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Titolo:
PERCUTANEOUS CHOLECYSTOSTOMY - A STUDY IN 30 PATIENTS
Autore:
JOLY JP; DUCHMANN JC; ELYAMANI A; YZET T; DELCENSERIE R; DUPAS JL; CAPRON JP;
Indirizzi:
CHU NORD,SERV HEPATOGASTROENTEROL F-80054 AMIENS FRANCE
Titolo Testata:
Gastroenterologie clinique et biologique
fascicolo: 2, volume: 22, anno: 1998,
pagine: 127 - 131
SICI:
0399-8320(1998)22:2<127:PC-ASI>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
FRE
Soggetto:
CRITICALLY ILL PATIENTS; PRESUMED ACUTE CHOLECYSTITIS; GALLBLADDER PUNCTURE; CHOLECYSTECTOMY; EFFICACY; PLACE;
Keywords:
ACUTE CHOLECYSTITIS; ANGIOCHOLITIS; CHOLECYSTOSTOMY; PERCUTANEOUS DRAINAGE; ULTRASONIC INTERVENTIONAL PROCEDURE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
36
Recensione:
Indirizzi per estratti:
Citazione:
J.P. Joly et al., "PERCUTANEOUS CHOLECYSTOSTOMY - A STUDY IN 30 PATIENTS", Gastroenterologie clinique et biologique, 22(2), 1998, pp. 127-131

Abstract

Objective and methods. - The treatment of acute cholecystitis or angiocholitis is often difficult in elderly or very ill patients. The aim of this retrospective study was to assess the efficacy and the resultsof ultrasound guided percutaneous cholecystostomy in patients with acute cholecystitis or biliary tract obstruction and anesthetic or surgical contraindications. Results. - Thirty patients (25-93 years, 16 menand 14 women) were included in this study. Ultrasound guided percutaneous cholecystostomy was successful on the septic syndrome in 27 patients; endoscopic sphincterotomy was performed in 6 patients after clinical improvement. A failure of the procedure on sepsis was observed in 3 patients: cholecystectomy was performed after cardiac improvement inone patient, and 2 patients died. Two other patients died of extradigestive diseases. No serious complication related to cholecystostomy was observed. Conclusion. - Ultrasound guided percutaneous cholecystostomy is a safe and simple procedure. It can be done at bedside and has low morbidity and mortality. It can be considered as a definitive treatment, or a temporary one with secondary surgical or endoscopic management.

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Documento generato il 07/07/20 alle ore 18:58:45