Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 8 Issue 5

New Predictors of Destructive Cholecystitis

A.A. Yashnov1, N.B. Yashnova1, O.G. Konovalova1, E.V. Razmakhnin2, J.S. Hanina1, M.A. Katman1, E.V. Turchina1 and E.Y. Passonen3

1Chita State Medical Academy
2 Gelendzhik City Hospital
3 Chita City Clinical Hospital №1

*Corresponding Author: AA Yashnov, Chita State Medical Academy.

Received: March 14, 2024; Published: April 15, 2024

Abstract

One of the most frequent and dangerous complications of cholelithiasis is acute cholecystitis, which occurs in 10-15% of patients with GI [1-3]. It is with this complication that a significant number of tactical errors occur, which can lead to adverse consequences [1,4,5]. One of the important messages is to determine the indications for surgery and the timing of surgery. Despite a significant number of works devoted to this pathology, there is no single point of view on this range of problems. Special difficulties arise in the treatment of the elderly contingent, as well as in severe concomitant pathology.

According to the report of the Chief Surgeon of the Russian Ministry of Health, the number of confirmed cases of patients with acute cholecystitis in Russia has been steadily increasing over the past 17 years. So, in 2004, 114,400 cases were detected, and in 2019, 160,634 or almost 1.5 times more [6].

At the same time, one of the main problems determining the outcomes of the disease is the course of acute cholecystitis in elderly patients and in patients with severe concomitant pathology [7-9]. It should be noted that according to E. Galperin, one in four patients of the older age group (60-70 years old) is diagnosed with gallstone disease [10]. At the same time, about 60% of patients admitted to the hospital with acute calculous cholecystitis are elderly and senile. Considering the fact that in this age group the degree of anesthetic risk is IV (high: 5-6.5 points) or V (extremely high: 7-9.5 points), which is associated with severe concomitant pathology of vital organs and systems, therapeutic tactics continues to be the subject of discussion [11].

 Keywords: Acute Cholecystitis; Chronic Calculous Cholecystitis (CCC)

References

  1. Larionova AY and Kilina AS. “Comparative analysis of the results of endovideosurgical and traditional cholecystectomy in patients with acute destructive cholecystitis in different age groups”. StudNet 6 (2020): 193-197.
  2. Ukhanov AP. “Comparative analysis of the results of endovideosurgical and traditional cholecystectomy in patients with acute destructive cholecystitis in different age groups”. In: International scientific and practical conference "Endovideosurgery in a multidisciplinary hospital". (2014): 142-144.
  3. Yokoe M., et al. “Tokyo guidelines 2018 diagnostic criteria and severity grading of acute cholecystitis”. Journal of Hepato-Biliary-Pancreatic Sciences 1 (2018): 41-54.
  4. Bautkin AV. “The problem of intra- and postoperative complications in the treatment of acute calculous cholecystitis and methods of their prevention”. Medical Bulletin of the South of Russia 3 (2012): 4-6.
  5. Likhovskikh SI. “Analysis of the causes of acute cholecystitis”. Colloquium-journal 11-3.63 (2020): 21.
  6. Revishvili AS. “Surgical care in the Russian Federation”. Report of the Chief Surgeon of the Russian Federation for 2021 (2020): 132.
  7. Kabanov MU. “Acute cholecystitis in patients of older age groups: a textbook”. St. Petersburg: Publishing House of the I. I. Mechnikov NWSMU (2017): 48.
  8. Kosareva SB. “A modern view on the diagnosis and treatment of acute cholecystitis in people over 60 years of age”. Literature Review. Science and Healthcare2 (2018): 148-167.
  9. Gamidova ON. “An algorithm for the diagnosis and surgical treatment of elderly and senile patients with acute calculous cholecystitis occurring against the background of concomitant diseases”. Bulletin of Emergency Medicine 1-2 (2020): 23-32.
  10. Manual of biliary tract surgery / edited by E. I. Galperin, P. S. Vetshev. – 2nd – Moscow: Vidar (2009): 568.
  11. A A Sopuev., et al. “On the issue of the diagnosis of acute cholecystitis in the elderly”. Bulletin of the I.K. Akhunbaev KSMU 3 (2021): 48-59.

Citation

Citation: AA Yashnov., et al. “New Predictors of Destructive Cholecystitis”.Acta Scientific Medical Sciences 8.5 (2024): 35-39.

Copyright

Copyright: © 2024 AA Yashnov., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Impact Factor1.403

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