management n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
MANAGEMENT PowerPoint Presentation
Download Presentation
MANAGEMENT

Loading in 2 Seconds...

play fullscreen
1 / 3

MANAGEMENT - PowerPoint PPT Presentation


  • 158 Views
  • Uploaded on

MANAGEMENT. ACUTE CHOLECYSTITIS. Medical Therapy. Intravenous fluids Analgesia  Meperidine or NSAIDs Intravenous Antibiotics Third Generation Cephalosporin Second Generation Cephalosporin + Metronidazole Aminoglycoside + Metronidazole Imipenem / Meropenem. Surgical Therapy.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'MANAGEMENT' - ankti


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
management

MANAGEMENT

ACUTE CHOLECYSTITIS

medical therapy
Medical Therapy
  • Intravenous fluids
  • Analgesia  Meperidine or NSAIDs
  • Intravenous Antibiotics
    • Third Generation Cephalosporin
    • Second Generation Cephalosporin + Metronidazole
    • Aminoglycoside + Metronidazole
    • Imipenem/Meropenem
surgical therapy
Surgical Therapy
  • Urgent / Emergency Cholecystectomy or Cholecystostomy
    • With complication of acute cholecystitis such as empyema, emphysematous cholecystitis, or perforation is suspected or confirmed
  • In uncomplicated cases of acute cholecystitis
    • 30% of patients fail to resolve on medical therapy  progression of the attack or a supervening complication  Early cholecystectomy (within 24–72 h).
  • The technical complications of surgery are not increased in patients undergoing early as opposed to delayed cholecystectomy.
  • Delayed surgical intervention is probably best reserved for:
    • Patients in whom the overall medical condition imposes an unacceptable risk for early surgery
    • Patients in whom the diagnosis of acute cholecystitis is in doubt
  • Early cholecystectomy - the treatment of choice for most patients with acute cholecystitis
    • Mortality Risk for Emergency cholecystectomy = 3%
    • Mortality Risk for Elective or early cholecystectomy = 0.5%
  • Operative risks:
    • Age-related diseases
    • Long or short term complications of gallbladder disease
  • Seriously ill or debilitated patients with cholecystitis
    • Cholecystostomy and Tube drainage
    • Elective cholecystectomy done at a later date