• Media type: E-Article
  • Title: Diagnosis and Therapy Particularities in Post-Cholecystectomy Cholangitis at Patients with Type 2 Diabetes Mellitus
  • Contributor: Ungur, Mariana; Pop, Alexandra-Lucia; Maghiar, Adrian; Pop, Mircea; Feder, Bogdan; Babes, Aurel Petru
  • Published: Walter de Gruyter GmbH, 2019
  • Published in: Internal Medicine, 16 (2019) 5, Seite 19-30
  • Language: English
  • DOI: 10.2478/inmed-2019-0081
  • ISSN: 1220-5818
  • Keywords: General Medicine
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title> <jats:p> <jats:bold>Introduction</jats:bold>. The objective of the present study is to assess the diagnosis and therapeutic particularities in post-cholecystectomy cholangitis at patients with type 2 diabetes mellitus. Patients suffering of diabetes frequently present other pathologies existing before cholecystectomy: cardio-vascular, neurological, renal; these conditions can negatively influence the therapeutic approach of the complex post-cholecystectomy pathology.</jats:p> <jats:p> <jats:bold>Material and method</jats:bold>. The study was performed on 76 hospitalized patients. The main diagnosis of these patients was post-cholecystectomy cholangitis. 12 patients had type 2 diabetes mellitus as associated condition. A control batch was selected, 12 non-diabetes patients, having approximately the same age, mainly living in urban areas and having the same main hospitalization diagnosis.</jats:p> <jats:p> <jats:bold>Results</jats:bold>.The etiology of post-cholecystectomy cholangitis in case of patients suffering of diabetes was represented by chronic pancreatitis (25%), choledochal lithiasis (33.33%), acute pancreatitis (8.33%), cholangiocarcinoma (16.66%), head pancreas tumor (8.33%).</jats:p> <jats:p> <jats:bold>Conclusions</jats:bold>. As a particularity in the surgical approach in case of patients suffering of diabetes within the assessed group, a strict monitoring should be applied in regards with the metabolic status, especially in case of disbalanced diabetes mellitus with chronic complications.</jats:p>
  • Access State: Open Access