TY  - JOUR
T1  - PErcutaneous cholecystostomy in the diagnosis and treatment of acute cholecystitis in the high-risk patient
AU  - Werbel GB, Nahrwold DL, Joehl RJ, Vogelzang RL, Rege RV
Y1  - 1989/07/01
N1  - 10.1001/archsurg.1989.01410070032007
JO  - Archives of Surgery
SP  - 782
EP  - 786
VL  - 124
IS  - 7
N2  - • We performed percutaneous cholecystostomy in 22 critically ill patients with suspected acute cholecystitis. This procedure accurately diagnosed acute cholecystitis in 17 of these 22 patients and excluded the diagnosis in the other 5 patients. Moreover, percutaneous cholecystostomy stabilized the conditions of 16 of the 17 patients with acute cholecystitis, allowing elective surgery in 8 patients and effectively treating 8 patients who never became surgical candidates. Percutaneous cholecystostomy and bile cultures are useful in the diagnosis and treatment of acute cholecystitis and should be performed in critically ill patients with clinical, laboratory, and radiologic evidence of acute cholecystitis and an excessive risk for cholecystectomy.(Arch Surg. 1989;124:782-786)
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.1989.01410070032007
UR  - http://dx.doi.org/10.1001/archsurg.1989.01410070032007
ER  -