Use of Tokiyo Classification in Acute Cholecystitis
DOI:
https://doi.org/10.70749/ijbr.v3i6.2378Keywords:
Tokyo guidelines, acute cholecystitis, cholecystectomy.Abstract
Objectives: To determine frequency of severity of acute cholecystitis by using Tokyo Guidelines. Study design: Descriptive, cross sectional study Settings: Surgical Unit-2, Holy Family Hospital, Rawalpindi. Study duration: ovember 2024 to April 2025. Materials & Methods: Total 152 patients between the ages of 20 and 40 years who had acute Cholecystitis were included, regardless of gender. Chronic cholecystitis with CBD stones, cholecystectomy due to biliary acute pancreatitis, liver disease, and prior abdominal surgery were not included, nor GB polypoid lesion and GB cancer. Severity of AC was assessed by according to the TGs. Patients were managed as per hospital protocol. Results: The study's participants ranged in age from 40 to 80, with a mean age of 47.95 ± 9.20 years. Ninety-six (63.16%) of the patients were between the ages of 41 and 60. With a male to female ratio of 1:1.5, 61 (40.13%) of the 152 patients were male and 91 (59.87%) were female. Mean BMI was 27.36 ± 2.94 kg/m2. In our study, there were 88 (57.89%) Grade I, 46 (30.26%) were Grade II and 18 (11.85%) were Grade III in accordance with the TGs. Conclusion: This study found that the prevalence and severity of acute cholecystitis can be ascertained using the Tokyo Guidelines.
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