TY - JOUR
T1 - A long-term cohort study of outcome after cholecystectomy for chronic acalculous cholecystitis
AU - Jagannath, Sanjay B.
AU - Singh, Vikesh K.
AU - Cruz-Correa, Marcia
AU - Canto, Marcia Irene F.
AU - Kalloo, Anthony N.
PY - 2003/2/1
Y1 - 2003/2/1
N2 - Background: Cholecystectomy is effective therapy for chronic calculous cholecystitis (CCC). The long-term outcome of patients treated with cholecystectomy for chronic acalculous cholecystitis (CAC) is unknown. Methods: A controlled, retrospective cohort study assessing biliary pain (preoperative and at follow-up) in postcholecystectomy patients with CAC or CCC was performed. Results: In 19 CAC and with matched CCC control patients, the mean duration of symptoms before surgery was 38.3 months (95% CI, 16.4 to 60.2) and 8.1 months (95% CI, 5.4 to 10.8), respectively. The mean follow-up for both groups was 8.37 ± 1.13 years. Both groups benefited from cholecystectomy (P <0.001), and both were equally likely to be pain-free upon long-term follow-up (95% CAC versus 84% CCC, P >0.05). Conclusions: There was no difference in outcome between the groups after an average follow-up of 8.37 years. Postcholecystectomy patients with chronic cholecystitis and no gallstones have long-term, complete pain resolution, similar to patients with gallstones.
AB - Background: Cholecystectomy is effective therapy for chronic calculous cholecystitis (CCC). The long-term outcome of patients treated with cholecystectomy for chronic acalculous cholecystitis (CAC) is unknown. Methods: A controlled, retrospective cohort study assessing biliary pain (preoperative and at follow-up) in postcholecystectomy patients with CAC or CCC was performed. Results: In 19 CAC and with matched CCC control patients, the mean duration of symptoms before surgery was 38.3 months (95% CI, 16.4 to 60.2) and 8.1 months (95% CI, 5.4 to 10.8), respectively. The mean follow-up for both groups was 8.37 ± 1.13 years. Both groups benefited from cholecystectomy (P <0.001), and both were equally likely to be pain-free upon long-term follow-up (95% CAC versus 84% CCC, P >0.05). Conclusions: There was no difference in outcome between the groups after an average follow-up of 8.37 years. Postcholecystectomy patients with chronic cholecystitis and no gallstones have long-term, complete pain resolution, similar to patients with gallstones.
KW - Acalculous
KW - Cholecystectomy
KW - Cholecystitis
KW - Chronic
KW - Outcome
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UR - http://www.scopus.com/inward/citedby.url?scp=0037309183&partnerID=8YFLogxK
U2 - 10.1016/S0002-9610(02)01206-0
DO - 10.1016/S0002-9610(02)01206-0
M3 - Article
C2 - 12559435
AN - SCOPUS:0037309183
VL - 185
SP - 91
EP - 95
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 2
ER -