Conservative Treatment of Acute Cholecystitis: An Updated Narrative Review
Kumar Hari Rajah *
Taylors University School of Medicine, Health Science,47500 Selangor, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Conservative treatment of acute cholecystitis has been the initial treatment for acute cholecystitis, which involves the use of antibiotics to control the infection and prepare the patient for cholecystectomy. The Tokyo Guidelines have categorized patients who present with acute cholecystitis into three categories: Categories one, two and three. Although laparoscopic cholecystectomy is the gold standard of treatment, antibiotics and percutaneous cholecystostomy play a role in the management of patients with category two and three. This review aimes to examine the role of antibiotics and percutaneous cholecystostomy in the management of acute cholecystitis.
Keywords: Conservative treatment of acute cholecystitis, non-operative treatment of acute cholecystitis, antibiotics in acute cholecystitis, percutaneous cholecystostomy, tube drainage