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- Title
Gallbladder sepsis after stent insertion for bile duct obstruction: Management by percutaneous cholecystostomy.
- Authors
Ainley, C. C.; Williams, S. J.; Smith, A. C.; Hatfield, A. R. W.; Russell, R. C. G.; Lees, W. R.
- Abstract
Of 364 patients undergoing insertion of a biliary endoprosthesis in 1989, six (1.6 per cent) developed gallbladder sepsis. Three patients had cholangiocarcinoma, two had carcinoma of the pancreas and one had a benign biliary stricture. Two of the five patients with malignancy had gallbladder stones, and the patient with a benign stricture developed stones after 3 years of stenting. Three patients developed gallbladder sepsis early after endoprosthesis insertion (< 6 days), while in the other three it occurred late (> 6 months). All six patients failed to respond to antibiotics and were successfully managed by percutaneous cholecystostomy; the patient with a benign biliary stricture also had cholecystolithotomy. The gallbladder drainage tubes were removed or became dislodged at intervals varying from 2 weeks to 6 months without complications. Percutaneous cholecystostomy is the treatment of choice for gallbladder sepsis unresponsive to antibiotics in patients with a biliary endoprosthesis in situ.
- Publication
British Journal of Surgery, 1991, Vol 78, Issue 8, p961
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1002/bjs.1800780822