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.
For More Articles in Current
Trends in Clinical
& Medical Imaging Please Click on:
https://juniperpublishers.com/ctcmi/index.php
For More Open
Access Journals In Juniper Publishers Please Click on:
No comments:
Post a Comment