erdem, hasan adana numune training and research hospital, Turkey , aziret, mehmet sakarya university - faculty of medicine, Turkey , çetinkunar, süleyman adana numune training and research hospital, Turkey , tekesin, kemal istanbul training and research hospital, Turkey , bayrak, savaş istanbul training and research hospital, Turkey , bozkurt, hilmi adana numune training and research hospital, Turkey , bayrak, edip adana numune training and research hospital, Turkey , irkörücü, oktay adana numune training and research hospital, Turkey

The Performance of Percutaneous Cholecystostomy in Geriatric Patients with Acute Cholecystitis Accompanying Serious Comorbidities

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Objective: A percutaneous cholecystostomy (PC) may be listed among the treatment options for cases of acute cholecystitis (AC) in geriatric pati-ents with accompanying comorbidities. We report on geriatric patients with high rates of comorbidities and AC who underwent a successful PC treatment and received follow-up care. Material and Method: Patients who were diagnosed with AC, were over the age of 65 and underwent a PC because of operative comorbidities between November 2011 and October 2014 were examined retrospectively. Patients age, gender, cholecystostomy indications, accompanying disea-ses, duration of stay in hospital, duration of follow-up, amount of drainage after the procedure, culture results, success of the procedure, complicati-ons related to the procedure and records of the surgical and medical treatments after PC were recorded. Results: A total of 22 patients who received a PC were enrolled in the study and retrospectively investigated using database information, patient files and operative notes. Nine of the patients were female, 13 were male and the mean age was 76.5 years. The mean follow-up period was 28.2 months; the length of hospital stay was 7 (2-12) days; and the mean duration of drain was 31.2 (29.2-36.2) days. Definitive treatment was performed on 4 (18%) of the patients, while in 18 (82%) of the patients, catheter was removed without any additional procedures. Conclusion: The use of PC has increased since it was first described by Radder in 1980. In geriatric patients with high cardiac and pulmonary mor-bidity, a PC is often used for treatment. As a low cost, quickly effective, time-saving treatment method with low complication rates, PCs can be used as a temporary or definitive treatment method for cases of AC in high risk geriatric patients.

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Acute Cholecystitis , Geriatric Patients , Percutaneous Cholecystostomy , Cholecystectomy.

Fırat Medical Journal

199