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Cholecystoduodenal Stenting: An Option in Complicated Acute Calculous Cholecystitis in the Elderly Comorbid Patient
المؤلفون المشاركون
Chandrasegaram, Manju D.
Bonner, Brady Chapman
Brown, Nicholas I.
Joseph, Varghese Pynadath
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-01-21
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
We describe the course of an 84-year-old lady with acute calculous cholecystitis.
She was unable to have a cholecystectomy due to multiple comorbidities including morbid obesity, type 2 diabetes, Guillain–Barrè syndrome, chronic sacral pressure ulcer, and severe cardiac disease.
Conservative treatment with intravenous antibiotics was initially successful; however, she subsequently re-presented with an empyema of the gallbladder.
She was readmitted for further intravenous antibiotics and underwent percutaneous gallbladder drainage.
The patient did not want a permanent catheter for drainage, nor the prospect of repeat drainage procedures in the future for recurrent cholecystitis.
Following a discussion of the rationale and risks involved with other minimally invasive techniques, she underwent cholecystoduodenal stent placement following disimpaction and removal of cystic duct stones.
The procedure restored antegrade gallbladder drainage, and at 18 months she remains symptom-free from her gallbladder.
Long-term management of recurrent cholecystitis in elderly comorbid patients commonly includes permanent cholecystostomy or repeated percutaneous gallbladder drainage, both of which can be poorly tolerated.
Permanent cholecystoduodenal stenting is a reasonable alternative in carefully considered patients in whom the benefits outweigh the risks.
We describe our experience with cholecystoduodenal stenting and discuss some of the concerns and considerations with this technique.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bonner, Brady Chapman& Brown, Nicholas I.& Joseph, Varghese Pynadath& Chandrasegaram, Manju D.. 2018. Cholecystoduodenal Stenting: An Option in Complicated Acute Calculous Cholecystitis in the Elderly Comorbid Patient. Case Reports in Surgery،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1150078
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bonner, Brady Chapman…[et al.]. Cholecystoduodenal Stenting: An Option in Complicated Acute Calculous Cholecystitis in the Elderly Comorbid Patient. Case Reports in Surgery No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1150078
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bonner, Brady Chapman& Brown, Nicholas I.& Joseph, Varghese Pynadath& Chandrasegaram, Manju D.. Cholecystoduodenal Stenting: An Option in Complicated Acute Calculous Cholecystitis in the Elderly Comorbid Patient. Case Reports in Surgery. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1150078
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1150078
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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