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Titolo:
Ultrasound-guided percutaneous cholecystostomy in high-risk surgical patients
Autore:
Granlund, N; Karlson, BM; Elvin, A; Rasmussen, I;
Indirizzi:
Univ Uppsala Hosp, Dept Surg, S-75185 Uppsala, Sweden Univ Uppsala Hosp Uppsala Sweden S-75185 t Surg, S-75185 Uppsala, Sweden Univ Hosp, Dept Diagnost Radiol, Uppsala, Sweden Univ Hosp Uppsala Sweden iv Hosp, Dept Diagnost Radiol, Uppsala, Sweden
Titolo Testata:
LANGENBECKS ARCHIVES OF SURGERY
fascicolo: 3, volume: 386, anno: 2001,
pagine: 212 - 217
SICI:
1435-2443(200104)386:3<212:UPCIHS>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE ACALCULOUS CHOLECYSTITIS; CRITICALLY-ILL PATIENTS; CHOLECYSTECTOMY;
Keywords:
acute cholecystitis; percutaneous drainage; ultrasound; critically ill patients;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Karlson, BM Univ Uppsala Hosp, Dept Surg, S-75185 Uppsala, Sweden Univ Uppsala Hosp Uppsala Sweden S-75185 185 Uppsala, Sweden
Citazione:
N. Granlund et al., "Ultrasound-guided percutaneous cholecystostomy in high-risk surgical patients", LANG ARCH S, 386(3), 2001, pp. 212-217

Abstract

Background and aims: In critically ill patients. cholecystectomy is associated with a high mortality fate. The aim of this study was to evaluate the safety, efficacy and lone-term outcome of ultrasound-guided percutaneous cholecystostomy (USGPC) in critically ill patients with acute cholecystitis. Materials and methods: Clinical records of 51 patients, all considered high-risk surgical patients. with acute cholecystitis treated with USGPC between 1987 and 1999, were retrospectively reviewed. Response was defined as improvement in clinical symptoms and signs. and/or reduction in c-reactive protein and white blood count levels within 72 h. Long-term results were evaluated by means of clinical records and written correspondence. Results: Gallbladder stones were seen in 28 patients whereas 23 had acalculous cholecystitis. Ninety percent showed clinical improvement after USGPC. Cholecystectomy was performed in 16% of which 6% after recurrent cholecystitis. Recurrence of cholecystitis occurred in 22%. Hospital mortality was 16%. None of the deaths was procedure related or related to acute cholecystitis alone. Major complications relating to the USGPC were ran (4%), while minor catheter-related complications were quite common. Conclusions: USGPC is a procedure with few complications and a high success rate. In patients with acalculouscholecystitis as well as in many patients with calculous cholecystitis, nofurther treatment was needed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 07:15:52