Clinical-surgical characterization of acute cholecystitis in patients treated in the General Surgery Service. Cienfuegos, 2017-2019

<p><strong>Background:</strong> acute cholecystitis is an inflammatory disease, characterized by acute changes in the gallbladder wall that can range from edema and congestion to gangrene and perforation. It is a disease with a high incidence in surgical urgency.<br /><str...

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Main Authors: Jorge Luis Estepa Pérez, Tahiluma Santana Pedraza, Jorge Luis Estepa Ramos, José Antonio Feliú Rosa
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2023-03-01
Series:Medisur
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Online Access:http://medisur.sld.cu/index.php/medisur/article/view/5629
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author Jorge Luis Estepa Pérez
Tahiluma Santana Pedraza
Jorge Luis Estepa Ramos
José Antonio Feliú Rosa
author_facet Jorge Luis Estepa Pérez
Tahiluma Santana Pedraza
Jorge Luis Estepa Ramos
José Antonio Feliú Rosa
author_sort Jorge Luis Estepa Pérez
collection DOAJ
description <p><strong>Background:</strong> acute cholecystitis is an inflammatory disease, characterized by acute changes in the gallbladder wall that can range from edema and congestion to gangrene and perforation. It is a disease with a high incidence in surgical urgency.<br /><strong>Objective:</strong> to clinically and surgically characterize acute cholecystitis in patients of the General Surgery Service.<br /><strong>Methods:</strong> a descriptive and prospective study of patients treated for acute cholecystitis in the Surgery Service was carried out from January the 1st, 2017 to December the 31st, 2019. Data were obtained from medical records and operative reports, using a data collection model. The variables age, sex, associated diseases, clinical manifestations, diagnostic confirmation, type of treatment, modality of surgical treatment, evolution, complications, use of antibiotics, place of admission and hospital stay were analyzed. <br /><strong>Results:</strong> female patients aged 60 years and over predominated; abdominal pain prevailed in most of the patients, accompanied by vomiting and tachycardia; the diagnosis was confirmed through the clinic; surgical treatment predominated, conventional open cholecystectomy was the technique of choice; most progress satisfactorily. Surgical wound sepsis was the most frequent complication.<br /><strong>Conclusions:</strong> acute cholecystitis is more frequent in the elderly, early diagnosis and timely treatment can reduce the percentage of complications; surgical treatment is the treatment of choice, combined with antibiotic therapy.</p>
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publishDate 2023-03-01
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spelling doaj-art-4db77bc8b08e4a29b541ca5eb7afd2cc2025-01-30T21:29:00ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2023-03-012124004112284Clinical-surgical characterization of acute cholecystitis in patients treated in the General Surgery Service. Cienfuegos, 2017-2019Jorge Luis Estepa Pérez0Tahiluma Santana Pedraza1Jorge Luis Estepa Ramos2José Antonio Feliú Rosa3Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.<p><strong>Background:</strong> acute cholecystitis is an inflammatory disease, characterized by acute changes in the gallbladder wall that can range from edema and congestion to gangrene and perforation. It is a disease with a high incidence in surgical urgency.<br /><strong>Objective:</strong> to clinically and surgically characterize acute cholecystitis in patients of the General Surgery Service.<br /><strong>Methods:</strong> a descriptive and prospective study of patients treated for acute cholecystitis in the Surgery Service was carried out from January the 1st, 2017 to December the 31st, 2019. Data were obtained from medical records and operative reports, using a data collection model. The variables age, sex, associated diseases, clinical manifestations, diagnostic confirmation, type of treatment, modality of surgical treatment, evolution, complications, use of antibiotics, place of admission and hospital stay were analyzed. <br /><strong>Results:</strong> female patients aged 60 years and over predominated; abdominal pain prevailed in most of the patients, accompanied by vomiting and tachycardia; the diagnosis was confirmed through the clinic; surgical treatment predominated, conventional open cholecystectomy was the technique of choice; most progress satisfactorily. Surgical wound sepsis was the most frequent complication.<br /><strong>Conclusions:</strong> acute cholecystitis is more frequent in the elderly, early diagnosis and timely treatment can reduce the percentage of complications; surgical treatment is the treatment of choice, combined with antibiotic therapy.</p>http://medisur.sld.cu/index.php/medisur/article/view/5629colecistitis agudaindicadores de morbimortalidadcolecistectomía
spellingShingle Jorge Luis Estepa Pérez
Tahiluma Santana Pedraza
Jorge Luis Estepa Ramos
José Antonio Feliú Rosa
Clinical-surgical characterization of acute cholecystitis in patients treated in the General Surgery Service. Cienfuegos, 2017-2019
Medisur
colecistitis aguda
indicadores de morbimortalidad
colecistectomía
title Clinical-surgical characterization of acute cholecystitis in patients treated in the General Surgery Service. Cienfuegos, 2017-2019
title_full Clinical-surgical characterization of acute cholecystitis in patients treated in the General Surgery Service. Cienfuegos, 2017-2019
title_fullStr Clinical-surgical characterization of acute cholecystitis in patients treated in the General Surgery Service. Cienfuegos, 2017-2019
title_full_unstemmed Clinical-surgical characterization of acute cholecystitis in patients treated in the General Surgery Service. Cienfuegos, 2017-2019
title_short Clinical-surgical characterization of acute cholecystitis in patients treated in the General Surgery Service. Cienfuegos, 2017-2019
title_sort clinical surgical characterization of acute cholecystitis in patients treated in the general surgery service cienfuegos 2017 2019
topic colecistitis aguda
indicadores de morbimortalidad
colecistectomía
url http://medisur.sld.cu/index.php/medisur/article/view/5629
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