Ultrasound Guided Percutaneous Cholecystostomy.

Not Applicable

Not yet recruiting

• Conditions: Gall Bladder Disease
• Interventions: Procedure: pigtail

• Registration Number: NCT05927870
• Lead Sponsor: Assiut University

Brief Summary

Surgical cholecystostomy has proven value in the management of both inflammatory and obstructive biliary tract disease

Detailed Description

The etiology of biliary obstruction can be benign or malignant. Benign disease, such as calculi, strictures, or pancreatitis, can be common causes in adult patients \[5\], whereas benign strictures including posttransplant anastomotic strictures and strictures secondary to hepatic artery insufficiency, stone disease, infection, and iatrogenic causes can be seen in children \[6\]. Obstruction can also be seen in the setting of biliary tract abnormalities, such as biliary atresia in neonates and symptomatic choledochal cysts, autoimmune pancreatitis, and sclerosing cholangitis in older children \[7\]. Biliary obstruction secondary to neoplasm commonly occurs with pancreatic cancer, cholangiocarcinoma, or metastases in adult patients and biliary rhabdomyosarcoma or neuroblastoma in younger patients \[8\].

The question remains as to whether all patients undergoing PCT drainage require a definitive cholecystectomy. Previous publications have suggested that there is a reluctance to use PCT in older and comorbid patients due to concerns of potentially committing such patients to an interval surgical procedure for which they may not be suitable.

Study Timeline

• Status Verified: 2023-06
• Study First Submitted: 2023-06-23
• Study First Submitted QC: 2023-06-23
• Study First Posted: 2023-07-03
• Last Update Submitted: 2023-07-12
• Last Update Posted: 2023-07-14
• Study Start: 2023-08-01
• Primary Completion: 2024-07-01
• Study Completion: 2024-09-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Pyocele of the gallbladder
• Mucocele of the gallbladder
• Perforated gallbladder
• Malignant causes of gallbladder obstruction

Exclusion Criteria

• Uncontrolled bleeding disorders

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
pyocele	pigtail	obstructed gallbladder with infection on top

Primary Outcome Measures

Name	Time	Method
value of cholecystostomy as preoperative step in critically ill patients	basline	The aim of this study was to assess the clinical outcomes of PCT use, with particular emphasis on a subgroup of patients who did not proceed to cholecystectomy.