Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 11 , ISSUE 3 ( September-December, 2022 ) > List of Articles

REVIEW ARTICLE

Evidence-based Guidelines for the Management of Acute Cholecystitis

Bryce B Patin, Jacob M Welsch, Christopher S Davis

Keywords : Acute cholecystitis, Cholecystectomy, Evidence-based management, Literature review

Citation Information : Patin BB, Welsch JM, Davis CS. Evidence-based Guidelines for the Management of Acute Cholecystitis. Panam J Trauma Crit Care Emerg Surg 2022; 11 (3):169-175.

DOI: 10.5005/jp-journals-10030-1398

License: CC BY-NC 4.0

Published Online: 31-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: This review aims to highlight the current evidence-based guidelines for acute cholecystitis. Background: Laparoscopic cholecystectomy is the procedure of choice for acute cholecystitis. The severity of cholecystitis and the patient's clinical status is heterogeneous. Many guidelines have been established to guide the preoperative and intraoperative management of acute cholecystitis. We provide an up-to-date appraisal of these guidelines and expert consensus recommendations. Review results: Many preoperative considerations exist, including patient health status/risk stratification, the severity of cholecystitis, choice of antibiotics, etiology of cholecystitis, considerations for gravid mothers, and utilization of cholecystostomy tubes. Intraoperative considerations are similarly paramount, including the surgical approach, adjuncts, and grading of the severity of cholecystitis once in the operating room. Clinical significance: The management of acute cholecystitis should never be viewed as routine, particularly regarding the heterogeneity of the patient's clinical status and severity of the disease process. Adherence to up-to-date, evidence-based, and expert consensus practice is critical to optimal outcomes for these patients.


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