Korean J Fam Pract. 2018; 8(1): 3-7  https://doi.org/10.21215/kjfp.2018.8.1.3
The Characteristics of Percutaneous Cholecystostomy Subjects and the Safety and Efficacy of Procedure Based on Clinical Records
Sung-Hee Moon1, Hui-Jong Jo1, Jung-Kwon Kim2, Won-Yong Kim1,*
Department of 1Family Medicine and 2Division of Gastroenterology, Hongik Hospital, Seoul, Korea
Won-Yong Kim
Tel: +82-2-2600-0595, Fax: +82-2-2600-0714
E-mail: wonyongkimmd@gmail.com
ORCID: http://orcid.org/0000-0003-2117-5099
Received: February 28, 2017; Revised: August 31, 2017; Accepted: September 7, 2017; Published online: February 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Although percutaneous cholecystostomy is widely performed, few studies have described patient demographics and the efficacy and safety of the procedure.
Methods: This retrospective study was based on analysis of medical records of patients who underwent a percutaneous cholecystostomy at a general hospital in Seoul, South Korea between August 2012 and April 2016. The variables studied were age, comorbidities, vital signs, blood test results, results of electrocardiography (EKG), intraprocedural complications and those within 2 weeks post procedure, and the efficacy of the procedure within 48 hours.
Results: We studied 78 patients including 44 (56%) women and 34 (44%) men with mean age being 76 years, and 54 (69%) patients ≥ 70 years of age. Comorbidities including hypertension, diabetes, chronic kidney disease, stroke, cardiac disorders, liver cirrhosis, chronic obstructive pulmonary disease, cancer, or major fractures were observed in 62 (79%) of the patients. Use of general anesthesia was contraindicated in 56 patients because of abnormal vital signs, EKG findings, or liver function tests. We observed that 99% of the patients were ≥ 70 years of age, showed comorbidities, or abnormal test results. No intra- and immediate post-procedural complications were reported. However, 2 (3%) of the patients showed catheter-related complications within 2 weeks. We observed that the procedure demonstrated good efficacy within 48 hours in 76 (97%) of patients.
Conclusion: Most patients who underwent a cholecystostomy as the primary treatment for acute cholecystitis were aged ≥ 70, showed comorbidities, and abnormal test results. However, this procedure was safe and effective in the studied patients.
Keywords: Acute Cholecystitis; Percutaneous Cholecystostomy; High Risk Patient; Percutaneous Transhepatic Gallbladder Drainage
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