Conservative treatment of acute cholecystitis: a systematic review and pooled analysis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-02

AUTHORS

Charlotte S. Loozen, Jelmer E. Oor, Bert van Ramshorst, Hjalmar C. van Santvoort, Djamila Boerma

ABSTRACT

BACKGROUND: In medical practice, the tendency to remove an inflamed gallbladder is deeply rooted. Cholecystectomy, however, is associated with relatively high complication rates, and therefore the decision whether or not to perform surgery should be well considered. For some patients, the surgical risk-benefit profile may favour conservative treatment. The objective of this study was to examine the short- and long-term outcome of conservative treatment of patients with acute calculous cholecystitis. METHODS: A systematic search of MEDLINE, Embase and Cochrane Library databases was performed. Prospective studies reporting on the success rate of conservative treatment (i.e. non-invasive treatment) of acute cholecystitis during index admission were included, as well as prospective and retrospective studies reporting on the recurrence rate of gallstone-related disease during long-term follow-up (i.e. ≥12 months) after initial non-surgical management. Study selection was undertaken independently by two reviewers using predefined criteria. The risk of bias was assessed. The pooled success and mortality rate during index admission and the pooled recurrence rate of gallstone-related disease during long-term follow-up were calculated using a random-effects model. RESULTS: A total of 1841 patients were included in 10 randomized controlled trials and 14 non-randomized studies. Conservative treatment during index admission was successful in 87 % of patients with acute calculous cholecystitis and in 96 % of patients with mild disease. In the long term, 22 % of the patients developed recurrent gallstone-related disease. Pooled analysis showed a success rate of 86 % (95 % CI 0.8-0.9), a mortality rate of 0.5 % (95 % CI 0.001-0.009) and a recurrence rate of 20 % (95 % CI 0.1-0.3). DISCUSSION: Conservative treatment of acute calculous cholecystitis during index admission seems feasible and safe, especially in patients with mild disease. During long-term follow-up, less than a quarter of the patients appear to develop recurrent gallstone-related disease, although this outcome is based on limited data. More... »

PAGES

504-515

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-016-5011-x

DOI

http://dx.doi.org/10.1007/s00464-016-5011-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1025590676

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27317033


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Cholecystectomy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Cholecystitis, Acute", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Conservative Treatment", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Models, Statistical", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Recurrence", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Treatment Outcome", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "St. Antonius Ziekenhuis", 
          "id": "https://www.grid.ac/institutes/grid.415960.f", 
          "name": [
            "Department of Surgery, St Antonius Hospital, Koekoekslaan 1, 3430 VB, Nieuwegein, The Netherlands"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Loozen", 
        "givenName": "Charlotte S.", 
        "id": "sg:person.010643233431.10", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010643233431.10"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "St. Antonius Ziekenhuis", 
          "id": "https://www.grid.ac/institutes/grid.415960.f", 
          "name": [
            "Department of Surgery, St Antonius Hospital, Koekoekslaan 1, 3430 VB, Nieuwegein, The Netherlands"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Oor", 
        "givenName": "Jelmer E.", 
        "id": "sg:person.01257407756.75", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01257407756.75"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "St. Antonius Ziekenhuis", 
          "id": "https://www.grid.ac/institutes/grid.415960.f", 
          "name": [
            "Department of Surgery, St Antonius Hospital, Koekoekslaan 1, 3430 VB, Nieuwegein, The Netherlands"
          ], 
          "type": "Organization"
        }, 
        "familyName": "van Ramshorst", 
        "givenName": "Bert", 
        "id": "sg:person.0756446730.73", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0756446730.73"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "St. Antonius Ziekenhuis", 
          "id": "https://www.grid.ac/institutes/grid.415960.f", 
          "name": [
            "Department of Surgery, St Antonius Hospital, Koekoekslaan 1, 3430 VB, Nieuwegein, The Netherlands"
          ], 
          "type": "Organization"
        }, 
        "familyName": "van Santvoort", 
        "givenName": "Hjalmar C.", 
        "id": "sg:person.01004354234.80", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01004354234.80"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "St. Antonius Ziekenhuis", 
          "id": "https://www.grid.ac/institutes/grid.415960.f", 
          "name": [
            "Department of Surgery, St Antonius Hospital, Koekoekslaan 1, 3430 VB, Nieuwegein, The Netherlands"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Boerma", 
        "givenName": "Djamila", 
        "id": "sg:person.01177737131.63", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01177737131.63"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/s11605-015-2747-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001641543", 
          "https://doi.org/10.1007/s11605-015-2747-x"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00268-012-1572-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003548953", 
          "https://doi.org/10.1007/s00268-012-1572-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.amjsurg.2011.05.013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004857337"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1159/000050180", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007662367"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-004-9116-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007866742", 
          "https://doi.org/10.1007/s00464-004-9116-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-004-9116-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007866742", 
          "https://doi.org/10.1007/s00464-004-9116-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0b013e3182a1599b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007931861"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0b013e3182a1599b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007931861"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00330-001-1247-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008436121", 
          "https://doi.org/10.1007/s00330-001-1247-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00268-011-0985-y", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011579312", 
          "https://doi.org/10.1007/s00268-011-0985-y"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/00365520310004056", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1012793934"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ijsu.2006.01.001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014215291"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1445-2197.2003.02748.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015136554"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ejim.2011.07.012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016919757"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/meg.0b013e328361dd5b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019351637"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/meg.0b013e328361dd5b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019351637"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jclinepi.2009.06.006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1022806278"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129689-200304000-00002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027121014"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129689-200304000-00002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027121014"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-012-2430-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028385985", 
          "https://doi.org/10.1007/s00464-012-2430-1"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.surg.2013.12.026", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036867949"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-003-9230-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038237513", 
          "https://doi.org/10.1007/s00464-003-9230-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-003-9230-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038237513", 
          "https://doi.org/10.1007/s00464-003-9230-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1365-2168.1998.00708.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038240056"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.3109/00365521.2011.598548", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041431992"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.d5928", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041893471"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00534-012-0568-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044133923", 
          "https://doi.org/10.1007/s00534-012-0568-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.8836", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046102828"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/hpb.12360", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047629308"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.6872", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048299482"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1155/2015/349801", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049977452"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0895-4356(89)90086-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051469998"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1016/s1091-255x(03)00065-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051592357", 
          "https://doi.org/10.1016/s1091-255x(03)00065-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1016/s1091-255x(03)00065-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051592357", 
          "https://doi.org/10.1016/s1091-255x(03)00065-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00534-006-1163-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052510445", 
          "https://doi.org/10.1007/s00534-006-1163-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0039-6060(97)90309-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053008377"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1055/s-0029-1236159", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1057204327"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1055/s-0029-1236160", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1057204328"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1055/s-2006-925448", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1057456095"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/sur.2007.079", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059311989"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/sur.2009.9930", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059312163"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199804000-00001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134743"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199804000-00001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134743"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199804000-00001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134743"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4103/1947-2714.98586", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1072245677"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/02841850600580317", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1077248709"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/02841850600580317", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1077248709"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/smj.0b013e3181757b77", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1077648097"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/smj.0b013e3181757b77", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1077648097"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/smj.0b013e3181757b77", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1077648097"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1078050330", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1078400305", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1078723989", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2017-02", 
    "datePublishedReg": "2017-02-01", 
    "description": "BACKGROUND: In medical practice, the tendency to remove an inflamed gallbladder is deeply rooted. Cholecystectomy, however, is associated with relatively high complication rates, and therefore the decision whether or not to perform surgery should be well considered. For some patients, the surgical risk-benefit profile may favour conservative treatment. The objective of this study was to examine the short- and long-term outcome of conservative treatment of patients with acute calculous cholecystitis.\nMETHODS: A systematic search of MEDLINE, Embase and Cochrane Library databases was performed. Prospective studies reporting on the success rate of conservative treatment (i.e. non-invasive treatment) of acute cholecystitis during index admission were included, as well as prospective and retrospective studies reporting on the recurrence rate of gallstone-related disease during long-term follow-up (i.e. \u226512\u00a0months) after initial non-surgical management. Study selection was undertaken independently by two reviewers using predefined criteria. The risk of bias was assessed. The pooled success and mortality rate during index admission and the pooled recurrence rate of gallstone-related disease during long-term follow-up were calculated using a random-effects model.\nRESULTS: A total of 1841 patients were included in 10 randomized controlled trials and 14 non-randomized studies. Conservative treatment during index admission was successful in 87\u00a0% of patients with acute calculous cholecystitis and in 96\u00a0% of patients with mild disease. In the long term, 22\u00a0% of the patients developed recurrent gallstone-related disease. Pooled analysis showed a success rate of 86\u00a0% (95\u00a0% CI 0.8-0.9), a mortality rate of 0.5\u00a0% (95\u00a0% CI 0.001-0.009) and a recurrence rate of 20\u00a0% (95\u00a0% CI 0.1-0.3).\nDISCUSSION: Conservative treatment of acute calculous cholecystitis during index admission seems feasible and safe, especially in patients with mild disease. During long-term follow-up, less than a quarter of the patients appear to develop recurrent gallstone-related disease, although this outcome is based on limited data.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s00464-016-5011-x", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1098220", 
        "issn": [
          "0930-2794", 
          "1432-2218"
        ], 
        "name": "Surgical Endoscopy", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "2", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "31"
      }
    ], 
    "name": "Conservative treatment of acute cholecystitis: a systematic review and pooled analysis", 
    "pagination": "504-515", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "79ea79701c6a8f8e5828556c3f28abeab28ce5546c184b297932d3ebd7a6514d"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "27317033"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8806653"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00464-016-5011-x"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1025590676"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00464-016-5011-x", 
      "https://app.dimensions.ai/details/publication/pub.1025590676"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T12:26", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000362_0000000362/records_87112_00000000.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs00464-016-5011-x"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00464-016-5011-x'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00464-016-5011-x'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00464-016-5011-x'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00464-016-5011-x'


 

This table displays all metadata directly associated to this object as RDF triples.

258 TRIPLES      21 PREDICATES      78 URIs      28 LITERALS      16 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00464-016-5011-x schema:about N1a2103b2cfe544fbbb56464905e222ce
2 N4116cafbd3ee4ec899ddc674794b57e6
3 N5ce81c7a883e49bd80b19330a5d9775a
4 N76ef8a81f1f34dbdb696b9105f9c3dd6
5 Nae7b8c9c50264df5ba58daf1117bf8fb
6 Nbb002498a6ec4dad92f3bd3de63c310f
7 Nf7c582ad01aa4a2897fecbb761e91ff0
8 anzsrc-for:11
9 anzsrc-for:1103
10 schema:author N9b50b543c2334547961453b5cdd8f0a1
11 schema:citation sg:pub.10.1007/s00268-011-0985-y
12 sg:pub.10.1007/s00268-012-1572-6
13 sg:pub.10.1007/s00330-001-1247-4
14 sg:pub.10.1007/s00464-003-9230-6
15 sg:pub.10.1007/s00464-004-9116-2
16 sg:pub.10.1007/s00464-012-2430-1
17 sg:pub.10.1007/s00534-006-1163-8
18 sg:pub.10.1007/s00534-012-0568-9
19 sg:pub.10.1007/s11605-015-2747-x
20 sg:pub.10.1016/s1091-255x(03)00065-9
21 https://app.dimensions.ai/details/publication/pub.1078050330
22 https://app.dimensions.ai/details/publication/pub.1078400305
23 https://app.dimensions.ai/details/publication/pub.1078723989
24 https://doi.org/10.1002/bjs.6872
25 https://doi.org/10.1002/bjs.8836
26 https://doi.org/10.1016/0895-4356(89)90086-3
27 https://doi.org/10.1016/j.amjsurg.2011.05.013
28 https://doi.org/10.1016/j.ejim.2011.07.012
29 https://doi.org/10.1016/j.ijsu.2006.01.001
30 https://doi.org/10.1016/j.jclinepi.2009.06.006
31 https://doi.org/10.1016/j.surg.2013.12.026
32 https://doi.org/10.1016/s0039-6060(97)90309-3
33 https://doi.org/10.1046/j.1365-2168.1998.00708.x
34 https://doi.org/10.1046/j.1445-2197.2003.02748.x
35 https://doi.org/10.1055/s-0029-1236159
36 https://doi.org/10.1055/s-0029-1236160
37 https://doi.org/10.1055/s-2006-925448
38 https://doi.org/10.1080/00365520310004056
39 https://doi.org/10.1080/02841850600580317
40 https://doi.org/10.1089/sur.2007.079
41 https://doi.org/10.1089/sur.2009.9930
42 https://doi.org/10.1097/00000658-199804000-00001
43 https://doi.org/10.1097/00129689-200304000-00002
44 https://doi.org/10.1097/meg.0b013e328361dd5b
45 https://doi.org/10.1097/sla.0b013e3182a1599b
46 https://doi.org/10.1097/smj.0b013e3181757b77
47 https://doi.org/10.1111/hpb.12360
48 https://doi.org/10.1136/bmj.d5928
49 https://doi.org/10.1155/2015/349801
50 https://doi.org/10.1159/000050180
51 https://doi.org/10.3109/00365521.2011.598548
52 https://doi.org/10.4103/1947-2714.98586
53 schema:datePublished 2017-02
54 schema:datePublishedReg 2017-02-01
55 schema:description BACKGROUND: In medical practice, the tendency to remove an inflamed gallbladder is deeply rooted. Cholecystectomy, however, is associated with relatively high complication rates, and therefore the decision whether or not to perform surgery should be well considered. For some patients, the surgical risk-benefit profile may favour conservative treatment. The objective of this study was to examine the short- and long-term outcome of conservative treatment of patients with acute calculous cholecystitis. METHODS: A systematic search of MEDLINE, Embase and Cochrane Library databases was performed. Prospective studies reporting on the success rate of conservative treatment (i.e. non-invasive treatment) of acute cholecystitis during index admission were included, as well as prospective and retrospective studies reporting on the recurrence rate of gallstone-related disease during long-term follow-up (i.e. ≥12 months) after initial non-surgical management. Study selection was undertaken independently by two reviewers using predefined criteria. The risk of bias was assessed. The pooled success and mortality rate during index admission and the pooled recurrence rate of gallstone-related disease during long-term follow-up were calculated using a random-effects model. RESULTS: A total of 1841 patients were included in 10 randomized controlled trials and 14 non-randomized studies. Conservative treatment during index admission was successful in 87 % of patients with acute calculous cholecystitis and in 96 % of patients with mild disease. In the long term, 22 % of the patients developed recurrent gallstone-related disease. Pooled analysis showed a success rate of 86 % (95 % CI 0.8-0.9), a mortality rate of 0.5 % (95 % CI 0.001-0.009) and a recurrence rate of 20 % (95 % CI 0.1-0.3). DISCUSSION: Conservative treatment of acute calculous cholecystitis during index admission seems feasible and safe, especially in patients with mild disease. During long-term follow-up, less than a quarter of the patients appear to develop recurrent gallstone-related disease, although this outcome is based on limited data.
56 schema:genre research_article
57 schema:inLanguage en
58 schema:isAccessibleForFree false
59 schema:isPartOf N7088dcb09c5b4a70b2ae5ade94aa81c2
60 N809c80d4474148c3b38a58f0eec5078c
61 sg:journal.1098220
62 schema:name Conservative treatment of acute cholecystitis: a systematic review and pooled analysis
63 schema:pagination 504-515
64 schema:productId N01bb7cb3171b44b98282ffd61fe1c2f9
65 N2c67f1f5fbfd4d0b99d472e43e154eaf
66 N2d0f4619337546df922cd22e49b93761
67 Nd926cb6d9bbd4f37ae7dc23093a2054a
68 Ne9c69eb40eac42eb8dca5372cda2b404
69 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025590676
70 https://doi.org/10.1007/s00464-016-5011-x
71 schema:sdDatePublished 2019-04-11T12:26
72 schema:sdLicense https://scigraph.springernature.com/explorer/license/
73 schema:sdPublisher Nd3fa2eb51cbc4f2eaba01155676d9653
74 schema:url https://link.springer.com/10.1007%2Fs00464-016-5011-x
75 sgo:license sg:explorer/license/
76 sgo:sdDataset articles
77 rdf:type schema:ScholarlyArticle
78 N01bb7cb3171b44b98282ffd61fe1c2f9 schema:name pubmed_id
79 schema:value 27317033
80 rdf:type schema:PropertyValue
81 N196f497de15b45c7ad652d8962783801 rdf:first sg:person.01004354234.80
82 rdf:rest N59dfcef824264662b48b05c97558e927
83 N1a2103b2cfe544fbbb56464905e222ce schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
84 schema:name Conservative Treatment
85 rdf:type schema:DefinedTerm
86 N2c67f1f5fbfd4d0b99d472e43e154eaf schema:name dimensions_id
87 schema:value pub.1025590676
88 rdf:type schema:PropertyValue
89 N2d0f4619337546df922cd22e49b93761 schema:name readcube_id
90 schema:value 79ea79701c6a8f8e5828556c3f28abeab28ce5546c184b297932d3ebd7a6514d
91 rdf:type schema:PropertyValue
92 N4116cafbd3ee4ec899ddc674794b57e6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
93 schema:name Treatment Outcome
94 rdf:type schema:DefinedTerm
95 N59dfcef824264662b48b05c97558e927 rdf:first sg:person.01177737131.63
96 rdf:rest rdf:nil
97 N5ce81c7a883e49bd80b19330a5d9775a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
98 schema:name Models, Statistical
99 rdf:type schema:DefinedTerm
100 N7088dcb09c5b4a70b2ae5ade94aa81c2 schema:volumeNumber 31
101 rdf:type schema:PublicationVolume
102 N7448b8488846416fb5876c5bfe94640b rdf:first sg:person.0756446730.73
103 rdf:rest N196f497de15b45c7ad652d8962783801
104 N76ef8a81f1f34dbdb696b9105f9c3dd6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
105 schema:name Recurrence
106 rdf:type schema:DefinedTerm
107 N809c80d4474148c3b38a58f0eec5078c schema:issueNumber 2
108 rdf:type schema:PublicationIssue
109 N9b50b543c2334547961453b5cdd8f0a1 rdf:first sg:person.010643233431.10
110 rdf:rest Nb2bae1c6436247f4bccd0d343cdf2d99
111 Nae7b8c9c50264df5ba58daf1117bf8fb schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
112 schema:name Humans
113 rdf:type schema:DefinedTerm
114 Nb2bae1c6436247f4bccd0d343cdf2d99 rdf:first sg:person.01257407756.75
115 rdf:rest N7448b8488846416fb5876c5bfe94640b
116 Nbb002498a6ec4dad92f3bd3de63c310f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
117 schema:name Cholecystectomy
118 rdf:type schema:DefinedTerm
119 Nd3fa2eb51cbc4f2eaba01155676d9653 schema:name Springer Nature - SN SciGraph project
120 rdf:type schema:Organization
121 Nd926cb6d9bbd4f37ae7dc23093a2054a schema:name doi
122 schema:value 10.1007/s00464-016-5011-x
123 rdf:type schema:PropertyValue
124 Ne9c69eb40eac42eb8dca5372cda2b404 schema:name nlm_unique_id
125 schema:value 8806653
126 rdf:type schema:PropertyValue
127 Nf7c582ad01aa4a2897fecbb761e91ff0 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
128 schema:name Cholecystitis, Acute
129 rdf:type schema:DefinedTerm
130 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
131 schema:name Medical and Health Sciences
132 rdf:type schema:DefinedTerm
133 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
134 schema:name Clinical Sciences
135 rdf:type schema:DefinedTerm
136 sg:journal.1098220 schema:issn 0930-2794
137 1432-2218
138 schema:name Surgical Endoscopy
139 rdf:type schema:Periodical
140 sg:person.01004354234.80 schema:affiliation https://www.grid.ac/institutes/grid.415960.f
141 schema:familyName van Santvoort
142 schema:givenName Hjalmar C.
143 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01004354234.80
144 rdf:type schema:Person
145 sg:person.010643233431.10 schema:affiliation https://www.grid.ac/institutes/grid.415960.f
146 schema:familyName Loozen
147 schema:givenName Charlotte S.
148 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010643233431.10
149 rdf:type schema:Person
150 sg:person.01177737131.63 schema:affiliation https://www.grid.ac/institutes/grid.415960.f
151 schema:familyName Boerma
152 schema:givenName Djamila
153 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01177737131.63
154 rdf:type schema:Person
155 sg:person.01257407756.75 schema:affiliation https://www.grid.ac/institutes/grid.415960.f
156 schema:familyName Oor
157 schema:givenName Jelmer E.
158 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01257407756.75
159 rdf:type schema:Person
160 sg:person.0756446730.73 schema:affiliation https://www.grid.ac/institutes/grid.415960.f
161 schema:familyName van Ramshorst
162 schema:givenName Bert
163 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0756446730.73
164 rdf:type schema:Person
165 sg:pub.10.1007/s00268-011-0985-y schema:sameAs https://app.dimensions.ai/details/publication/pub.1011579312
166 https://doi.org/10.1007/s00268-011-0985-y
167 rdf:type schema:CreativeWork
168 sg:pub.10.1007/s00268-012-1572-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003548953
169 https://doi.org/10.1007/s00268-012-1572-6
170 rdf:type schema:CreativeWork
171 sg:pub.10.1007/s00330-001-1247-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008436121
172 https://doi.org/10.1007/s00330-001-1247-4
173 rdf:type schema:CreativeWork
174 sg:pub.10.1007/s00464-003-9230-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038237513
175 https://doi.org/10.1007/s00464-003-9230-6
176 rdf:type schema:CreativeWork
177 sg:pub.10.1007/s00464-004-9116-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007866742
178 https://doi.org/10.1007/s00464-004-9116-2
179 rdf:type schema:CreativeWork
180 sg:pub.10.1007/s00464-012-2430-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028385985
181 https://doi.org/10.1007/s00464-012-2430-1
182 rdf:type schema:CreativeWork
183 sg:pub.10.1007/s00534-006-1163-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052510445
184 https://doi.org/10.1007/s00534-006-1163-8
185 rdf:type schema:CreativeWork
186 sg:pub.10.1007/s00534-012-0568-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044133923
187 https://doi.org/10.1007/s00534-012-0568-9
188 rdf:type schema:CreativeWork
189 sg:pub.10.1007/s11605-015-2747-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1001641543
190 https://doi.org/10.1007/s11605-015-2747-x
191 rdf:type schema:CreativeWork
192 sg:pub.10.1016/s1091-255x(03)00065-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051592357
193 https://doi.org/10.1016/s1091-255x(03)00065-9
194 rdf:type schema:CreativeWork
195 https://app.dimensions.ai/details/publication/pub.1078050330 schema:CreativeWork
196 https://app.dimensions.ai/details/publication/pub.1078400305 schema:CreativeWork
197 https://app.dimensions.ai/details/publication/pub.1078723989 schema:CreativeWork
198 https://doi.org/10.1002/bjs.6872 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048299482
199 rdf:type schema:CreativeWork
200 https://doi.org/10.1002/bjs.8836 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046102828
201 rdf:type schema:CreativeWork
202 https://doi.org/10.1016/0895-4356(89)90086-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051469998
203 rdf:type schema:CreativeWork
204 https://doi.org/10.1016/j.amjsurg.2011.05.013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004857337
205 rdf:type schema:CreativeWork
206 https://doi.org/10.1016/j.ejim.2011.07.012 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016919757
207 rdf:type schema:CreativeWork
208 https://doi.org/10.1016/j.ijsu.2006.01.001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014215291
209 rdf:type schema:CreativeWork
210 https://doi.org/10.1016/j.jclinepi.2009.06.006 schema:sameAs https://app.dimensions.ai/details/publication/pub.1022806278
211 rdf:type schema:CreativeWork
212 https://doi.org/10.1016/j.surg.2013.12.026 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036867949
213 rdf:type schema:CreativeWork
214 https://doi.org/10.1016/s0039-6060(97)90309-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053008377
215 rdf:type schema:CreativeWork
216 https://doi.org/10.1046/j.1365-2168.1998.00708.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1038240056
217 rdf:type schema:CreativeWork
218 https://doi.org/10.1046/j.1445-2197.2003.02748.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1015136554
219 rdf:type schema:CreativeWork
220 https://doi.org/10.1055/s-0029-1236159 schema:sameAs https://app.dimensions.ai/details/publication/pub.1057204327
221 rdf:type schema:CreativeWork
222 https://doi.org/10.1055/s-0029-1236160 schema:sameAs https://app.dimensions.ai/details/publication/pub.1057204328
223 rdf:type schema:CreativeWork
224 https://doi.org/10.1055/s-2006-925448 schema:sameAs https://app.dimensions.ai/details/publication/pub.1057456095
225 rdf:type schema:CreativeWork
226 https://doi.org/10.1080/00365520310004056 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012793934
227 rdf:type schema:CreativeWork
228 https://doi.org/10.1080/02841850600580317 schema:sameAs https://app.dimensions.ai/details/publication/pub.1077248709
229 rdf:type schema:CreativeWork
230 https://doi.org/10.1089/sur.2007.079 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059311989
231 rdf:type schema:CreativeWork
232 https://doi.org/10.1089/sur.2009.9930 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059312163
233 rdf:type schema:CreativeWork
234 https://doi.org/10.1097/00000658-199804000-00001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060134743
235 rdf:type schema:CreativeWork
236 https://doi.org/10.1097/00129689-200304000-00002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027121014
237 rdf:type schema:CreativeWork
238 https://doi.org/10.1097/meg.0b013e328361dd5b schema:sameAs https://app.dimensions.ai/details/publication/pub.1019351637
239 rdf:type schema:CreativeWork
240 https://doi.org/10.1097/sla.0b013e3182a1599b schema:sameAs https://app.dimensions.ai/details/publication/pub.1007931861
241 rdf:type schema:CreativeWork
242 https://doi.org/10.1097/smj.0b013e3181757b77 schema:sameAs https://app.dimensions.ai/details/publication/pub.1077648097
243 rdf:type schema:CreativeWork
244 https://doi.org/10.1111/hpb.12360 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047629308
245 rdf:type schema:CreativeWork
246 https://doi.org/10.1136/bmj.d5928 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041893471
247 rdf:type schema:CreativeWork
248 https://doi.org/10.1155/2015/349801 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049977452
249 rdf:type schema:CreativeWork
250 https://doi.org/10.1159/000050180 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007662367
251 rdf:type schema:CreativeWork
252 https://doi.org/10.3109/00365521.2011.598548 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041431992
253 rdf:type schema:CreativeWork
254 https://doi.org/10.4103/1947-2714.98586 schema:sameAs https://app.dimensions.ai/details/publication/pub.1072245677
255 rdf:type schema:CreativeWork
256 https://www.grid.ac/institutes/grid.415960.f schema:alternateName St. Antonius Ziekenhuis
257 schema:name Department of Surgery, St Antonius Hospital, Koekoekslaan 1, 3430 VB, Nieuwegein, The Netherlands
258 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...