[Acute inoperable cholecystitis treated by endoscopic naso-vesicular drainage. Study of 15 patients].
OBJECTIVE
Cystic duct cannulation during endoscopic retrograde cholangiography is now possible, due to advances in endoscopic equipment and methodology. The aim of this study was to assess the role of endoscopic transpapillary cholecystostomy in inoperable patients with acute cholecystitis.


METHODS
Between October 1993 and February 1996, cystic duct cannulation was performed in 15 patients with acute cholecystitis (9 men and 6 women; mean age 74.8 years. Acute calculous cholecystitis was associated with cholangitis in 4 cases, with pancreatitis in 2 cases, and with perforation of the gallbladder in 1 case.


RESULTS
Cystic duct cannulation was successful in 13 patients (86.6%), and resulted in remission of cholecystitis by nasovesicular drainage associated with antibiotherapy in all cases. No morbidity and mortality due to this method was observed at one month. No recurrence was observed after a mean follow-up of 8 months (range: 6 weeks-14 months).


CONCLUSIONS
This study suggests that endoscopic nasovesicular drainage is a good alternative treatment to percutaneous cholecystostomy in inoperable patients.
Dumas
R
R
Service d'Hépato-Gastroentérologie, Hôpital Universitaire de l'Archet II, Nice.
Caroli-Bosc
F X
FX
Demarquay
J F
JF
Zanaldi
H
H
Hastier
P
P
Conio
M
M
Maes
B
B
Delmont
J P
JP
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D002764:Cholecystitis / Q000601:surgery*; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Cholécystite aiguë inopérable traitée par drainage nasovésiculaire endoscopique. Etude chez 15 malades.