Percutaneous cholecystostomy treatment for acute cholecystitis in high risk patients
Aim: To assess the efficacy and safety of percutaneous cholecystostomy in treatment of acute cholecystitis in high risk patients. Patients and methods: This retrospective study included 21 patients with clinical and sonographic signs of acute cholecystitis and comorbid disease who underwent percutan...
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Format: | Article |
Language: | English |
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SpringerOpen
2014-12-01
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Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X14001272 |
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author | Ahmed Farouk Abdulaal Shawki Kadri Sharouda Hanan Abdulaziz Mahdy |
author_facet | Ahmed Farouk Abdulaal Shawki Kadri Sharouda Hanan Abdulaziz Mahdy |
author_sort | Ahmed Farouk Abdulaal |
collection | DOAJ |
description | Aim: To assess the efficacy and safety of percutaneous cholecystostomy in treatment of acute cholecystitis in high risk patients.
Patients and methods: This retrospective study included 21 patients with clinical and sonographic signs of acute cholecystitis and comorbid disease who underwent percutaneous cholecystostomy for management of acute cholecystitis from June 2009 to January 2014.
Results: Percutaneous cholecystostomy was technically successful in 19 patients and showed positive clinical response at 72 h in 17 patients. Bile leakage due to catheter dislodgement in one patient was managed by change of catheter and re-insertion. The second patient had partial rupture of gall bladder, five patients underwent cholecystectomy. After cholecystostomy there were reductions of leukocytosis and C – reactive protein.
Conclusion: As an alternative to surgery, percutaneous cholecystostomy is a safe and effective method of treatment in critically ill patients with acute cholecystitis. |
first_indexed | 2024-12-22T22:00:08Z |
format | Article |
id | doaj.art-b375da73083a49758acf3220d6bf3507 |
institution | Directory Open Access Journal |
issn | 0378-603X |
language | English |
last_indexed | 2024-12-22T22:00:08Z |
publishDate | 2014-12-01 |
publisher | SpringerOpen |
record_format | Article |
series | The Egyptian Journal of Radiology and Nuclear Medicine |
spelling | doaj.art-b375da73083a49758acf3220d6bf35072022-12-21T18:11:08ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2014-12-014541133113910.1016/j.ejrnm.2014.07.001Percutaneous cholecystostomy treatment for acute cholecystitis in high risk patientsAhmed Farouk AbdulaalShawki Kadri SharoudaHanan Abdulaziz MahdyAim: To assess the efficacy and safety of percutaneous cholecystostomy in treatment of acute cholecystitis in high risk patients. Patients and methods: This retrospective study included 21 patients with clinical and sonographic signs of acute cholecystitis and comorbid disease who underwent percutaneous cholecystostomy for management of acute cholecystitis from June 2009 to January 2014. Results: Percutaneous cholecystostomy was technically successful in 19 patients and showed positive clinical response at 72 h in 17 patients. Bile leakage due to catheter dislodgement in one patient was managed by change of catheter and re-insertion. The second patient had partial rupture of gall bladder, five patients underwent cholecystectomy. After cholecystostomy there were reductions of leukocytosis and C – reactive protein. Conclusion: As an alternative to surgery, percutaneous cholecystostomy is a safe and effective method of treatment in critically ill patients with acute cholecystitis.http://www.sciencedirect.com/science/article/pii/S0378603X14001272PercutaneousCholecystostomyCholecystitis |
spellingShingle | Ahmed Farouk Abdulaal Shawki Kadri Sharouda Hanan Abdulaziz Mahdy Percutaneous cholecystostomy treatment for acute cholecystitis in high risk patients The Egyptian Journal of Radiology and Nuclear Medicine Percutaneous Cholecystostomy Cholecystitis |
title | Percutaneous cholecystostomy treatment for acute cholecystitis in high risk patients |
title_full | Percutaneous cholecystostomy treatment for acute cholecystitis in high risk patients |
title_fullStr | Percutaneous cholecystostomy treatment for acute cholecystitis in high risk patients |
title_full_unstemmed | Percutaneous cholecystostomy treatment for acute cholecystitis in high risk patients |
title_short | Percutaneous cholecystostomy treatment for acute cholecystitis in high risk patients |
title_sort | percutaneous cholecystostomy treatment for acute cholecystitis in high risk patients |
topic | Percutaneous Cholecystostomy Cholecystitis |
url | http://www.sciencedirect.com/science/article/pii/S0378603X14001272 |
work_keys_str_mv | AT ahmedfaroukabdulaal percutaneouscholecystostomytreatmentforacutecholecystitisinhighriskpatients AT shawkikadrisharouda percutaneouscholecystostomytreatmentforacutecholecystitisinhighriskpatients AT hananabdulazizmahdy percutaneouscholecystostomytreatmentforacutecholecystitisinhighriskpatients |