Diagnosis and Therapy Particularities in Post-Cholecystectomy Cholangitis at Patients with Type 2 Diabetes Mellitus

Abstract

Abstract Introduction. The objective of the present study is to assess the diagnosis and therapeutic particularities in post-cholecystectomy cholangitis at patients with type 2 diabetes mellitus. Patients suffering of diabetes frequently present other pathologies existing before cholecystectomy: cardio-vascular, neurological, renal; these conditions can negatively influence the therapeutic approach of the complex post-cholecystectomy pathology. Material and method. The study was performed on 76 hospitalized patients. The main diagnosis of these patients was post-cholecystectomy cholangitis. 12 patients had type 2 diabetes mellitus as associated condition. A control batch was selected, 12 non-diabetes patients, having approximately the same age, mainly living in urban areas and having the same main hospitalization diagnosis. Results.The etiology of post-cholecystectomy cholangitis in case of patients suffering of diabetes was represented by chronic pancreatitis (25%), choledochal lithiasis (33.33%), acute pancreatitis (8.33%), cholangiocarcinoma (16.66%), head pancreas tumor (8.33%). Conclusions. As a particularity in the surgical approach in case of patients suffering of diabetes within the assessed group, a strict monitoring should be applied in regards with the metabolic status, especially in case of disbalanced diabetes mellitus with chronic complications.