- Depending on the extent of the [tumor/disease progression/etc.] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent.
- The presence of [characteristic of disease] is associated with a particularly [good/poor] prognosis among patients with [disease/malignancy].
- [Subtype of disease/malignancy] is associated with the most favorable prognosis.
- The prognosis varies with the [characteristic] of tumor; [subtype of disease/malignancy] have the most favorable prognosis.
References
- ↑ BYRNE JJ, BERGER RL (1960). "The pathogenesis of acute cholecystitis". Arch Surg. 81: 812–6. PMID 13689586.
- ↑ Reiss R, Nudelman I, Gutman C, Deutsch AA (1990). "Changing trends in surgery for acute cholecystitis". World J Surg. 14 (5): 567–70, discussion 570–1. PMID 2238655.
- ↑ Roslyn JJ, Thompson JE, Darvin H, DenBesten L (1987). "Risk factors for gallbladder perforation". Am. J. Gastroenterol. 82 (7): 636–40. PMID 3605024.
- ↑ Lorenz RW, Steffen HM (1990). "Emphysematous cholecystitis: diagnostic problems and differential diagnosis of gallbladder gas accumulations". Hepatogastroenterology. 37 Suppl 2: 103–6. PMID 2083919.
- ↑ Clavien PA, Richon J, Burgan S, Rohner A (1990). "Gallstone ileus". Br J Surg. 77 (7): 737–42. PMID 2200556.