Percutaneous Cholecystostomy for Acute Calculous Cholecystitis in Elderly Patients

Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2019, Vol 72, Issue 1

Abstract

Objectives: To investigate the efficacy, safety, recurrence and reintervention rates of percutaneous cholecystostomy (PC) in elderly patients with acute calculous cholecystitis (ACC). Materials and Methods: The data of the patients over 65 years of age who were diagnosed with ACC and between August 2013 and April 2017 were obtained by means of the hospital registry system. Results: A total of 53 ACC patients were treated with PC. 49 (92.4%) of the patients were clinically relieved within 48-72 hours. The 30-day mortality rate associated with PC was 7.5%. 2 (3.8%) patients had postoperative pneumonia and 4 (7.5%) patients had catheter dislocation. Seventeen (32%) patients underwent elective cholecystectomy and 8 (15%) patients underwent emergency cholecystectomy. Conclusion: PC is an effective treatment in high risk elderly patients. It can act as a “bridge treatment” from an emergency to elective surgery.

Authors and Affiliations

Ömür Ballı, Volkan Çakır

Keywords

Related Articles

B-Type Natriuretic Peptide in Bronchiolitis: Its Relationship with Left Ventricular Systolic Functions and Prognosis

Introduction: We have limited information about the clinical importance of plasma B-type natriuretic peptide (BNP) level and its prognostic value in children with bronchiolitis. In this study, we aimed to determine basal...

Sedation/Anestehesia Experiences During Magnetic Resonance Imaging Procedure in the Pediatric Patients

Introduction: Sedation is often needed for magnetic resonance imaging (MRI) in pediatric patients for diagnostic purposes. In this study, we aimed to present anesthesia techniques and complications that occurred during s...

Chronic Hepatitis C Virus Infection in Hemodialysis Patients: Treatment Outcomes and Drug-drug Interactions Management

Objectives: The aim of this study was to evaluate the success of the paritaprevir/ritonavir/ombitasvir/dasabuvir (PROD), ledipasvir/sofosbuvir (LDV/ SOF) and peginterferon (Peg-IFN) alfa-2a in the elimination of chronic...

Accidental Poisoning of a Child by Dieffenbachia

Dieffenbachia is a tropical ornamental house plant. Accidental ingestion of the leaf or its seed can cause serious gastrointestinal and respiratory symptoms requiring emergency treatment. An eight-year-female child was a...

Download PDF file
  • EP ID EP670514
  • DOI 10.4274/atfm.galenos.2019.29491
  • Views 130
  • Downloads 0

How To Cite

Ömür Ballı, Volkan Çakır (2019). Percutaneous Cholecystostomy for Acute Calculous Cholecystitis in Elderly Patients. Çocuk Acil ve Çocuk Yoğun Bakım Dergisi, 72(1), 82-86. https://www.europub.co.uk/articles/-A-670514