Published June 14, 2016 | Version v1
Publication Open

2016 WSES guidelines on acute calculous cholecystitis

Creators

  • 1. Ospedale Papa Giovanni XXIII
  • 2. University of Pittsburgh
  • 3. Medical University of Graz
  • 4. University of Parma
  • 5. University Hospital Southampton NHS Foundation Trust
  • 6. John Hunter Hospital
  • 7. Queen's Medical Center
  • 8. University of Hawaiʻi at Mānoa
  • 9. University of Hawaii System
  • 10. IRCCS Policlinico San Donato
  • 11. University of Milan
  • 12. University of Verona
  • 13. Université Paris-Est Créteil
  • 14. Assistance Publique – Hôpitaux de Paris
  • 15. Denver Health Medical Center
  • 16. University of Colorado Denver
  • 17. Istituto Clinico Sant'Ambrogio
  • 18. Ospedale di Civita Castellana
  • 19. Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
  • 20. Auckland City Hospital
  • 21. UC San Diego Health System
  • 22. University of California, San Diego
  • 23. Harvard University Press
  • 24. Universidade Estadual de Campinas (UNICAMP)
  • 25. Government Medical College
  • 26. Tel Aviv University
  • 27. Canberra Hospital
  • 28. Erasmus University Rotterdam
  • 29. Erasmus MC
  • 30. University of Arizona
  • 31. Herttoniemi Hospital
  • 32. Harborview Medical Center
  • 33. Goethe University Frankfurt
  • 34. University of Florida
  • 35. Medical University Plovdiv
  • 36. University of Macerata
  • 37. University of Maryland, Baltimore
  • 38. Massachusetts General Hospital
  • 39. Royal Perth Hospital
  • 40. University of Western Australia
  • 41. University of Bologna
  • 42. Letterkenny University Hospital
  • 43. Virginia Commonwealth University
  • 44. Rambam Health Care Campus
  • 45. The Royal Free Hospital
  • 46. University College London

Description

Acute calculus cholecystitis is a very common disease with several area of uncertainty. The World Society of Emergency Surgery developed extensive guidelines in order to cover grey areas. The diagnostic criteria, the antimicrobial therapy, the evaluation of associated common bile duct stones, the identification of "high risk" patients, the surgical timing, the type of surgery, and the alternatives to surgery are discussed. Moreover the algorithm is proposed: as soon as diagnosis is made and after the evaluation of choledocholitiasis risk, laparoscopic cholecystectomy should be offered to all patients exception of those with high risk of morbidity or mortality. These Guidelines must be considered as an adjunctive tool for decision but they are not substitute of the clinical judgement for the individual patient.

⚠️ This is an automatic machine translation with an accuracy of 90-95%

Translated Description (Arabic)

التهاب المرارة الحاد هو مرض شائع جدا مع العديد من مجالات عدم اليقين. وضعت الجمعية العالمية لجراحة الطوارئ مبادئ توجيهية واسعة النطاق من أجل تغطية المناطق الرمادية. وتناقش المعايير التشخيصية، والعلاج المضاد للميكروبات، وتقييم حصوات القناة الصفراوية الشائعة المرتبطة بها، وتحديد المرضى "ذوي المخاطر العالية"، والتوقيت الجراحي، ونوع الجراحة، وبدائل الجراحة. علاوة على ذلك، يتم اقتراح الخوارزمية: بمجرد إجراء التشخيص وبعد تقييم مخاطر داء الصفراء، يجب إجراء استئصال المرارة بالمنظار لجميع المرضى باستثناء أولئك الذين يعانون من مخاطر عالية للاعتلال أو الوفاة. يجب اعتبار هذه الإرشادات كأداة مساعدة لاتخاذ القرار ولكنها ليست بديلاً عن الحكم السريري للمريض الفردي.

Translated Description (French)

La cholécystite aiguë est une maladie très courante avec plusieurs zones d'incertitude. La Société mondiale de chirurgie d'urgence a élaboré des directives détaillées afin de couvrir les zones grises. Les critères de diagnostic, la thérapie antimicrobienne, l'évaluation des calculs biliaires communs associés, l'identification des patients « à haut risque », le calendrier chirurgical, le type de chirurgie et les alternatives à la chirurgie sont discutés. De plus, l'algorithme est proposé : dès que le diagnostic est posé et après l'évaluation du risque de cholédocholitiase, une cholécystectomie laparoscopique doit être proposée à tous les patients à l'exception de ceux présentant un risque élevé de morbidité ou de mortalité. Ces lignes directrices doivent être considérées comme un outil d'appoint pour la décision, mais elles ne remplacent pas le jugement clinique pour le patient individuel.

Translated Description (Spanish)

La colecistitis aguda por cálculo es una enfermedad muy común con varias áreas de incertidumbre. La Sociedad Mundial de Cirugía de Emergencia desarrolló extensas pautas para cubrir las zonas grises. Se discuten los criterios diagnósticos, la terapia antimicrobiana, la evaluación de los cálculos del conducto biliar común asociados, la identificación de pacientes de "alto riesgo", el momento quirúrgico, el tipo de cirugía y las alternativas a la cirugía. Además, se propone el algoritmo: tan pronto como se realice el diagnóstico y después de la evaluación del riesgo de coledocolitiasis, se debe ofrecer una colecistectomía laparoscópica a todos los pacientes, excepto a aquellos con alto riesgo de morbilidad o mortalidad. Estas Pautas deben considerarse como una herramienta complementaria para la toma de decisiones, pero no sustituyen el juicio clínico para el paciente individual.

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Additional details

Additional titles

Translated title (Arabic)
2016 إرشادات WSES حول التهاب المرارة الحصوي الحاد
Translated title (French)
Directives WSES 2016 sur la cholécystite aiguë calculatrice
Translated title (Spanish)
Guías WSES 2016 sobre colecistitis calculosa aguda

Identifiers

Other
https://openalex.org/W2441057361
DOI
10.1186/s13017-016-0082-5

Is supplement to
https://openalex.org/W3209223893 (Other)
https://openalex.org/W3122611275 (Other)
https://openalex.org/W2508162238 (Other)
https://openalex.org/W2399174598 (Other)
https://openalex.org/W2382960501 (Other)
https://openalex.org/W2379127081 (Other)
https://openalex.org/W2353081048 (Other)
https://openalex.org/W2336099597 (Other)
https://openalex.org/W1992135923 (Other)
https://openalex.org/W1562594753 (Other)

GreSIS Basics Section

Is Global South Knowledge
Yes
Country
India

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