Percutaneous cholecystostomy
a nonsurgical therapeutic option for acute cholecystitis in high-risk and critically ill patients
Keywords:
Percutaneous cholecystostomy, Critically ill patients, Acute cholecystitisAbstract
Percutaneous cholecystostomy offers a potentially important type of therapy for critically ill patients with acute cholecystitis who present high risk when undergoing laparotomy or laparoscopy under general anesthesia. It offers a distinct advantage for these kinds of patients by avoiding the risks of the surgical intervention. Percutaneous cholecystostomy is a safe and effective minimally invasive procedure with a high success rate and low procedurerelated complications. It should be considered not only in temporary management of calculous cholecystitis, but also in definitive treatment in cases of acalculous cholecystitis.
Downloads
References
Sheridan RL, Ryan CM, Lee MJ, Mueller PR, Tompkins RG. Percutaneous cholecystostomy in the critically ill burn patient. J Trauma 1995;38(2):248-51.
England RE, McDermott VG, Smith TP, Suhocki PV, Payne CS, Newman GE. Percutaneous cholecystostomy: who re- sponds? AJR Am J Roentgenol 1997;168(5):1247-51.
Chopra S, Dodd GD, Mumbower AL, et al. Treatment of acute cholecystitis in non-critically ill patients at high surgical risk: comparison of clinical outcomes after gallbladder aspiration and after percutaneous cholecystostomy. AJR Am J Roentgenol 2001;176(4):1025-31.
Lee MJ, Saini S, Brink JA, et al. Treatment of critically ill pa- tients with sepsis of unknown cause: value of percutaneous chole- cystostomy. AJR Am J Roentgenol 1991;156(6):1163-6.
Patel M, Miedema BW, James MA, Marshall JB. Percutaneous cholecystostomy is an effective treatment for high-risk patients with acute cholecystitis. Am Surg 2000;66(1):33-7.
Melin MM, Sarr MG, Bender CE, van Heerden JA. Percutane- ous cholecystostomy: a valuable technique in high-risk patients with presumed acute cholecystitis. Br J Surg 1995;82(9):1274-7.
vanSonnenberg E, D’Agostino HB, Goodacre BW, Sanchez RB, Casola G. Percutaneous gallbladder puncture and cholecysto- stomy: results, complications, and caveats for safety. Radiology 1992;183(1):167-70.
van Sonnenberg E, D’Agostino H, Casola G. Interventional gallbladder procedures. Radiol Clin North Am 1990;28(6):1185-90.
Boland GW, Lee MJ, Mueller PR, et al. Gallstones in critically ill patients with acute calculous cholecystitis treated by percu- taneous cholecystostomy: nonsurgical therapeutic options. AJR Am J Roentgenol 1994;162(5):1101-3.
Bortoff GA, Chen MY, Ott DJ, Wolfman NT, Routh WD. Gallbladder stones: imaging and intervention. Radiographics 2000;20(3):751-66.
Taylor S, Rawlinson J, Malone DE. Technical report: percuta- neous cholecystostomy in acute acalculous cholecystitis. Clin Radiol 1992;45(4):273-5.
Hatjidakis AA, Karampekios S, Prassopoulos P, et al. Matura- tion of the tract after percutaneous cholecystostomy with re- gard to the access route. Cardiovasc Intervent Radiol 1998;21(1):36-40.
McGahan JP, Lindfors KK. Acute cholecystitis: diagnostic ac- curacy of percutaneous aspiration of the gallbladder. Radiology 1988;167(3):669-71.
Kiviniemi H, Mãkelã JT, Autio R, et al. Percutaneous cholecys- tostomy in acute cholecystitis in high-risk patients: an analysis of 69 patients. Int Surg 1998;83(4):299-302.
Davis CA, Landercasper J, Gundersen LH, Lambert PJ. Effec- tive use of percutaneous cholecystostomy in high-risk surgical patients: techniques, tube management, and results. Arch Surg 1999;134(7):727-31; discussion 731-2.
