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2016 WSES guidelines on acute calculous cholecystitis

Ansaloni, L; Pisano, M; Coccolini, F; Peitzmann, AB; Fingerhut, A; Catena, F; Agresta, F; ... Moore, EE; + view all (2016) 2016 WSES guidelines on acute calculous cholecystitis. World J Emerg Surg , 11 (25) 10.1186/s13017-016-0082-5. Green open access

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Abstract

Acute calculus cholecystitis is a very common disease with several area of uncertainty. The World Society of Emergency Surgery developed extensive guidelines in order to cover grey areas. The diagnostic criteria, the antimicrobial therapy, the evaluation of associated common bile duct stones, the identification of “high risk” patients, the surgical timing, the type of surgery, and the alternatives to surgery are discussed. Moreover the algorithm is proposed: as soon as diagnosis is made and after the evaluation of choledocholitiasis risk, laparoscopic cholecystectomy should be offered to all patients exception of those with high risk of morbidity or mortality. These Guidelines must be considered as an adjunctive tool for decision but they are not substitute of the clinical judgement for the individual patient.

Type: Article
Title: 2016 WSES guidelines on acute calculous cholecystitis
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s13017-016-0082-5
Publisher version: http://dx.doi.org/10.1186/s13017-016-0082-5
Language: English
Additional information: © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Keywords: Science & Technology, Life Sciences & Biomedicine, Emergency Medicine, Surgery, Acute Calcolous Cholecystitis, Diagnosis, Cholecystectomy, Biliary Tree Stones, Surgical Risk, Gallbladder Percutaneous Drainage, Endoscopic Ultrasound, Magnetic Resonance, Antibiotic, Abdominal Infections, Bile-Duct Stones, Delayed Laparoscopic Cholecystectomy, Randomized Clinical-Trial, Complicated Intraabdominal Infections, Patients Percutaneous Cholecystostomy, Uncomplicated Symptomatic Gallstones, Population-Based Analysis, Acute Abdominal-Pain, High-Risk Patients, Elderly-Patients
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Surgical Biotechnology
URI: https://discovery.ucl.ac.uk/id/eprint/1502778
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