Review of clinical experience with acute XXXX on the development of subsequent gallstone-related complications.

@entity1 @entity2679
BACKGROUND/AIM: Recently, surgery during admission has been advocated for acute @entity2679 , rather than delayed surgery after conservative treatment. This study was designed to perform early surgeries and analyze the criteria used for conservative management followed by delayed surgery. MATERIALS AND METHODS: After implementation of a study with the aim of performing early surgery, a retrospective review using a prospective database during the period of June 2009 to June 2011 was established. Early surgery during index hospitalization was offered to all @entity1 , except those having criteria for conservative management. RESULTS: There were 118 @entity1 admitted for acute @entity2679 . Early and delayed surgeries were performed for 18 (15%) and 23 (20%) @entity1 , respectively. Percutaneous cholecystostomy was performed for 10 (8%) @entity1 with a success rate of 90% and significantly higher length of hospital stay (P = 0.001). Gallstone-related complications developed in 33 (28%) @entity1 , causing significantly higher readmission rates (P = 0.001). Ofthe @entity1 , 34 (29%) were neither operated on nor had complications. The subsequent cholecystectomy rate was calculated as 35%. The overall mortality rate was 1.7% for all groups. CONCLUSION: Although surgical treatment of acute @entity2679 , either by early or delayed surgery, has some specific morbidity and mortality, it should be kept in mind that conservative treatment modalities a have higher rate of recurrences and subsequent complications, which all cause additional morbidity and mortality in @entity1 .
