Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
European Radiology
Published in: European Radiology 4/2018

01-04-2018 | Interventional

Role of percutaneous cholecystostomy for acute acalculous cholecystitis: clinical outcomes of 271 patients

Authors: Seung Yeon Noh, Dong Il Gwon, Gi-Young Ko, Hyun-Ki Yoon, Kyu-Bo Sung

Published in: European Radiology | Issue 4/2018

Login to get access

Abstract

Objectives

To examine the outcomes of percutaneous cholecystostomy (PC) in patients with acute acalculous cholecystitis (AAC).

Methods

The study population comprised 271 patients (mean age, 72 years; range, 22–97 years, male, n=169) with AAC treated with PC with or without subsequent cholecystectomy. Clinical data from total 271 patients were analysed, and outcomes were assessed according to whether the catheter was removed or remained indwelling. Patient survival and recurrence rates were calculated.

Results

Symptom resolution and significant improvement of laboratory test values were achieved in 235 patients (86.7%) within 4 days after PC. Complications occurred in six patients (2.2%). Interval elective cholecystectomy was performed in 127 (46.8%) patients. Among the remaining 121 patients, successful removal of the PC catheter was achieved in 88 patients (72.7%) at a mean of 30 days (range, 4–365 days). Of the catheter removal group, 86/88 (97.7%) were successfully treated with the initial PC, whereas two (2.3%) experienced recurrence of cholecystitis. Cumulative recurrence rates were 1.1%, 2.7%, and 2.7% at 1, 2, and 8 years, respectively.

Conclusions

The good therapeutic outcomes of PC and low recurrence rate suggest that PC can be a definitive treatment option in the majority of AAC patients.

Key Points

• Many patients with AAC are too ill to undergo cholecystectomy.
• PC in AAC patients shows low complication and recurrence rate.
• PC solely can be a definitive treatment option in the majority of AAC patients
Literature
1.
Treinen C, Lomelin D, Krause C, Goede M, Oleynikov D (2015) Acute acalculous cholecystitis in the critically ill: risk factors and surgical strategies. Langenbecks Arch Surg 400:421–427CrossRefPubMed
2.
3.
Kassar O, Kallel F, Ghorbel M, Bellaaj H, Mnif Z, Elloumi M (2015) Acute acalculous cholecystitis complicating chemotherapy for acute myeloblastic leukemia. Leuk Res Rep 4:39–41PubMedPubMedCentral
4.
Huffman JL, Schenker S (2010) Acute acalculous cholecystitis: a review. Clin Gastroenterol Hepatol 8:15–22CrossRefPubMed
5.
Ryu JK, Ryu KH, Kim KH (2003) Clinical features of acute acalculous cholecystitis. J Clin Gastroenterol 36:166–169CrossRefPubMed
6.
Fox MS, Wilk PJ, Weissmann HS, Freeman LM, Gliedman ML (1984) Acute acalculous cholecystitis. Surg Gynecol Obstet 159:13–16PubMed
7.
Johnson LB (1987) The importance of early diagnosis of acute acalculus cholecystitis. Surg Gynecol Obstet 164:197–203PubMed
8.
Anderson JE, Inui T, Talamini MA, Chang DC (2014) Cholecystostomy offers no survival benefit in patients with acute acalculous cholecystitis and severe sepsis and shock. J Surg Res 190:517–521CrossRefPubMed
9.
Chang YR, Ahn YJ, Jang JY et al (2014) Percutaneous cholecystostomy for acute cholecystitis in patients with high comorbidity and re-evaluation of treatment efficacy. Surgery 155:615–622CrossRefPubMed
10.
Johansson M, Thune A, Blomqvist A, Nelvin L, Lundell L (2003) Management of acute cholecystitis in the laparoscopic era: results of a prospective, randomized clinical trial. J Gastrointest Surg 7:642–645CrossRefPubMed
11.
Suzuki K, Bower M, Cassaro S, Patel RI, Karpeh MS, Leitman IM (2015) Tube cholecystostomy before cholecystectomy for the treatment of acute cholecystitis. Jsls 19:e2014.00200CrossRefPubMedPubMedCentral
12.
Berber E, Engle KL, String A et al (2000) Selective use of tube cholecystostomy with interval laparoscopic cholecystectomy in acute cholecystitis. Arch Surg 135:341–346CrossRefPubMed
13.
Leveau P, Andersson E, Carlgren I, Willner J, Andersson R (2008) Percutaneous cholecystostomy: a bridge to surgery or definite management of acute cholecystitis in high-risk patients? Scand J Gastroenterol 43:593–596CrossRefPubMed
14.
Cull JD, Velasco JM, Czubak A, Rice D, Brown EC (2014) Management of acute cholecystitis: prevalence of percutaneous cholecystostomy and delayed cholecystectomy in the elderly. J Gastrointest Surg 18:328–333CrossRefPubMed
15.
McKay A, Abulfaraj M, Lipschitz J (2012) Short- and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients. Surg Endosc 26:1343–1351CrossRefPubMed
16.
Morse BC, Smith JB, Lawdahl RB, Roettger RH (2010) Management of acute cholecystitis in critically ill patients: contemporary role for cholecystostomy and subsequent cholecystectomy. Am Surg 76:708–712PubMed
17.
Nikfarjam M, Shen L, Fink MA et al (2013) Percutaneous cholecystostomy for treatment of acute cholecystitis in the era of early laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech 23:474–480CrossRefPubMed
18.
19.
Berger H, Pratschke E, Arbogast H, Stabler A (1989) Percutaneous cholecystostomy in acute acalculous cholecystitis. Hepatogastroenterology 36:346–348PubMed
20.
Chung YH, Choi ER, Kim KM et al (2012) Can percutaneous cholecystostomy be a definitive management for acute acalculous cholecystitis? J Clin Gastroenterol 46:216–219CrossRefPubMed
21.
Eggermont AM, Lameris JS, Jeekel J (1985) Ultrasound-guided percutaneous transhepatic cholecystostomy for acute acalculous cholecystitis. Arch Surg 120:1354–1356CrossRefPubMed
22.
Kirkegard J, Horn T, Christensen SD, Larsen LP, Knudsen AR, Mortensen FV (2015) Percutaneous cholecystostomy is an effective definitive treatment option for acute acalculous cholecystitis. Scand J Surg 104:238–243CrossRefPubMed
23.
Shirai Y, Tsukada K, Kawaguchi H, Ohtani T, Muto T, Hatakeyama K (1993) Percutaneous transhepatic cholecystostomy for acute acalculous cholecystitis. Br J Surg 80:1440–1442CrossRefPubMed
24.
Simorov A, Ranade A, Parcells J et al (2013) Emergent cholecystostomy is superior to open cholecystectomy in extremely ill patients with acalculous cholecystitis: a large multicenter outcome study. Am J Surg 206:935–940 discussion 940-931CrossRefPubMed
25.
Ganpathi IS, Diddapur RK, Eugene H, Karim M (2007) Acute acalculous cholecystitis: challenging the myths. HPB (Oxford) 9:131–134CrossRef
26.
Kalliafas S, Ziegler DW, Flancbaum L, Choban PS (1998) Acute acalculous cholecystitis: incidence, risk factors, diagnosis, and outcome. Am Surg 64:471–475PubMed
27.
Hatzidakis A, Venetucci P, Krokidis M, Iaccarino V (2014) Percutaneous biliary interventions through the gallbladder and the cystic duct: What radiologists need to know. Clin Radiol 69:1304–1311CrossRefPubMed
28.
Hatjidakis AA, Karampekios S, Prassopoulos P et al (1998) Maturation of the Tract After Percutaneous Cholecystostomy with Regard to the Access Route. Cardiovasc Intervent Radiol 20:36–40CrossRefPubMed
29.
Ginat D, Saad WE (2008) Cholecystostomy and transcholecystic biliary access. Tech Vasc Interv Radiol 11:2–13CrossRefPubMed
30.
Sheiman RG, Stuart K (2004) Percutaneous cystic duct stent placement for the treatment of acute cholecystitis resulting from common bile duct stent placement for malignant obstruction. J Vasc Interv Radiol 15:999–1001CrossRefPubMed
31.
Sacks D, McClenny TE, Cardella JF, Lewis CA (2003) Society of Interventional Radiology clinical practice guidelines. J Vasc Interv Radiol 14:S199–S202CrossRefPubMed
32.
33.
van Overhagen H, Meyers H, Tilanus HW, Jeekel J, Lameris JS (1996) Percutaneous cholecystectomy for patients with acute cholecystitis and an increased surgical risk. Cardiovasc Intervent Radiol 19:72–76CrossRefPubMed
34.
vanSonnenberg E, D’Agostino HB, Goodacre BW, Sanchez RB, Casola G (1992) Percutaneous gallbladder puncture and cholecystostomy: results, complications, and caveats for safety. Radiology 183:167–170CrossRefPubMed
35.
Barie PS, Eachempati SR (2010) Acute acalculous cholecystitis. Gastroenterol Clin North Am 39:343–357 xCrossRefPubMed
36.
Parithivel VS, Gerst PH, Banerjee S, Parikh V, Albu E (1999) Acute acalculous cholecystitis in young patients without predisposing factors. Am Surg 65:366–368PubMed
37.
Winbladh A, Gullstrand P, Svanvik J, Sandstrom P (2009) Systematic review of cholecystostomy as a treatment option in acute cholecystitis. HPB (Oxford) 11:183–193CrossRef
38.
Davis CA, Landercasper J, Gundersen LH, Lambert PJ (1999) Effective use of percutaneous cholecystostomy in high-risk surgical patients: techniques, tube management, and results. Arch Surg 134:727–731 discussion 731-722CrossRefPubMed
39.
D’Agostino HB, vanSonnenberg E, Sanchez RB, Goodacre BW, Casola G (1991) Imaging of the percutaneous cholecystostomy tract: observations and utility. Radiology 181:675–678CrossRefPubMed
40.
Wise JN, Gervais DA, Akman A, Harisinghani M, Hahn PF, Mueller PR (2005) Percutaneous cholecystostomy catheter removal and incidence of clinically significant bile leaks: a clinical approach to catheter management. AJR Am J Roentgenol 184:1647–1651CrossRefPubMed
41.
McClain T, Gilmore BT, Peetz M (1997) Laparoscopic cholecystectomy in the treatment of acalculus cholecystitis in patients after thermal injury. J Burn Care Rehabil 18:141–146CrossRefPubMed
42.
Welschbillig-Meunier K, Pessaux P, Lebigot J et al (2005) Percutaneous cholecystostomy for high-risk patients with acute cholecystitis. Surg Endosc 19:1256–1259CrossRefPubMed
43.
Kim JE, Choi DS, Bae K, Cho JM, Jeong CY, Kim HO (2017) Added value of point shear-wave elastography in the diagnosis of acute cholecystitis. Eur Radiol 27:1517–1526CrossRefPubMed
Metadata
Title
Role of percutaneous cholecystostomy for acute acalculous cholecystitis: clinical outcomes of 271 patients
Authors
Seung Yeon Noh
Dong Il Gwon
Gi-Young Ko
Hyun-Ki Yoon
Kyu-Bo Sung
Publication date
01-04-2018
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 4/2018
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-017-5112-5

Other articles of this Issue 4/2018

European Radiology 4/2018 Go to the issue

Musculoskeletal

Hip shape is symmetric, non-dependent on limb dominance and gender-specific: implications for femoroacetabular impingement. A 3D CT analysis in asymptomatic subjects

Paediatric

Early US findings of biliary atresia in infants younger than 30 days

Neuro

Correlation between the availability of dopamine transporter and olfactory function in healthy subjects

Breast

The value of contrast-enhanced ultrasound for sentinel lymph node identification and characterisation in pre-operative breast cancer patients: A prospective study

Neuro

Histogram analysis of diffusion kurtosis imaging derived maps may distinguish between low and high grade gliomas before surgery

Hepatobiliary-Pancreas

Chemoembolisation for hepatocellular carcinoma with bile duct invasion: is preprocedural biliary drainage mandatory?