]> 2026-07-31T09:41:38+00:00 WBR0917 0 en Observation over the next 24 to 48 hours and conservative management '''Incorrect'''-Symptomatic and uncomplicated patients who are at reduced or no risk for progression towards complication like abscess formation or gallbladder perforation can be observed for the next 24 to 48 hours along with conservative management like keeping the patient on nil per oral with naso gastric tube, and intravenous fluids along with antibiotics, analgesics and antiemetics. If the patient condition deteriorates, an emergency cholecystectomy should be done. If his condition improves, an elective cholecystectomy can be done after 48 hours or when the inflammation subsides. Observation alone over the next 24 to 48 hours '''Incorrect'''-Symptomatic and uncomplicated patients who are at reduced or no risk for progression towards complication like abscess formation or gallbladder perforation can be observed for the next 24 to 48 hours along with conservative management like keeping the patient on nil per oral with naso gastric tube, and intravenous fluids along with antibiotics, analgesics and antiemetics. If the patient condition deteriorates, an emergency cholecystectomy should be done. If his condition improves, an elective cholecystectomy can be done after 48 hours or when the inflammation subsides. Emergency laparoscopic cholecystectomy '''Incorrect'''-These are cases in which the disease appears to have become complicated or are about to. High fever (>102.2 C), marked leukocytosis (>15,000 WBC), or chills suggest suppurative progression. Acalculous acute cholecystitis is also placed in this category. Other signs of complications such as worsening abdominal pain (gallbladder perforation) or the appearance of an abdominal mass (abscess formation) are a reason for surgery. In these patients immediate laparoscopic cholecystectomy (within 24 hours) has been increasingly performed by surgeons, because it has been shown to be safe, is not more difficult than laparoscopic cholecystectomy performed later, and shortens the hospital length of stay. Emergency open cholecystectomy '''Incorrect'''-A laparoscopic cholecystectomy is more effective, with fewer complications and can be done more quickly during emergency when compared to open procedure. If the patient is not medically stable for cholecystectomy, percutaneous aspiration is an option. Percutaneous cholecystectomy '''Correct'''-Worsening uncomplicated and complicated acute cholecystitis patients who are not surgical candidates with advanced pulmonary and cardiac diseases may benefit from percutaneous gallbladder drainage and placement of a cholecystostomy or T-tube if common bile duct stones are suspected. The alternative is ERCP to attempt endoscopic opening of the common bile duct or cystic duct. Inpatient Facilities Emergency Room Vendhan Ramanujam E Gastrointestinal Hepatology 2020-10-28T02:04:22Z 2459150.5863657 WBR0917