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PCT: Interventional Management of Cholecystitis

Author

Listed:
  • Ryan M Cobb
  • Ian Sullivan DO
  • Gary S Cohen

    (Department of Diagnostic and Interventional Radiology, Temple University Hospital, USA)

  • Brian W Berg
  • Abhinav Patel

    (Lewis Katz School of Medicine at Temple University, USA)

Abstract

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.

Suggested Citation

  • Ryan M Cobb & Ian Sullivan DO & Gary S Cohen & Brian W Berg & Abhinav Patel, 2017. "PCT: Interventional Management of Cholecystitis," Current Trends in Clinical & Medical Imaging, Juniper Publishers Inc., vol. 2(1), pages 1-2, August.
    • Handle: RePEc:adp:jctcmi:v:2:y:2017:i:1:p:1-2
    DOI: 10.19080/CTCMI.2017.02.555576
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