Cholecystitis and Diabetes Mellitus

Abstract

MOST authorities agree that cholelithiasis associated with diabetes mellitus has a more serious prognosis than cholelithiasis in the nondiabetic patient. The reason commonly stated to support this contention is that complications of cholelithiasis associated with an inflammatory process have an increased morbidity and mortality in the patient with diabetes.The operative mortality with emergency surgery for acute complications of cholelithiasis in diabetic patients has been reported as 15 to 20 per cent, or four or five times as great as that for a similar group of nondiabetic patients.^{1 , 2} However, with elective surgery for uncomplicated cholelithiasis or chronic cholecystitis the operative . . .