Current Management of Acute Cholecystitis: A Narrative Review

Abstract

Acute calculous cholecystitis is a common condition that results in upper abdominal pain and this condition is diagnosed with leukocytosis and ultrasound of the abdomen. The Tokyo guidelines have categorized them into three groups according to the severity of the disease. Laparoscopic cholecystectomy is the gold standard in the management of acute cholecystitis with early cholecystectomy being preferred to delayed cholecystectomy. The timing of early cholecystectomy is still being debated. Percutaneous cholecystostomy is used as a bridging procedure for high-risk patients. We have conducted this review article to look at the role of antibiotics, the timing of cholecystectomy and indication of percutaneous cholecystostomy in the management of acute calculous cholecystitis.