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Related Concept Videos

Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
913
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

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Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
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Related Experiment Video

Updated: Feb 20, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

418

[Treatment for acute cholecystitis].

C S Loozen1, D Boerma, H C van Santvoort

  • 1St. Antonius Ziekenhuis, afd. Chirurgie, Nieuwegein.

Nederlands Tijdschrift Voor Geneeskunde
|October 24, 2017
PubMed
Summary

Early cholecystectomy is the preferred treatment for acute cholecystitis, offering better outcomes than delayed surgery. Percutaneous drainage has short-term success but risks recurrence, while antibiotic prophylaxis effectiveness is under investigation.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Clinical Practice Guidelines

Background:

  • Acute cholecystitis requires timely and effective treatment strategies.
  • Current management involves surgical and non-surgical interventions with varying outcomes.
  • Optimizing patient care necessitates evaluating the latest treatment modalities.

Purpose of the Study:

  • To review and update the current treatment landscape for acute cholecystitis.
  • To compare the efficacy and drawbacks of different therapeutic approaches.
  • To inform clinical decision-making regarding surgical timing, drainage, and antibiotic use.

Main Methods:

  • Review of current literature and clinical practice regarding acute cholecystitis management.
  • Analysis of outcomes associated with early versus delayed cholecystectomy.

Related Experiment Videos

Last Updated: Feb 20, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

418
  • Evaluation of percutaneous gallbladder drainage and antibiotic prophylaxis efficacy.

    • Main Results:

    • Early cholecystectomy demonstrates superiority over delayed procedures, leading to fewer infections, shorter hospital stays, reduced costs, and increased patient satisfaction.
    • Percutaneous gallbladder drainage shows high short-term success but is linked to significant rates of recurrent gallstone disease.
    • The utility of postoperative antibiotic prophylaxis for mild to moderate acute cholecystitis is not established; preoperative prophylaxis is under investigation.

    Conclusions:

    • Early cholecystectomy is recommended for acute cholecystitis due to superior clinical and economic outcomes.
    • Percutaneous drainage may be a viable option for select patients, but its long-term implications require further study.
    • The role of antibiotic prophylaxis in acute cholecystitis management warrants further investigation.