Japanese

Translated title of the contribution: The impact of guidelines for the management of acute cholecystitis in a rural area of Japan

Yasushi Yamasaki, Ryuta Takenaka, Noriko Okazaki, Yuki Baba, Kenta Hamada, Hiroki Takayama, Koji Takemoto, Akihiko Taira, Hirofumi Tsugeno, Yasuhiro Kubota, Doufu Hayashi, Shigeatsu Fujiki

Research output: Contribution to journalArticlepeer-review

Abstract

We monitored the management of acute cholecystitis in a rural area of Japan to determine the effectiveness of new guidelines for the management of acute cholecystitis and cholangitis. Between January 2000 and September 2011, 366 patients were treated for acute cholecystitis. Of these, 59 had common bile duct stones (CBDS) and 307 did not. Patients in both groups were further subdivided into two groups: a before guidelines group (BGG; n=153) and an after guideline group (AGG; n=154). Among the patients without CBDS, early cholecystectomy was more common in the AGG group (n=53) than in the BGG group. Furthermore, the length of hospital stay was four days shorter in the AGG group than in the BGG group (n=23). Among the patients with CBDS, the timing of cholecystectomy after endoscopic retrograde cholangiography was seven days earlier in the AGG group than in the BGG group. Even in a rural area of Japan, early cholecystectomy appears safe and can decrease the length of hospital stay.

Translated title of the contributionThe impact of guidelines for the management of acute cholecystitis in a rural area of Japan
Original languageJapanese
Pages (from-to)1774-82
Number of pages9
JournalNihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology
Volume110
Issue number10
Publication statusPublished - Oct 2013
Externally publishedYes

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