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Semin intervent Radiol 2020; 37(01): 014-023
DOI: 10.1055/s-0039-3402016
DOI: 10.1055/s-0039-3402016
Review Article
Emergent Treatment of Acute Cholangitis and Acute Cholecystitis
Authors
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Publication History
Publication Date:
04 March 2020 (online)
Abstract
Acute pathology of the biliary tract including cholangitis and cholecystitis can lead to biliary sepsis if early decompression is not performed. This article provides an overview of the presenting signs and symptoms and role of interventional radiology in the management of patients with acute cholangitis or acute cholecystitis. It is especially important to understand the role of IR in the context of other treatment options including medical management, endoscopy, and surgery.
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References
- 1 Singer AJ, McCracken G, Henry MC, Thode Jr HC, Cabahug CJ. Correlation among clinical, laboratory, and hepatobiliary scanning findings in patients with suspected acute cholecystitis. Ann Emerg Med 1996; 28 (03) 267-272
- 2 Strasberg SM. Clinical practice. Acute calculous cholecystitis. N Engl J Med 2008; 358 (26) 2804-2811
- 3 Csendes A, Burdiles P, Maluenda F, Diaz JC, Csendes P, Mitru N. Simultaneous bacteriologic assessment of bile from gallbladder and common bile duct in control subjects and patients with gallstones and common duct stones. Arch Surg 1996; 131 (04) 389-394
- 4 Derici H, Kara C, Bozdag AD, Nazli O, Tansug T, Akca E. Diagnosis and treatment of gallbladder perforation. World J Gastroenterol 2006; 12 (48) 7832-7836
- 5 Wang AJ, Wang TE, Lin CC, Lin SC, Shih SC. Clinical predictors of severe gallbladder complications in acute acalculous cholecystitis. World J Gastroenterol 2003; 9 (12) 2821-2823
- 6 Gulaya K, Desai SS, Sato K. Percutaneous cholecystostomy: evidence-based current clinical practice. Semin Intervent Radiol 2016; 291-296
- 7 Yokoe M, Hata J, Takada T. , et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018; 25 (01) 41-54
- 8 Shea JA, Berlin JA, Escarce JJ. , et al. Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease. Arch Intern Med 1994; 154 (22) 2573-2581
- 9 Zakko SF, Srb S, Ramsby GR. Sensitivity of percutaneous endoscopy compared with ultrasonography in the detection of residue or mucosal lesions after topical gallbladder stone dissolution. Gastrointest Endosc 1995; 42 (05) 434-438
- 10 Barie PS, Eachempati SR. Acute acalculous cholecystitis. Gastroenterol Clin North Am 2010; 39 (02) 343-357 , x
- 11 Paulson EK. Acute cholecystitis: CT findings. Semin Ultrasound CT MR 2000; 56-63
- 12 Benarroch-Gampel J, Boyd CA, Sheffield KM, Townsend Jr CM, Riall TS. Overuse of CT in patients with complicated gallstone disease. J Am Coll Surg 2011; 213 (04) 524-530
- 13 Mori Y, Itoi T, Baron TH. , et al. Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018; 25 (01) 87-95
- 14 Okamoto K, Suzuki K, Takada T. , et al. Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci 2018; 25 (01) 55-72
- 15 Gomes CA, Junior CS, Di Saverio S. , et al. Acute calculous cholecystitis: review of current best practices. World J Gastrointest Surg 2017; 9 (05) 118-126
- 16 Beland MD, Patel L, Ahn SH, Grand DJ. Image-guided cholecystostomy tube placement: short-and long-term outcomes of transhepatic versus transperitoneal placement. AJR Am J Roentgenol 2019; 212 (01) 201-204
- 17 Katabathina VS, Zafar AM, Suri R. Clinical presentation, imaging, and management of acute cholecystitis. Tech Vasc Interv Radiol 2015; 18 (04) 256-265
- 18 Yeo CSW, Tay VWY, Low JK, Woon WW, Punamiya SJ, Shelat VG. Outcomes of percutaneous cholecystostomy and predictors of eventual cholecystectomy. J Hepatobiliary Pancreat Sci 2016; 23 (01) 65-73
- 19 Chou CK, Lee KC, Chan CC. , et al. Early percutaneous cholecystostomy in severe acute cholecystitis reduces the complication rate and duration of hospital stay. Medicine (Baltimore) 2015; 94 (27) e1096
- 20 Pang KW, Tan CHN, Loh S. , et al. Outcomes of percutaneous cholecystostomy for acute cholecystitis. World J Surg 2016; 40 (11) 2735-2744
- 21 Anderson JE, Inui T, Talamini MA, Chang DC. Cholecystostomy offers no survival benefit in patients with acute acalculous cholecystitis and severe sepsis and shock. J Surg Res 2014; 190 (02) 517-521
- 22 Atar E, Bachar GN, Berlin S. , et al. Percutaneous cholecystostomy in critically ill patients with acute cholecystitis: complications and late outcome. Clin Radiol 2014; 69 (06) e247-e252
- 23 Loozen CS, van Santvoort HC, van Duijvendijk P. , et al. Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial. BMJ 2018; 363: k3965
- 24 Altieri MS, Bevilacqua L, Yang J. , et al. Cholecystectomy following percutaneous cholecystostomy tube placement leads to higher rate of CBD injuries. Surg Endosc 2019; 33 (08) 2686-2690
- 25 Pannala R, Petersen BT, Gostout CJ, Topazian MD, Levy MJ, Baron TH. Endoscopic transpapillary gallbladder drainage: 10-year single center experience. Minerva Gastroenterol Dietol 2008; 54 (02) 107-113
- 26 Luk SW-Y, Irani S, Krishnamoorthi R. , et al. Endoscopic ultrasound-guided gallbladder drainage versus percutaneous cholecystostomy for high risk surgical patients with acute cholecystitis: a systematic review and meta-analysis. Endoscopy 2019; 51 (08) 722-732
- 27 Ahmed M. Acute cholangitis - an update. World J Gastrointest Pathophysiol 2018; 9 (01) 1-7
- 28 Kimura Y, Takada T, Kawarada Y. , et al. Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007; 14 (01) 15-26
- 29 Gomi H, Takada T, Hwang TL. , et al. Updated comprehensive epidemiology, microbiology, and outcomes among patients with acute cholangitis. J Hepatobiliary Pancreat Sci 2017; 24 (06) 310-318
- 30 Boey JH, Way LW. Acute cholangitis. Ann Surg 1980; 191 (03) 264-270
- 31 Gigot JF, Leese T, Dereme T, Coutinho J, Castaing D, Bismuth H. Acute cholangitis. Multivariate analysis of risk factors. Ann Surg 1989; 209 (04) 435-438
- 32 Thompson Jr JE, Tompkins RK, Longmire Jr WP. Factors in management of acute cholangitis. Ann Surg 1982; 195 (02) 137-145
- 33 Sulzer JK, Ocuin LM. Cholangitis: causes, diagnosis, and management. Surg Clin North Am 2019; 99 (02) 175-184
- 34 Umefune G, Kogure H, Hamada T. , et al. Procalcitonin is a useful biomarker to predict severe acute cholangitis: a single-center prospective study. J Gastroenterol 2017; 52 (06) 734-745
- 35 Kiriyama S, Takada T, Hwang TL. , et al. Clinical application and verification of the TG13 diagnostic and severity grading criteria for acute cholangitis: an international multicenter observational study. J Hepatobiliary Pancreat Sci 2017; 24 (06) 329-337
- 36 Park CS, Jeong HS, Kim KB. , et al. Urgent ERCP for acute cholangitis reduces mortality and hospital stay in elderly and very elderly patients. Hepatobiliary Pancreat Dis Int 2016; 15 (06) 619-625
- 37 Ramchandani M, Pal P, Reddy DN. Endoscopic management of acute cholangitis as a result of common bile duct stones. Dig Endosc 2017; 29 (Suppl. 02) 78-87
- 38 Buyukasik K, Toros AB, Bektas H, Ari A, Deniz MM. Diagnostic and therapeutic value of ERCP in acute cholangitis. ISRN Gastroenterol 2013; 2013: 191729
- 39 Akaike G, Ishiyama M, Suzuki S, Fujita Y, Ohde S, Saida Y. Significance of peribiliary oedema on computed tomography in diagnosis and severity assessment of acute cholangitis. Eur J Radiol 2013; 82 (09) e429-e433
- 40 Eun HW, Kim JH, Hong SS, Kim YJ. Assessment of acute cholangitis by MR imaging. Eur J Radiol 2012; 81 (10) 2476-2480
- 41 Patel IJ, Rahim S, Davidson JC. , et al. Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol 2019; 30 (08) 1168-1184.e1
- 42 Saad WE, Wallace MJ, Wojak JC, Kundu S, Cardella JF. Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy. J Vasc Interv Radiol 2010; 21 (06) 789-795
- 43 Kühn JP, Busemann A, Lerch MM, Heidecke CD, Hosten N, Puls R. Percutaneous biliary drainage in patients with nondilated intrahepatic bile ducts compared with patients with dilated intrahepatic bile ducts. AJR Am J Roentgenol 2010; 195 (04) 851-857
- 44 Weber A, Gaa J, Rosca B. , et al. Complications of percutaneous transhepatic biliary drainage in patients with dilated and nondilated intrahepatic bile ducts. Eur J Radiol 2009; 72 (03) 412-417
- 45 Nakai Y, Isayama H, Yamamoto N. , et al. Safety and effectiveness of a long, partially covered metal stent for endoscopic ultrasound-guided hepaticogastrostomy in patients with malignant biliary obstruction. Endoscopy 2016; 48 (12) 1125-1128
- 46 Park SJ, Choi J-H, Park DH. , et al. Expanding indication: EUS-guided hepaticoduodenostomy for isolated right intrahepatic duct obstruction (with video). Gastrointest Endosc 2013; 78 (02) 374-380
- 47 Khashab MA, Valeshabad AK, Afghani E. , et al. A comparative evaluation of EUS-guided biliary drainage and percutaneous drainage in patients with distal malignant biliary obstruction and failed ERCP. Dig Dis Sci 2015; 60 (02) 557-565
- 48 Sharaiha RZ, Khan MA, Kamal F. , et al. Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: a systematic review and meta-analysis. Gastrointest Endosc 2017; 85 (05) 904-914
- 49 Williams E, Beckingham I, El Sayed G. , et al. Updated guideline on the management of common bile duct stones (CBDS). Gut 2017; 66 (05) 765-782