573 results match your criteria Percutaneous Cholecystostomy


Against the Odds: A Novel Technique to Perform Cholangiography from a Percutaneous Approach through the Cystic Duct.

Cureus 2018 Nov 12;10(11):e3577. Epub 2018 Nov 12.

Interventional Radiology, University of Florida College of Medicine, Jacksonville, USA.

Percutaneous cholangiography is typically performed via a transhepatic approach and is reserved for patients with contraindications to traditional cholangiogram imaging modalities. For those with suspected cholelithiasis or choledocholithiasis who cannot undergo magnetic resonance imaging for diagnosis, percutaneous cholecystostomy with cholangiogram is a viable option. Endoscopic retrograde cholangiopancreatography may also be precluded due to anatomic or obstructive limitations, in which case, percutaneous transhepatic cholangiography (PTC) may be indicated for diagnosis. Read More

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http://dx.doi.org/10.7759/cureus.3577DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333255PMC
November 2018

Literature review and case series of haemorrhagic cholecystitis.

J Surg Case Rep 2019 Jan 9;2019(1):rjy360. Epub 2019 Jan 9.

Department of General Surgery, Tunbridge Wells Hospital, Tunbridge Wells, UK.

A diagnosis of haemorrhagic cholecystitis is difficult to make as it is rare and mimics other common disorders. We present three patients who presented with haemorrhagic cholecystitis, two of whom were on anti-coagulation at presentation. All 3 patients were treated conservatively, 2 with percutaneous cholecystostomy drainage and 1 patient with intravenous antibiotics. Read More

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http://dx.doi.org/10.1093/jscr/rjy360DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326103PMC
January 2019

Biliary Disease in Immunocompromised Patients: a Single-Center Retrospective Analysis.

J Gastrointest Surg 2019 Jan 11. Epub 2019 Jan 11.

Mount Sinai Department of General Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, 15th floor, New York, NY, 10029, USA.

Background: Acute cholecystitis is a life-threatening disease process in immunocompromised patients. The purpose of this study is to determine the incidence, clinical course, and management of calculous and acalculous acute cholecystitis in immunocompromised patients.

Methods: A single center's database was queried for all patients with a diagnosis of acute cholecystitis from January 1, 2003 to September 30, 2016 with concomitant diagnosis of neutropenia, leukopenia, leukemia, or lymphoma. Read More

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http://dx.doi.org/10.1007/s11605-018-04077-wDOI Listing
January 2019
1 Read

Percutaneous cholecystostomy-tube for high-risk patients with acute cholecystitis: current practice and implications for future research.

Surg Endosc 2019 Jan 2. Epub 2019 Jan 2.

Division of Gastroenterology, Hepatology and Nutrition, The Ohio State University Wexner Medical Center, 395 W. 12th Avenue, 2nd floor, Columbus, OH, USA.

Background: While cholecystectomy (CCY) is the standard of care for gallstone-related acute cholecystitis, percutaneous cholecystostomy-tube (CCYT-tube) is an alternative option in patients with significant comorbid conditions. We sought to identify immediate and longitudinal hospital outcomes of patients who underwent CCYT-tube placement and determine predictors of CCYT-tube placement and eventual CCY on a national level in the US.

Methods: We identified all adults (age ≥ 18 years) with a primary diagnosis of acute calculous cholecystitis from January to November 2013 in the Nationwide Readmissions Database (NRD). Read More

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http://dx.doi.org/10.1007/s00464-018-06634-5DOI Listing
January 2019
1 Read
3.256 Impact Factor

Endoscopic ultrasound guided gallbladder drainage - is it ready for prime time?

World J Gastrointest Pharmacol Ther 2018 Dec;9(6):47-54

Department of Gastroenterology and Hepatology, University of California San Francisco, Fresno, CA 93721, United States.

Management of acute cholecystitis includes initial stabilization and antibiotics. However, the most definitive treatment is cholecystectomy. A small percentage of patients who are not suitable for surgery due to the severity of cholecystitis or comorbidities will require a temporary measure as a bridge to surgery or permanent nonoperative management to decrease the mortality and morbidity. Read More

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http://www.wjgnet.com/2150-5349/full/v9/i6/47.htm
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http://dx.doi.org/10.4292/wjgpt.v9.i6.47DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288492PMC
December 2018
1 Read

Predictors of 30 Day Readmission Following Percutaneous Cholecystostomy.

J Surg Res 2019 Jan 26;233:1-7. Epub 2018 Jul 26.

Department of Surgery, Yale School of Medicine, New Haven, Connecticut. Electronic address:

Background: High-risk patients undergoing cholecystectomy may experience increased morbidity and mortality. Percutaneous cholecystostomy (PC) has been utilized as a treatment option for acute cholecystitis in this cohort. Little is known about risk factors for readmission following PC. Read More

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http://dx.doi.org/10.1016/j.jss.2018.07.006DOI Listing
January 2019
1 Read

Cholecystectomy following percutaneous cholecystostomy tube placement leads to higher rate of CBD injuries.

Surg Endosc 2018 Nov 26. Epub 2018 Nov 26.

Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 100 Nichols Road, HSC T19, Stony Brook, NY, 11794, USA.

Introduction: Percutaneous cholecystostomy tube (PCT) placement is often the management of severe acute cholecystitis in the unstable patient. PCT can be later reversed and cholecystectomy performed. The purpose of this study is to investigate the incidence of subsequent cholecystectomy and clinical factors associated with subsequent procedure. Read More

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http://link.springer.com/10.1007/s00464-018-6559-4
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http://dx.doi.org/10.1007/s00464-018-6559-4DOI Listing
November 2018
8 Reads

Three-Dimensional Printing Facilitates Creation of a Biliary Endoscopy Phantom for Interventional Radiology-Operated Endoscopy Training.

Curr Probl Diagn Radiol 2018 Aug 29. Epub 2018 Aug 29.

Department of Interventional Radiology, University of California Los Angeles, 757 Westwood Plaza, Los Angeles, CA, 90095. Electronic address:

Purpose: To create a three-dimensional endoscopic model of the biliary tract from magnetic-resonance cholangiopancreatography imaging and to evaluate its effectiveness as a tool for training in endoscopic biliary interventions.

Materials And Methods: A magnetic-resonance cholangiopancreatography study was performed on a patient with biliary obstruction secondary to a distal bile duct cholangiocarcinoma. Using Vitrea, a three-dimensional volume-rendered image was created, and exported as a standard tessellated language file. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03630188183015
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http://dx.doi.org/10.1067/j.cpradiol.2018.08.004DOI Listing
August 2018
7 Reads

Percutaneous Cholecystostomy in Acute Cholecystitis-Predictors of Recurrence and Interval Cholecystectomy.

J Surg Res 2018 Dec 3;232:539-546. Epub 2018 Aug 3.

Department of Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts.

Background: Percutaneous cholecystostomy (PC) tube is a preferred option in acute cholecystitis for patients who are high risk for cholecystectomy (CCY). There are no evidence-based guidelines for patient care after PC. We identified the predictors of disease recurrence and successful interval CCY. Read More

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http://dx.doi.org/10.1016/j.jss.2018.06.051DOI Listing
December 2018
2 Reads

[Radiologic diagnosis of the gallbladder and bile ducts - part 2 : Acute and chronic cholecystitis, primary sclerosing cholangitis (PSC), benign and malignant masses of the biliary system].

Radiologe 2018 Dec;58(12):1099-1114

Kinderradiologie im Dr. von Haunerschen Kinderspital der Radiologischen Klinik und Poliklinik, Ludwig-Maximilian-Universität München, München, Deutschland.

Upper abdominal pain, icterus and cholestasis are the symptoms leading to evaluation of the biliary tract. Together with its complications biliary stone disease is the main reason for inflammation of the biliary system. A distinction is made between acute and chronic variants. Read More

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http://dx.doi.org/10.1007/s00117-018-0463-8DOI Listing
December 2018
2 Reads

A propensity score matched comparison of readmissions and cost of laparoscopic cholecystectomy vs percutaneous cholecystostomy for acute cholecystitis.

Am J Surg 2019 Jan 2;217(1):83-89. Epub 2018 Nov 2.

Department of Surgery, Yale School of Medicine, 330 Cedar St, BB310, New Haven, CT, 06520, USA. Electronic address:

Background: Percutaneous cholecystostomy (PC) is an initial alternative to laparoscopic cholecystectomy (LC) for complicated acute cholecystitis (AC). No studies have directly compared costs of index hospitalization and readmissions between PC and LC patients.

Methods: The Nationwide Readmissions Database was queried for patients undergoing PC or LC for AC from 2013 through 2014. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.10.047DOI Listing
January 2019
2 Reads

Percutaneous Cholecystostomy Versus Conservative Treatment for Acute Cholecystitis: a Cohort Study.

J Gastrointest Surg 2018 Nov 2. Epub 2018 Nov 2.

Digestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Bispebjerg Bakke 23, DK-2400, Copenhagen, NV, Denmark.

Background: Percutaneous cholecystostomy is frequently used as a treatment option for acute calculous cholecystitis in patients unfit for surgery. There is sparse evidence on the long-term impact of cholecystostomy on gallstone-related morbidity and mortality in patients with acute calculous cholecystitis. This study describes the long-term outcome of acute calculous cholecystitis following percutaneous cholecystostomy compared to conservative treatment. Read More

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http://dx.doi.org/10.1007/s11605-018-4021-5DOI Listing
November 2018
1 Read

Recent advances in management of acalculous cholecystitis.

Authors:
Bryan Balmadrid

F1000Res 2018 18;7. Epub 2018 Oct 18.

Department of Gastroenterology, University of Washington Harborview Medical Center Campus, Seattle, USA.

Acalculous cholecystitis is a life-threatening gallbladder infection that typically affects the critically ill. A late diagnosis can have devastating outcomes because of the high risk of gallbladder perforation if untreated. The diagnosis is not straightforward as Murphy's sign is difficult to illicit in the critically ill and many imaging findings are either insensitive or non-specific. Read More

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https://f1000research.com/articles/7-1660/v1
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http://dx.doi.org/10.12688/f1000research.14886.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194724PMC
October 2018
5 Reads

Image-Guided Cholecystostomy Tube Placement: Short- and Long-Term Outcomes of Transhepatic Versus Transperitoneal Placement.

AJR Am J Roentgenol 2019 Jan 24;212(1):201-204. Epub 2018 Oct 24.

1 Department of Diagnostic Imaging, The Alpert Medical School of Brown University, Rhode Island Hospital, 593 Eddy St, Providence, RI 02903.

Objective: Image-guided percutaneous cholecystostomy may be performed by a transhepatic or transperitoneal approach. We compared the short- and long-term outcomes of percutaneous cholecystostomy related to route of catheter placement.

Materials And Methods: A retrospective observational study of image-guided percutaneous cholecystostomy was performed from 2004 to 2016. Read More

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http://dx.doi.org/10.2214/AJR.18.19669DOI Listing
January 2019
1 Read

Long-term results of percutaneous cholecystostomy for definitive treatment of acute acalculous cholecystitis : a 10-year single-center experience.

Authors:
U Ozyer

Acta Gastroenterol Belg 2018 Jul-Sep;81(3):393-397

Baskent University, Faculty of Medicine, Radiology Department, Ankara, Turkey.

Background And Study Aims: Conventional use of percutaneous cholecystostomy [PC] is bridging therapy to delayed cholecystectomy for acute cholecystitis in high-surgical risk patients. Primary aim of this report is to evaluate the long-term outcome of PC as a definitive treatment for acute acalculous cholecystitis [AAC].

Patients And Methods: Seventy-one AAC patients who underwent PC procedure were identified. Read More

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October 2018
9 Reads

Outcome of Delayed Cholecystectomy after Percutaneous Cholecystostomy for Acute Cholecystitis.

Authors:
Danny Rosin

Isr Med Assoc J 2018 Oct;20(10):651

Department of Surgery and Transplantation, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

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October 2018
6 Reads

Outcome of Delayed Cholecystectomy after Percutaneous Cholecystostomy for Acute Cholecystitis.

Isr Med Assoc J 2018 Oct;20(10):627-631

Department of Surgery A, Emek Medical Center, Afula Israel.

Background: Recent studies have suggested that urgent cholecystectomy is the preferred treatment for acute cholecystitis. However, initial conservative treatment followed by delayed elective surgery is still common practice in many medical centers.

Objectives: To determine the effect of percutaneous cholecystostomy on surgical outcome in patients undergoing delayed elective cholecystectomy. Read More

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October 2018
9 Reads
0.903 Impact Factor

Early percutaneous cholecystostomy versus antibiotic treatment for mild and moderate acute cholecystitis: A retrospective cohort study.

J Formos Med Assoc 2018 Oct 4. Epub 2018 Oct 4.

Department of Emergency Medicine, National Taiwan University and National Taiwan University Hospital, No. 7, Zhongshan S. Rd., Zhongzheng Dist., Taipei, 100, Taiwan, ROC.

Background: Percutaneous cholecystostomy (PC) is an effective treatment for severe acute cholecystitis (AC). Guidelines recommend PC as rescue therapy for patients with mild or moderate AC who do not receive emergent cholecystectomy. This study aims to investigate whether PC could be a first-line treatment for these patients. Read More

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http://dx.doi.org/10.1016/j.jfma.2018.09.018DOI Listing
October 2018
9 Reads
1.700 Impact Factor

Percutaneous cholecystostomy… why, when, what next? A systematic review of past decade.

Ann R Coll Surg Engl 2018 Oct 5:1-14. Epub 2018 Oct 5.

Department of General Surgery, Doncaster Royal Infirmary, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust , Doncaster , UK.

Introduction: Percutaneous cholecystostomy tube drainage has played a vital role in management of cholecystitis in patients where surgery is not appropriate. However, management differs from unit to unit and even between different consultants in the same unit. We conducted this systematic review to understand which of these resulted in the best patient outcomes. Read More

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http://dx.doi.org/10.1308/rcsann.2018.0150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204498PMC
October 2018

Percutaneous Cholecystostomy for Severe Acute Cholecystitis: A Useful Procedure in High-Risk Patients for Surgery.

Scand J Surg 2018 Sep 18:1457496918798209. Epub 2018 Sep 18.

2 Department of Radiology, Derriford Hospital, Plymouth, UK.

Background: Acute cholecystitis has the potential to cause sepsis and death, particularly in patients with poor physiological reserve. The gold standard treatment of acute cholecystitis (cholecystectomy) is often not safe in high-risk patients and recourse is made to percutaneous cholecystostomy as either definite treatment or temporizing measure. The aim of this study is to evaluate early and late outcomes following percutaneous cholecystostomy in patients with acute cholecystitis treated at our institution. Read More

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http://dx.doi.org/10.1177/1457496918798209DOI Listing
September 2018
3 Reads

EUS-guided cholecystostomy versus endoscopic transpapillary cholecystostomy for acute cholecystitis in high-risk surgical patients.

Gastrointest Endosc 2019 Feb 10;89(2):289-298. Epub 2018 Sep 10.

Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Background And Aims: Endoscopic gallbladder drainage (GBD) has been performed as an alternative to percutaneous drainage for acute cholecystitis. To date, there has been no comparative study between EUS-guided cholecystostomy (EUSC) and endoscopic transpapillary cholecystostomy (ETC). The aim of this study was to compare the outcomes of EUSC and ETC. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00165107183301
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http://dx.doi.org/10.1016/j.gie.2018.08.052DOI Listing
February 2019
3 Reads

Three-way comparative study of endoscopic ultrasound-guided transmural gallbladder drainage using lumen-apposing metal stents versus endoscopic transpapillary drainage versus percutaneous cholecystostomy for gallbladder drainage in high-risk surgical patients with acute cholecystitis: clinical outcomes and success in an International, Multicenter Study.

Surg Endosc 2018 Sep 12. Epub 2018 Sep 12.

Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ, USA.

Background: Percutaneous cholecystostomy tube (PTGBD), endoscopic retrograde cholangiopancreatography with transpapillary gallbladder drainage (TP), and endoscopic ultrasound-guided transmural gallbladder drainage (EGBD) using lumen-apposing metal stents (LAMS) have been offered for gallbladder decompression for acute cholecystitis in high-risk surgical patients. Yet, there are limited data comparing these therapies. Our aim was to compare the safety and efficacy of EGBD to TP and PTGBD for gallbladder drainage. Read More

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http://dx.doi.org/10.1007/s00464-018-6406-7DOI Listing
September 2018
2 Reads
3.260 Impact Factor

Proper Use of Cholecystostomy Tubes.

Adv Surg 2018 Sep 20;52(1):57-71. Epub 2018 Jun 20.

Department of Surgery, University of Arizona, 1501 North Campbell Avenue, Room 4237, PO Box 245131, Tucson, AZ 85724-5131, USA. Electronic address:

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http://dx.doi.org/10.1016/j.yasu.2018.03.011DOI Listing
September 2018
3 Reads

Percutaneous Transhepatic Biliary Drainage in a Two-Month-Old Infant with Inspissated Bile Syndrome.

Yonsei Med J 2018 Sep;59(7):904-907

Department of Pediatrics, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Korea.

Inspissated bile syndrome (IBS) is a relatively rare condition. Many treatment options are available, including medication, surgery, and surgical interventions, such as insertion of cholecystostomy drain, endoscopic retrograde cholangiopancreatography, internal biliary drainage, and percutaneous transhepatic biliary drainage (PTBD). We herein report the first case of IBS that was successfully treated with PTBD in a two-month-old infant in Korea. Read More

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http://dx.doi.org/10.3349/ymj.2018.59.7.904DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082986PMC
September 2018
8 Reads

Author response to: Percutaneous cholecystostomy for acute cholecystitis: not so safe after all.

Can J Surg 2018 Aug;61(4):E10

From the Department of General Surgery, University of Saskatchewan, Saskatoon, Sask.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066390PMC
August 2018
1 Read

Percutaneous cholecystostomy for acute cholecystitis: not so safe after all.

Authors:
Scott Cowie

Can J Surg 2018 Aug;61(4):E10

From the Langley Memorial Hospital, Langley, BC.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066385PMC

Evolution in the management of acute cholecystitis in the elderly: population-based cohort study.

Surg Endosc 2018 Oct 25;32(10):4078-4086. Epub 2018 Jul 25.

Department Surgery & Cancer, Imperial College London, London, UK.

Background: Acute cholecystitis is a life-threatening emergency in elderly patients. This population-based cohort study aimed to evaluate the commonly used management strategies for elderly patients with acute cholecystitis as well as resulting mortality and re-admission rates.

Methods: Data from all consecutive elderly patients (≥ 80 years) admitted with acute cholecystitis in England from 1997 to 2012 were captured from the Hospital Episode Statistics database. Read More

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http://dx.doi.org/10.1007/s00464-018-6092-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132885PMC
October 2018
3 Reads

The impact of a percutaneous cholecystostomy catheter in situ until the time of cholecystectomy on the development of recurrent acute cholecystitis: a historical cohort study.

Rev Esp Enferm Dig 2018 Oct;110(10):629-633

General Surgery, Bezmialem Vakif University, Faculty of Medicine, turkey.

Background: the optimal duration of percutaneous cholecystostomy in patients with acute cholecystitis is unknown.

Methods: this study was a retrospective analysis of patients (age ≥ 18 years) who underwent percutaneous cholecystostomy due to acute calculous cholecystitis. Patients were grouped according to treatment modality: percutaneous cholecystostomy as a definitive treatment (group 1), subsequent surgical treatment after the removal of the catheter (group 2) and those remaining in situ (group 3). Read More

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http://dx.doi.org/10.17235/reed.2018.5644/2018DOI Listing
October 2018
11 Reads

Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis.

J Int Med Res 2018 Oct 20;46(10):4120-4128. Epub 2018 Jul 20.

2 Department of Radiology, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea.

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. Read More

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http://dx.doi.org/10.1177/0300060518786632DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166347PMC
October 2018
8 Reads

Management After Percutaneous Cholecystostomy: What Should We do With the Catheter?

Surg Laparosc Endosc Percutan Tech 2018 Aug;28(4):256-260

Departments of General and Oncologic Surgery.

Background: Percutaneous cholecystostomy (PC) is an alternative to cholecystectomy for acute calculous cholecystitis (ACC) in patients with high mortality risk, but the catheters' and patients' management remains unclear. This study aimed to determine outcomes after PC and to define surgical strategy.

Methods: All patients who underwent PC between 2009 and 2014 for ACC in a single institution were reviewed for outcomes and postdrainage management. Read More

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http://Insights.ovid.com/crossref?an=00129689-900000000-9949
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http://dx.doi.org/10.1097/SLE.0000000000000559DOI Listing
August 2018
7 Reads

Anatomic Feasibility of Percutaneous Cholecystoenteric Fistula Creation and Stent Insertion in Acute Cholecystitis.

Surg Innov 2018 Aug 18;25(4):339-345. Epub 2018 Jun 18.

1 University Health Network, Toronto General Hospital, Toronto, Ontario, Canada.

Objective: To assess the prevalence of patients whose anatomy would be potentially amenable to percutaneous cholecystoenteric lumen-apposing metallic stents (LAMS) insertion from a population of acute cholecystitis patients.

Methods: Contrast-enhanced abdominal computed tomography images in 100 consecutive adult patients with acute cholecystitis were reviewed retrospectively. Feasibility of LAMS placement percutaneously or with endoscopic ultrasound guidance was defined as the presence of a straight and unobstructed trajectory from the skin to the gallbladder, and between the gallbladder and the gastric antrum, or the proximal duodenum, measuring ≤2 cm, respectively. Read More

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http://dx.doi.org/10.1177/1553350618780769DOI Listing
August 2018
5 Reads

Preliminary Report of Percutaneous Cholecystostomy as Diagnosis and Treatment of Biliary Tract Trauma.

World J Surg 2018 Jun 7. Epub 2018 Jun 7.

Département de Chirurgie d'Urgence et de Chirurgie Générale, Hospices Civils de Lyon, Hôpital Edouard Herriot, 5 Place d'Arsonval, 69003, Lyon, France.

Background: Biliary leak following severe blunt liver injuries is a complex problem becoming more frequent with improvements in non-operative management. Standard treatment requires main bile duct drainage usually performed by endoscopic sphincterotomy and stent placement. We report our experience with cholecystostomy as a first minimally invasive diagnostic and therapeutic approach. Read More

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http://dx.doi.org/10.1007/s00268-018-4621-yDOI Listing
June 2018
17 Reads

Cholecystoduodenal Stenting: An Option in Complicated Acute Calculous Cholecystitis in the Elderly Comorbid Patient.

Case Rep Surg 2018 21;2018:1609601. Epub 2018 Jan 21.

Department of General Surgery, The Prince Charles Hospital, Brisbane, QLD, Australia.

We describe the course of an 84-year-old lady with acute calculous cholecystitis. She was unable to have a cholecystectomy due to multiple comorbidities including morbid obesity, type 2 diabetes, Guillain-Barrè syndrome, chronic sacral pressure ulcer, and severe cardiac disease. Conservative treatment with intravenous antibiotics was initially successful; however, she subsequently re-presented with an empyema of the gallbladder. Read More

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http://dx.doi.org/10.1155/2018/1609601DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5971341PMC
January 2018
3 Reads

Efficacy and Safety of Lumen Apposing Self-Expandable Metal Stents for EUS Guided Cholecystostomy: A Meta-Analysis and Systematic Review.

Can J Gastroenterol Hepatol 2018 12;2018:7070961. Epub 2018 Apr 12.

Internal Medicine, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.

Background: Patients with acute cholecystitis are treated with early cholecystectomy. A subset of patients are unfit for surgery due to comorbidities and late presentation. Prompt gall bladder drainage (GBD) with percutaneous or endoscopic approach remains a viable therapeutic option for nonoperative candidates. Read More

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http://dx.doi.org/10.1155/2018/7070961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5925026PMC
April 2018
2 Reads

Clinical and operative outcomes of patients with acute cholecystitis who are treated initially with image-guided cholecystostomy.

Can J Surg 2018 06;61(3):195-199

From the Department of General Surgery, University of Saskatchewan, Saskatoon, Sask. (Molavi, Schellenberg, Christian); and the Department of Surgical Oncology, University of Toronto, Toronto, Ont. (Schellenberg).

Background: Percutaneous cholecystostomy (PC) tube placement followed by delayed cholecystectomy has been shown to be an effective treatment option in high-risk populations such as older and critically ill patients. The goal of this study was to review the short- and long-term clinical and operative outcomes of patients with acute cholecystitis initially treated with PC tube placement.

Methods: We conducted a retrospective review of patients who underwent image-guided PC tube insertion between 2001 and 2011 at the Royal University Hospital or St. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973907PMC

Percutaneous cholecystostomy for high-risk patients with acute cholangitis.

Medicine (Baltimore) 2018 May;97(19):e0735

Department of Radiology, North District Hospital, Sheung Shui.

Percutaneous cholecystostomy (PC) is a well-established treatment for acute cholecystitis. We investigate the performance and role of PC in managing acute cholangitis.Retrospective review on all patients who underwent PC for acute cholangitis between January 2012 and June 2017 at a major regional hospital in Hong Kong. Read More

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http://dx.doi.org/10.1097/MD.0000000000010735DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5959387PMC
May 2018
3 Reads

Delayed Cholecystectomy for Acute Cholecystitis in Elderly Patients Treated Primarily with Antibiotics or Percutaneous Drainage of the Gallbladder.

J Laparoendosc Adv Surg Tech A 2018 Sep 30;28(9):1094-1099. Epub 2018 Apr 30.

1 Department of Visceral Surgery, Lausanne University Hospital CHUV , Lausanne, Switzerland .

Background: In high-risk patients with acute cholecystitis, antibiotics with or without percutaneous drainage of the gallbladder followed by delayed cholecystectomy (DC) can be performed. This study aimed to review our current management of elderly patients with acute cholecystitis treated with DC.

Methods: All consecutive patients older than 70 with acute cholecystitis treated primarily with antibiotics with or without percutaneous drainage followed by DC between 2006 and 2015 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1089/lap.2018.0092DOI Listing
September 2018
2 Reads

Successful Cholecystectomy After Endoscopic Ultrasound Gallbladder Drainage Compared With Percutaneous Cholecystostomy, Can it Be Done?

J Clin Gastroenterol 2018 Apr 24. Epub 2018 Apr 24.

Rutgers Robert Wood Johnson, New Brunswick, NJ.

Background: Endoscopic ultrasound-guided gallbladder drainage (EGBD) with a lumen apposing metal stent is becoming a widely accepted alternative to percutaneous gallbladder drainage (PTGD) for patients who are not candidates for cholecystectomy (CCY). In some patients, medical comorbidites can improve, allowing them to undergo CCY. We compare feasibility and outcomes of interval CCY after EGBD versus PTGD. Read More

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http://dx.doi.org/10.1097/MCG.0000000000001036DOI Listing
April 2018
2 Reads
3.500 Impact Factor

Role of Percutaneous Cholecystostomy Tube Placement in the Management of Acute Calculus Cholecystitis in High Risk Patients.

J Coll Physicians Surg Pak 2018 May;28(5):386-389

Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore.

Objective: To evaluate the utility of percutaneous cholecystostomy tube in patients with acute calculus cholecystitis, who are considered unfit for immediate surgery.

Study Design: Observational study.

Place And Duration Of Study: The Aga Khan University Hospital, Karachi, Pakistan, from January 2010 to December 2014. Read More

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http://dx.doi.org/10.29271/jcpsp.2018.05.386DOI Listing
May 2018
7 Reads
0.318 Impact Factor

Interventional Radiology-Operated Cholecystoscopy for the Management of Symptomatic Cholelithiasis: Approach, Technical Success, Safety, and Clinical Outcomes.

AJR Am J Roentgenol 2018 May 16;210(5):1164-1171. Epub 2018 Mar 16.

1 Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Michigan Medicine, 1500 E Medical Center Dr, Ann Arbor, MI 48109.

Objective: The objective of our study was to report the technique, complications, and clinical outcomes of interventional radiology-operated cholecystoscopy with stone removal for the management of symptomatic cholelithiasis.

Materials And Methods: Ten (77%) men and three (23%) women (mean age, 65 years) with symptomatic cholelithiasis underwent cholecystostomy followed by interventional radiology-operated cholecystoscopy with stone removal. Major comorbidities precluding cholecystectomy included prior cardiac, pulmonary, or abdominal surgery; cirrhosis; sepsis with hyponatremia; seizure disorder; developmental delay; and cholecystoduodenal fistula. Read More

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http://dx.doi.org/10.2214/AJR.17.18690DOI Listing
May 2018
6 Reads

Endoscopic Ultrasound-Guided Gallbladder Drainage.

Gastrointest Endosc Clin N Am 2018 Apr 5;28(2):187-195. Epub 2018 Jan 5.

Division of Gastroenterology and Hepatology, University of North Carolina, 130 Mason Farm Road, CB 7080, Chapel Hill, NC 27599-0001, USA. Electronic address:

Recent literature has demonstrated effectiveness and safety of endoscopic ultrasound-guided gallbladder drainage, both as a primary intervention in patients with cholecystitis who are unfit for urgent surgical intervention and as a secondary intervention to internalize biliary drainage after initial placement of a percutaneous cholecystostomy catheter. Read More

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http://dx.doi.org/10.1016/j.giec.2017.11.006DOI Listing
April 2018
2 Reads

Percutaneous cholecystostomy: A simple bridge to surgery or an alternative option for the management of acute cholecystitis?

Am J Surg 2018 Sep 31;216(3):595-603. Epub 2018 Jan 31.

Department of Radiology, McGill University Health Centre, Montreal, QC, Canada. Electronic address:

Background: Percutaneous cholecystostomy (PC) is an alternative among high-risk surgical patients or those with multiple comorbidities, but its indications have not been clearly established in the literature. The aim of this paper is to provide the reader with an updated review of the literature summarizing what is known on this topic.

Data Sources: We reviewed articles from 1979 to 2016 using the PubMed/Medline Database on PC and especially those evaluating this option as a bridge to surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029610173111
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http://dx.doi.org/10.1016/j.amjsurg.2018.01.027DOI Listing
September 2018
10 Reads

Evaluation of the Safety and Efficacy of Percutaneous Transhepatic Gallbladder Drainage Combined with Laparoscopic Cholecystectomy for Treating Acute Complicated Cholecystitis.

Am Surg 2018 Jan;84(1):133-136

The rate of acute cholecystitis in patients with severe underlying diseases is currently increasing. Several studies have reported percutaneous transhepatic gallbladder drainage (PTGBD) combined with laparoscopic cholecystectomy (LC) as a safe and reliable therapeutic option in such patients. This study aimed to elucidate the optimal time interval between PTGBD and LC. Read More

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January 2018
9 Reads

Meta-analysis of outcomes of endoscopic ultrasound-guided gallbladder drainage versus percutaneous cholecystostomy for the management of acute cholecystitis.

Surg Endosc 2018 Apr 5;32(4):1627-1635. Epub 2018 Feb 5.

Department of Upper Gastrointestinal Surgery, Beaumont Hospital, Dublin 9, Ireland.

Background: Endoscopic ultrasound-guided gallbladder drainage is a novel method of treating acute cholecystitis in patients deemed too high risk for surgery. It involves endoscopic stent placement between the gallbladder and the alimentary tract to internally drain the infection and is an alternative to percutaneous cholecystostomy (PC). This meta-analysis assesses the clinical outcomes of high-risk patients undergoing endoscopic drainage with an acute cholecystoenterostomy (ACE) compared with PC in acute cholecystitis. Read More

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http://link.springer.com/10.1007/s00464-018-6041-3
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http://dx.doi.org/10.1007/s00464-018-6041-3DOI Listing
April 2018
11 Reads

Percutaneous Cholecystostomy: Long-Term Outcomes in 324 Patients.

Cardiovasc Intervent Radiol 2018 Jun 29;41(6):928-934. Epub 2018 Jan 29.

Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.

Purpose: To report technical success and clinical outcome of cholecystostomy tube placement along with timing-and method-of tube removal.

Materials And Methods: A retrospective review of cholecystostomy tubes placed from January 2010 to September 2017 was performed at a single academic center. This search yielded 1160 patients. Read More

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http://dx.doi.org/10.1007/s00270-018-1884-5DOI Listing
June 2018
2 Reads

Percutaneous cholecystostomy for severe (Tokyo 2013 stage III) acute cholecystitis.

Eur J Trauma Emerg Surg 2018 Jan 25. Epub 2018 Jan 25.

Department of General Surgery, Monselice Hospital, Via Albere, 1, 35043, Monselice, Padua, Italy.

Purposes: To evaluate the impact of percutaneous cholecystostomy (PC) on severe acute cholecystitis (AC).

Methods: According to the ICD-9 classification, we retrospectively retrieved medical records of patients discharged with a diagnosis of AC from January 2007 to December 2016 at our hospital. Patients were then stratified according to the Tokyo 2013 (TG 13) AC severity criteria. Read More

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http://dx.doi.org/10.1007/s00068-018-0912-0DOI Listing
January 2018
3 Reads

Percutaneous cholecystostomy for delayed laparoscopic cholecystectomy in patients with acute cholecystitis: analysis of a single-centre experience and literature review.

Prz Gastroenterol 2017 14;12(4):250-255. Epub 2017 Dec 14.

Department of Surgery, Ataturk Training and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey.

Introduction: Percutaneous cholecystostomy (PC) has been used as a relatively safe and efficient temporising measure in the treatment of acute cholecystitis (AC) in high-risk patients with serious co-morbidity and in elderly patients.

Aim: To assess the effectiveness, possible advantages, and complication of delayed laparoscopic cholecystectomy (LC) following PC in patients with AC.

Material And Methods: A total of 52 LC for AC were divided into two groups: the first group consisted of patients who had PC followed by LC (PCLC group, = 12), and the second group consisted of patients who had conservative treatment followed by LC (non-PCLC group, = 40). Read More

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http://dx.doi.org/10.5114/pg.2017.72098DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771448PMC
December 2017
9 Reads

Outcomes in the Utilization of Single Percutaneous Cholecystostomy in a Low-Income Population.

Int J Environ Res Public Health 2017 12 19;14(12). Epub 2017 Dec 19.

Department of Information Management, Yuan Ze University, Taoyuan 32003, Taiwan.

Numerous studies have investigated the applicable populations for percutaneous cholecystostomy (PC) procedures, but the outcomes of PC in low-income populations (LIPs) have been insufficiently studied. Data for 11,184 patients who underwent PC were collected from the National Health Insurance Research Database of Taiwan during 2003 and 2012. The overall crude rate of single PC for the LIP was 64% higher than that for the general population (GP). Read More

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http://dx.doi.org/10.3390/ijerph14121601DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5751018PMC
December 2017
4 Reads

Outcome comparison between percutaneous cholecystostomy and cholecystectomy: a 10-year population-based analysis.

BMC Surg 2017 Dec 7;17(1):130. Epub 2017 Dec 7.

Department of Computer Science and Engineering, Yuan Ze University, Taoyuan, 32003, Taiwan.

Background: Controversy surrounding the role of percutaneous cholecystostomy (PC) is fed by the absence of large amounts of data concerning its outcomes, and many authors have maintained that there is no evidence to support a recommendation for PC rather than cholecystectomy (CCS) in elderly or critically ill patients with acute cholecystitis (AC).

Methods: We conducted this study by tracking trends in the utilization and outcomes of PC and CCS using longitudinal health research data in Taiwan.

Results: Analyses were conducted on 236,742 patients, 11,184 of whom had undergone PC and 225,558 of whom had undergone CCS. Read More

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http://dx.doi.org/10.1186/s12893-017-0327-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719669PMC
December 2017
8 Reads

Feasibility of conversion of percutaneous cholecystostomy to internal transmural endoscopic ultrasound-guided gallbladder drainage.

Saudi J Gastroenterol 2017 Nov-Dec;23(6):318-322

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Background/aim: Percutaneous cholecystostomy [percutaneous transhepatic gallbladder drainage (PTGBD)] is the treatment of choice in surgically unfit patients with acute cholecystitis. However, PTGBD tube removal after symptoms resolution results in 41-46% recurrence. This study aims to demonstrate the feasibility of the conversion of PTGBD to transmural endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) using plastic stents in patients unfit for cholecystectomy. Read More

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http://dx.doi.org/10.4103/sjg.SJG_115_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738792PMC
November 2018
11 Reads