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Gallbladder perforation with fistulous communication
BACKGROUND: The management of gallbladder perforation (GBP) with fistulous communication (Neimeier type I) is controversial. AIM: To recommend management options for GBP with fistulous communication. METHODS: A systematic review of studies describing the management of Neimeier type I GBP was perform...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Baishideng Publishing Group Inc
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315112/ https://www.ncbi.nlm.nih.gov/pubmed/37405089 http://dx.doi.org/10.4240/wjgs.v15.i6.1191 |
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author | Quiroga-Garza, Alejandro Alvarez-Villalobos, Neri Alejandro Muñoz-Leija, Milton Alberto Garcia-Campa, Mariano Angeles-Mar, Hermilo Jeptef Jacobo-Baca, Guillermo Elizondo-Omana, Rodrigo Enrique Guzman-Lopez, Santos |
author_facet | Quiroga-Garza, Alejandro Alvarez-Villalobos, Neri Alejandro Muñoz-Leija, Milton Alberto Garcia-Campa, Mariano Angeles-Mar, Hermilo Jeptef Jacobo-Baca, Guillermo Elizondo-Omana, Rodrigo Enrique Guzman-Lopez, Santos |
author_sort | Quiroga-Garza, Alejandro |
collection | PubMed |
description | BACKGROUND: The management of gallbladder perforation (GBP) with fistulous communication (Neimeier type I) is controversial. AIM: To recommend management options for GBP with fistulous communication. METHODS: A systematic review of studies describing the management of Neimeier type I GBP was performed according to the PRISMA guidelines. The search strategy was conducted in Scopus, Web of Science, MEDLINE, and EMBASE (May 2022). Data extraction was obtained for patient characteristics, type of intervention, days of hospitalization (DoH), complications, and site of fistulous communication. RESULTS: A total of 54 patients (61% female) from case reports, series, and cohorts were included. The most frequent fistulous communication occurred in the abdominal wall. Patients from case reports/series had a similar proportion of complications between open cholecystectomy (OC) and laparoscopic cholecystectomy (LC) (28.6 vs 12.5; P = 0.569). Mortality was higher in OC (14.3 vs 0.0; P = 0.467) but this proportion was given by only one patient. DoH were higher in OC (mean 26.3 d vs 6.6 d). There was no clear association between higher rates of complications of a given intervention in cohorts, and no mortality was observed. CONCLUSION: Surgeons must evaluate the advantages and disadvantages of the therapeutic options. OC and LC are adequate options for the surgical management of GBP, with no significant differences. |
format | Online Article Text |
id | pubmed-10315112 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-103151122023-07-03 Gallbladder perforation with fistulous communication Quiroga-Garza, Alejandro Alvarez-Villalobos, Neri Alejandro Muñoz-Leija, Milton Alberto Garcia-Campa, Mariano Angeles-Mar, Hermilo Jeptef Jacobo-Baca, Guillermo Elizondo-Omana, Rodrigo Enrique Guzman-Lopez, Santos World J Gastrointest Surg Systematic Reviews BACKGROUND: The management of gallbladder perforation (GBP) with fistulous communication (Neimeier type I) is controversial. AIM: To recommend management options for GBP with fistulous communication. METHODS: A systematic review of studies describing the management of Neimeier type I GBP was performed according to the PRISMA guidelines. The search strategy was conducted in Scopus, Web of Science, MEDLINE, and EMBASE (May 2022). Data extraction was obtained for patient characteristics, type of intervention, days of hospitalization (DoH), complications, and site of fistulous communication. RESULTS: A total of 54 patients (61% female) from case reports, series, and cohorts were included. The most frequent fistulous communication occurred in the abdominal wall. Patients from case reports/series had a similar proportion of complications between open cholecystectomy (OC) and laparoscopic cholecystectomy (LC) (28.6 vs 12.5; P = 0.569). Mortality was higher in OC (14.3 vs 0.0; P = 0.467) but this proportion was given by only one patient. DoH were higher in OC (mean 26.3 d vs 6.6 d). There was no clear association between higher rates of complications of a given intervention in cohorts, and no mortality was observed. CONCLUSION: Surgeons must evaluate the advantages and disadvantages of the therapeutic options. OC and LC are adequate options for the surgical management of GBP, with no significant differences. Baishideng Publishing Group Inc 2023-06-27 2023-06-27 /pmc/articles/PMC10315112/ /pubmed/37405089 http://dx.doi.org/10.4240/wjgs.v15.i6.1191 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Systematic Reviews Quiroga-Garza, Alejandro Alvarez-Villalobos, Neri Alejandro Muñoz-Leija, Milton Alberto Garcia-Campa, Mariano Angeles-Mar, Hermilo Jeptef Jacobo-Baca, Guillermo Elizondo-Omana, Rodrigo Enrique Guzman-Lopez, Santos Gallbladder perforation with fistulous communication |
title | Gallbladder perforation with fistulous communication |
title_full | Gallbladder perforation with fistulous communication |
title_fullStr | Gallbladder perforation with fistulous communication |
title_full_unstemmed | Gallbladder perforation with fistulous communication |
title_short | Gallbladder perforation with fistulous communication |
title_sort | gallbladder perforation with fistulous communication |
topic | Systematic Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315112/ https://www.ncbi.nlm.nih.gov/pubmed/37405089 http://dx.doi.org/10.4240/wjgs.v15.i6.1191 |
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