What question did this study set out to answer?

To assess the clinical efficacy and safety of percutaneous cholecystostomy as a treatment for acute cholecystitis in elderly patients aged 80 years or older.

May 1, 1998World Journal of Surgery

Is Percutaneous Cholecystostomy the Optimal Treatment for Acute Cholecystitis in the Very Elderly?

View Full Paper

Ask AI

Bookmark

Authors

MSMasanori SugiyamaUniversity of Toyama MTMakoto TokuharaTokai University YAYutaka AtomiHiroshima University

Discussion

Member takes

Implication

Prospective study shows high clinical success and low mortality following percutaneous cholecystostomy in very elderly patients, indicating an effective alternative to emergent surgery.

Key Points

To assess the clinical efficacy and safety of percutaneous cholecystostomy as a treatment for acute cholecystitis in elderly patients aged 80 years or older.
Prospective study of 38 consecutive patients aged ≥80 years with acute calculous (n=25) or acalculous (n=13) cholecystitis, where 21% had acute critical conditions (e.g., shock) and 82% had severe chronic comorbidities.
All patients underwent ultrasound- and fluoroscopy-guided percutaneous transhepatic cholecystostomy and were followed for a mean duration of 1.8 years.
Technical success occurred in 38 of 38 (100%) patients, with prompt clinical improvement achieved in 36 of 38 (95%) patients.
Overall morbidity and mortality rates following the procedure were 3% and 3%, respectively.
Recurrent cholecystitis developed after catheter removal in 4 of 12 (33.3%) patients with cholelithiasis compared to 0 of 12 (0%) without cholelithiasis, all successfully managed with repeat cholecystostomy.

Cite This Study

Sugiyama et al. (1998) studied this question.

synapsesocial.com/papers/6a7e910f1306938bbd627725 https://doi.org/10.1007/s002689900416

View Full Paper

Ask AI

Bookmark

Implication

Prospective study shows high clinical success and low mortality following percutaneous cholecystostomy in very elderly patients, indicating an effective alternative to emergent surgery.

Is Percutaneous Cholecystostomy the Optimal Treatment for Acute Cholecystitis in the Very Elderly?

Discussion

Member takes

Implication

Key Points

Cite This Study

Is Percutaneous Cholecystostomy the Optimal Treatment for Acute Cholecystitis in the Very Elderly?

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider