Percutaneous cholecystostomy: a bridge to surgery or definite management of acute cholecystitis in high-risk patients?

Scandinavian Journal of Gastroenterology
Per LeveauRoland Andersson

Abstract

Cholecystectomy is the standard treatment for acute cholecystitis, but in high-risk patients with serious comorbidity and in patients of advanced age there is substantial morbidity and mortality associated with the intervention. In these selected patients, percutaneous cholecystostomy (PCS) is an alternative mode of management. The aim of the present study was to evaluate the outcome of PCS in selected patients with acute cholecystitis. Thirty-five patients, representing 0.6% of all acute cholecystitis patients managed during the period 1994-2003, were subjected to PCS. Patients' charts were reviewed retrospectively for age, gender, comorbidity, hospital stay, procedure, complications and final outcome, including requirement of additional interventions. PCS was considered successful in 34/35 patients, 26 of whom responded within 3 days. Two patients required additional cholecystectomy 3 days and 20 months, respectively, after the PCS procedure. Two patients underwent endoscopic retrograde cholangiopancreatography (ERCP) and one patient underwent rotation lithotripsy. Four patients suffered recurrent biliary complaints after the acute episode of cholecystitis, while the only serious procedure-related complication was bile leakag...Continue Reading

References

Sep 1, 1989·American Journal of Surgery·C K McSherry
Mar 1, 1985·The British Journal of Surgery·P W HoughtonL A Donaldson
Dec 1, 1983·American Journal of Surgery·D F HuberM Cooperman
Feb 1, 1982·Annals of Surgery·F Glenn, C G Becker
Feb 1, 1981·American Journal of Surgery·R J Howard
Nov 1, 1993·The British Journal of Surgery·Y ShiraiK Hatakeyama
Mar 1, 1996·Cardiovascular and Interventional Radiology·H van OverhagenJ S Laméris
May 31, 2001·Langenbeck's Archives of Surgery·A GranlundI Rasmussen
Sep 3, 2002·European Journal of Radiology·Okan AkhanMustafa N Ozmen
Sep 1, 2005·Surgical Endoscopy·K Welschbillig-MeunierJ P Arnaud
Nov 30, 2006·World Journal of Gastroenterology : WJG·Huseyin BakkalogluArzu Poyanli
Jan 26, 2007·Journal of Hepato-biliary-pancreatic Surgery·Fumihiko MiuraChristos Dervenis
Feb 7, 2007·The Journal of Histochemistry and Cytochemistry : Official Journal of the Histochemistry Society·Jouko J LaurilaTero I Ala-Kokko

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Citations

Jun 12, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Pandanaboyana SanjayAfshin Alijani
Nov 15, 2014·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Torben HornFrank Viborg Mortensen
Mar 23, 2011·The Surgical Clinics of North America·Jay Requarth
Jul 9, 2010·Journal of the American College of Surgeons·Jay Requarth
Mar 24, 2010·Journal of Vascular and Interventional Radiology : JVIR·Wael E A SaadJohn F Cardella
Feb 19, 2009·International Journal of Surgery·J M HowardJ V Reynolds
Oct 17, 2014·Journal of Intensive Care Medicine·Farokh R Demehri, Hasan B Alam
Oct 21, 2017·ANZ Journal of Surgery·Scott CooperDavid A Grieve
Jan 28, 2014·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Byung Hyo ChaSang Hyub Lee
Jan 17, 2009·World Journal of Surgery·Isidoro Di CarloGiuseppe Corsale
Aug 14, 2010·Surgical Endoscopy·D Wayne OverbyUNKNOWN Society of American Gastrointestinal and Endoscopic Surgeons
Feb 26, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·W HartwigM W Büchler
Oct 2, 2019·AJR. American Journal of Roentgenology·Lazaros ReppasElias Brountzos
Oct 18, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ann-Kristin U FriedrichMitchell A Cahan
Jun 24, 2020·Khirurgiia·A G BeburishviliA V Puzikova
Dec 21, 2018·World Journal of Gastrointestinal Pharmacology and Therapeutics·Umesha BoregowdaShreyas Saligram
Nov 7, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Karan KauraVinay Chandrasekhara
Apr 3, 2021·Gastrointestinal Endoscopy·Andrew C StormBret T Petersen
Nov 24, 2021·The Journal of International Medical Research·Hua JiangYuehua Wang

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