Complications of Non-Surgical Treatment in Acute Cholecystitis

Complications of Non-Surgical Treatment in Acute Cholecystitis, the Unkonwn Pathway

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06213753

Enrollment

1652

Registered

2024-01-19

Start date

2011-01-31

Completion date

2022-05-31

Last updated

2024-01-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Cholecystitis

Keywords

Acute Cholecystitis, Cholecystectomy, Tokyo Guidelines, Non-Surgical Treatment, Mortality, High-risk patient

Brief summary

Acute cholecystitis (AC) is the second most frequent pathology in Surgical Emergencies; laparoscopic cholecystectomy (LC) is the gold standard treatment, but not all patients are fit for surgery. Percutaneous Cholecystostomy (PC) is an alternative to LC but has high comorbidity. There is no protocol in our institution for Non-Surgical Treatment (NST). This study aims to analyse the complications of non-surgical treatment and a new local management algorithm

Detailed description

It's a single-centre retrospective study of 1652 adults with AC from 2011 to 2022, including baseline demographic characteristics, comorbidity severity defined as the Charlson Comorbidity Index (CCI), ASA Score, and Tokyo Guidelines' severity classification. The primary outcome is to study the complications of NST.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Inclusion criteria

* Diagnostic of an Acute Cholecystitis. * Older than 18 years old.

Exclusion criteria

* Younger than 18 years old.

Design outcomes

Primary

Measure	Time frame	Description
Complications	2011-2022	The main outcome measure was the total of complications in patients with an Acute Calculous Cholecystitis assessed by the Clavien-Dindo Classification.

Outcome results