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Percutaneous cholecystostomy in the treatment of acute calculous cholecystitis in elderly patients with COVID-19 and high comorbidity.
Çakir, Çaglayan; Kabuli, Hamit Ahmet.
  • Çakir Ç; Department of Radiology, Healts Sciences University, Bakirköy Dr. Sadi Konuk Training and Resarch Hospital, Istanbul-Turkey.
  • Kabuli HA; Department of General Surgery, Healts Sciences University, Bakirköy Dr. Sadi Konuk Training and Resarch Hospital, Istanbul-Turkey.
Ulus Travma Acil Cerrahi Derg ; 27(3): 296-302, 2021 May.
Article in English | MEDLINE | ID: covidwho-1197689
ABSTRACT

BACKGROUND:

The purpose of the study was to review the efficacy, safety, and outcomes of percutaneous cholecystostomy (PC) in elderly patients with acute calculous cholecystitis (ACC), high comorbidity, and COVID-19.

METHODS:

The hospital registry data were examined of patients aged >65 years who were diagnosed with ACC and COVID-19 between March 2020 and June 2020 and who underwent PC treatment in the interventional radiology unit.

RESULTS:

A total of 18 patients were diagnosed with ACC and COVID-19, then underwent PC. The patients comprised 14 (78%) males and 4 (22%) females with an average age of 73.4 years (range, 67-81 years). In 17 (94%) patients, symptoms associated with acute cholecystitis decreased within 48-72 h of the PC treatment and a clinical improvement was determined. The success rate of PC was 100% and no complications. In 3 (16.6%) patients followed up with intubation in intensive care after the procedure, mortality developed due to COVID-19-associated pneumonia and subsequent acute respiratory distress syndrome, and 15 (83.4%) patients were discharged with an elective cholecystectomy plan.

CONCLUSION:

COVID-19 infection can be fatal especially in patients over 65 years of age due to additional comorbidities. PC treatment, which can be performed under local anesthesia as a minimally invasive procedure, is an alternative treatment option in this patient group. PC can also act as a bridge in transition to elective surgery in this process management.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Cholecystostomy / Cholecystitis, Acute / COVID-19 Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male Language: English Journal: Ulus Travma Acil Cerrahi Derg Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cholecystostomy / Cholecystitis, Acute / COVID-19 Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male Language: English Journal: Ulus Travma Acil Cerrahi Derg Year: 2021 Document Type: Article