Natural history of asymptomatic gallbladder stones in clinic without beds:A long-term prognosis over 10 years  

作　　者：Yuji Sakai Toshio Tsuyuguchi Hiroshi Ohyama Junichiro Kumagai Takashi Kaiho Masayuki Ohtsuka Naoya Kato Tadao Sakai 

机构地区：[1]Department of Gastroenterology,Sakai Clinic,Kimistu 299-1162,Japan [2]Department of Gastroenterology,Graduate School of Medicine,Chiba University,Chiba 260-8677,Japan [3]Department of Gastroenterology,Chiba Prefectural Sawara Hospital,Chiba Prefectural Sawara Hospital,Sawara 287-0003,Japan [4]Department of Gastroenterology,Kimitsu Central Hospital,Kisarazu 292-8535,Japan [5]Department of Surgery,Kimitsu Central Hospital,Kisarazu 292-8535,Japan [6]Department of General Surgery,Graduate School of Medicine,Chiba University,Chiba 260-8677,Japan

出　　处：《World Journal of Clinical Cases》2024年第1期42-50,共9页世界临床病例杂志

摘　　要：BACKGROUND Several studies have explored the long-term prognosis of patients with asymp-tomatic gallbladder stones.These reports were primarily conducted in facilities equipped with beds for addressing symptomatic cases.AIM To report the long-term prognosis of patients with asymptomatic gallbladder stones in clinics without bed facilities.METHODS We investigated the prognoses of 237 patients diagnosed with asymptomatic gallbladder stones in clinics without beds between March 2010 and October 2022.When symptoms developed,patients were transferred to hospitals where appropriate treatment was possible.We investigated the asymptomatic and survival periods during the follow-up.RESULTS Among the 237 patients,214(90.3%)remained asymptomatic,with a mean asymptomatic period of 3898.9279±46.871 d(50-4111 d,10.7 years on average).Biliary complications developed in 23 patients(9.7%),with a mean survival period of 4010.0285±31.2788 d(53-4112 d,10.9 years on average).No patient died of biliary complications.CONCLUSION The long-term prognosis of asymptomatic gallbladder stones in clinics without beds was favorable.When the condition became symptomatic,the patients were transferred to hospitals with beds that could address it;thus,no deaths related to biliary complications were reported.This finding suggests that follow-up care in clinics without beds is possible.

关 键 词：Gallbladder stone Acute cholangitis Acute cholecystitis Asymptomatic gallbladder stone Symptomatic gallbladder stone 

分 类 号：R735.8[医药卫生—肿瘤]