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Medical Disability Advisor  >  Cholecystitis  >  Prognosis

Cholecystitis

Related Terms

  • Acalculous Cholecystitis
  • Acute Cholecystitis
  • Inflammation of the Gallbladder

Specialists

  • Gastroenterologist
  • General Surgeon

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Factors Influencing Duration

The duration of recovery is affected by the severity of the individual's symptoms, the presence of infection, or other complications, and whether surgery is required. If surgery is required, the method (laparoscopic or open) of surgery, presence of surgical complications, and the individual's ability to heal also will affect the duration of recovery. If surgery is not required, recovery may vary, depending on the individual's response to any prescribed medication (e.g., non-steroidal anti-inflammatory drugs [NSAIDs], antibiotics).

Duration Trends from Reference Data

DURATION TRENDS
 ICD-9-CM: 574.01, 575.0, 575.1, 575.11, 575.12  
CasesMeanMinMaxNo Lost TimeOver 6 Months
5694250940.1%0%
 
  
 
Percentile:5th25thMedian75th95th
Days:915213153
 
  
 

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

ICD-9-CM:
574.01 - Calculus of Gallbladder with Acute Cholecystitis, with Obstruction
575.0 - Cholecystitis, Acute; Abscess of Gallbladder, without Mention of Calculus; Angiocholecystitis without Mention of Calculus, Empyema or Gangrene of Gallbladder without Mention of Calculus
575.1 - Cholecystitis, Other Chronic without Mention of Calculus
575.10 - Cholecystitis, Unspecified
575.11 - Chronic Cholecystitis
575.12 - Acute and Chronic Cholecystitis
575.2 - Obstruction of Gallbladder; Occlusion, Stenosis or Stricture of Cystic Duct or Gallbladder without Mention of Calculus
575.4 - Perforation of Gallbladder; Rupture of Cystic Duct or Gallbladder
575.8 - Disorders of Gallbladder, Other Specified; Adhesions, Atrophy (of), Cyst (of), Hypertrophy (of) or Ulcer (of) Cystic Duct Gallbladder; Biliary Dyskinesia

Prognosis

The prognosis for cholecystitis is favorable in the majority of cases. Cholecystectomy (either laparoscopic or open surgery) is associated with a 0.1% mortality rate in individuals under 50 years of age and 0.8% in those over age 50 (Gladden). The less invasive laparoscopic procedure is associated with less pain, a shorter hospital stay, and a shorter recovery period than the open procedure. Cholecystectomy provides a complete resolution of symptoms in 75% to 90% of cases. After cholecystectomy, gallstones may occur in the bile ducts, a condition known as choledocholithiasis.

In cases in which cholecystitis is treated nonsurgically (conservatively) with medication only, 25% of individuals will have another episode of acute cholecystitis within 1 year, and 60% will have another episode within 6 years (Gladden).

Complicated cases of cholecystitis such as critically ill patients, those with perforated gallbladder, acalculous cholecystitis, gangrenous cholecystitis, secondary pancreatitis, or sepsis have a less favorable prognosis, with mortality as high as 50% to 60% depending on the specifics of the complication (Gladden).

Source: Medical Disability Advisor






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