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    Tytuł:
    The ChoCO-W prospective observational global study : Does COVID-19 increase gangrenous cholecystitis?
    Autorzy:
    Lasithiotakis, Konstantinos
    Kolla, Chrysoula-Christina
    Bayhan, Zulfu
    Sotiropoulou, Maria
    Verras, Georgios Ioannis
    Fabri, Nicolo
    Lopez-Ruiz, Jose Antonio
    Liman, Rumeysa Kevser
    Massani, Marco
    Azizan, Nornazirah
    Capelli, Patrizio
    Dogjani, Agron
    Bouliaris, Konstantinos
    Veroux, Massimiliano
    Ibrahim, Mohamed
    Abu-Zidan, Fikri M.
    Occhionorelli, Savino
    Andreuccetti, Jacopo
    Ercolani, Giorgio
    Atanasov, Boyko
    Biffl, Walter L.
    Lacavalla, Domenico
    Nardello, Oreste
    Agostinelli, Laura
    Kwiatkowski, Andrzej
    Colak, Elif
    Palmieri Hernandez, Adriana Maria
    Major, Piotr
    Cappellacci, Federico
    Uriguen-Etxeberria, Ana
    Manatakis, Dimitrios K.
    Palini, Gian Marco
    Lupi, Davide
    Gupta, Sanjay
    Loutzidou, Lydia
    Spolini, Alessandro
    Litvin, Andrey
    Capuzzolo, Sabino
    Mendoza-Moreno, Fernando
    Muzio, Elena
    Olmi, Stefano
    Khokha, Vladimir
    Casoni Pattacini, Gianmaria
    Tedesco, Silvia
    Dumitrescu, Theodor Viorel
    Roscio, Francesco
    Abato, Emmanuele
    Sartelli, Massimo
    Triantafyllou, Tania
    Hernandez Amín, Luz Adriana
    Strzałka, Marcin
    Massalou, Damien
    Medas, Fabio
    Andreotti, Dario
    Miller, Kelsey
    Aref, Hager
    Maltinti, Gherardo
    Podda, Mauro
    Ietto, Giuseppe
    Callari, Cosimo
    Tvaladze, Ana
    Al Bahri, Shadi
    Abdullaev, Abakar
    Campanile, Fabio Cesare
    Ciorbagiu, Mihai Calin
    Di Saverio, Salomone
    Bayrak, Mehmet
    Trigiante, Giuseppe
    Gambarini, Fabrizio
    Slavchev, Mihail
    Azman, Azlanudin
    Grassia, Sebastiano
    Sellappan, Harivinthan
    Palmieri Luna, Alfonso
    Bonavina, Luigi
    Negoi, Ionut
    de Angelis, Nicola
    Piccolo, Gaetano
    Rossi, Stefano
    Carcano, Giulio
    Acheimastos, Vasileios
    Agnoletti, Vanni
    Matias-Garcia, Belen
    Nikolopoulos, Ioannis
    Zanus, Giacomo
    Gonullu, Emre
    Zulkifli, Anis Suraya M.
    Delibegovic, Samir
    Kojima, Mitsuaki
    Quiroga-Valcarcel, Ana
    Dalessio, Rossella
    de Luca, Maurizio
    Kumaz, Eray
    Trinh, Anna
    Bottari, Andrea
    Meric, Serhat
    Theodorou, Dimitrios
    Kapiris, Stylianos
    Akbar, Ali
    Aliakbarian, Mohsen
    Schizas, Dimitrios
    Machain Vega, Gustavo
    Canu, Gian Luigi
    Moric, Trpimir
    Ruggieri, Annamaria
    Pisanu, Adolfo
    Ozkan, Zeynep
    Bagolini, Francesco
    Norrey, Marcus
    Tosi, Lorenzo
    Vederaki, Styliani-Aikaterini
    Xin Yi, Rebecca Choy
    Aktimur, Yunus Emre
    Asghar, Mohammad Sohail
    Dorovinis, Panagiotis
    Restini, Enrico
    Armellino, Mariano Fortunato
    Jung, Sung Won
    Franchi, Caterina
    Delis, Spiros G.
    Moore, Ernest E.
    de Lima Bertu, Jackson Vinicius
    Licari, Leo
    Bianco, Francesco
    Vagios, Ilias
    Abdel-Elsalam, Sherief
    Lepiane, Pasquale
    Moug, Susan J.
    de Sa, Tiago Correia
    Abdel-Elsalam, Wafaa
    Ojeda, Leonardo
    Munoz-Cruzado, Virginia Duran
    Phooi Khei, Victoria Tan
    Syllaios, Athanasios
    Casati, Massimiliano
    Volpicelli, Alessio
    Vecchioni, Ilaria
    Bains, Lovenish
    Staderini, Fabio
    Martines, Gennaro
    Iftoda, Oksana
    Gachabayov, Mahir
    Nakamoto, Raira
    Gabellini, Linda
    Othman, Muhammad Asyraf
    Bonaldi, Marta
    Gumbs, Andrew A.
    Dacapito, Fabrizio
    Hedi Ghalloussi, Mohamed
    Bonilauri, Stefano
    Sidiropoulos, Theodoros A.
    Galleano, Raffaele
    Froiio, Caterina
    Campagnacci, Roberto
    Demirbas, Iskender Eren
    Gurung, Rekha
    Yalkin, Omer
    Aparicio-Sanchez, Daniel
    Pecchini, Francesca
    Plehutsa, Oleksandr
    Picardi, Biagio
    Bondurri, Andrea
    Vita, Domenico
    Ioannidis, Orestis
    Sartori, Alberto
    Hamid, Hytham K.S.
    Vacante, Marco
    Pintar, Tadeja
    Pujante, Antonio
    Sin, Boo Han
    Fransvea, Pietro
    Damaskos, Dimitrios
    Taddei, Antonio
    Petronio, Barbara
    Rahim, Razrim
    Cavallaro, Andrea
    Tasis, Nikolaos
    Symeonidis, Savvas
    Elbahnasawy, Mohamed
    Michalopoulos, Nikolaos V.
    Anastasi, Alessandro
    Pesce, Antonio
    Garulli, Gianluca
    Baraket, Oussama
    Misiakos, Evangelos P.
    Costanzi, Andrea
    Isik, Arda
    Fortuna, Laura
    Livadoti, Giada
    Fleres, Francesco
    Gomes, Felipe Couto
    Gureh, Monika
    Toma, Elena Adelina
    Gelmini, Roberta
    Pantalone, Desire
    Veneroni, Simone
    Balla, Andrea
    Argenio, Giulio
    Kirkpatrick, Andrew
    Demetrashvili, Zaza
    Dios Barbeito, Sandra
    Sarnari, Jlenia
    Ammerata, Giorgio
    Deserra, Antonello
    Curro, Giuseppe
    Romero-Vargas, Estela
    Chouillard, Elie
    Conti, Luigi
    Hirano, Elcio Shiyoiti
    Pararas, Nikolaos
    Serra, Francesco
    Lekiashvili, Nika
    Ansaloni, Luca
    Romic, Ivan
    Sydorchuk, Larysa
    Shabana, Amanda
    Rahman, Karim Abdul
    Altintoprak, Fatih
    Polat, Suleyman
    Riva, Carlo
    Poillucci, Gaetano
    Das, Koray
    Knut, Ruslan
    Zanghi, Antonio
    Jusoh, Asri Che
    Catena, Fausto
    Jedamzik, Julia
    Rispoli, Michele
    Kurtenkov, Mikhail
    Cattaneo, Gaetano Maria
    Kim, Jae Il
    Nita, Gabriela
    Doria, Emanuele
    Gil-Olarte, Angeles
    Maffioli, Anna
    Gourgiotis, Stavros
    Nagorni, Eleni-Aikaterini
    Uzunoglu, Mustafa Yener
    Ferrara, Francesco
    Sani, Mohamad Ikhwan
    Dai, Nick
    Giordano, Alessio
    Clarizia, Guglielmo
    Cianchi, Fabio
    Solaini, Leonardo
    Giraudo, Giorgio
    Chrysos, Emmanuel
    Visconti, Diego
    Czyżykowski, Łukasz
    Dalili, Amin
    Cappellani, Alessandro
    Piccoli, Micaela
    Gioco, Rossella
    Rocha, Monica
    Ammendola, Michele
    Akin, Emrah
    Grossi, Ugo
    Pereira Fraga, Gustavo
    Pikoulis, Emmanouil
    Natkaniec, Michał
    Landaluce-Olavarria, Aitor
    Marinis, Athanasios
    Atici, Semra Demirli
    Zuhdi, Zamri
    Tuncer, Gizem Kilinc
    Seker, Ahmet
    Altintas, Yasemin
    Romano, Roberto
    Kader, Saleh Abdel
    Balogh, Zsolt J.
    Rodriguez Gonzalez, Agustin
    Azamat, Ibrahim
    Zanzi, Federico
    Estraviz-Mateos, Begona
    Keramida, Myrto D.
    Malerba, Michele
    Biondi, Antonio
    Shoko, Tomohisa
    Borghi, Felice
    Koylu, Zehra Alan
    Kenig, Jakub
    Capoglu, Recayi
    Laface, Letizia
    Koukoulis, George
    Walędziak, Maciej
    Dzulkarnaen, Zakaria Andee
    Kluger, Yoram
    Coccolini, Federico
    Gendrikson, George
    Felsenreich, Daniel M.
    Cappato, Stefano
    Santarelli, Mauro
    Kaya, Tayfun
    Guariniello, Anna
    Matyja, Maciej
    Lucchi, Andrea
    Cillara, Nicola
    Zainudin, Syaza
    Anania, Gabriele
    Cannavera, Alessandro
    del Monte, Simone Rossi
    Guagni, Tommaso
    Papadoliopoulou, Maria
    Iflazoglu, Nidal
    Bombardini, Cristina
    Machairas, Nikolaos
    Negro, Giulia
    Sawyer, Robert G.
    Feo, Carlo Vittorio
    Griggio, Giulia
    Gomes, Carlos Augusto
    Brisinda, Giuseppe
    Ozer, Nazmi
    Sydorchuk, Andrii
    Mesina, Cristian
    Papaconstantinou, Dimitrios
    Canonico, Giuseppe
    Omarov, Nail
    Lostoridis, Eftychios
    de Simone, Belinda
    Bernardi, Daniele
    Valenti, Maria Rosaria
    Augustin, Goran
    Cardinali, Luca
    Afzal, Ameer
    Ayed, Karim
    Bala, Miklosh
    Monteleone, Michela
    Salobir, Jure
    Patias, Parmenion
    Pignata, Giusto
    Martinotti, Mario
    Sebastiani, Elisa
    Piatto, Giacomo
    Maurizi, Angela
    Skorus, Urszula
    Saeidi, Sara
    Razat, Sulce
    Yigit, Direnc
    Rossi, Elena Giulia
    Nardi, Matteo
    Kedar, Asaf
    Bisetto, Giovanni
    Enciu, Octavian
    Sasia, Diego
    Martino, Costanza
    Costanzo, Federico
    Babiker, Ahmed
    Guerci, Claudio
    Tutino, Roberta
    Mulita, Francesk
    Ghoneim, Basma
    Di Vita, Maria Domenica Pia
    Vailas, Michail
    Uymaz, Derya Salim
    Andolfi, Enrico
    Shin, Yong Chan
    Altinel, Yuksel
    Viola, Simona
    Agresta, Ferdinando
    Sydorchuk, Ruslan
    Mousa, Hussam
    Saramuzzo, Rosa
    Hayati, Firdaus
    Uccelli, Matteo
    Filippo, Rosalinda
    Kesetovic, Amar
    Mantoglu, Baris
    Ntokos, Georgios
    Cianci, Pasquale
    Kara, Yasin
    Nikolo, Taxiarchis Konstantinos
    Chuklin, Serhii
    Clerici, Federico
    Travaglini, Grazia
    Agostini, Carlotta
    Opis:
    Background: The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis in patients who had COVID-19 disease with those who did not. Methods: Data were prospectively collected over 6 months (October 1, 2020, to April 30, 2021) with 1-month follow-up. In October 2020, Delta variant of SARS CoV-2 was isolated for the first time. Demographic and clinical data were analyzed and reported according to the STROBE guidelines. Baseline characteristics and clinical outcomes of patients who had COVID-19 were compared with those who did not. Results: A total of 2893 patients, from 42 countries, 218 centers, involved, with a median age of 61.3 (SD: 17.39) years were prospectively enrolled in this study; 1481 (51%) patients were males. One hundred and eighty (6.9%) patients were COVID-19 positive, while 2412 (93.1%) were negative. Concomitant preexisting diseases including cardiovascular diseases (p < 0.0001), diabetes (p < 0.0001), and severe chronic obstructive airway disease (p = 0.005) were significantly more frequent in the COVID-19 group. Markers of sepsis severity including ARDS (p < 0.0001), PIPAS score (p < 0.0001), WSES sepsis score (p < 0.0001), qSOFA (p < 0.0001), and Tokyo classification of severity of acute cholecystitis (p < 0.0001) were significantly higher in the COVID-19 group. The COVID-19 group had significantly higher postoperative complications (32.2% compared with 11.7%, p < 0.0001), longer mean hospital stay (13.21 compared with 6.51 days, p < 0.0001), and mortality rate (13.4% compared with 1.7%, p < 0.0001). The incidence of gangrenous cholecystitis was doubled in the COVID-19 group (40.7% compared with 22.3%). The mean wall thickness of the gallbladder was significantly higher in the COVID-19 group [6.32 (SD: 2.44) mm compared with 5.4 (SD: 3.45) mm; p < 0.0001]. Conclusions: The incidence of gangrenous cholecystitis is higher in COVID patients compared with non-COVID patients admitted to the emergency department with acute cholecystitis. Gangrenous cholecystitis in COVID patients is associated with high-grade Clavien-Dindo postoperative complications, longer hospital stay and higher mortality rate. The open cholecystectomy rate is higher in COVID compared with non -COVID patients. It is recommended to delay the surgical treatment in COVID patients, when it is possible, to decrease morbidity and mortality rates. COVID-19 infection and gangrenous cholecystistis are not absolute contraindications to perform laparoscopic cholecystectomy, in a case by case evaluation, in expert hands.
    Dostawca treści:
    Repozytorium Uniwersytetu Jagiellońskiego
    Artykuł
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