Percutaneous Cholecystostomy in the Diagnosis and Treatment of Acute Cholecystitis in the High-Risk Patient

G. B. Werbel, D. L. Nahrwold, R. J. Joehl, R. L. Vogelzang, Robert V Rege

Research output: Contribution to journalArticle

76 Scopus citations

Abstract

• We performed percutaneous cholecystostomy in 22 critically ill patients with suspected acute cholecystitis. This procedure accurately diagnosed acute cholecystitis in 17 of these 22 patients and excluded the diagnosis in the other 5 patients. Moreover, percutaneous cholecystostomy stabilized the conditions of 16 of the 17 patients with acute cholecystitis, allowing elective surgery in 8 patients and effectively treating 8 patients who never became surgical candidates. Percutaneous cholecystostomy and bile cultures are useful in the diagnosis and treatment of acute cholecystitis and should be performed in critically ill patients with clinical, laboratory, and radiologic evidence of acute cholecystitis and an excessive risk for cholecystectomy.

Original languageEnglish (US)
Pages (from-to)782-786
Number of pages5
JournalArchives of Surgery
Volume124
Issue number7
DOIs
StatePublished - Jul 1989

ASJC Scopus subject areas

  • Surgery

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