Percutaneous cholecystostomy for acute cholecystitis in critically ill patients

Hamy, A.; Visset, J; D, Likholatnikov; Lerat, F; Gibaud, H; Savigny, B; Paineau, J

doi:10.1016/s0039-6060(97)90309-3

Cited by 56 publications

(34 citation statements)

References 13 publications

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“…25,26 Alternatively, percutaneous cholecystostomy may reverse the progression of inflammation in patients with cholecystitis and often provides prompt symptomatic relief. 27 However, in the presence of portal hypertension and/or ascites, its use is also associated with hemorrhage or sepsis.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic cholecystectomy and cirrhosis: A case-control study of outcomes

et al. 2000

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The incidence of gallstone disease in patients with cirrhosis is greater than that in healthy patients. Previous surgical literature reported greater morbidity and mortality in patients with cirrhosis with both open and laparoscopic cholecystectomy (LC). We compared our recent experience with LC in patients with cirrhosis and controls. A retrospective review was performed using the search terms, ''cirrhosis'' and ''laparoscopic cholecystectomy.'' Forty-eight patients with cirrhosis were identified and randomly matched with healthy controls by age and sex.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic cholecystectomy and cirrhosis: A case-control study of outcomes

et al. 2000

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“…This rate is substantially higher than those in other studies of patients undergoing PCY, which have reported rates of between 7% and 23% (Table 4). [2][3][4] In elderly patients, a high index of suspicion for choledocholithiasis and early imaging of the bile duct could expedite biliary drainage.…”

Section: High Rate Of Choledocholithiasismentioning

confidence: 99%

“…5,7,9,[26][27][28] In the present study, a similar rate of major morbidity was observed (23%) to the rates reported for other series of patients undergoing interval cholecystectomy after PCY (Table 4). [2][3][4][5][6][7][8][9]29 Routine drainage at cholecystectomy did not prevent abscess formation in five patients. It is possible that abscesses in this group occur subsequent to dividing adhesions from the PCY track.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Mortality rates have been reported from 0% to 15% and morbidity rates from 0% to 25%. [2][3][4][5][6][7][8][9] Furthermore, as the majority of patients do not have definitive surgery, recurrent AC is common. 10 This study was performed to quantify the risk of short and long-term morbidity and mortality for this cohort, using recognised scoring systems for co-morbidities and complications.…”

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confidence: 99%

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High rate of common bile duct stones and postoperative abscess following percutaneous cholecystostomy

FurtadoR

DunnG

et al. 2016

annals

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INTRODUCTION The short and long-term outcomes in patients managed with percutaneous cholecystostomy (PCY) at a single institution are described. METHODS A retrospective study was conducted for patients treated between February 2000 and November 2012. Patient charts, imaging and biochemical data were reviewed. Patient demographics, presenting clinical features and treatment variables were noted. Outcome variables were length of admission, 30-day mortality, 30-day unplanned readmission, tube dislodgement, abscess formation, subsequent endoscopic retrograde cholangiography and surgery, complications after surgery and median overall survival. RESULTS PCY was performed for 55 patients for acute cholecystitis where surgical risk was very high. The 30-day readmission rate was 20% (n=11), the 30-day mortality rate was 9% (n=5) and median survival was 59 months (95% confidence interval: 30-88 months). The median follow-up duration was 68 months. Tubes were dislodged in 15 patients (27%) and an abscess occurred after PCY in 5 patients (9%). Subsequent endoscopic common bile duct stone extraction was required in 20 patients (36%). Cholecystectomy was planned in 22 patients and an abscess occurred following the cholecystectomy in 5 (23%). CONCLUSIONS Although a PCY is lifesaving, significant morbidity can arise during recovery. This study demonstrates a high rate of choledocholithiasis (44%), tube dislodgement (27%) and postoperative abscess (23%) compared with previous reports.

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“…Tube dislodgement is a frequent event, needing repeat procedures [1,13,15] . Moreover, attempts at definitive removal of the catheter are associated with a high recurrence rate of cholecystitis [1,14,16] , above all, in patients with a permanent gateway of infective agents (Figure 4). Therefore, an interesting question is when the catheter should be withdrawn in patients without surgical option and while the cause is present.…”

Section: Discussionmentioning

confidence: 99%

Gallbladder drainage guided by endoscopic ultrasound

Súbtil¹

2010

WJGE

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The gold-standard management of acute cholecystitis is cholecystectomy. Surgical intervention may be contraindicated due to permanent causes. To date, the classical approach is percutaneous cholecystostomy in patients unresponsive to medical therapy. However, with this treatment some patients may experience discomfort, complications and a decrease in their quality of life. In these cases, endoscopic ultrasound (EUS)-guided gallbladder drainage may represent an effective minimally invasive alternative. Our objective is to describe in detail this new and not well-known technique: EUS-guided cholecystenterostomy. We will describe how the patient should be prepared, what accessories are needed and how the technique is performed. We will also discuss the possible indications for this technique and will provide a brief review based on published reports and our own experience.

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Percutaneous cholecystostomy for acute cholecystitis in critically ill patients

Cited by 56 publications

References 13 publications

Laparoscopic cholecystectomy and cirrhosis: A case-control study of outcomes

Laparoscopic cholecystectomy and cirrhosis: A case-control study of outcomes

High rate of common bile duct stones and postoperative abscess following percutaneous cholecystostomy

Gallbladder drainage guided by endoscopic ultrasound

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