Outcomes of percutaneous cholecystostomy in elderly patients: a systematic review and meta-analysis.
cholecystitis
elderly
percutaneous cholecystostomy
Journal
Przeglad gastroenterologiczny
ISSN: 1895-5770
Titre abrégé: Prz Gastroenterol
Pays: Poland
ID NLM: 101280380
Informations de publication
Date de publication:
2021
2021
Historique:
received:
13
09
2020
accepted:
08
10
2020
entrez:
29
9
2021
pubmed:
30
9
2021
medline:
30
9
2021
Statut:
ppublish
Résumé
Percutaneous cholecystostomy (PC) represents a management option to control sepsis in patients with acute cholecystitis, who are unable to tolerate surgery. This review aimed to evaluate the outcomes of elderly patients treated with PC and compare it with emergent cholecystectomy. An electronic search of the Embase, Medline Web of Science, and Cochrane databases was performed. Percutaneous cholecystostomy was used as the reference group, and weighted mean differences (WMD) were calculated for the effect of PC on continuous variables, and pooled odds ratios (POR) were calculated for discrete variables. There were 20 trials included in this review. Utilisation of PC was associated with significantly increased mortality (POR = 4.85; 95% CI: 1.02-7.30; This pooled analysis established that patients treated with PC appear to have increased mortality and readmission rates relative to those managed with cholecystectomy.
Identifiants
pubmed: 34584579
doi: 10.5114/pg.2020.100658
pii: 42350
pmc: PMC8456769
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
188-195Informations de copyright
Copyright © 2021 Termedia.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
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