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Cholecystitis - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Cholecystitis

Cholecystitis | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best hospitals and doctors for cholecystitis treatment abroad

Leading hospitals

Cost for treatment

Diagnostic tests for cholecystitis
1558
Cholecystitis treatment with laparoscopic cholecystectomy
4140.5
Conservative treatment of cholecystitis by endoscopic retrograde cholangiopancreatography
6993.76
General therapeutic rehabilitation
0.00
According to the Focus magazine, the Brothers of Mercy Hospital Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and the German
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The Marien Hospital Duesseldorf is a modern medical facility in the very center of Duesseldorf and a recognized Research Center. The foundation stone of the hospital was laid back in 1864 with the support of the Catholic Church. The Christian principles of helping and supporting patients have not changed at all over the years, b
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According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
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According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
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University Hospital Ulm

University Hospital Ulm

Overall rating8.7 / 10
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
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According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
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The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
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According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
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According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
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University Hospital Jena

University Hospital Jena

Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
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According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
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According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
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According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
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According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
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The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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| from Booking Health GmbH

Acute cholecystitis is a pathology that develops against the background of gallstone disease. The stone blocks the neck of the bladder or cystic duct. As a result, the pressure rises, the organ wall stretches, and bile stagnates and becomes infected. The pathology begins with acute pain. Late diagnosis and poor-quality treatment may lead to severe, potentially fatal complications such as gallbladder empyema, gangrene, perforation, peritonitis. Medical specialists abroad perform minimally invasive surgical interventions for cholecystitis treatment. These are laparoscopic and robot-assisted interventions. After these operations, patients recover quickly and rarely suffer from complications.

Content

  1. Conservative therapy
  2. Surgical treatment
  3. Treatment of chronic cholecystitis in adults
  4. Where to undergo treatment

Conservative therapy

 

If there are no signs of peritonitis, treatment of cholecystitis begins with conservative therapy. Patients receive pain killers, antispasmodics, antibiotics, and infusion therapy (droppers) to reduce intoxication. The effect is achieved in half of the patients. In the rest, the symptoms continue to progress or the disease takes on a protracted course.

The results of conservative treatment of acute gallbladder infections are assessed after 6 hours. If there is no improvement, surgery is performed.

In case of severe pathology, therapy takes place in the intensive care unit. Doctors monitor the patient's main hemodynamic parameters such as cardiac output, diuresis, and blood pressure.

Surgical treatment

 

In the acute form of pathology, surgical treatment of cholecystitis is carried out within 3 days after the onset of the first symptoms. If the disease is complicated by peritonitis (inflammation has extended to the peritoneum), then the operation is performed within 3 hours. This time is spent on presurgical preparation.

It has been proven that the operation performed during the first 3 days has the following benefits:

  • Lower risk of complications.
  • Less lethality.
  • Rapid intervention and lack of technical difficulties.
  • Accelerated rehabilitation.

Cholecystectomy (removal of the gallbladder) is the main treatment option for the disease. It can be performed via open (through a large incision) or laparoscopic access (through several short incisions). The second option is better, as it provides less trauma, a lower risk of complications, and patients recover quickly.

Sometimes surgical treatment can be carried out in two stages:

The first operation is decompression and drainage of the gallbladder to remove the inflammatory contents. Instead of permanent drainage, doctors may use repeated punctures to drain the pus.

The second operation is the removal of the gallbladder. It is performed in the "cold" period, namely after the elimination of the inflammatory process. As a rule, the second stage involves performing an open intervention. In Europe, minilaparotomy is preferred. The operation is performed from a smaller incision, and therefore surgeons can reduce blood loss and provide a better aesthetic result.

In case of destructive (severe) cholecystitis, concomitant cholangitis (inflammation of the bile duct) and large stones in the bile ducts, additional manipulations may be required to eliminate obstructive jaundice. The bile ducts are closed, so bile enters the bloodstream. It is necessary to direct its outflow into the intestines or into the external environment. In such cases, doctors use percutaneous drainage of the common bile duct or endoscopic retrograde cholangiopancreatography with papillosphincterotomy.

Treatment of chronic cholecystitis in adults

 

Chronic cholecystitis is usually a type of gallstone disease with inflammation of the gallbladder. The inflammation occurs very rarely without stones.

The mainstay of treatment is cholecystectomy. An exacerbation of chronic cholecystitis is essentially biliary colic. This condition occurs when a stone blocks the bile ducts. Acute cholecystitis develops due to biliary colic with a probability of 10%.

Where to undergo treatment

 

To benefit from the highest level of medical care, you can undergo gallbladder inflammation treatment abroad. The specialists of the Booking Health company will select the best hospitals for the treatment of chronic cholecystitis abroad for you and take care of the organization of your trip.

There are several reasons for you to undergo treatment of acute and chronic cholecystitis abroad:

  • Accurate diagnosis of cholecystitis. Doctors quickly distinguish this pathology from diseases of other organs, and also differentiate biliary colic from acute cholecystitis.
  • The disease is treated abroad with conservative therapy, if possible. Surgery is avoided in about half of the patients.
  • If the help of surgeons is needed, the preference is always given to minimally invasive treatment, namely, laparoscopic cholecystectomy.
  • The gallbladder can be removed laparoscopically even in gangrenous cholecystitis and in patients over 65 years of age.
  • Some hospitals use robot-assisted technology for laparoscopic cholecystectomy, which is an even safer operation.
  • Vast experience: the world's first laparoscopic cholecystectomy was performed in Germany in 1985. Thus, the operation in this country has been performed for more than 35 years, and the methodology for its performance is being constantly improved.
  • Successful treatment of even severe and complicated forms of acute cholecystitis with the development of peritonitis and septic shock.
  • Successful surgical treatment of cholecystitis in pregnant women.
  • In severe cases, complex hybrid operations are used from transabdominal (through the abdomen) and oral approaches (through the mouth): cholecystectomy and papillosphincterotomy.

Please leave your request on the Booking Health website. Our specialist will contact you within just a few hours. If you book a medical care program via our service, the cost of the operation will be lower due to the lack of additional coefficients for foreign patients. You can compare the cost of treatment in different hospitals in order to book your treatment at the best price.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

Centers for Disease Control and Prevention

Medical News Today

The Lancet