Online citations, reference lists, and bibliographies.

Is Percutaneous Cholecystostomy The Optimal Treatment For Acute Cholecystitis In The Very Elderly?

M. Sugiyama, M. Tokuhara, Y. Atomi
Published 2016 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
In elderly patients emergent cholecystectomy for acute cholecystitis is a high risk procedure. We prospectively assessed the value of percutaneous cholecystostomy for acute cholecystitis in 38 consecutive elderly (≥ 80 years) patients. All 38 underwent percutaneous transhepatic cholecystostomy under ultrasonographic and fluoroscopic guidance for acute cholecystitis (25 calculous, 13 acalculous). Eight (21%) patients had acute severe medical problems, such as shock and respiratory distress. Thirty-one (82%) patients had chronic severe underlying diseases, including cardiovascular and neurologic diseases. Cholecystostomy was successful in all 38 patients. Prompt clinical improvement was obtained in 36 (95%) patients. Morbidity and mortality rates were 3% and 3%, respectively. After cholecystostomy, 10 patients with cholelithiasis underwent elective cholecystectomy without serious complications. Two patients underwent percutaneous cholecystolithotomy, which produced complete resolution of symptoms. Four of 12 patients with and none of 12 without cholelithiasis had recurrent cholecystitis after catheter removal during a mean follow-up of 1.8 years. A second cholecystostomy was successful in these four patients. Elderly patients are often poor surgical candidates because of severe cholecystitis or concomitant medical problems. Percutaneous cholecystostomy is a safe, effective treatment for acute cholecystitis even in elderly patients. For calculous cholecystitis, cholecystostomy can be followed by elective surgery, if possible, or by nonsurgical treatment or expectant conservative management in high-risk patients. Cholecystostomy may be a definitive treatment for acalculous cholecystitis.
This paper references
Open Cholecystectomy A Contemporary Analysis of 42,474 Patients
J. Roslyn (1993)
Cholecystectomy in elderly patients.
D. F. Huber (1983)
The role of ultrasonographic percutaneous cholecystostomy in treatment of acute cholecystitis.
C. Famulari (1996)
Percutaneous endoscopic cholecystolithotripsy. Work in progress.
W. Hruby (1989)
Role of percutaneous intracorporeal electrohydraulic lithotripsy in the treatment of biliary tract calculi. Work in progress.
D. Picus (1989)
Cholecystectomy in the elderly: A prospective study
P. Houghton (1985)
Surgical management of acute cholecystitis in patients 65 years of age and older.
F. Glenn (1981)
Percutaneous transhepatic cholecystostomy for acute acalculous cholecystitis
Y. Shirai (1993)
Advantages and disadvantages of the newer "interventional" procedures for the treatment of cholecystolithiasis.
D. Malone (1989)
Nonsurgical treatment of cholecystolithiasis with percutaneous transhepatic cholecystoscopy.
K. Inui (1988)
Conventional cholecystectomy in elderly patients.
A. Mäkinen (1993)
Acute Cholecystitis in Aged Patients
J. Prousalidis (1996)
Percutaneous cholecystostomy in the diagnosis and treatment of acute cholecystitis in the high-risk patient.
G. Werbel (1989)
Percutaneous cholecystostomy in acute cholecystitis and common duct obstruction.
D. Pearse (1984)
Percutaneous cholecystostomy in critically ill patients: early response and final outcome in 82 patients.
G. Boland (1994)
The importance of early diagnosis of acute acalculous cholecystitis
L. B. Johnson (1987)
Percutaneous cholecystostomy: an alternative to surgical cholecystostomy for acute cholecystitis?
J. McGahan (1989)
Cholecystostomy as a definitive operation.
M. Kaufman (1990)
Percutaneous transhepatic cholecystostomy for acute complicated cholecystitis in elderly patients.
W. van Steenbergen (1990)
Ultrasonographic diagnosis of gangrenous cholecystitis and empyema of the gallbladder.
R. Kane (1980)
Treatment of critically ill patients with sepsis of unknown cause: value of percutaneous cholecystostomy.
M. Lee (1991)
Empyema of the gall bladder - reappraisal of a neglected disease.
J. Thornton (1983)
Laparoscopic Cholecystectomy for Acute Cholecystitis in the Elderly
C. Lo (1996)
Percutaneous cholecystolithotomy: analysis of results and complications in 58 consecutive patients.
D. Picus (1992)
Acute cholecystitis. In: Hepatobiliary and Pancreatic Disease
J. T. Ferrucci (1995)

This paper is referenced by
Long‐term outcome and recurrence factors after percutaneous cholecystostomy as a definitive treatment for acute cholecystitis
Jae Keun Park (2019)
TG13 indications and techniques for gallbladder drainage in acute cholecystitis (with videos)
Toshio TsuyuguchiTakao (2013)
Retrospective Analysis of Outcomes Following Percutaneous Cholecystostomy for Acute Cholecystitis
Li Lian Kuan (2020)
Acute Acalculous Cholecystitis in Critically ill Patients: Risk Factors, Diagnosis and Treatment Strategies
Senival Alves de Oliveira Júnior (2016)
Fiebre, disnea y bacteriemia por Klebsiella oxytoca y Enterobacter cloacae
M. T. Q. Verdúguez (2006)
A retrospective comparison of older and younger adults undergoing early laparoscopic cholecystectomy for mild to moderate calculous cholecystitis.
D. Fuks (2015)
Title Flowcharts for the diagnosis and treatment of acute cholangitisand cholecystitis : Tokyo Guidelines
Author Miura (2007)
Short- and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients
A. McKay (2011)
Single-incision Laparoscopic Cholecystectomy Using Kirschner Wires
Akira Ouchi (2014)
Perkutaanne koletsüstostoomia: ravivõimalus pikalt kestnud ägeda kalkuloosse koletsüstiidi korral
Alo Treial (2011)
Open cholecystectomy in the laparoendoscopic era.
B. Visser (2008)
Percutaneous cholecystostomy: A bridge to surgery or definite management of acute cholecystitis in high-risk patients?
P. Leveau (2008)
Acute acalculous cholecystitis induced by aortic dissection: report of a case.
Gökhan Söğütlü (2010)
Endoscopic ultrasound-guided transmural and percutaneous transhepatic gallbladder drainage are comparable for acute cholecystitis.
Ji Woong Jang (2012)
TG18 management strategies for gallbladder drainage in patients with acute cholecystitis: Updated Tokyo Guidelines 2018 (with videos)
Y. Mori (2017)
Distribution of the Insertion Site of the Cystic Duct: CT Analysis
S. Y. Kim (2010)
EUS-guided transenteric gallbladder drainage with a new fistula-forming, lumen-apposing metal stent.
C. de la Serna-Higuera (2013)
Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos).
Y. Mori (2018)
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.
Mustafa Hasbahçeci (2018)
Association between hospital volume and outcomes of elderly and non‐elderly patients with acute biliary diseases: A national administrative database analysis
A. Murata (2013)
Cholécystite alithiasique de l'adulte : étiologies, diagnostic et traitementA lithiasic cholecystitis.
E. Vibert (2002)
Endoscopic Management of Gallbladder Stones: Can We Eliminate Cholecystectomy?
Baldwin Po Man Yeung (2016)
Acute Acalculous Cholecystitis Caused by Salmonella enteritidis in a Previously Healthy Child
H. Oh (2009)
Endoscopic sphincterotomy for bile duct stones in patients 90 years of age and older.
M. Sugiyama (2000)
Chapter 32 – Percutaneous approaches to the treatment of gallbladder disease
Christoph Becker (2012)
Outcome of conservative percutaneous cholecystostomy in high-risk patients with acute cholecystitis and risk factors leading to surgery
W. Jang (2014)
GI Surgery Annual
Tushar Kanti Chattopadhyay (2019)
Percutaneous transhepatic cholecystostomy: effective treatment of acute cholecystitis in high risk patients.
M. Berman (2002)
Percutaneous Cholecystostomy Versus Laparoscopic Cholecystectomy in Patients With Acute Cholecystitis and Failed Conservative Management: A Matched-Pair Analysis
J. Zehetner (2014)
Advances in Gastrointestinal Surgery
Tapan Chattopadhyay (2015)
Endoscopic Ultrasound-Guided Gallbladder Drainage: Current Perspectives
Alessandro Fugazza (2020)
Endoscopic naso-gallbladder drainage in the treatment of acute cholecystitis: alleviates inflammation and fixes operator's aim during early laparoscopic cholecystectomy.
N. Toyota (2006)
See more
Semantic Scholar Logo Some data provided by SemanticScholar