{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T06:40:12Z","timestamp":1759992012785},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":3652,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1990,1]]},"abstract":"<jats:p>A review of all patients treated for acute cholecystitis (n=5848) during an 18\u2010year period (1969\u20131986) at two\nhospitals (one practising early surgery in patients with acute cholecystitis and the other not) disclosed that\n104 (1.8%) had bile within the abdominal cavity at surgery; 71 with a visible perforation of the gallbladder\nand 33 without. The bile was infected in 82% of performed cultures (most commonly with Escherichia coli).\nMortality was 7.7% (8\/104 patients), being 20% (4\/20)in the hospital practising delayed surgery and 5% (4\/84) in the hospital practising early surgery (<jats:italic>p<\/jats:italic>&lt;0.10). Infectious complications were responsible for the\ndeaths by leading to multiple organ failure with pulmonary or renal insufficiency or gastro\u2010intestinal\nbleeding. The timing of surgery was the only factor that had prognostic significance, i.e. the longer the\nhospital delay before surgery the higher the mortality, although elderly patients or patients with perforation\ntended to have a worse prognosis. In conclusion, the results of this study indicated that early surgery is\nimportant in patients with acute cholecystitis as a means of lowering mortality in bile peritonitis in this\ncondition.<\/jats:p>","DOI":"10.1155\/1990\/23517","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"7-13","source":"Crossref","is-referenced-by-count":5,"title":["Bile Peritonitis in Acute Cholecystitis"],"prefix":"10.1155","volume":"2","author":[{"given":"Roland","family":"Andersson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl-G\u00f6ran","family":"Tranberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stig","family":"Bengmark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1990,1]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1990\/023517.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/hpb\/1990\/023517.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1990\/23517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:34:36Z","timestamp":1723070076000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1990\/23517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1990,1]]}},"alternative-id":["10.1155\/1990\/23517"],"URL":"https:\/\/doi.org\/10.1155\/1990\/23517","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"type":"print","value":"0894-8569"},{"type":"electronic","value":"1607-8462"}],"subject":[],"published":{"date-parts":[[1990,1]]}}}