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CC BY 4.0 · The Arab Journal of Interventional Radiology 2024; 08(01): 027-030
DOI: 10.1055/s-0043-1778119
Original Article

The Utility of Routinely Performing a Short-Interval Cholecystogram following Cholecystostomy Tube Placement

Jospeh Geisler
1   Department of Radiology, Division of Vascular and Interventional Radiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
,
Mohammad Amarneh 
1   Department of Radiology, Division of Vascular and Interventional Radiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
2   Department of Radiology, Division of Interventional Radiology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, United States
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Abstract

Purpose The purpose of this study is to evaluate the utility of routinely performing short-interval cholecystogram (SIC) following percutaneous cholecystostomy tube (PCT) placement and to identify predictive factors for early PCT dislodgment.

Materials and Methods We conducted retrospective review of 224 adult patients who underwent PCT placement for acute cholecystitis at a single tertiary care medical center. SIC was defined as occurring at least 1 day after PCT placement and prior to the patient being discharged from the hospital. Early PCT dislodgment was defined as occurring within 2 months of placement.

Results Among 224 patients, 181 (80%) patients underwent SIC on average 3 days after PCT. Of these, 175 (97%) had PCT appropriately positioned, while 6 (3%) showed tube malposition outside the gallbladder. Patients who underwent a SIC demonstrated a similar rate of early tube dislodgment compared to those discharged without this procedure (12.6 vs. 14.3%, p = 0.81). Notably, patients with a body mass index exceeding 40 kg/m2 had a higher likelihood of early cholecystostomy tube dislodgment (29 vs. 14%, p = 0.038).

Conclusion Routinely performing a SIC following PCT may offer limited benefit. We recommend selectively performing this study on patients with clinically suspected tube dislodgement.

Keywords

acute cholecystitis - percutaneous cholecystostomy - short-interval cholecystogram - PCT dislodgement

Ethical Approval Statement

This study has obtained IRB approval from the University of Iowa Institutional Review Board and the need for informed consent was waived.




Publication History

Article published online:
31 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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