Epidemiological dashboard of hospitalizations for cholelithiasis and cholecystitis in Brazil (2016–2025) and the role of postoperative respiratory physiotherapy
DOI:
https://doi.org/10.62827/fb.v27i5.1206Keywords:
Cholelithiasis; Cholecystitis; Epidemiology; Physiotherapy.Abstract
Introduction: Cholelithiasis and cholecystitis are conditions affecting the biliary tract, with cholecystectomy considered the gold-standard treatment for cholelithiasis. Respiratory physiotherapy stands out as a key therapeutic approach for preventing and treating postoperative pulmonary complications, contributing to a faster recovery of patients' pulmonary function and functional capacity. Objective: To describe the profile of individuals hospitalized for cholelithiasis and cholecystitis in Brazil and correlate this with the importance of postoperative rehabilitation. Methods: This is a retrospective, quantitative study using data from the Department of Informatics of the Unified Health System (DATASUS) specifically hospital morbidity records from the Unified Health System (SUS). Inclusion and exclusion criteria were applied, followed by data tabulation covering the period from 2016 to 2025. Results: Between 2016 and 2025, Brazil recorded 2,991,442 hospitalizations for cholelithiasis and cholecystitis. Predominant characteristics included the Southeast region, the 40–49 age group, mixed-race (parda) individuals, males, and elective procedures. There was an overall upward trend, except in 2020 and 2021, likely due to the COVID-19 pandemic. The Southeast region, females, mixed-race individuals, and the 40–49 age group were the most affected. Conclusion: The epidemiological profile revealed that the majority of hospitalizations were elective, highlighting the importance of surgical management. The data show an increase in hospitalizations, with women and middle-aged adults most affected, indicating a public health issue. Prevention, early diagnosis, and timely treatment are essential to reduce morbidity and costs. Respiratory physiotherapy is fundamental to post-surgical rehabilitation, aiding in the prevention of complications, early mobilization, and the recovery of function. The presence of physiotherapists on the healthcare team is an important strategy for improving clinical outcomes and patients' quality of life.
References
Ayello LD, Filho RCC, Nazário NO, Nazário AC. Tendência temporal de internação por colelitíase e colecistite em adultos, no Brasil, entre 2010 e 2020. VITTALLE-Revista de Ciências da Saúde [Internet] 2025 Nov 17 [cited 2026 Jun 07] 37(1):58-69. Available from: https://periodicos.furg.br/vittalle/article/view/16651. doi: 10.63595/vittalle.v37i1.16651.
Escartin A, Gonzalez M, Muriel P, Cuello E, Pinillo A, Santamaria M, Salvador H, Olsina JJ. Litiasic acute cholecystitis: application of Tokyo Guidelines in severity grading. Cirugia y cirujanos [Internet] 2021 [cited 2026 Jun 07]. 89(1):12-21. Available from: https://pubmed.ncbi.nlm.nih.gov/33498065/. doi: 10.24875/CIRU.19001616
Faria GC, Mariussi MA, Oenning F. Tendência temporal de internação por colelitíase e colecistite em adultos e idosos na região sul do Brasil, de 2008 a 2020. Arquivos Catarinenses de Medicina [Internet] 2024 Set 24 [cited 2026 Jun 07].52(3):72-85.Available from: https://revista.acm.org.br/arquivos/article/view/1454. doi: 10.63845/618q1121.
Figueiredo LR, Pozzo BD, Luca GM, Murata GRF, Santini BC, Remonti JC, Mourad ARN, Brustulim BD, Fernandes AO, Araújo MB, Dayeh JAKF, Cristianetti AAP, Faret G, Batistella ABM, Lima NRD, Balduino CF, Nanni CO, Vieira ABB, Fava RF, Ronco VB, Sogabe N. Mortalidade hospitalar por colelitíase no SUS: análise por sexo e faixa etária. Brazilian Journal of Implantology and Health Sciences, [Internet] 2026 Fev 27 [cited 2026 Jun 07]. 8(2):1227-1239. Available from: https://bjihs.emnuvens.com.br/bjihs/article/view/7034. doi: 10.36557/2674-8169.2026v8n2p1227-1239.
Rocatto GEGD. Fisioterapia respiratória no pós-operatório imediato de colecistectomia convencional. Fisioterapia Brasil, [Internet] 2016 Jul 14 [cited 2026 Jun 07] 15(3):98-202. Available from: https://convergenceseditorial.com.br/index.php/fisioterapiabrasil/article/view/339. doi: 10.33233/fb.v15i3.339.
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. The Lancet [Internet] [cited 2026 Jun 07]. 370(9596):1453–7. Available from: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(07)61602-X/fulltext. doi: S0140-6736(07)61602-X
Rouquayrol [Internet]. Google Books. 2021 [cited 2026 Jun 07]. Available from:https://books.google.com/books?hl=pt-BR&lr=&id=I70oEAAAQBAJ&oi=fnd&pg=PA1944&dq=Rouquayrol+Epidemiologia+e+sa%C3%BAde.+Rio+de+Janeiro:+MedBook+Editora&ots=BN9pMGaewr&sig=BJEDcVO0cnz76PpE37sE_6clKSo
Brasil | Cidades e Estados | IBGE [Internet]. [cited 2026 Jun 07]. www.ibge.gov.br. Available from: https://www.ibge.gov.br/cidades-e-estados.
Resolução no 510, de 07 de abril de 2016 — Conselho Nacional de Saúde [Internet]. Www.gov.br. 2016 [cited 2026 Jun 07]. Available from: https://www.gov.br/conselho-nacional-de-saude/pt-br/atos-normativos/resolucoes/2016/resolucao-no-510.pdf/view.
Nunes EC, Rosa RS, Bordin R. Internações por colecistite e colelitiase no Rio Grande do Sul, Brasil. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) [Internet] 2016 [cited 2026 Jun 07].29(02)77-80. Available from: https://www.scielo.br/j/abcd/a/RCFkcmkDDM7LpQq4bFYkzGj/?lang=pt. doi: 10.1590/0102-6720201600020003.
Mineiro MHM, Souza ATS, Neto ABA, Neto ESC, Verde GML, Brito GV, Resende TC. ANÁLISE EPIDEMIOLÓGICA DAS INTERNAÇÕES HOSPITALARES POR COLECISTITE E COLELITÍASE NO ESTADO DO PIAUÍ NO PERÍODO DE 2017 A 2021: UM ESTUDO SOB A PERSPECTIVA DA COVID-19. Revista Foco (Interdisciplinary Studies Journal), [Internet] 2023 [cited 2026 Jun 07] 16(2)1Available from: https://openurl.ebsco.com/EPDB%3Agcd%3A9%3A26745785/detailv2?sid=ebsco%3Aplink%3Ascholar&id=ebsco%3Agcd%3A164166841&crl=c&link_origin=scholar.google.com. doi: 10.54751/revistafoco.v16n2-140.
OLliveira GAM, Bispo RKA, Soubhia EB, Lima NMQ, Filho AALM, Melo RO, Prochmann ACM. Colelitíase e colecistite no brasil: impacto no sistema único de saúde entre 2019 e 2024. Revista Multidisciplinar do Nordeste Mineiro, [Internet] 2025 Ago 29 [cited 2026 Jun 07] 16(1)1-13. Available from: https://remunom.ojsbr.com/multidisciplinar/article/view/4434. doi: 10.61164/kmfpv132.
Pina GC, Zuza MCAP, Silva DPM, Pedroso ADM, Baseman GT, Irrazabal LA, Morais JCC, Garcia AS, Silva VB, Silva TB, Souza GA, Senedese MSV. Integrando Cirurgia e Clínica Médica no Tratamento da Colelitíase. Brazilian Journal of Implantology and Health Sciences, [Internet] 2024 May 18 [cited 2026 Jun 07].6(5):1338-1355. Available from: https://bjihs.emnuvens.com.br/bjihs/article/view/2149/2373. doi: 10.36557/2674-8169.2024v6n5p1338-1355.
Townsend MC, Beauchamp DR, Evers MB, Mattox KL. Sabiston D.C. Tratado de cirurgia: bases biológicas da prática cirúrgica moderna. 21. ed. Rio de Janeiro: Elsevier, [Internet] 2022 [cited 2026 Jun 07] Available from: https://books.google.com.ar/books?hl=es&lr=&id=DFtgDwAAQBAJ&oi=fnd&pg=PP1&dq=Tratado+de+cirurgia:+bases+biol%C3%B3gicas+da+pr%C3%A1tica+cir%C3%BArgica+moderna.+21.+ed.+Rio+de+Janeiro:+Elsevier,&ots=4sW3y6aNN5&sig=q7NtLnWQAFUP3YTPogfohqxJ1TE#v=onepage&q&f=false.
SOCIEDADE BRASILEIRA DE CIRURGIA DIGESTIVA. SBCD. Diretrizes sobre colelitíase e colecistite aguda. São Paulo: SBCD [Internet] 2021 [cited 2026 Jun 07] Available from: https://www.sbcbm.org.br/wp-content/uploads/2018/09/LIZD_0053_Guideline.pdf.
Souza CMM. Panorama Epidemiológico das Internações por Colelitíase e Colecistite no Brasil entre 2020 e 2024. Brazilian Journal of Implantology and Health Sciences, [Internet] 2025 Out 04 [cited 2026 Jun 07] 7(10):271-282. Available from: https://bjihs.emnuvens.com.br/bjihs/article/view/6361. doi: 10.36557/2674-8169.2025v7n10p271-282.
VARGAS, E.J.C.; LIMA FILHO, E.A.; GUIMARÃES, M.M.; BENEDETI, R.R.; AMORIM, R.M. Manejo da colecistite aguda: uma revisão narrativa. Brazilian Journal of Implantology and Health Sciences, v. 6, n. 6, p. 1648-1661, 2024. Available from: https://bjihs.emnuvens.com.br/bjihs/article/view/2408.
Zabot WR, Souza RP, Carvalho TC, Peruzzo GA, Sato AT, Gomez TL, Silva JMP Santo JGC. Perfil epidemiológico das internações por colelitíase e colecistite no Paraná, 2020–2024. Journal of Medical and Biosciences Research, [Internet] 2025 Nov 24 [cited 2026 Jun 07] 2(6)522-531. Available from: https://journalmbr.com.br/index.php/jmbr/article/view/1006. doi: 10.70164/jmbr.v2i6.1006.
Gastaldi AC, Magalhães CMB, Baraúna MA, Silva EMC, Souza HCD. Benefícios da cinesioterapia respiratória no pós-operatório de colecistectomia laparoscópica. Brazilian Journal of Physical Therapy, [Internet] 2008 Jun 02 [cited 2026 Jun 07] 12(2)100-106. Available from: https://www.scielo.br/j/rbfis/a/N5XbbD9HCvMMLtRKZWyLPTt/?format=html&lang=pt. doi: 10.1590/S1413-35552008000200005
Silva DCB, Filho LSS. Fisioterapia respiratória no pós-operatório de cirurgia abdominal alta: uma revisão de literatura. Revista de Atenção à Saúde, [Internet] 2018 Abr 13 [cited 2026 Jun 07] 16(55)115-123. Available from: https://seer.uscs.edu.br/index.php/revista_ciencias_saude/pt_BR/article/view/4854. doi: 10.13037/ras.vol16n55.4854.
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