Cholecystectomy for acute cholecystitis after renal transplantation

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F16%3A00060020" target="_blank" >RIV/00023001:_____/16:00060020 - isvavai.cz</a>

Result on the web

<a href="http://ac.els-cdn.com/S0041134516302068/1-s2.0-S0041134516302068-main.pdf?_tid=20459314-99e9-11e6-aa57-00000aacb362&acdnat=1477313903_fd3c93a885ad189f07fff6cbc4ac62e6" target="_blank" >http://ac.els-cdn.com/S0041134516302068/1-s2.0-S0041134516302068-main.pdf?_tid=20459314-99e9-11e6-aa57-00000aacb362&acdnat=1477313903_fd3c93a885ad189f07fff6cbc4ac62e6</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.transproceed.2016.02.079" target="_blank" >10.1016/j.transproceed.2016.02.079</a>

Result language

angličtina

Original language name

Cholecystectomy for acute cholecystitis after renal transplantation

Original language description

Background. The aim of our study was to evaluate the rate of surgical complications, patient outcomes, and impact on graft function in renal transplant recipients in whom cholecystectomy for acute cholecystitis was performed. Methods. We reviewed data on transplant patients from January 1, 2006, to December 31, 2013. The subgroup of patients who required subsequent cholecystectomy for acute cholecystitis was assessed, and their data were further analyzed. Results. Thirty-one patients who underwent cholecystectomy for acute cholecystitis after renal transplantation were included in the study. Clinical signs such as pain in the right upper quadrant, temperature >38 degrees C, and elevation in bilirubin levels occurred in 20 (64.5%), 8 (25.8%), and 3 (9.7%) patients, respectively. Ultrasound signs of acute cholecystitis were present in 27 patients (87.1%). In terms of laboratory values, white blood cell counts >10 x 10(9)/L occurred in 17 patients (54.8%), and C-reactive protein levels >40 mg/L were reported in 21 patients (67.7%). The conversion rate to open surgery was 32.3% (10 patients). In 13 cases, acalculous cholecystitis was present (41.9%). The average serum creatinine level 1 year after cholecystectomy had no statistically significant differences. One patient required temporary dialysis during the postoperative period (with subsequent graft recovery), and 1 graft was lost. Conclusions. Acute cholecystitis in kidney transplant recipients is a serious complication, with frequent difficulties related to evaluation and diagnosis. Because clinical signs could be very mild compared with severity of gallbladder affliction, there is little room if any for conservative treatment in these patients. We have not noticed adverse impact of acute cholecystitis on 1-year graft function.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FJ - Surgery including transplantology

OECD FORD branch

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Project

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Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Transplantation proceedings

ISSN

0041-1345

e-ISSN

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Volume of the periodical

48

Issue of the periodical within the volume

6

Country of publishing house

US - UNITED STATES

Number of pages

4

Pages from-to

2072-2075

UT code for WoS article

000383528700034

EID of the result in the Scopus database

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