Percutaneous cholecystostomy--a safe option in the management of acute biliary sepsis in the elderly.
Percutaneous cholecystostomy (PC) has been used in the management of acute cholecystitis and biliary sepsis in patients with severe comorbidities where emergency cholecystectomy or open cholecystostomy are considered to carry prohibitive risks of mortality. We reviewed three consecutive cases of elderly patients with biliary sepsis presenting acutely to our unit who were managed successfully with this approach, and present herein these cases and a review of the literature.
Howard
J M
JM
Department of Upper Gastrointestinal Surgery, St. James's Hospital and Trinity College, Dublin, Ireland. jhoward@stjames.ie
Hanly
A M
AM
Keogan
M
M
Ryan
M
M
Reynolds
J V
JV
D000369:Aged, 80 and over; D001660:Biliary Tract Diseases / Q000150:complications / Q000601:surgery*; D002767:Cholecystostomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D018805:Sepsis / Q000209:etiology / Q000601:surgery*