Acute Cholecystitis: From ER to Surgery

Charisi E.1, Marneras Ch.2, Ifantis A.3, Arvanitis G.4

1. Nurse, Msc, University Hospital of Larisa
2. Nurse, Msc, University Hospital of Rio, Patras
3. Nurse, Msc, ASPAITE, Volos
4. Nurse, University Hospital of Rio, Patras

ABSTRACT

Background: Biliary lithiasis is one of the most common diseases worldwide. Cholecystectomy is its main treatment. Laparoscopic cholecystectomy is considered as a first choice treatment in most cases.

Material and methods: One hundred and twelve patients were recruited for the present study, after visiting the emergency department of the University General Hospital of Larissa, where a diagnosis of biliary lithiasis was established. A questionnaire with both open and closed –type questions was used.

Results: Women represented 54,5% of our sample. Positive ultrasonography findings were present in the majority of patients, while leucocytosis was found in 52.7%. Almost all of the patients were admitted to the surgical department and most of them underwent a laparoscopic cholecystectomy. The vast majority of those patients, who had a similar attack in the past, had already undergone ultrasonography investigation, and a biochemistry test had been performed in half of them, in primary care settings.

Conclusions: The incidence of cholelithiasis and its dangerous complications warrant a thorough investigation of these patients.

Key words: Biliary lithiasis, Laparoscopy, Hospitalization, Emergency Department,

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