Departmental Bulletin Paper 当院における急性胆嚢炎治療の実情

赤堀, 浩也  ,  塩見, 尚礼  ,  仲, 成幸  ,  谷, 徹  ,  稲富, 理  ,  馬場, 重樹  ,  安藤, 朗  ,  江口, 豊  ,  谷, 眞至

28 ( 1 )  , pp.24 - 28 , 2015-03-16 , 滋賀医科大学雑誌編集委員会
Tokyo Guideline 13 has been developed to improve the quality of medical management for patients with acute cholecyctitis.We monitored the management of acute cholecystitis in our hospital to determine the effectiveness of new guidelines. BetweenJanuary 2009 and August 2014, 62 patients were treated for acute cholecystitis. Patients were got diagnosed and treated inclose cooperation with several departments, including emergency physician, internist specialty and surgeon. We demonstratedthat patients were treated with Percuatneous Transhepatic Drainage, a standard technique of gallbladder drainage, and/orcholecystectomy, fundamental surgical treatment, according to severity (mild, moderate and severe). We confirmed that thisnew guidelines for the management of acute cholecystitis were useful in clinical practice. We will conduct a prospective studyfor acute cholecystitis.

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