TY  - JOUR
T1  - Effects of COVID-19 pandemic on management of acute cholecystitis: A single tertiary center's experience
AU  - Derebey, Murat
AU  - Yüksek, Mahmut Arif
AU  - Karabacak, Ufuk
AU  - Mutlu, Vahit
AU  - Mızan, Salih Rasit
AU  - Tarım, Ismail Alper
AU  - Ozbalcı, Aysu Basak
AU  - Koc, Senem
AU  - Güngör, Bülent
AU  - Kamalı, Ayfer
AU  - Başoğlu, Mahmut
PY  - 2022
DA  - January
Y2  - 2021
JF  - Deneysel ve Klinik Tıp Dergisi
JO  - J. Exp. Clin. Med.
PB  - Ondokuz Mayıs University
WT  - DergiPark
SN  - 1309-4483
SP  - 164
EP  - 168
VL  - 39
IS  - 1
LA  - en
AB  - Following the spread of novel coronavirus (COVID-19) pandemic, surgical associations have issued their different recommendations for managing the acute cholecystitis (AC) clinic during the pandemic. We aimed to examine the effects of the COVID-19 pandemic period on our clinical approach in patients who presented to the emergency department with abdominal pain and were diagnosed with AC. Medical records of patients diagnosed with AC in the emergency room between 11 March 2020 and 10 March 2021 and in the same period of one year before the pandemic were retrospectively reviewed. Patients were divided into 2 groups as COVID-19 period (Group 1) and non-COVID period (Group 2). Demographics and clinical characteristics, treatment modalities, and outcomes of these two groups were compared. The number of patients diagnosed with AC in the emergency department decreased during the ongoing COVID-19 pandemic. When the time between the onset of the complaints and the admission to the emergency service was evaluated, no statistically significant difference was found between the groups (p>0.05). The distribution of cholecystitis type and TG18 severity grading for AC were similar in both groups (p>0.05). While percutaneous cholecystostomy (PC) is more preferred in the treatment of AC during the pandemic period and the number of delayed interval laparoscopic cholecystectomy decreased, AC management was similar in both periods with no significant statistical difference (P>0.05). In conclusion, our clinical approach and management in the treatment of AC did not differ when compared to the pre-pandemic period.
KW  - acute cholecystitis
KW  - COVID-19
KW  - treatment modality
KW  - clinical approach
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UR  - https://dergipark.org.tr/en/pub/omujecm/issue//974770
L1  - https://dergipark.org.tr/en/download/article-file/1893125
ER  -