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- W4237954730 abstract "FOR MANY years, the management of acute cholecystitis has been a controversial issue: should cholecystectomy be performed as an emergency procedure, should it be performed after a short period of diagnostic evaluation and medical treatment, or should the acute inflammatory process be treated medically and cholecystectomy delayed six to eight weeks until the inflammation has subsided? The principal arguments in favor of early operation are as follows: (1) In acute cholecystitis, the gallbladder is frequently obstructed and distended, and there is a 5% to 10% risk of ischemic necrosis of the wall of the gallbladder or of perforation. This is more likely to occur in the elderly, in patients with diabetes, and in those with atherosclerosis. (2) Early operation removes the inflamed organ promptly and avoids the need for a second hospitalization. (3) Recent studies have shown that if the operation is performed within 24 to 72 hours after the" @default.
- W4237954730 created "2022-05-12" @default.
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- W4237954730 date "1975-12-22" @default.
- W4237954730 modified "2023-10-18" @default.
- W4237954730 title "Acute cholecystitis" @default.
- W4237954730 doi "https://doi.org/10.1001/jama.234.12.1261" @default.
- W4237954730 hasPublicationYear "1975" @default.
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