Cholecystostomy

Cholecystostomy is now performed primarily percutaneously. Generally, cholecystostomy is indicated in elderly or debilitated, poor-surgical-risk patients with acute cholecystitis, where emergent cholecystectomy with general anesthesia may be considered to be risky (since cholecystostomy can be performed with local anesthesia). A cholecystostomy is also sometimes performed when a cholecystectomy has been planned but is deemed hazardous for reasons of poor exposure and technical difficulties. When the procedure is performed surgically, a large bore catheter, such as a Foley or a Malecot, is inserted through a purse-string suture and secured to the skin to prevent bile leakage into the peritoneal cavity. Gallstones may be removed at the time of tube placement as well. The cholecystostomy tube is generally left in place for approximately 6 weeks. Contrast studies via the tube may be performed to determine whether stones are present and to evaluate for patency of the cystic duct (Figs. 4.42 and 4.43).

Figure 4.42. Cholecystostomy. Film from an Figure 4.43. Cholecystectomy with leak, as well injection of contrast medium into a cholecys- as stone and cystic duct obstruction. Cholecys-tostomy tube placed for acute cholecystitis in tostomy tube injection shows a distended gallan elderly high risk patient shows filling of the bladder containing a large stone, extraluminal gallbladder and common duct with free flow contrast due to leak, and nonfilling of the into the GI tract. common duct.

Figure 4.42. Cholecystostomy. Film from an Figure 4.43. Cholecystectomy with leak, as well injection of contrast medium into a cholecys- as stone and cystic duct obstruction. Cholecys-tostomy tube placed for acute cholecystitis in tostomy tube injection shows a distended gallan elderly high risk patient shows filling of the bladder containing a large stone, extraluminal gallbladder and common duct with free flow contrast due to leak, and nonfilling of the into the GI tract. common duct.

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Get Rid of Gallstones Naturally

Get Rid of Gallstones Naturally

One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones. The following are the best home remedies that will help you to treat and prevent gallstones.

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