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Alternative application of percutaneous cholecystostomy in patients with biliary obstruction

  • Hepatobiliary
  • Published:
Abdominal Radiology Aims and scope Submit manuscript

Abstract

Purpose

Percutaneous cholecystostomy (PC) is an important modality for acute cholecystitis and has been applied for other clinical scenarios as well. In the present study, we aimed to investigate an alternative use of PC for obstructive jaundice.

Methods

From January 2012 to December 2018, eligible subjects were selected from patients undergoing PC in our institute. The characteristics, spectrum of underlying disease, indication for PC performance, details of the procedure, and treatment effect were all investigated.

Results

During the study period, 1364 patients underwent PC. Seventy patients fulfilled the defined inclusion criteria. While 47 patients were diagnosed with malignant biliary obstruction with or without cholangitis, 23 patients were diagnosed with nonmalignant biliary obstruction and acute cholangitis. There were 63 patients (90%) diagnosed with acute cholangitis. Pancreatic cancer (n = 24, 51%) and advanced malignancy (n = 28, 59%) were noted mostly in the group with malignant biliary obstruction. Treatment effects were proven by laboratory data, including the white blood cell count, C-reactive protein level, and hepatic function.

Conclusion

PC can temporize definitive therapies and serve as an alternative treatment for patients with nonmalignant conditions. For patients with advanced malignancy, PC can serve as a palliative procedure that has a high success rate and low complication rate and effectively relieves biliary obstruction.

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Acknowledgments

We would like to thank Chang Gung Memorial Hospital (CGMH) for supporting our research (CMRPG3I0102).

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Author notes

  1. Hung-Yu Chung and Chih-Chieh Hsu have contributed equally to this work.

Authors and Affiliations

  1. Division of General Surgery, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan, 333, Taiwan

    Hung-Yu Chung, Chih-Chieh Hsu, Yu-Liang Hung, Man Si Wong, Chun-Yi Tsai, Ming-Yang Chen, Shang-Yu Wang, Jun-Te Hsu, Ta-Sen Yeh, Chun-Nan Yeh & Yi-Yin Jan

  2. Division of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan, 333, Taiwan

    Huan-Wu Chen

  3. Division of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan, 333, Taiwan

    Chih-Yuan Fu

  4. School of Medicine, Chang Gung University, No. 259, Wenhua 1st Rd., Guishan Dist., Taoyuan, 333, Taiwan

    Shang-Yu Wang, Jun-Te Hsu, Ta-Sen Yeh & Chun-Nan Yeh

  5. Graduate Institute of Clinical Medical Sciences, Chang Gung University, No. 259, Wenhua 1st Rd., Guishan Dist., Taoyuan, 333, Taiwan

    Shang-Yu Wang

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  1. Hung-Yu Chung
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Chung, HY., Hsu, CC., Hung, YL. et al. Alternative application of percutaneous cholecystostomy in patients with biliary obstruction. Abdom Radiol 46, 2891–2899 (2021). https://doi.org/10.1007/s00261-020-02898-5

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  • DOI: https://doi.org/10.1007/s00261-020-02898-5

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