What are the alternative treatment options for patients with cholecystitis at high surgical risk?

Updated: May 20, 2021
  • Author: Alan A Bloom, MD; Chief Editor: BS Anand, MD  more...
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Answer

For patients at high surgical risk, placement of a sonographically guided, percutaneous, transhepatic cholecystostomy drainage tube coupled with the administration of antibiotics may provide definitive therapy. [47]  Results of studies suggest that most patients with acute acalculous cholecystitis can be treated with percutaneous drainage alone, [48, 49] but the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) guideline describes radiographically guided percutaneous cholecystostomy as a temporizing measure until the patient can undergo cholecystectomy. [41]


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