BACKGROUND: Acute @entity2679 (AC) remains a difficult problem in @entity1 with coexisting severe @entity221 , and ultrasonographically guided percutaneous puncture and @entity1085 (PTBD) may be an alternative treatment in this context. SETTING: University Hospital, Norway. METHODS: Retrospective study of the safety and efficacy of this approach in 86 consecutive @entity1 treated from 1992 to 1999. RESULTS: Five @entity1 died. Drainage did not seem to influence the condition in these @entity1 , who were drained for a mean of 8 days after admission compared to 4 days for the survivors (p = 0.01), and had a higher S- @entity648 on the day of the drainage, 46 and 29 micromol/l (p = 0.05), respectively. Seven @entity1 had an intraperitoneal @entity1157 and 2 had worsening @entity295 . One of these @entity1 had both, and the gallbladder was removed. An open cystic duct demonstrated at catheter cholangiography was associated with a @entity1157 in 3 (4%) of 76 @entity1 as opposed to 4 (40%) of 10 @entity1 with obstruction (p = 0.001). Only 60 @entity1 survived another 6 months because of general debility and other diseases. Twenty-seven (45%) of these were asymptomatic during follow-up. Twenty-eight (47%) of the remaining @entity1 had at least one recurrent episode of AC. One @entity1 who was readmitted due to AC had urgent cholecystectomy and 8 others had elective cholecystectomy during follow-up for a total cholecystectomy rate of 12%. A common bile duct stone was demonstrated in 4 @entity1 after ERCP and indicative signs were found in another 5 (10%). CONCLUSIONS: PTBD remains a good option in @entity1 with septic AC who have severe coexisting disease and may be too ill to undergo an operation. It may not be necessary to remove the gallbladder in 45% or more of the @entity1 as many remain asymptomatic after PTBD.

Complications and late outcome following percutaneous @entity1085 in acute XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1085 :: ('MESH:D005705', 'Disease') :: ['drainage of the gallbladder'] @entity295 :: ('MESH:D018805', 'Disease') :: ['septicemia'] @entity648 :: ('MESH:D001663', 'Chemical') :: ['bilirubin'] @entity1157 :: ('MESH:D001649', 'Disease') :: ['bile leak'] @entity2679 :: ('MESH:D002764', 'Disease') :: ['septic cholecystitis'] @entity221 :: ('MESH:D005334', 'Disease') :: ['illness']
@entity2679 :: (MESH:D002764,Disease) :: ['calculous cholecystitis']
