Ultrasound-guided percutaneous cholecystostomy as bridging or definitive treatment in patients with acute cholecystitis grade II or III
Background: We aimed to investigate the extent to which ultrasound (US)-guided percutaneous cholecystostomy (PC) is used as a bridging or definitive therapy for grade II and III acute cholecystitis and whether this treatment causes significant changes in C-reactive protein (CRP) and direct bilirubin...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-05-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023028086 |
| _version_ | 1797815626528456704 |
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| author | Çağrı Kesim Özgür Özen |
| author_facet | Çağrı Kesim Özgür Özen |
| author_sort | Çağrı Kesim |
| collection | DOAJ |
| description | Background: We aimed to investigate the extent to which ultrasound (US)-guided percutaneous cholecystostomy (PC) is used as a bridging or definitive therapy for grade II and III acute cholecystitis and whether this treatment causes significant changes in C-reactive protein (CRP) and direct bilirubin (DB) levels in the first 72 h and the first three weeks. Methods: We included 145 consecutive patients who underwent PC over 17 years. No patient had cirrhosis. PC was performed in the interventional radiology department under US guidance. Results: US-guided PC was the definitive treatment for more than half of the patients (51.7%) and decreased DB levels significantly more than CRP levels. Conclusion: No statistically significant correlation between those whose CRP and DB levels normalized within three weeks and those who did not and required a second invasive procedure. Nevertheless, the bridging treatment group was significantly older than the definitive treatment group. |
| first_indexed | 2024-03-13T08:25:38Z |
| format | Article |
| id | doaj.art-4355eada529a46b6a7833ddc65fe5956 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-13T08:25:38Z |
| publishDate | 2023-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-4355eada529a46b6a7833ddc65fe59562023-05-31T04:44:54ZengElsevierHeliyon2405-84402023-05-0195e15601Ultrasound-guided percutaneous cholecystostomy as bridging or definitive treatment in patients with acute cholecystitis grade II or IIIÇağrı Kesim0Özgür Özen1Başkent University, Konya Hospital, Department of Radiology, Interventional Radiology Section, Turkey; Corresponding author.Başkent University, Ankara Hospital, Department of Radiology, Interventional Radiology Section, TurkeyBackground: We aimed to investigate the extent to which ultrasound (US)-guided percutaneous cholecystostomy (PC) is used as a bridging or definitive therapy for grade II and III acute cholecystitis and whether this treatment causes significant changes in C-reactive protein (CRP) and direct bilirubin (DB) levels in the first 72 h and the first three weeks. Methods: We included 145 consecutive patients who underwent PC over 17 years. No patient had cirrhosis. PC was performed in the interventional radiology department under US guidance. Results: US-guided PC was the definitive treatment for more than half of the patients (51.7%) and decreased DB levels significantly more than CRP levels. Conclusion: No statistically significant correlation between those whose CRP and DB levels normalized within three weeks and those who did not and required a second invasive procedure. Nevertheless, the bridging treatment group was significantly older than the definitive treatment group.http://www.sciencedirect.com/science/article/pii/S2405844023028086Acute cholecystitisC-reactive proteinDirect bilirubinGallbladder drainagePercutaneous cholecystostomyUltrasound-guided procedure |
| spellingShingle | Çağrı Kesim Özgür Özen Ultrasound-guided percutaneous cholecystostomy as bridging or definitive treatment in patients with acute cholecystitis grade II or III Heliyon Acute cholecystitis C-reactive protein Direct bilirubin Gallbladder drainage Percutaneous cholecystostomy Ultrasound-guided procedure |
| title | Ultrasound-guided percutaneous cholecystostomy as bridging or definitive treatment in patients with acute cholecystitis grade II or III |
| title_full | Ultrasound-guided percutaneous cholecystostomy as bridging or definitive treatment in patients with acute cholecystitis grade II or III |
| title_fullStr | Ultrasound-guided percutaneous cholecystostomy as bridging or definitive treatment in patients with acute cholecystitis grade II or III |
| title_full_unstemmed | Ultrasound-guided percutaneous cholecystostomy as bridging or definitive treatment in patients with acute cholecystitis grade II or III |
| title_short | Ultrasound-guided percutaneous cholecystostomy as bridging or definitive treatment in patients with acute cholecystitis grade II or III |
| title_sort | ultrasound guided percutaneous cholecystostomy as bridging or definitive treatment in patients with acute cholecystitis grade ii or iii |
| topic | Acute cholecystitis C-reactive protein Direct bilirubin Gallbladder drainage Percutaneous cholecystostomy Ultrasound-guided procedure |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023028086 |
| work_keys_str_mv | AT cagrıkesim ultrasoundguidedpercutaneouscholecystostomyasbridgingordefinitivetreatmentinpatientswithacutecholecystitisgradeiioriii AT ozgurozen ultrasoundguidedpercutaneouscholecystostomyasbridgingordefinitivetreatmentinpatientswithacutecholecystitisgradeiioriii |