638 results match your criteria Percutaneous Cholecystostomy


Use of non-operative treatment and interval cholecystectomy for cholecystitis in patients with cancer.

Trauma Surg Acute Care Open 2020 6;5(1):e000439. Epub 2020 May 6.

Department of Surgical Oncology, UTMDACC, Houston, Texas, USA.

Background: Early cholecystectomy (EC) for acute cholecystitis (AC) is standard. Often patients with cancer are not EC candidates and require non-surgical treatments. We analyzed factors associated with non-surgical treatments and progression to interval cholecystectomy (IC). Read More

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http://dx.doi.org/10.1136/tsaco-2020-000439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223470PMC

Safety of Percutaneous Cholecystostomy Early Removal: A Retrospective Cohort Study.

Surg Laparosc Endosc Percutan Tech 2020 May 8. Epub 2020 May 8.

Department of Surgery, HPB Unit.

Introduction: There are no strong recommendations regarding the management of percutaneous cholecystostomy (PC). The aim of this study was to assess the safety of early PC removal in terms of complications and recurrent disease.

Materials And Methods: Retrospective observational study of consecutive patients who underwent PC for acute cholecystitis from January 2012 to December 2017. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000799DOI Listing

Percutaneous cholecystostomy - An option in selected patients with acute cholecystitis.

Medicine (Baltimore) 2020 May;99(19):e20101

Department of Radiology, Stavanger University Hospital, Stavanger, Norway.

While urgent percutaneous cholecystostomy (PC) was introduced as an alternative to acute surgical treatment for acute cholecystitis (AC), the current place of PC in the treatment algorithm for AC is challenged. We evaluate demographics and outcomes of PC in routine clinical practice in a population-based cohort.Retrospective evaluation of consecutive patients treated with PC for AC between 2000 and 2015. Read More

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http://dx.doi.org/10.1097/MD.0000000000020101DOI Listing

Endoscopic transpapillary stenting for the management of acute cholecystitis.

Langenbecks Arch Surg 2020 Mar 21;405(2):191-198. Epub 2020 Apr 21.

Department of Surgery, Swedish Medical Center - First Hill, 747 Broadway, Heath Tenth, Seattle, WA, 98122, USA.

Introduction: Cholecystectomy is the gold standard treatment of acute cholecystitis. Patients who are considered not to be candidates for cholecystectomy are commonly recommended to undergo percutaneous transhepatic gallbladder drainage (PTGBD) tube placement; however, external drainage is undesirable for many patients. Endoscopic transpapillary stent placement (ETSP) has been described as an alternative method for decompression of the gallbladder. Read More

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http://dx.doi.org/10.1007/s00423-020-01870-7DOI Listing

Surgical outcomes of patients with maintained or removed percutaneous cholecystostomy before intended laparoscopic cholecystectomy.

J Hepatobiliary Pancreat Sci 2020 Apr 13. Epub 2020 Apr 13.

Division of General Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Background: Percutaneous cholecystostomy (PC) followed by definitive cholecystectomy is an alternative treatment for acute cholecystitis (AC). We retrospectively investigated the impact of PC tube removal before definitive cholecystectomy on surgical outcomes.

Methods: From 2012 to 2017, 942 AC patients underwent PC at a single institute. Read More

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http://dx.doi.org/10.1002/jhbp.740DOI Listing
April 2020
2.313 Impact Factor

Retrospective Analysis of Outcomes Following Percutaneous Cholecystostomy for Acute Cholecystitis.

World J Surg 2020 Apr 7. Epub 2020 Apr 7.

Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester, NHS Trust, Gwendolen Road, Leicester, LE5 4PW, United Kingdom.

Background: Percutaneous cholecystostomy (PC) is often performed for patients with acute cholecystitis who are too high risk for cholecystectomy. The purpose of this retrospective study was to evaluate the outcomes of this cohort of patients over a 5-year period.

Methods: A retrospective analysis of all patients treated with PC for acute cholecystitis in a tertiary centre teaching hospital was conducted. Read More

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http://dx.doi.org/10.1007/s00268-020-05491-5DOI Listing

Clinical course of percutaneous cholecystostomies: A cross-sectional study.

World J Clin Cases 2020 Mar;8(6):1033-1041

Department of Surgery, Ankara Numune Training and Research Hospital, Ankara 06100, Turkey.

Background: Although cholecystectomy is the standard treatment modality, it has been shown that perioperative mortality is approaching 19% in critical and elderly patients. Percutaneous cholecystostomy (PC) can be considered as a safer option with a significantly lower complication rate in these patients.

Aim: To assess the clinical course of acute cholecystitis (AC) in patients we treated with PC. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i6.1033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103974PMC

Safety and Efficacy of Percutaneous Cholecystostomy for Emphysematous Cholecystitis.

J Clin Imaging Sci 2020 27;10. Epub 2020 Mar 27.

Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.

Objective: The objective of the study was to evaluate the safety and efficacy of percutaneous cholecystostomy (PC) in treating critically ill patients with emphysematous cholecystitis who were deemed poor surgical candidates.

Materials And Methods: The Institutional Review Board exemption was obtained for this retrospective study. Patients with emphysematous cholecystitis who were deemed to be poor operative candidates by the treating surgeon and underwent PC placement between May 2008 and April 2017 at a single institution were identified through a medical records search. Read More

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http://dx.doi.org/10.25259/JCIS_145_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7110106PMC

Effect of early enteral nutrition on the incidence of acute acalculous cholecystitis among trauma patients.

Asia Pac J Clin Nutr 2020 ;29(1):35-40

Department of Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea. Email:

Background And Objectives: Acute acalculous cholecystitis (AAC) often occurs in critically ill patients, especially in those that have experienced trauma, surgery, shock, and prolonged fasting. Early enteral nutrition has been shown to significantly reduce morbidity and mortality compared to other nutritional support strategies. The purpose of this study was to evaluate the effect of early enteral nutrition on the incidence of AAC among trauma patients. Read More

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http://dx.doi.org/10.6133/apjcn.202003_29(1).0005DOI Listing
January 2020

Should percutaneous cholecystostomy be used in all cases difficult to manage?

Ulus Travma Acil Cerrahi Derg 2020 Mar;26(2):186-190

Department of General Surgery, İnönü University Faculty of Medicine, Malatya-Turkey.

Background: Cholecystectomy is the well-accepted management method for acute cholecystitis in patients suitable for surgery. Percutaneous cholecystostomy is planned and used in patients at high surgical risk due to acute symptomatic cholecystitis and/or acute or chronic comorbidity. Percutaneous cholecystostomy can provide permanent treatment, or it may act as a bridge for elective cholecystectomy. Read More

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http://dx.doi.org/10.14744/tjtes.2020.73557DOI Listing
March 2020
0.379 Impact Factor

Endosonography-guided gallbladder drainage versus percutaneous cholecystostomy in very high-risk surgical patients with acute cholecystitis: an international randomised multicentre controlled superiority trial (DRAC 1).

Gut 2020 Jun 12;69(6):1085-1091. Epub 2020 Mar 12.

Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.

Objective: The optimal management of acute cholecystitis in patients at very high risk for cholecystectomy is uncertain. The aim of the current study was to compare endoscopic ultrasound (EUS)-guided gallbladder drainage (EUS-GBD) to percutaneous cholecystostomy (PT-GBD) as a definitive treatment in these patients under a randomised controlled trial.

Design: Consecutive patients suffering from acute calculous cholecystitis but were at very high-risk for cholecystectomy were recruited. Read More

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http://dx.doi.org/10.1136/gutjnl-2019-319996DOI Listing
June 2020
14.660 Impact Factor

Disseminated Coccidioidomycosis to the Gallbladder.

J Investig Med High Impact Case Rep 2020 Jan-Dec;8:2324709620910636

UCLA-Kern Medical, Bakersfield, CA, USA.

Coccidioidomycosis is an infection caused by inhalation of arthroconidia produced by dimorphic fungi in the genus . Forty percent of patients will develop an influenza-like illness with symptoms suggestive of a mild and self-limited respiratory infection; however, 5% of these individuals will develop extrapulmonary disseminated disease. An immunocompromised patient presented with right upper quadrant pain, ultrasound with pericholecystic fluid, in which a percutaneous cholecystostomy contained biliary fluid that grew the fungus . Read More

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http://dx.doi.org/10.1177/2324709620910636DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059233PMC

[Acute Acalculous Cholecystitis Associated with Sunitinib Treatment for Renal Cell Carcinoma].

Korean J Gastroenterol 2020 Feb;75(2):103-107

Division of Gastroenterology, Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.

A 64-year-old man was treated with sunitinib as a first-line therapy for metastatic renal cell carcinoma. He was given oral sunitinib in cycles of 50 mg once daily for 2 weeks followed by a week off. During the 5th week of treatment right upper quadrant pain developed, but this resolved spontaneously during the 6th week (off treatment). Read More

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http://dx.doi.org/10.4166/kjg.2020.75.2.103DOI Listing
February 2020

Management algorithm of acute cholecystitis after percutaneous cholecystostomy catheter placement based on outcomes from 377 patients.

Abdom Radiol (NY) 2020 04;45(4):1193-1197

Mallinckrodt Institute of Radiology at Washington University, St Louis, MO, USA.

Purpose: To report outcomes of percutaneous cholecystostomy (PC) catheter placement in patients with acute cholecystitis (AC) and propose management algorithm of AC after PC catheter placement based on the outcomes.

Method And Materials: Retrospective study was performed. 419 patients who underwent PC between July 2010 and September 2016 were included. Read More

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http://dx.doi.org/10.1007/s00261-020-02449-yDOI Listing

Short- and long-term outcomes of percutaneous cholecystostomy in an Australian population.

ANZ J Surg 2020 Feb 20. Epub 2020 Feb 20.

Division of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia.

Background: Percutaneous cholecystostomy (PC) is a well-recognized management option for the treatment of acute cholecystitis (AC) in high-risk patients. Patient characteristics, efficacy and particularly the longer-term outcomes for patients having PC across the Hunter New England Local Health District were analysed.

Methods: A retrospective audit from January 2013 to September 2017 was undertaken. Read More

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http://dx.doi.org/10.1111/ans.15726DOI Listing
February 2020

Comparison of endoscopic naso-gallbladder drainage and percutaneous transhepatic gallbladder drainage in acute suppurative cholecystitis: Study Protocol Clinical Trial (SPIRIT Compliant).

Medicine (Baltimore) 2020 Feb;99(8):e19116

The First Clinical Medical School of Lanzhou University.

Introduction: Transitional drainage, which is followed by cholecystectomy plays a key role in the management of acute cholecystitis, especially in high-risk surgical patients. Endoscopic naso-gallbladder drainage (ENGBD) is an alternative to percutaneous transhepatic gallbladder drainage (PTGBD) for patients who need temporary drainage. There is a lack of prospective comparison on the relevant outcomes of the two drainage methods during the period of drainage, especially the subsequent cholecystectomy. Read More

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http://dx.doi.org/10.1097/MD.0000000000019116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034714PMC
February 2020

HYBRID PERCUTANEOUS-ENDOSCOPIC REMOVAL (HPER) OF CHOLELITHIASIS.

Dig Dis 2020 Feb 20. Epub 2020 Feb 20.

Acute cholecystitis (AC) affects over 20 million Americans annually, leading to an annual cost exceeding US$6 billion. Optimal treatment is early cholecystectomy (CCY). However, patients deemed high surgical risk undergo percutaneous cholecystostomy tube placement (PCT) as a bridge to surgery or more commonly as a definitive therapy. Read More

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http://dx.doi.org/10.1159/000506626DOI Listing
February 2020

Long-term outcomes of acute acalculous cholecystitis treated by non-surgical management.

Medicine (Baltimore) 2020 Feb;99(7):e19057

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Republic of Korea.

Although cholecystectomy is generally recommended for acute acalculous cholecystitis (AAC) treatment, non-surgical management can be considered in patients at a high risk for surgery. This study compared outcomes of surgical and non-surgical management and analyzed the long-term outcomes of AAC patients managed non-surgically.We retrospectively analyzed 89 patients diagnosed with AAC between January 1, 2007 and April 30, 2014. Read More

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http://dx.doi.org/10.1097/MD.0000000000019057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035092PMC
February 2020

EUS-guided versus endoscopic transpapillary gallbladder drainage in high-risk surgical patients with acute cholecystitis: a systematic review and meta-analysis.

Surg Endosc 2020 May 11;34(5):1904-1913. Epub 2020 Feb 11.

Digestive Diseases Institute, Virginia Mason Medical Center, Seattle, WA, USA.

Background: In patients with acute cholecystitis who are deemed high risk for cholecystectomy, percutaneous cholecystostomy (PC) was historically performed for gallbladder drainage (GBD). There are several limitations associated with PC. Endoscopic GBD [Endoscopic transpapillary GBD (ET-GBD) and EUS-guided GBD (EUS-GBD)] is an alternative to PC. Read More

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http://dx.doi.org/10.1007/s00464-020-07409-7DOI Listing

An obese patient with acute cholecystitis, nonalcoholic steatohepatitis and cirrhosis: A case report.

Int J Surg Case Rep 2020 27;67:45-50. Epub 2020 Jan 27.

Hirota Institute for Surgical Pathology, Idaimae 3-6-5, Shimotuke City, Tochigi, Japan.

Introduction: Laparoscopic cholecystectomy for patients with acute cholecystitis and liver cirrhosis is associated with increased risk. We present an obese patient with acute cholecystitis and liver cirrhosis caused by nonalcoholic steatohepatitis (NASH), who was successfully managed with laparoscopic cholecystostomy and a low-carbohydrate diet with exercise.

Presentation Of Case: A 61-year-old woman presented with right upper quadrant abdominal pain. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.01.028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6997644PMC
January 2020

Percutaneous cholecystostomy in the management of acute cholecystitis - 10 years of experience.

Wideochir Inne Tech Maloinwazyjne 2019 Dec 5;14(4):516-525. Epub 2019 May 5.

3 Department of Internal Medicine - Metabolic Care and Gerontology, University Hospital, Hradec Kralove, Czech Republic.

Introduction: The preferred treatment for acute cholecystitis is cholecystectomy, but for patients with precluded general anesthesia due to critical illness or multiple medical comorbidities it is not suitable. Cholecystostomy could be a minimally invasive therapeutic alternative.

Aim: To retrospectively evaluate the indications, technical features, efficacy, complications, patients' development and relationships among monitored parameters of percutaneous computed tomography (CT)-guided cholecystostomies in cases of acute cholecystitis and find the role of this procedure in appropriate treatment selection. Read More

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http://dx.doi.org/10.5114/wiitm.2019.84704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939213PMC
December 2019

Outcomes and limitations in EUS-guided gallbladder drainage.

Endosc Ultrasound 2019 Nov 28;8(Suppl 1):S40-S43. Epub 2019 Nov 28.

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China.

EUS-guided gallbladder drainage (EUS-GBD) is gaining popularity as an option for drainage of the gallbladder in patients suffering from acute cholecystitis but at high risk for cholecystectomy. It allows internal drainage of the gallbladder and avoidance of the external tube as used in percutaneous cholecystostomy (PT-GBD). It may also provide additional benefits, including reduced re-admissions and re-interventions. Read More

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http://dx.doi.org/10.4103/eus.eus_49_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896429PMC
November 2019

EUS-guided gallbladder drainage: A review of current practices and procedures.

Endosc Ultrasound 2019 Nov 28;8(Suppl 1):S28-S34. Epub 2019 Nov 28.

Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC, USA.

EUS-guided gallbladder drainage (EUS-GBD) is utilized for the treatment of acute cholecystitis and symptomatic cholelithiasis in patients who are poor operative candidates. Over the last several years, improved techniques and accessories have facilitated GBD. Recent literature demonstrated effectiveness and safety of EUS-guided GBD. Read More

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http://dx.doi.org/10.4103/eus.eus_41_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896434PMC
November 2019

Retrospective Analysis of Non-Surgical Treatment of Acute Cholecystitis.

Surg Infect (Larchmt) 2020 Jun 27;21(5):428-432. Epub 2019 Dec 27.

Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.

Worldwide, acute cholecystitis is a common disease. The current standard of treatment is according to the Tokyo Guidelines established in 2018. Conservative management with various combinations of analgesics, anti-inflammatory drugs, and percutaneous drainage are sometimes used to avoid or delay surgery, especially in frail patients, but little is known about the efficacy and safety of these strategies. Read More

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http://dx.doi.org/10.1089/sur.2019.261DOI Listing

Outcomes of Patients Treated With Upfront Cholecystostomy for Severe Acute Cholecystitis.

Surg Laparosc Endosc Percutan Tech 2020 Feb;30(1):79-84

Departments of Radiology.

Introduction: Percutaneous cholecystostomy tube (PCT) placement is a treatment method for acute cholecystitis, both in adult patients unsuitable for surgery and those failing to improve with conservative management. The purpose of this study was to assess the outcomes of patients undergoing cholecystostomy.

Materials And Methods: A review of consecutive patients who underwent PCT insertion over a 10-year period was performed. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000747DOI Listing
February 2020

Antibiotic use in patients with acute cholecystitis after percutaneous cholecystostomy.

J Chin Med Assoc 2020 Feb;83(2):134-140

Division of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Background: Currently, evidence regarding the strategies of antibiotic use in patients with acute cholecystitis after receiving percutaneous cholecystostomy is limited. Hence, we aimed to investigate the outcomes in patients with inoperable acute cholecystitis receiving narrow or broad-spectrum antibiotics after percutaneous cholecystostomy.

Methods: A total of 117 patients receiving percutaneous cholecystostomy were categorized into moderate and severe acute cholecystitis defined by the Tokyo guideline and then divided into group A (narrow-spectrum antibiotic use) and group B (broad-spectrum antibiotic use). Read More

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http://dx.doi.org/10.1097/JCMA.0000000000000244DOI Listing
February 2020

Percutaneous cholecystostomy for grade III acute cholecystitis is associated with worse outcomes.

Am J Surg 2019 Nov 25. Epub 2019 Nov 25.

Cardiovascular Outcomes Research Laboratories (CORELAB), Division of Cardiac Surgery, David Geffen School of Medicine, University of California Los Angeles, 10833 Le Conte Avenue Suite 62-249, Los Angeles, CA, 90095, USA. Electronic address:

Background: The aim of the present study was to evaluate the mortality, morbidity, and readmissions associated with management of grade 3 cholecystitis in the elderly, vulnerable population.

Methods: This was a retrospective cohort study of non-elective admissions for acute cholecystitis from 2010 to 2015 using the nationwide readmissions database for adults ≥ 65 years with evidence of end-organ dysfunction (grade 3) who underwent percutaneous cholecystostomy (PC), laparoscopic (LC) or open cholecystectomy (OC). Index and readmission outcomes were analyzed using logistic regression and inverse probability treatment weight analysis. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.11.025DOI Listing
November 2019

Acute cholecystitis in elderly and high-risk surgical patients: is percutaneous cholecystostomy preferable to emergency cholecystectomy?

J Gastrointest Surg 2019 Dec 2. Epub 2019 Dec 2.

Liver, Biliary and Pancreatic Unit, Department of General Surgery, Hospital Clínico, University of Valencia. Biomedical Research Institute INCLIVA, Avd. Blasco Ibañez 17, 46010, Valencia, Spain.

Objective: To investigate whether percutaneous cholecystostomy (PC) for the treatment of acute calculous cholecystitis (ACC) has better results than emergency cholecystectomy (EC) in elderly and high-risk surgical patients.

Methods: Patients ≥ 70 years and/or ≥ ASA-PS 3 with ACC treated with PC or EC between 2005 and 2016 were retrospectively reviewed. Both techniques were compared regarding morbi-mortality, hospital stay, complications and readmissions. Read More

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http://dx.doi.org/10.1007/s11605-019-04424-5DOI Listing
December 2019

Percutaneous transhepatic biliary drainage in patients at higher risk for adverse events: experience from a tertiary care referral center.

Abdom Radiol (NY) 2019 Nov 27. Epub 2019 Nov 27.

Department of Gastroenterology, PGIMER, Chandigarh, India.

Background: Despite advances in endoscopic drainage procedures, percutaneous transhepatic biliary drainage (PTBD) remains an essential interventional radiology (IR) procedure. Several factors may adversely affect the success of PTBD. We report the experience of our IR unit with PTBD in patients considered at higher risk for adverse events. Read More

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http://dx.doi.org/10.1007/s00261-019-02344-1DOI Listing
November 2019

Surgical outcomes of ERCP-guided transpapillary gallbladder drainage versus percutaneous cholecystostomy as bridging therapies for acute cholecystitis followed by interval cholecystectomy.

HPB (Oxford) 2019 Nov 1. Epub 2019 Nov 1.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, United States. Electronic address:

Background: Select patients with acute cholecystitis (AC) are not candidates for index cholecystectomy. We compared the influence of ERCP-guided transpapillary gallbladder drainage (ERGD) versus percutaneous cholecystostomy (PC) on delayed cholecystectomy outcomes.

Methods: Consecutive patients undergoing ERGD or PC for AC from January 2007 to October 2018 were included. Read More

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http://dx.doi.org/10.1016/j.hpb.2019.10.1530DOI Listing
November 2019
1 Read
2.050 Impact Factor

Percutaneous Cholecystolithotomy Using Cholecystoscopy.

Tech Vasc Interv Radiol 2019 Sep 2;22(3):139-148. Epub 2019 May 2.

Department of Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University St. Louis School of Medicine, St Louis, MO.

The morbidity and mortality of cholecystectomy can increase to 10% in high surgical risk patients. The technique for percutaneous cholecystolithotomy consists of 3 steps: (1) percutaneous cholecystostomy, (2) tract dilation and cholecystolithotomy, and (3) tract evaluation and catheter removal. Cholecystoscopy is critical in guiding the lithotripsy probe for fragmentation of large stones and is useful for locating small stone fragments not seen in cholangiography. Read More

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http://dx.doi.org/10.1053/j.tvir.2019.04.006DOI Listing
September 2019
1 Read

Changing trends in surgical management for acute cholecystitis, in light of Tokyo guidelines - 14 year experience.

J Pak Med Assoc 2019 Oct;69(10):1505-1508

Shuakat Khanum Memorial Cancer Hospital and Research Center, Lahore.

Objective: To look for trends in surgical management of acute cholecystitis and compare the outcomes of patients with severe condition.

Methods: The retrospective study was conducted at Aga Khan University Hospital, Karachi, from January to December 2016, and comprised data of adult patients who underwent cholecystectomy for acute cholecystitis from January 1, 2001, to December 31, 2014. Record of patients from 2001 to 2007 was designated in Group-1 while Group-II covered period between 2008 and 2014. Read More

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October 2019
2 Reads

Two-Center Prospective Comparison of the Trocar and Seldinger Techniques for Percutaneous Cholecystostomy.

AJR Am J Roentgenol 2020 01 1;214(1):206-212. Epub 2019 Oct 1.

2nd Department of Radiology, Division of Interventional Radiology, School of Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.

The purpose of this study is to compare the safety and efficacy of the bedside ultrasound (US)-guided trocar technique versus the US- and fluoroscopy-guided Seldinger technique for percutaneous cholecystostomy (PC). This prospective noninferiority study compared the bedside US-guided trocar technique for PC (the trocar group; 53 patients [28 men and 25 women]; mean [± SD] age, 74.31 ± 16. Read More

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http://dx.doi.org/10.2214/AJR.19.21685DOI Listing
January 2020
1 Read

Percutaneous cholecystostomy as treatment for acute cholecystitis: What has happened over the last five years? A literature review.

Rev Gastroenterol Mex 2019 Oct - Dec;84(4):482-491. Epub 2019 Sep 11.

Departamento de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Universidad Nacional Autónoma de México, Ciudad de México, México. Electronic address:

Acute cholecystitis is one of the most frequent diseases faced by the general surgeon. In recent decades, different prognostic factors have been observed, and effective treatments described, to improve the results in patients with said pathology (lower morbidity and mortality, shorter hospital stay, and minimum conversion of laparoscopic to open procedures). In general, laparoscopic cholecystectomy is the standard treatment for acute cholecystitis, but it is not exempt from complications, especially in patients with numerous comorbidities or those that are critically ill. Read More

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http://dx.doi.org/10.1016/j.rgmx.2019.06.004DOI Listing
April 2020
4 Reads

Percutaneous Cholecystostomy Tube Leading to a "Floating" Gallbladder: A Case Report.

Cureus 2019 Jun 29;11(6):e5034. Epub 2019 Jun 29.

Surgery, Hackensack Meridian Health, Hackensack, USA.

In patients with significant comorbid conditions, acute cholecystitis is managed through surgical intervention or with cholecystostomy tube placement (CTP). The literature is not definitive in its recommendations for cholecystectomy versus cholecystostomy. This case report describes a presentation of acute calculous cholecystitis managed with CTP. Read More

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https://www.cureus.com/articles/20732-percutaneous-cholecyst
Publisher Site
http://dx.doi.org/10.7759/cureus.5034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721891PMC
June 2019
15 Reads

A Rare Fatal Bile Peritonitis after Malposition of Endoscopic Ultrasound-Guided 5-Fr Naso-Gallbladder Drainage.

Clin Endosc 2020 Jan 3;53(1):97-100. Epub 2019 Sep 3.

Department of Internal Medicine, SAM Anyang Hospital, Anyang, Korea.

Endoscopic ultrasound (EUS)-guided gallbladder (GB) drainage has recently emerged as a more feasible treatment than percutaneous transhepatic GB drainage for acute cholecystitis. In EUS-guided cholecystostomies in patients with distended GBs without pericholecystic inflammation or prominent wall thickening, a needle puncture with tract dilatation is often difficult. Guidewires may slip during the insertion of thin and flexible drainage catheters, which can also cause the body portion of the catheter to be unexpectedly situated and prolonged between the GB and intestines because the non-inflamed distended GB is fluctuant. Read More

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http://dx.doi.org/10.5946/ce.2019.032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003009PMC
January 2020
3 Reads

Comparison of laparoscopic cholecystectomy and delayed laparoscopic cholecystectomy in aged acute calculous cholecystitis: a cohort study.

Surg Endosc 2020 Jul 28;34(7):2994-3001. Epub 2019 Aug 28.

Division of Hepatobiliary Surgery, Department of Surgery, Shengjing Hospital Affiliated With China Medical University, Liaoning, China.

Background: In elderly patients with calculous acute cholecystitis, the risk of emergency surgery is high, and percutaneous cholecystostomy tube drainage (PC) combined with delayed laparoscopic cholecystectomy (DLC) may be a good choice. We retrospectively compared laparoscopic cholecystectomy (LC) to DLC after PC to determine which is the better treatment strategy.

Method: We performed a retrospective cohort analysis of 752 patients with acute calculous cholecystitis. Read More

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http://dx.doi.org/10.1007/s00464-019-07091-4DOI Listing
July 2020
8 Reads

Image-Guided Palliative Interventions.

Authors:
Jay A Requarth

Surg Clin North Am 2019 Oct 19;99(5):921-939. Epub 2019 Jul 19.

1959 North Peacehaven Road, #118, Winston Salem, NC 27106, USA. Electronic address:

This article reviews a few surgical palliative care procedures that can be performed by surgeons and interventional radiologists using image-guided techniques. Treatment of recurrent pleural effusions, gastrostomy feeding tube maintenance, percutaneous cholecystostomy, and transjugular intrahepatic portosystemic shunts (TIPS) with embolotherapy of bleeding stomal varices is discussed. Read More

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http://dx.doi.org/10.1016/j.suc.2019.06.003DOI Listing
October 2019
4 Reads

Surgeon-performed point-of-care ultrasound for acute cholecystitis: indications and limitations: a European Society for Trauma and Emergency Surgery (ESTES) consensus statement.

Eur J Trauma Emerg Surg 2020 Feb 21;46(1):173-183. Epub 2019 Aug 21.

Division of Minimally Invasive Surgery and Surgical Oncology, Department of Surgery, Policlinico San Pietro, Ponte San Pietro, Bergamo, Italy.

Background: Acute cholecystitis (AC), frequently responsible for presentation to the emergency department, requires expedient diagnosis and definitive treatment by a general surgeon. Ultrasonography, usually performed by radiology technicians and reported by radiologists, is the first-line imaging study for the assessment of AC. Targeted point-of-care ultrasound (POCUS), particularly in the hands of the treating surgeon, may represent an evolution in surgical decision-making and may expedite care, reducing morbidity and cost. Read More

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http://dx.doi.org/10.1007/s00068-019-01197-zDOI Listing
February 2020
4 Reads

An alternative percutaneous technique for gallbladder drainage using lumen-apposing metal stents.

Surg Endosc 2020 Jun 7;34(6):2512-2518. Epub 2019 Aug 7.

Division of Vascular and Interventional Radiology, Toronto General Hospital, University Health Network/University of Toronto, 585 University Avenue, Toronto, ON, M5G2N2, Canada.

Background: Cholecystostomy is commonly performed in high-risk patients with acute cholecystitis. However, internal drainage may be more desirable in patients as it is associated with lower complication rates. This paper describes an image-guided, percutaneous technique for internal gallbladder drainage using a covered lumen-apposing metal stent (LAMS) and assesses its feasibility and safety in a porcine model. Read More

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http://dx.doi.org/10.1007/s00464-019-07060-xDOI Listing
June 2020
6 Reads

Early cholecystectomy (≤ 8 weeks) following percutaneous cholecystostomy tube placement is associated with higher morbidity.

Surg Endosc 2020 Jul 1;34(7):3057-3063. Epub 2019 Aug 1.

Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, Stony Brook, USA.

Introduction: Percutaneous cholecystostomy tube (PCT) placement is often the initial management approach to severe acute cholecystitis in the unstable patient. However, the timing of cholecystectomy after PCT has not been carefully examined. The purpose of this study was to compare outcomes of early versus late cholecystectomy following PCT placement. Read More

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http://dx.doi.org/10.1007/s00464-019-07050-zDOI Listing
July 2020
4 Reads

[Three patients with large area burns complicated by acute acalculous cholecystitis].

Zhonghua Shao Shang Za Zhi 2019 Jul;35(7):543-545

Department of Burns and Plastic Surgery, Taizhou People's Hospital of Jiangsu Province, Taizhou 225300, China.

From April 2017 to April 2018, three male patients aged 46-71 years with large area burns were treated in our hospital. Acute acalculous cholecystitis (AAC) symptoms of the patients began to appear 15-81 days after injury. AAC was diagnosed 24-81 days after injury. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.07.013DOI Listing
July 2019
6 Reads

Cost effectiveness of endoscopic gallbladder drainage to treat acute cholecystitis in poor surgical candidates.

Surg Endosc 2019 11 26;33(11):3567-3577. Epub 2019 Jul 26.

Division of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 32224, USA.

Background: Endoscopic gallbladder drainage (GBD) is an alternative to percutaneous GBD (PGBD) to treat acute cholecystitis, yielding similar success rates and fewer adverse events. To our knowledge, no cost-effectiveness analysis has compared these procedures. We performed an economic analysis to identify clinical and cost determinants of three treatment options for acute cholecystitis in poor surgical candidates. Read More

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http://dx.doi.org/10.1007/s00464-019-07026-zDOI Listing
November 2019
1 Read

Acute esophageal necrosis in association with acute cholecystitis.

Rev Esp Enferm Dig 2019 Sep;111(9):724-725

Gastrenterology Department, Centro Hospitalar de São João, Portugal.

We report a unique case of acute esophageal necrosis in association with perforated acute cholecystitis and secondary Klebsiella pneumoniae bacteremia. An 83-year-old male with history of diabetes mellitus, dyslipidemia, ischemic cardiomyopathy and recent right hemicolectomy for colon adenocarcinoma presented to emergency department with acute epigastric pain and hematemesis. The patient appeared cachectic and dehydrated. Read More

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http://dx.doi.org/10.17235/reed.2019.6154/2018DOI Listing
September 2019
3 Reads

Acute calculous cholecystitis: a real-life management study in a tertiary teaching hospital.

Rev Esp Enferm Dig 2019 Sep;111(9):667-671

Servicio de Aparato Digestivo, Hospital Universitario Río Hortega, España.

Aim: to describe the management of acute calculous cholecystitis in a tertiary teaching hospital and the outcomes obtained.

Material And Methods: a retrospective single tertiary center cohort study.

Results: medical records of 487 patients were analyzed. Read More

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http://dx.doi.org/10.17235/reed.2019.6260/2019DOI Listing
September 2019
4 Reads

Conversion of percutaneous transhepatic gallbladder drainage to endoscopic ultrasound-guided hepaticogastrostomy by the intentional expansion method.

Dig Endosc 2019 Nov 20;31(6):718. Epub 2019 Aug 20.

Departments of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan.

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http://dx.doi.org/10.1111/den.13479DOI Listing
November 2019
2 Reads

Endoscopic ultrasound-guided gallbladder drainage versus percutaneous cholecystostomy for high risk surgical patients with acute cholecystitis: a systematic review and meta-analysis.

Endoscopy 2019 08 25;51(8):722-732. Epub 2019 Jun 25.

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Sha Tin, Hong Kong.

Background: Recent evidence suggests that endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is an effective and safe alternative to percutaneous drainage (PT-GBD). We conducted a systematic review and meta-analysis to compare these two procedures in high risk surgical patients with acute cholecystitis.

Methods: A comprehensive electronic literature search was conducted for all articles published up to October 2017 to identify comparative studies between EUS-GBD and PT-GBD. Read More

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http://dx.doi.org/10.1055/a-0929-6603DOI Listing
August 2019
7 Reads

Ectopic retained gallstone causing an abdominal wall abscess.

Ann Hepatobiliary Pancreat Surg 2019 May 31;23(2):197-199. Epub 2019 May 31.

Department of General Surgery, Tan Tock Seng Hospital, Singapore.

A 67-year-old lady was managed with percutaneous cholecystostomy for severe acute cholecystitis with septic shock. An interval laparoscopic subtotal cholecystectomy was done at 8 weeks. Her post-operative phase was complicated by intra-abdominal abscess requiring radiologically guided percutaneous drain insertion. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.14701/ahbps.2019
Publisher Site
http://dx.doi.org/10.14701/ahbps.2019.23.2.197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6558126PMC
May 2019
10 Reads

Abdominal Wall Abscess Secondary to Cholecystocutaneous Fistula via Percutaneous Cholecystostomy Tract.

Cureus 2019 Apr 12;11(4):e4444. Epub 2019 Apr 12.

Family Medicine, United Hosptial Center, Bridgeport, USA.

Cholecystocutaneous fistulas (CCFs) are an increasingly rare consequence of chronic gallbladder inflammation and disease. Historically, they were commonly noted in the literature by Courvoisier, Naunyn, and Bonnet in the late 1800s. Due to improvements in diagnostic imaging and treatment options in the last century, there has been a marked decrease in the incidence of the CCF cases in the literature. Read More

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http://dx.doi.org/10.7759/cureus.4444DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6561527PMC
April 2019
13 Reads