What is the prognosis of cholecystitis?

Uncomplicated cholecystitis has an excellent prognosis, with a very low mortality. Most patients with acute cholecystitis have a complete remission within 1-4 days. However, 25%-30% of patients either require surgery or develop some complication.
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How serious is cholecystitis?

If left untreated, cholecystitis can lead to serious, sometimes life-threatening complications, such as a gallbladder rupture. Treatment for cholecystitis often involves gallbladder removal.
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What is the mortality rate for cholecystitis?

Brief Summary: Acute calculous cholecystitis (ACC) is the second most frequent surgical condition in emergency departments, the complication rate of ACC is 20-55%, and the mortality rate is 0.5-15% in recent series.
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What is the prognosis for cholelithiasis?

Most gallstones do not cause any symptoms and don't require treatment. Whenever symptoms occur, treatment is necessary. However, the overall prognosis is excellent and most people fully recover.
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Can you recover from cholecystitis?

It's caused by gallstones in 95 percent of cases, according to the Merck Manual. An acute attack usually goes away within two to three days, and is completely resolved within a week. If it doesn't resolve within a few days, you may have a more severe complication.
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Acute cholecystitis: When should I operate?



Can cholecystitis be cured without surgery?

In some recent studies, nonsurgical treatments such as PC can be a lifesaving alternative in patients with comorbidities. In the present study, 48 (53.9%) patients underwent cholecystectomy while 41 (46.1%) patients were treated with non-surgical methods including PC or antibiotics only.
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Can you live with chronic cholecystitis?

When treated properly, the long-term outlook is quite good. You don't need a gallbladder to live or to digest food. Without your gallbladder, bile will flow directly from your liver into your small intestine.
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Can you remove gallstones without removing the gallbladder?

Endoscopic retrograde cholangio-pancreatography (ERCP) is a procedure that can be used to remove gallstones from the bile duct. The gallbladder isn't removed during this procedure, so any stones in the gallbladder will remain unless they're removed using other surgical techniques.
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Does cholelithiasis require surgery?

If your gallstones aren't causing symptoms, there's usually no need for you to have surgery. You'll only need it if a stone goes into, or blocks, one of your bile ducts. This causes what doctors call a “gallbladder attack.” It's an intense, knife-like pain in your belly that can last several hours.
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When should a gallbladder be removed?

You may need gallbladder surgery if you have pain or other symptoms caused by gallstones — small stones that can form in the gallbladder. They can block the flow of bile and irritate the gallbladder. Common symptoms of gallbladder problems include: Indigestion, with bloating, heartburn, and gas.
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Can cholecystitis be fatal?

Without appropriate treatment, acute cholecystitis can sometimes lead to potentially life-threatening complications. The main complications of acute cholecystitis are: the death of gallbladder tissue (gangrenous cholecystitis) – which can cause a serious infection that could spread throughout the body.
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What are the symptoms of a gangrenous gallbladder?

If the affected area is inside the body (such as gangrene of the gallbladder or gas gangrene), the symptoms may include:
  • Confusion.
  • Fever.
  • Gas in tissues beneath the skin.
  • General ill feeling.
  • Low blood pressure.
  • Persistent or severe pain.
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What happens when you have gangrene in your gallbladder?

Gangrene or abscesses of the gallbladder—When acute cholecystitis goes untreated, tissues of the gallbladder can begin to decay, a condition known as gangrenous gallbladder. Symptoms include high fever, shaking chills, nausea, and digestive system problems.
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What are 3 risk factors for cholecystitis?

Acute cholecystitis occurs when bile becomes trapped in the gallbladder.
...
Risk factors include:
  • Being female.
  • Pregnancy.
  • Hormone therapy.
  • Older age.
  • Being Native American or Hispanic.
  • Obesity.
  • Losing or gaining weight rapidly.
  • Diabetes.
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What is the most common treatment for cholecystitis?

Most people with the condition eventually need surgery to remove the gallbladder. Gallbladder removal surgery is called a cholecystectomy. Usually, this is a minimally invasive procedure, involving a few tiny incisions in your abdomen (laparoscopic cholecystectomy).
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How painful is cholecystitis?

The affected part of the abdomen is usually extremely tender, and breathing deeply can make the pain worse. Unlike some others types of abdominal pain, the pain associated with acute cholecystitis is usually persistent, and doesn't go away within a few hours.
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What happens if you wait too long for gallbladder surgery?

You may wonder how long can you put off gallbladder surgery. We don't want to scare you. However, if not managed in time, it can cause severe issues, like sepsis, jaundice, or cancer.
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How is life after gallbladder removal?

You can expect to live a perfectly normal life after gallbladder surgery but may experience temporary side effects related to the way your digestive system processes fatty foods. These symptoms may include loose stools or diarrhea, bloating, cramping, and excess gas in response to meals or certain foods.
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What happens if you don't get your gallbladder removed?

You can lead a perfectly normal life without a gallbladder. Your liver will still make enough bile to digest your food, but instead of being stored in the gallbladder, it drips continuously into your digestive system.
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Is gallbladder removal a major surgery?

Gallbladder removal surgery is known as a cholecystectomy. This isn't a surgery that most doctors will rush into. While it's a common surgery, it's still major surgery with some serious risks and complications. However, in most cases, you'll go home the same day as you've had the surgery.
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What size of gallstone requires surgery?

Any stone more than 1.5CMS in size needs removal of gall bladder.
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How long is bed rest after gallbladder surgery?

Generally, you should only need complete rest for the first 24 hours.
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What is the most common cause of cholecystitis?

Cholecystitis is commonly caused by gallstones that have blocked your cystic duct, which prevents bile from exiting your gallbladder. Your gallbladder becomes swollen and may become infected with bacteria.
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What is acute on chronic cholecystitis?

Acute cholecystitis is a painful condition that leads to chronic cholecystitis. It is not clear whether chronic cholecystitis causes any symptoms. Symptoms of acute cholecystitis can include: Sharp, cramping, or dull pain in upper right or upper middle of your belly. Steady pain lasting about 30 minutes.
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Can gallbladder rupture cause death?

Gallbladder perforation (GP) is one of the most severe complications of acute cholecystitis and is associated with a mortality of up to 70% (1).
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