Severity in biliary peritonitis

Izzo, Luciano and Gabriele, R. and Conte, M. and Di Cello, P. and Pugliese, F. and Merlini, G. and Izzo, S. and De Toma, G. and Izzo, P. and Impara, Luca and Forcione, Anna Rita and Bolognese, Antonio (2012) Severity in biliary peritonitis. Il giornale di chirurgia, 33 (5). pp. 168-171. ISSN 1971-145X

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Objective. To analyze clinical and laboratory findings in order to find variables predictive of severity of Biliary Peritonitis (BP). Patients and methods. Physical findings, course of illness, imaging and laboratory data were evaluated in 42 patients with BP, and statistically analysed to assess their prognostic significance. Results. Serious illness and worse outcome were associated with: age ≥ 60 years (P=0.034), long time between onset of symptoms and treatment (P=0.025), fever > 38°C (P=0.009), WBC count > 17,000 cell/mm³ (P=0.043), diffuse abdominal pain (P=0.034), and infected bile (P=0.048). Conclusions. Most patients become severely ill due to supervening infection, while early bile drainage avoids serious complications. In addition, abdominal pain, fever and WBC count are also predictive of severity of BP.

Item Type: Article
Uncontrolled Keywords: Biliary peritonitis - Severity - Prognosis
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.4 Chirurgia secondo il Sistema e Regioni
Depositing User: Nadia Del Gobbo
Date Deposited: 16 Jun 2016 10:36
Last Modified: 16 Jun 2016 10:36

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