DIAGNOSTIC APPROACHES AND ADVANCES IN THE TREATMENT OF CHOLECYSTITIS: A LITERATURE REVIEW
DOI:
https://doi.org/10.47820/recima21.v5i3.4974Keywords:
Cholecystitis. Diagnostic methods. Treatment. Ultrasound and computed tomography.Abstract
Introduction: Cholecystitis, an inflammation of the gallbladder, is common and clinically challenging. Ultrasound is crucial for diagnosis, while laparoscopic cholecystectomy is the gold standard of treatment, although conservative therapies are being explored. Objective: To review recent diagnostic and therapeutic approaches to cholecystitis, highlighting advances and challenges. Methods: A 15-year literature review was conducted, selecting relevant studies from recognized databases. Original studies and reviews addressing the diagnosis and treatment of cholecystitis in English, Portuguese or Spanish were included. Results and Discussion: Ultrasound is essential for early diagnosis. Laparoscopic cholecystectomy is effective, but conservative therapies are being investigated for high-risk patients. Technological advances offer new therapeutic options, such as robotic surgery and non-invasive therapies. Conclusion: An up-to-date understanding of the diagnostic and therapeutic approaches to cholecystitis improves clinical outcomes. Ultrasound is crucial for early diagnosis, while laparoscopic cholecystectomy remains the standard treatment. Conservative therapies are promising for selected patients, and technological advances offer new therapeutic options.
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References
ANSALONI, Luca et al. 2016 WSES guidelines on acute calculous cholecystitis. World journal of emergency surgery, v. 11, p. 1-23, 2016.
CHAWLA, Ashish et al. Imaging of acute cholecystitis and cholecystitis-associated complications in the emergency setting. Singapore medical journal, v. 56, n. 8, p. 438, 2015. DOI: https://doi.org/10.11622/smedj.2015120
DE OLIVEIRA JÚNIOR, Senival Alves et al. Acute acalculous cholecystitis in critically ill patients: risk factors, diagnosis and treatment strategies. J Pancreas, v. 17, n. 17, p. 580-586, 2016.
DOHERTY, Gerard et al. The need for standardizing diagnosis, treatment and clinical care of cholecystitis and biliary colic in gallbladder disease. Medicina, v. 58, n. 3, p. 388, 2022. DOI: https://doi.org/10.3390/medicina58030388
FUKS, D.; COSSÉ, C.; RÉGIMBEAU, J.-M. Antibiotic therapy in acute calculous cholecystitis. Journal of visceral surgery, v. 150, n. 1, p. 3-8, 2013. DOI: https://doi.org/10.1016/j.jviscsurg.2013.01.004
GALLAHER, Jared R.; CHARLES, Anthony. Acute cholecystitis: a review. Jama, v. 327, n. 10, p. 965-975, 2022. DOI: https://doi.org/10.1001/jama.2022.2350
GOMES, Carlos Augusto et al. Acute calculous cholecystitis: Review of current best practices. World journal of gastrointestinal surgery, v. 9, n. 5, p. 118, 2017. DOI: https://doi.org/10.4240/wjgs.v9.i5.118
JANSSEN, Emmy R. I. et al. Retrospective analysis of non-surgical treatment of acute cholecystitis. Surgical infections, v. 21, n. 5, p. 428-432, 2020. DOI: https://doi.org/10.1089/sur.2019.261
KIEWIET, Jordy J. S. et al. A systematic review and meta-analysis of diagnostic performance of imaging in acute cholecystitis. Radiology, v. 264, n. 3, p. 708-720, 2012. DOI: https://doi.org/10.1148/radiol.12111561
KIM, Kook Hyun. The diagnosis and treatment of acute cholecystitis. The Korean Journal of Pancreas and Biliary Tract, v. 27, n. 1, p. 47-53, 2022. DOI: https://doi.org/10.15279/kpba.2022.27.1.47
KNAB, Lawrence M.; BOLLER, Anne-Marie; MAHVI, David M. Cholecystitis. Surgical Clinics, v. 94, n. 2, p. 455-470, 2014. DOI: https://doi.org/10.1016/j.suc.2014.01.005
LOOZEN, Charlotte S. et al. Conservative treatment of acute cholecystitis: a systematic review and pooled analysis. Surgical endoscopy, v. 31, p. 504-515, 2017. DOI: https://doi.org/10.1007/s00464-016-5011-x
MARTELLOTTO, S.; DOHAN, A.; POCARD, M. Evaluation of the CT scan as the first examination for the diagnosis and therapeutic strategy for acute cholecystitis. World Journal of Surgery, v. 44, p. 1779-1789, 2020. DOI: https://doi.org/10.1007/s00268-020-05404-6
MOU, Danny et al. Advances in the management of acute cholecystitis. Annals of gastroenterological surgery, v. 3, n. 3, p. 247-253, 2019. DOI: https://doi.org/10.1002/ags3.12240
PINTO, Antonio et al. Accuracy of ultrasonography in the diagnosis of acute calculous cholecystitis: review of the literature. Critical ultrasound journal, v. 5, p. 1-4, 2013. DOI: https://doi.org/10.1186/2036-7902-5-S1-S11
RICE, Christopher P. et al. Operative complications and economic outcomes of cholecystectomy for acute cholecystitis. World journal of gastroenterology, v. 25, n. 48, p. 6916, 2019. DOI: https://doi.org/10.3748/wjg.v25.i48.6916
RIMKUS, J. Acute Cholecystitis: Diagnosis and Treatment. SVEIKATOS, v. 31, n. 5, p. 148, 2021.
ROMASHCHENKO, P. N. et al. Prevention and treatment bile ducts injuries in patients with acute cholecystitis. Annaly khirurgicheskoy gepatologii= Annals of HPB Surgery, v. 25, n. 3, p. 20-31, 2020. DOI: https://doi.org/10.16931/1995-5464.2020320-31
SAYDULLAEV, Zayniddin Ya et al. Minimally invasive methods of treatment of patients with acute cholecystitis. Annals of the Romanian Society for Cell Biology, p. 1956-1961, 2021.
VAN DIJK, A. H. et al. Systematic review of antibiotic treatment for acute calculous cholecystitis. Journal of British Surgery, v. 103, n. 7, p. 797-811, 2016. DOI: https://doi.org/10.1002/bjs.10146
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