2017 WSES and SICG guidelines on acute calcolous cholecystitis in elderly population.
Acute calcolous cholecystitis
Antibiotics
Diagnosis
Elderly
Frailty
High-risk patients
Surgery
Journal
World journal of emergency surgery : WJES
ISSN: 1749-7922
Titre abrégé: World J Emerg Surg
Pays: England
ID NLM: 101266603
Informations de publication
Date de publication:
Historique:
received:
23
10
2018
accepted:
28
01
2019
entrez:
15
3
2019
pubmed:
15
3
2019
medline:
14
6
2019
Statut:
epublish
Résumé
Gallstone disease is very common afflicting 20 million people in the USA. In Europe, the overall incidence of gallstone disease is 18.8% in women and 9.5% in men. The frequency of gallstones related disease increases by age. The elderly population is increasing worldwide. The present guidelines aims to report the results of the World Society of Emergency Surgery (WSES) and Italian Surgical Society for Elderly (SICG) consensus conference on acute calcolous cholecystitis (ACC) focused on elderly population. The 2016 WSES guidelines on ACC were used as baseline; six questions have been used to investigate the particularities in elderly population; the answers have been developed in terms of differences compared to the general population and to statements of the 2016 WSES Guidelines. The Consensus Conference discusses, voted, and modified the statements. International experts contributed in the elaboration of final statements and evaluation of the level of scientific evidences. The quality of the studies available decreases when we approach ACC in elderly. Same admission laparoscopic cholecystectomy should be suggested for elderly people with ACC; frailty scores as well as clinical and surgical risk scores could be adopted but no general consensus exist. The role of cholecystostomy is uncertain. The evaluation of pro and cons for surgery or for alternative treatments in elderly suffering of ACC is more complex than in young people; also, the oldest old age is not a contraindication for surgery; however, a larger use of frailty and surgical risk scores could contribute to reach the best clinical judgment by the surgeon. The present guidelines offer the opportunity to share with the scientific community a baseline for future researches and discussion.
Sections du résumé
BACKGROUND
BACKGROUND
Gallstone disease is very common afflicting 20 million people in the USA. In Europe, the overall incidence of gallstone disease is 18.8% in women and 9.5% in men. The frequency of gallstones related disease increases by age. The elderly population is increasing worldwide.
AIM
OBJECTIVE
The present guidelines aims to report the results of the World Society of Emergency Surgery (WSES) and Italian Surgical Society for Elderly (SICG) consensus conference on acute calcolous cholecystitis (ACC) focused on elderly population.
MATERIAL AND METHODS
METHODS
The 2016 WSES guidelines on ACC were used as baseline; six questions have been used to investigate the particularities in elderly population; the answers have been developed in terms of differences compared to the general population and to statements of the 2016 WSES Guidelines. The Consensus Conference discusses, voted, and modified the statements. International experts contributed in the elaboration of final statements and evaluation of the level of scientific evidences.
RESULTS
RESULTS
The quality of the studies available decreases when we approach ACC in elderly. Same admission laparoscopic cholecystectomy should be suggested for elderly people with ACC; frailty scores as well as clinical and surgical risk scores could be adopted but no general consensus exist. The role of cholecystostomy is uncertain.
DISCUSSION AND CONCLUSIONS
CONCLUSIONS
The evaluation of pro and cons for surgery or for alternative treatments in elderly suffering of ACC is more complex than in young people; also, the oldest old age is not a contraindication for surgery; however, a larger use of frailty and surgical risk scores could contribute to reach the best clinical judgment by the surgeon. The present guidelines offer the opportunity to share with the scientific community a baseline for future researches and discussion.
Identifiants
pubmed: 30867674
doi: 10.1186/s13017-019-0224-7
pii: 224
pmc: PMC6399945
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
10Déclaration de conflit d'intérêts
Not applicable.Not applicable.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Références
Surgery. 1999 Oct;126(4):680-5; discussion 685-6
pubmed: 10520915
Eur J Surg. 2000 Feb;166(2):136-40
pubmed: 10724491
Am Surg. 2000 Sep;66(9):896-900
pubmed: 10993625
Am J Gastroenterol. 2001 Feb;96(2):417-23
pubmed: 11232684
Gastroenterol Clin North Am. 2001 Jun;30(2):531-45, x
pubmed: 11432304
Gastrointest Endosc. 2002 Dec;56(6 Suppl):S165-9
pubmed: 12447261
Am J Surg. 2003 Nov;186(5):481-5
pubmed: 14599611
Br J Surg. 2005 Oct;92(10):1241-7
pubmed: 16078299
JSLS. 2005 Oct-Dec;9(4):408-10
pubmed: 16381355
J Gastrointest Surg. 2006 Jul-Aug;10(7):1081-91
pubmed: 16843880
J Am Coll Surg. 2006 Aug;203(2):145-51
pubmed: 16864026
World J Gastroenterol. 2006 Nov 28;12(44):7179-82
pubmed: 17131483
J Hepatobiliary Pancreat Surg. 2007;14(1):27-34
pubmed: 17252294
N Engl J Med. 2008 Jun 26;358(26):2804-11
pubmed: 18579815
J R Soc Med. 2008 Aug;101(8):409-15
pubmed: 18687864
World J Gastroenterol. 2008 Sep 14;14(34):5282-9
pubmed: 18785280
Gastrointest Endosc. 2009 Jul;70(1):80-8
pubmed: 19286178
Am Surg. 1991 Oct;57(10):648-52
pubmed: 1928982
Crit Care. 2009;13(3):214
pubmed: 19519961
Gastrointest Endosc. 2010 Jan;71(1):1-9
pubmed: 20105473
J Vasc Interv Radiol. 2010 Jun;21(6):789-95
pubmed: 20307987
J Am Coll Surg. 2010 May;210(5):668-77, 677-9
pubmed: 20421027
Abdom Imaging. 2011 Apr;36(2):174-8
pubmed: 20425109
Emerg Med Clin North Am. 2011 May;29(2):429-48, x
pubmed: 21515186
Int J Surg. 2011;9(6):456-9
pubmed: 21679779
Am J Surg. 2011 Nov;202(5):524-7
pubmed: 21906722
Trials. 2012 Jan 12;13:7
pubmed: 22236534
Arch Surg. 2012 Jan;147(1):10
pubmed: 22250104
J Visc Surg. 2012 Feb;149(1):e66-72
pubmed: 22310294
Surg Endosc. 2013 Jan;27(1):256-62
pubmed: 22773234
J Hepatobiliary Pancreat Sci. 2012 Sep;19(5):578-85
pubmed: 22872303
Am J Geriatr Psychiatry. 2012 Sep;20(9):729-33
pubmed: 22874577
World J Emerg Surg. 2012 Nov 29;7(1):36
pubmed: 23190741
J Trauma Acute Care Surg. 2013 Jan;74(1):26-30; discussion 30-1
pubmed: 23271073
J Trauma Acute Care Surg. 2013 Jan;74(1):167-73; 173-4
pubmed: 23271092
J Hepatobiliary Pancreat Sci. 2013 Jan;20(1):60-70
pubmed: 23340954
Crit Care Med. 2013 Feb;41(2):580-637
pubmed: 23353941
Surg Endosc. 2013 Jul;27(7):2454-65
pubmed: 23355158
J Surg Res. 2013 Jul;183(1):104-10
pubmed: 23415494
J Visc Surg. 2013 Feb;150(1):3-8
pubmed: 23433832
Surg Endosc. 2013 Sep;27(9):3388-95
pubmed: 23549766
Int J Surg. 2013;11(9):1002-6
pubmed: 23751733
Cochrane Database Syst Rev. 2013 Aug 12;(8):CD007088
pubmed: 23939652
Ann Surg. 2013 Sep;258(3):385-93
pubmed: 24022431
Cochrane Database Syst Rev. 2013 Dec 12;(12):CD003327
pubmed: 24338858
Am J Surg. 2014 Mar;207(3):432-5; discussion 435
pubmed: 24581769
World J Emerg Surg. 2014 Mar 27;9(1):22
pubmed: 24674057
Aging Clin Exp Res. 2015 Feb;27(1):21-6
pubmed: 24821600
Int J Surg. 2014;12(7):712-9
pubmed: 24861544
World J Emerg Surg. 2014 May 14;9:37
pubmed: 24883079
JAMA. 2014 Jul;312(2):145-54
pubmed: 25005651
J Visc Surg. 2014 Dec;151(6):435-9
pubmed: 25168577
World J Emerg Surg. 2014 Nov 18;9(1):58
pubmed: 25422672
JAMA Surg. 2015 Feb;150(2):129-36
pubmed: 25517723
JAMA Surg. 2015 Feb;150(2):159-68
pubmed: 25548894
Cochrane Database Syst Rev. 2015 Feb 26;(2):CD011548
pubmed: 25719223
Cochrane Database Syst Rev. 2015 Feb 26;(2):CD011549
pubmed: 25719224
Aging Dis. 2015 Mar 10;6(2):149-55
pubmed: 25821642
World J Emerg Surg. 2015 Mar 08;10:14
pubmed: 25870652
Aging Clin Exp Res. 2015 Dec;27(6):921-6
pubmed: 25905472
Int J Surg. 2015 Jun;18:196-204
pubmed: 25958296
Surg Today. 2017 Jan;47(1):74-83
pubmed: 27241560
AJR Am J Roentgenol. 2016 Aug;207(2):302-9
pubmed: 27249326
J Trauma Acute Care Surg. 2016 Aug;81(2):254-60
pubmed: 27257694
Surgery. 2016 Aug;160(2):272-80
pubmed: 27267548
World J Emerg Surg. 2016 Jun 14;11:25
pubmed: 27307785
Surg Endosc. 2017 Feb;31(2):504-515
pubmed: 27317033
Am J Surg. 2016 Nov;212(5):873-881
pubmed: 27329073
World J Emerg Surg. 2016 Jul 29;11:36
pubmed: 27478493
Am J Emerg Med. 2016 Dec;34(12):2306-2309
pubmed: 27569745
Turk J Med Sci. 2016 Nov 17;46(5):1428-1433
pubmed: 27966309
Korean J Intern Med. 2018 May;33(3):497-505
pubmed: 28063415
Dig Surg. 2017;34(5):371-379
pubmed: 28095385
Br J Surg. 2017 Jan;104(2):e151-e157
pubmed: 28121041
Ulus Travma Acil Cerrahi Derg. 2017 Jan;23(1):34-38
pubmed: 28261768
World J Emerg Surg. 2017 Jul 10;12:29
pubmed: 28702076
World J Surg. 2018 Jan;42(1):73-81
pubmed: 28741196
J Clin Epidemiol. 1989;42(2):127-36
pubmed: 2918322
Ann Surg. 1985 Jul;202(1):59-63
pubmed: 4015212
N Engl J Med. 1982 Sep 23;307(13):798-800
pubmed: 7110244
Ann Surg. 1994 Jul;220(1):32-9
pubmed: 7517657
J Chir (Paris). 1994 May;131(5):257-60
pubmed: 7989414
Am J Surg. 1975 Jun;129(6):629-31
pubmed: 805546
N Engl J Med. 1994 Feb 10;330(6):403-8
pubmed: 8284007
J R Coll Surg Edinb. 1996 Apr;41(2):88-9
pubmed: 8632396
Am J Gastroenterol. 1996 Apr;91(4):762-7
pubmed: 8677945
Emerg Med Clin North Am. 1996 Aug;14(3):615-27
pubmed: 8681887
N Engl J Med. 1996 Sep 26;335(13):909-18
pubmed: 8782497
Am Surg. 1997 Jan;63(1):91-6
pubmed: 8985078
Acad Emerg Med. 1997 Jan;4(1):51-5
pubmed: 9110012
Age Ageing. 1997 Mar;26(2):77-81
pubmed: 9177662
Hepatogastroenterology. 1997 May-Jun;44(15):671-6
pubmed: 9222669
Gut. 1997 Oct;41(4):433-5
pubmed: 9391238
Gastrointest Endosc. 1998 Jul;48(1):1-10
pubmed: 9684657