Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis
Objective This study was performed to assess the effectiveness and safety of percutaneous cholecystostomy (PC) for biliary decompression. Methods We retrospectively analyzed our institution’s PC database from March 2015 to August 2017 and selected patients with biliary obstruction. The primary outco...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2018-10-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/0300060518786632 |
| _version_ | 1818938171975532544 |
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| author | Jin Myung Park Chang Don Kang Minjong Lee Sung Chul Park Sung Joon Lee Yong Hwan Jeon Seong Whi Cho |
| author_facet | Jin Myung Park Chang Don Kang Minjong Lee Sung Chul Park Sung Joon Lee Yong Hwan Jeon Seong Whi Cho |
| author_sort | Jin Myung Park |
| collection | DOAJ |
| description | Objective This study was performed to assess the effectiveness and safety of percutaneous cholecystostomy (PC) for biliary decompression. Methods We retrospectively analyzed our institution’s PC database from March 2015 to August 2017 and selected patients with biliary obstruction. The primary outcomes were the technical and clinical success rates. As secondary outcomes, adverse events and pain after PC were compared with those of patients who underwent PC for acute cholecystitis during the same period. Results Twenty patients underwent PC for biliary obstruction (cholangitis, 19; pancreatitis, 1). The technical and clinical success rates were 100%. The median serum total bilirubin level decreased considerably from 4.5 to 1.4 mg/dL after PC. An adverse event (catheter migration) occurred in 1 patient, and 17 patients developed pain after PC. During the same period, 104 patients underwent PC for cholecystitis. Adverse events occurred in 7 patients, and 62 developed pain. There was no significant difference in the adverse event rate between the cholangitis/pancreatitis and cholecystitis groups (5.0% vs. 6.7%, respectively), but pain occurred considerably more frequently in the cholangitis/pancreatitis group (94.4% vs. 63.9%, respectively). Conclusions PC is an effective and safe method for biliary decompression in selected patients. However, attention should be paid to postoperative pain. |
| first_indexed | 2024-12-20T06:03:37Z |
| format | Article |
| id | doaj.art-b6611704a05649b0bdf71e6711aea951 |
| institution | Directory Open Access Journal |
| issn | 0300-0605 1473-2300 |
| language | English |
| last_indexed | 2024-12-20T06:03:37Z |
| publishDate | 2018-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-b6611704a05649b0bdf71e6711aea9512022-12-21T19:50:52ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002018-10-014610.1177/0300060518786632Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitisJin Myung ParkChang Don KangMinjong LeeSung Chul ParkSung Joon LeeYong Hwan JeonSeong Whi ChoObjective This study was performed to assess the effectiveness and safety of percutaneous cholecystostomy (PC) for biliary decompression. Methods We retrospectively analyzed our institution’s PC database from March 2015 to August 2017 and selected patients with biliary obstruction. The primary outcomes were the technical and clinical success rates. As secondary outcomes, adverse events and pain after PC were compared with those of patients who underwent PC for acute cholecystitis during the same period. Results Twenty patients underwent PC for biliary obstruction (cholangitis, 19; pancreatitis, 1). The technical and clinical success rates were 100%. The median serum total bilirubin level decreased considerably from 4.5 to 1.4 mg/dL after PC. An adverse event (catheter migration) occurred in 1 patient, and 17 patients developed pain after PC. During the same period, 104 patients underwent PC for cholecystitis. Adverse events occurred in 7 patients, and 62 developed pain. There was no significant difference in the adverse event rate between the cholangitis/pancreatitis and cholecystitis groups (5.0% vs. 6.7%, respectively), but pain occurred considerably more frequently in the cholangitis/pancreatitis group (94.4% vs. 63.9%, respectively). Conclusions PC is an effective and safe method for biliary decompression in selected patients. However, attention should be paid to postoperative pain.https://doi.org/10.1177/0300060518786632 |
| spellingShingle | Jin Myung Park Chang Don Kang Minjong Lee Sung Chul Park Sung Joon Lee Yong Hwan Jeon Seong Whi Cho Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis Journal of International Medical Research |
| title | Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis |
| title_full | Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis |
| title_fullStr | Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis |
| title_full_unstemmed | Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis |
| title_short | Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis |
| title_sort | percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis |
| url | https://doi.org/10.1177/0300060518786632 |
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