Acute cholecystitis is a common complication after allogeneic stem cell transplantation and is associated with the use of total parenteral nutrition.
Identifieur interne : 000643 ( Main/Exploration ); précédent : 000642; suivant : 000644Acute cholecystitis is a common complication after allogeneic stem cell transplantation and is associated with the use of total parenteral nutrition.
Auteurs : Stephen J. Bagley [États-Unis] ; Alison R. Sehgal [États-Unis] ; Saar Gill [États-Unis] ; Noelle V. Frey [États-Unis] ; Elizabeth O. Hexner [États-Unis] ; Alison W. Loren [États-Unis] ; James K. Mangan [États-Unis] ; David L. Porter [États-Unis] ; Edward A. Stadtmauer [États-Unis] ; Ran Reshef [États-Unis] ; Selina M. Luger [États-Unis]Source :
- Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation [ 1523-6536 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Allogreffes, Cholécystite (diagnostic), Cholécystite (épidémiologie), Cholécystite (étiologie), Femelle, Humains, Maladie aigüe, Mâle, Nutrition parentérale (effets indésirables), Sujet âgé, Transplantation de cellules souches hématopoïétiques, Tumeurs hématologiques (), Tumeurs hématologiques (épidémiologie), Études rétrospectives.
- MESH :
- diagnostic : Cholécystite.
- effets indésirables : Nutrition parentérale.
- épidémiologie : Cholécystite, Tumeurs hématologiques.
- étiologie : Cholécystite.
- Adulte, Adulte d'âge moyen, Allogreffes, Femelle, Humains, Maladie aigüe, Mâle, Sujet âgé, Transplantation de cellules souches hématopoïétiques, Tumeurs hématologiques, Études rétrospectives.
English descriptors
- KwdEn :
- Acute Disease, Adult, Aged, Allografts, Cholecystitis (diagnosis), Cholecystitis (epidemiology), Cholecystitis (etiology), Female, Hematologic Neoplasms (epidemiology), Hematologic Neoplasms (therapy), Hematopoietic Stem Cell Transplantation, Humans, Male, Middle Aged, Parenteral Nutrition (adverse effects), Retrospective Studies.
- MESH :
- adverse effects : Parenteral Nutrition.
- diagnosis : Cholecystitis.
- epidemiology : Cholecystitis, Hematologic Neoplasms.
- etiology : Cholecystitis.
- therapy : Hematologic Neoplasms.
- Acute Disease, Adult, Aged, Allografts, Female, Hematopoietic Stem Cell Transplantation, Humans, Male, Middle Aged, Retrospective Studies.
Abstract
The incidence and risk factors for acute cholecystitis after allogeneic hematopoietic stem cell transplantation (HSCT) are not well defined. Of 644 consecutive adult transplants performed at our institution between 2001 and 2011, acute cholecystitis occurred in the first year of transplant in 32 patients (5.0%). We conducted 2 retrospective case-control studies of this population to determine risk factors for cholecystitis after HSCT and to evaluate the performance of different methods of imaging to diagnosis cholecystitis in patients undergoing HSCT compared with non-HSCT patients. In the HSCT population, development of cholecystitis was associated with an increased 1-year overall mortality rate (62.5% versus 19.8%, P < .001). The risk of developing cholecystitis was higher in patients who received total parenteral nutrition (TPN) (adjusted odds ratio, 3.41; P = .009). There was a trend toward more equivocal abdominal ultrasound findings in HSCT recipients with acute cholecystitis compared with nontransplant patients (50.0% versus 30.6%, P = .06). However, hepatobiliary iminodiacetic acid (HIDA) scans were definitively positive for acute cholecystitis in most patients in both populations (80.0% of HSCT recipients versus 77.4% of control subjects, P = .82). In conclusion, acute cholecystitis is a common early complication of HSCT, the risk is increased in patients who receive TPN, and it is associated with high 1-year mortality. In HSCT recipients with findings suggestive of acute cholecystitis, especially those receiving TPN, early use of HIDA scan may be considered over ultrasound.
DOI: 10.1016/j.bbmt.2014.12.005
PubMed: 25543093
Affiliations:
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Le document en format XML
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<term>Adult</term>
<term>Aged</term>
<term>Allografts</term>
<term>Cholecystitis (diagnosis)</term>
<term>Cholecystitis (epidemiology)</term>
<term>Cholecystitis (etiology)</term>
<term>Female</term>
<term>Hematologic Neoplasms (epidemiology)</term>
<term>Hematologic Neoplasms (therapy)</term>
<term>Hematopoietic Stem Cell Transplantation</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parenteral Nutrition (adverse effects)</term>
<term>Retrospective Studies</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Allogreffes</term>
<term>Cholécystite (diagnostic)</term>
<term>Cholécystite (épidémiologie)</term>
<term>Cholécystite (étiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladie aigüe</term>
<term>Mâle</term>
<term>Nutrition parentérale (effets indésirables)</term>
<term>Sujet âgé</term>
<term>Transplantation de cellules souches hématopoïétiques</term>
<term>Tumeurs hématologiques ()</term>
<term>Tumeurs hématologiques (épidémiologie)</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Parenteral Nutrition</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cholecystitis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Cholécystite</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Nutrition parentérale</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cholecystitis</term>
<term>Hematologic Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cholecystitis</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Hematologic Neoplasms</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Cholécystite</term>
<term>Tumeurs hématologiques</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Cholécystite</term>
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<keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term>
<term>Adult</term>
<term>Aged</term>
<term>Allografts</term>
<term>Female</term>
<term>Hematopoietic Stem Cell Transplantation</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
<term>Allogreffes</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladie aigüe</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Transplantation de cellules souches hématopoïétiques</term>
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<front><div type="abstract" xml:lang="en">The incidence and risk factors for acute cholecystitis after allogeneic hematopoietic stem cell transplantation (HSCT) are not well defined. Of 644 consecutive adult transplants performed at our institution between 2001 and 2011, acute cholecystitis occurred in the first year of transplant in 32 patients (5.0%). We conducted 2 retrospective case-control studies of this population to determine risk factors for cholecystitis after HSCT and to evaluate the performance of different methods of imaging to diagnosis cholecystitis in patients undergoing HSCT compared with non-HSCT patients. In the HSCT population, development of cholecystitis was associated with an increased 1-year overall mortality rate (62.5% versus 19.8%, P < .001). The risk of developing cholecystitis was higher in patients who received total parenteral nutrition (TPN) (adjusted odds ratio, 3.41; P = .009). There was a trend toward more equivocal abdominal ultrasound findings in HSCT recipients with acute cholecystitis compared with nontransplant patients (50.0% versus 30.6%, P = .06). However, hepatobiliary iminodiacetic acid (HIDA) scans were definitively positive for acute cholecystitis in most patients in both populations (80.0% of HSCT recipients versus 77.4% of control subjects, P = .82). In conclusion, acute cholecystitis is a common early complication of HSCT, the risk is increased in patients who receive TPN, and it is associated with high 1-year mortality. In HSCT recipients with findings suggestive of acute cholecystitis, especially those receiving TPN, early use of HIDA scan may be considered over ultrasound.</div>
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<name sortKey="Stadtmauer, Edward A" sort="Stadtmauer, Edward A" uniqKey="Stadtmauer E" first="Edward A" last="Stadtmauer">Edward A. Stadtmauer</name>
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