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

Exploring Brain Death at a Tertiary Pediatric Intensive Care Unit in Turkey; Incidence, Etiology and Organ Donation

Introduction: Severe traumatic brain injury (TBI) is associated with brain death. The overall incidence of pediatric brain death, especially in severe TBI is not known in Turkey. We aimed to investigate the rate of brain...

The Role of Bronchoscopy in Childhood Foreign Body Aspirations: A 3-year Experience

Introduction: The purpose of our retrospective study was to define the clinical and radiological features of patients with aspirated foreign bodies, characterize the incidence of foreign body aspiration (FBA) and to comp...

Burnout Levels and Affecting Factors in Nurses Working in a University Hospital

Introduction: It was aimed to determine the burnout level and associated factors in nurses working in a university hospital. Methods: The study was designed as a cross-sectional study. The Maslach Burnout Inventory, 36-I...

A Case of Carbon Monoxide Poisoning in which the Diagnosis was Rejected by the Family

It is very difficult to recognize carbon monoxide (CO) poisoning since CO is a colorless, odorless, tasteless, and non-irritating gas. Statistical data indicates that CO poisoning and related deaths in Turkey are mostly...

Successful Decompressive Craniectomy in a Child with Severe Head Trauma

In developed countries, trauma is the most common cause of mortality and morbidity in children. Severe traumatic brain injury is the most important cause of death in these patients. The main goal of treatment is to provi...

Download PDF file
  • EP ID EP670514
  • DOI 10.4274/atfm.galenos.2019.29491
  • Views 113
  • 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://europub.co.uk/articles/-A-670514