Percutaneous cholecystostomy… why, when, what next? A systematic review of past decade

IntroductionPercutaneous cholecystostomy tube drainage has played a vital role in management of cholecystitis in patients where surgery is not appropriate. However, management differs from unit to unit and even between different consultants in the same unit. We conducted this systematic review to understand which of these resulted in the best patient outcomes.MethodsWe conducted a systematic review using the PubMed database for publication between January 2006 to December 2016. Keyword variants of ‘cholecystostomy’ and ‘cholecystitis’ were combined to identify potential relevant papers for inclusion.FindingsWe identified 46 studies comprising a total of 312,085 patients from 20 different countries. These papers were reviewed, critically appraised and summarised in table format. Percutaneous cholecystostomy tube drainage is an important treatment modality with an excellent safety profile. It has been used successfully both as a definitive procedure and as a bridge to surgery. There continues to be great variation, however, when it comes to the indications, timing and management of these drains. As far as we are aware, this is the only systematic review to cover the past 10 years. It provides a much-needed update, considering all the technological development and new treatment options in laparoscopic surgery and interventional radiology.

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Su2061 CLINICAL OUTCOMES OF HIGH-RISK PATIENTS TREATED OF PERCUTANEOUS CHOLECYSTOSTOMY TUBE DRAINAGE

Gastroenterology ◽

10.1016/s0016-5085(20)34598-4 ◽

2020 ◽

Vol 158 (6) ◽

pp. S-1567

Author(s):

Krishnamurthy B. Vaishnavi ◽

Christopher P. Rice ◽

Celia Chao ◽

Farhan Ahmad ◽

William J. Mileski

Keyword(s):

High Risk ◽

Clinical Outcomes ◽

Percutaneous Cholecystostomy ◽

Tube Drainage ◽

High Risk Patients ◽

Risk Patients ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

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Abstract No. 520 Clinical characteristics, imaging manifestations, and outcomes of patients undergoing percutaneous cholecystostomy tube placement for acute cholecystitis in the setting of COVID-19 infection

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2021.03.329 ◽

2021 ◽

Vol 32 (5) ◽

pp. S138-S139

Author(s):

K. Chen ◽

E. Gandras ◽

C. Greben ◽

J. Weinstein

Keyword(s):

Acute Cholecystitis ◽

Clinical Characteristics ◽

Tube Placement ◽

Percutaneous Cholecystostomy ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

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Percutaneous Cholecystostomy Tube for Acute Cholecystitis: Quantifying Outcomes and Prognosis

Journal of Surgical Research ◽

10.1016/j.jss.2021.09.018 ◽

2022 ◽

Vol 270 ◽

pp. 405-412

Author(s):

Raymond Huang ◽

Deven C. Patel ◽

Joseph R. Kallini ◽

Ashley M. Wachsman ◽

Richard J. Van Allan ◽

...

Keyword(s):

Acute Cholecystitis ◽

Percutaneous Cholecystostomy ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

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Thinking ahead: gallbladder intussusception following transperitoneal percutaneous cholecystostomy tube placement

BMJ Case Reports ◽

10.1136/bcr-2020-238885 ◽

2021 ◽

Vol 14 (2) ◽

pp. e238885

Author(s):

Ryan William England ◽

Caleb Heiberger ◽

Harjit Singh

Keyword(s):

Tube Placement ◽

Pigtail Catheter ◽

Percutaneous Cholecystostomy ◽

Transperitoneal Approach ◽

Proper Position ◽

Image Guided ◽

Risk Patients ◽

Procedural Complications ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

Percutaneous cholecystostomy (PC) is a common minimally invasive, image-guided procedure performed primarily on high-risk patients with acute cholecystitis for gallbladder decompression. Herein, we present a case of a patient undergoing PC placement using a transperitoneal approach. On subsequent upsizing attempts, the gallbladder fundus was found to invaginate during advancement of replacement drains, causing gallbladder intussusception. The use of a balloon and locked pigtail catheter were required to reposition the gallbladder to proper position. The patient’s planned percutaneous cholecystoscopy was delayed by 4 weeks until intended upsizing could be performed. This case demonstrates the advantage of achieving transhepatic gallbladder access to support tract formation and limit procedural complications.

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Cholecystectomy following percutaneous cholecystostomy tube placement leads to higher rate of CBD injuries

Surgical Endoscopy ◽

10.1007/s00464-018-6559-4 ◽

2018 ◽

Vol 33 (8) ◽

pp. 2686-2690 ◽

Cited By ~ 4

Author(s):

Maria S. Altieri ◽

Lisa Bevilacqua ◽

Jie Yang ◽

Donglei Yin ◽

Salvatore Docimo ◽

...

Keyword(s):

Tube Placement ◽

Percutaneous Cholecystostomy ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

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Tu1777 Clinical Outcomes of Percutaneous Cholecystostomy Tube Placement in Critically Ill Patients With Acute Cholecystitis

Gastroenterology ◽

10.1016/s0016-5085(15)34025-7 ◽

2015 ◽

Vol 148 (4) ◽

pp. S-1180

Author(s):

Kenneth Sirinek ◽

Ronald M. Stewart ◽

Kent Van Sickle ◽

Wayne Schwesinger

Keyword(s):

Acute Cholecystitis ◽

Clinical Outcomes ◽

Critically Ill ◽

Critically Ill Patients ◽

Tube Placement ◽

Percutaneous Cholecystostomy ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

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Characteristics and treatment effectiveness of the nummular headache: a systematic review and analysis of 110 cases

BMJ Neurology Open ◽

10.1136/bmjno-2020-000049 ◽

2020 ◽

Vol 2 (1) ◽

pp. e000049

Author(s):

Urvish K Patel ◽

Sidra Saleem ◽

Arsalan Anwar ◽

Preeti Malik ◽

Bindi Chauhan ◽

...

Keyword(s):

Systematic Review ◽

Complete Resolution ◽

Rating Scale ◽

Botulinum Toxin Type A ◽

Treatment Options ◽

Correct Diagnosis ◽

Primary Headache ◽

Tricyclic Antidepressant ◽

Nummular Headache ◽

Pubmed Database

Background/objectiveNummular headache (NH) is a primary headache disorder characterised by intermittent or continuous scalp pain, affecting a small circumscribed area of the scalp. As there are limited data in the literature on NH, we conducted this review to evaluate demographic characteristics and factors associated with complete resolution of the headache, and effectiveness of treatment options.MethodsWe performed a systematic review of cases reported through PubMed database, using Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol and ‘nummular headache’, ‘coin-shaped headache’ and ‘coin-shaped cephalalgia’ keywords. Analysis was performed by using χ2 test and Wilcoxon rank-sum test. For individual interventions, the response rate (RR%) of the treatment was calculated.ResultsWe analysed a total of 110 NH cases, with median age 47 years and age of pain onset 42 years. Median duration to make correct diagnosis was 18 months after first attack. The median intensity of each attack was 5/10 on verbal rating scale over 4 cm diameter with duration of attack <30 min. Patients with NH had median three attacks per day with frequency of 9.5 days per month. 40 (57.97%) patients had complete resolution of the headache after treatment. Patients with complete resolution were younger, more likely to be female, and were more likely to have diagnosis within year. Patients with complete resolution more likely to have received treatment with onabotulinum toxin A (botulinum toxin type A (BoNT-A)), and gabapentin compared with patients without complete resolution. Most effective interventions were gabapentin (n=34; RR=67.7%), non-steroidal anti-inflammatory drugs (NSAIDs) (n=32; RR=65.6%), BoNT-A (n=12; RR=100%) and tricyclic antidepressant (n=9; RR=44.4%).ConclusionYounger patients, female sex and early diagnosis were associated with complete resolution. NSAIDs, gabapentin and BoNT-A were most commonly used medications, with significant RRs.

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