SEVERITY ASSESSMENT AND MANAGEMENT OF ACUTE CHOLECYSTITIS- A CLINICAL STUDY

Dr. Mukut Ch. Kalita; Dr. Diganta Borgohain

Volume : VIII, Issue : VI, June - 2019

SEVERITY ASSESSMENT AND MANAGEMENT OF ACUTE CHOLECYSTITIS- A CLINICAL STUDY

Dr. Mukut Ch. Kalita, Dr. Diganta Borgohain

Abstract :

This hospital based prospective observational study was conducted in the General Surgery Department of Assam Medical College & Hospital for a period of one year (June ‘16– May’17). The objective of this study was to evaluate the severity and outcome of treatment in various grades of acute cholecystitis. Diagnosis was done on the basis of Tokyo Guidelines for Acute Cholecystitis with severity grading and management accordingly. Data analysis was done using appropriate statistical tools. A total of 91 patients participated in the study, out of which 45 patients were in Grade I , 41 patients in Grade II and 5 patients in Grade III. Twenty three patients underwent operative intervention (22 in Grade I and 1 in Grade II) and remaining 68 patients were treated conservatively. The results were similar with the studies conducted by Cheng et al, Ambe et al, Kabul Gurbalak et al and Yucel Yusbasioglo et al