Percutaneous cholecystostomy for the diagnosis and treatment of acute calculous and XXXX .

@entity1 @entity32 @entity295 @entity66 @entity2679 @entity7140
PURPOSE: To determine the safety, efficacy, and diagnostic utility of percutaneous cholecystostomy in @entity1 with suspected calculous or @entity7140 . @entity1 AND METHODS: Percutaneous cholecystostomy guided with ultrasound (US) was performed in 58 consecutive hospitalized @entity1 with suspected acute @entity2679 (28 with calculous, 30 with @entity66 ) who were not surgical candidates. RESULTS: The gallbladder was successfully catheterized in all 58 @entity1 ; 48 @entity1 (83%) had a final diagnosis of acute @entity2679 . Clinical benefit was seen in 26 of 28 @entity1 (93%) with @entity2679 and in 16 of 20 @entity1 (80%) with @entity66 . The six @entity1 who did not respond had pathologic evidence of transmural @entity32 , and five had a gangrenous wall. The gallbladder was excluded as the source of @entity295 in 10 @entity1 with suspected @entity7140 . These @entity1 ' conditions did not improve after percutaneous cholecystostomy. Of the 48 @entity1 with @entity2679 , 18 underwent cholecystectomy, 25 recovered and had their catheters removed, and five died of other causes with their catheters in place. There was one major complication, and seven minor complications. CONCLUSION: Percutaneous cholecystostomy is efficacious in both calculous and @entity7140 , but it may be most useful in the diagnosis of @entity7140 .
