Key result
Incarcerated gallbladder neck stones are ~4-fold more common in patients developing acute cholangitis or cholecystitis during standby.
Why the study?
Risk factors for developing acute cholangitis or cholecystitis during the standby period before cholecystectomy in patients with gallstones were unclear.
What are the risk factors for developing acute cholangitis/cholecystitis during the standby period for cholecystectomy in patients with gallstones?
Observational (n=202)
No
What are the risk factors for developing acute cholangitis/cholecystitis during the standby period for cholecystectomy in patients with gallstones?
Patients with severe gallbladder inflammation, frequent gallstone attacks, or stone impaction in the gallbladder neck have a high risk of acute biliary tract infection during the standby period for cholecystectomy and require earlier surgery or careful management.
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Kato et al. (2016) conducted an observational in Gallstones awaiting elective cholecystectomy (n=202). Incarcerated gallbladder neck stone vs. Absence of incarcerated gallbladder neck stone was evaluated on Development of acute cholangitis or cholecystitis during standby (p=0.001). Incarcerated gallbladder neck stones were significantly more common in patients who developed acute cholangitis or cholecystitis during standby for cholecystectomy compared to those who did not (50.0% vs 12.2%, p=0.001).
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