Monday, May 27, 2019

PCT: Interventional Management of Cholecystitis-Current Trends in Clinical & Medical Imaging-Juniper Publishers

JUNIPER PUBLISHERS-Current Trends in Clinical & Medical Imaging


PCT: Interventional Management of Cholecystitis


Authored by Ryan Cobb*

Percutaneous cholecystostomy tube (PCT) placement has traditionally served as a temporizing measure to bridge a comorbid patient presenting with acute cholecystitis and/or acute cholangitis to the current mainstay definitive treatment of cholecystectomy. While criteria outlined by the 2013revision of the 2007 Tokyo Guidelines have subsequently resulted in a rise of PCT placements, but a definitive treatment plan is lacking in cases where surgery is forgone due to excessive perioperative risk. In our single institutional retrospective analysis of acute cholecystitis patients, a majority underwent PCT, not cholecystectomy for definitive management. Within this subset of patients a majority was lost to follow up and some patients required permanent tube placement. Our findings demonstrate a deficiency in the treatment plan for cholecystitis, one that we feel interventionalists are uniquely suited to fill.

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