<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Introduction</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.<bold>Material and method</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.<bold>Results</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%).<bold>Conclusions</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.</abstract>

Introduction. 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.Material and method. 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.Results.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%).Conclusions. 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.

Diagnosis and Therapy Particularities in Post-Cholecystectomy Cholangitis at Patients with Type 2 Diabetes Mellitus

Faculty of Economics and Business Administration

“Maria” Health and Imagery Medical Center

Internal Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Introduction. The objective of the present study is to assess the diagnosis and therapeutic particularities in post-cholecystectomy cholangitis at patients...

Diagnosis and Therapy Particularities in Post-Cholecystectomy Cholangitis at Patients with Type 2 Diabetes Mellitus

Published Online: Dec 05, 2019

Page range: 19 - 30

DOI: https://doi.org/10.2478/inmed-2019-0081

Keywords
post-cholecystectomy cholangitis pancreatitis, cholangiocarcinoma, choledochal lithiasis

© 2019 Mariana Ungur et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Diagnosis and Therapy Particularities in Post-Cholecystectomy Cholangitis at Patients with Type 2 Diabetes Mellitus

Published Online: Dec 05, 2019

Page range: 19 - 30

DOI: https://doi.org/10.2478/inmed-2019-0081

Keywordspost-cholecystectomy cholangitis pancreatitis, cholangiocarcinoma, choledochal lithiasis

© 2019 Mariana Ungur et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
post-cholecystectomy cholangitis pancreatitis, cholangiocarcinoma, choledochal lithiasis