Percutaneous cholecystostomy: a nonsurgical therapeutic option for acute cholecystitis in high-risk and critically ill patients.
نویسندگان
چکیده
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 procedure-related complications. It should be considered not only in temporary management of calculous cholecystitis, but also in definitive treatment in cases of acalculous cholecystitis.
منابع مشابه
Current Status of Percutaneous Cholecystostomy for the Management of Cholecystitis
Acute cholecystitis can arise in two distinct patient populations: (1) the relatively healthy ambulatory patient who develops acute inflammation of the gallbladder as a result of gallstones and (2) the critically ill, hospitalized patient who may or may not have gallstones. For most patients with acute calculous cholecystitis, surgical removal of the gallbladder is the preferred treatment optio...
متن کاملPercutaneous cholecystostomy for the treatment of acute cholecystitis in the critically ill and elderly.
OBJECTIVE To evaluate the clinical efficacy and outcomes of percutaneous cholecystostomy as an alternative treatment option for elderly and critically ill patients who have acute cholecystitis. PATIENTS AND METHODS The medical records of patients who underwent emergency percutaneous cholecystostomy at the North District Hospital, Hong Kong from September 1999 to July 2002 were reviewed. Indic...
متن کاملRisk factors and therapeutic outcomes of acute acalculous cholecystitis.
OBJECTIVE Acute acalculous cholecystitis (AAC) is traditionally known to occur in critically ill patients and to have a poor prognosis. Although cholecystectomy is usually recommended for treating AAC, nonsurgical management may be a good alternative. The objective of this study was to review the incidence, risk factors, treatment modality, and therapeutic outcomes of AAC compared to acute calc...
متن کاملCholecystectomy vs. percutaneous cholecystostomy for the management of critically ill patients with acute cholecystitis: a protocol for a systematic review
BACKGROUND Acute cholecystitis is a common diagnosis. However, the heterogeneity of presentation makes it difficult to standardize management. Although surgery is the mainstay of treatment, critically ill patients have been managed via percutaneous cholecystostomy. However, the role of percutaneous cholecystostomy in the management of such patients has not been clearly established. This systema...
متن کاملThe efficacy of percutaneous cholecystostomy in critically ill patients.
Percutaneous cholecystostomy (PC) has been proposed as a method of biliary decompression in critically ill patients with acute cholecystitis. We evaluated the efficacy of PC in this setting. The charts of 33 critically ill patients (mean age 52, range 5-87) who underwent PC for suspected acute cholecystitis were retrospectively examined. Univariate analysis was performed to identify which patie...
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ورودعنوان ژورنال:
- Sao Paulo medical journal = Revista paulista de medicina
دوره 121 6 شماره
صفحات -
تاریخ انتشار 2003