Revisiting Percutaneous Cholecystostomy for Acute Cholecystitis Based on a 10-Year Experience

Abi-Haidar, Youmna; Sanchez, Vivian M.; Williams, Sandra; Itani, Kamal M.F.

doi:10.1001/archsurg.2012.135

Cited by 62 publications

(49 citation statements)

References 25 publications

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“…The ability to predict the need for PC on admission can shorten patient suffering, save the time and costs of hospital admissions, and prevent complications resulting from treatment delay. Similar to findings in other studies, patients who needed PC tended to be older and with higher ASA scores [16,17]. Accordingly, these patients had significantly longer hospital stay.…”

Section: Discussionsupporting

confidence: 84%

Admission CRP Level as an Indicator for the Need of Percutaneous Cholecystostomy in Acute Cholecystitis

Nizri¹,

Epstein²

2016

J Gastrointest Dig Syst

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Section: Discussionsupporting

confidence: 84%

Admission CRP Level as an Indicator for the Need of Percutaneous Cholecystostomy in Acute Cholecystitis

Nizri¹,

Epstein²

2016

J Gastrointest Dig Syst

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“…This is in keeping with reported rates of conversion from laparoscopic to open cholecystectomy of 14%-67% in patients who have had PC tube placement. 3,10,14,28,[30][31][32][33] In our study, 15.0% of patients required 1 or more readmissions because of complications related to the PC tube, most commonly tube dislodgement or clogging, and pain at the insertion site. In a systematic review, Winbladh and colleagues 25 also reported slippage of the PC tube, in 8.6% of patients.…”

Section: Discussionmentioning

confidence: 91%

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

Molavi

Schellenberg

Christian

2018

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“…This argues for the need for more definitive criteria of which patient population should be treated with PC. Another longterm retrospective analysis, over 10 years [15] had a higher rate of elective cholecystectomy after PC (64%), including some patients with acalculous cholecystitis.…”

Section: Discussionmentioning

confidence: 99%

Ten-year Experience with Percutaneous Cholecystostomy for Acute Cholecystitis in Men

Grisotti

King

Bhattacharya

et al. 2017

AJIR

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Objective: To retrospectively analyze the treatment outcomes of male patients who underwent emergent percutaneous cholecystostomy (PC) for biliary decompression in acute cholecystitis. Methods: A single-institution retrospective analysis of 132 patients from 2003 to 2013. Outcome measures were survival, cholecystostomy drain outcomes, and definitive treatment with surgical cholecystectomy. Results: The patient population was all male, with a mean age of 70.6 years. 79 patients (59.9%) were admitted for biliary disease and 34 patients (25.8%) were in an intensive care unit (ICU) when diagnosed. 18 patients (13.6%) died within 30 days of PC, an additional 12 (9%) died within 6 months of PC, and the median survival was 4.9 years. Multivariate logistic regression showed a direct relationship between 1 month and 6-month mortality with total bilirubin and an inverse relationship with hematocrit. Cox regression analysis for long-term survival revealed increased mortality associated with respiratory failure (hazard ratio [HR]: 2.40, P = 0.023) and total bilirubin (HR: 1.11, P < 0.001); lower mortality was associated with a primary diagnosis of cholecystitis (HR: 0.29, P = 0.010), higher hematocrit (HR: 0.89, P < 0.001), and ICU (HR: 0.17, P = 0.003) and floor (HR: 0.34, P = 0.029) diagnosis location. Only 55 patients (41.7%) proceeded to surgical cholecystectomy. Outcomes at 1 year (n = 110) were 40% alive after surgery, 25.5% alive without surgery or a drain, 2.7% alive without surgery but with a drain, and 31.8% dead. Conclusions: Although PC is associated with a high early mortality, 25.5 % of our patients were definitively treated with cholecystostomy alone. Certain biomarkers and patient characteristics may help model survival after PC.

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Revisiting Percutaneous Cholecystostomy for Acute Cholecystitis Based on a 10-Year Experience

Cited by 62 publications

References 25 publications

Admission CRP Level as an Indicator for the Need of Percutaneous Cholecystostomy in Acute Cholecystitis

Admission CRP Level as an Indicator for the Need of Percutaneous Cholecystostomy in Acute Cholecystitis

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

Ten-year Experience with Percutaneous Cholecystostomy for Acute Cholecystitis in Men

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