Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis

Jin Myung Park, Chang Don Kang, Minjong Lee, Sung Chul Park, Sung Joon Lee, Yong Hwan Jeon, Seong Whi Cho

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Objective: This study was performed to assess the effectiveness and safety of percutaneous cholecystostomy (PC) for biliary decompression. Methods: We retrospectively analyzed our institution’s PC database from March 2015 to August 2017 and selected patients with biliary obstruction. The primary outcomes were the technical and clinical success rates. As secondary outcomes, adverse events and pain after PC were compared with those of patients who underwent PC for acute cholecystitis during the same period. Results: Twenty patients underwent PC for biliary obstruction (cholangitis, 19; pancreatitis, 1). The technical and clinical success rates were 100%. The median serum total bilirubin level decreased considerably from 4.5 to 1.4 mg/dL after PC. An adverse event (catheter migration) occurred in 1 patient, and 17 patients developed pain after PC. During the same period, 104 patients underwent PC for cholecystitis. Adverse events occurred in 7 patients, and 62 developed pain. There was no significant difference in the adverse event rate between the cholangitis/pancreatitis and cholecystitis groups (5.0% vs. 6.7%, respectively), but pain occurred considerably more frequently in the cholangitis/pancreatitis group (94.4% vs. 63.9%, respectively). Conclusions: PC is an effective and safe method for biliary decompression in selected patients. However, attention should be paid to postoperative pain.

Original languageEnglish
Pages (from-to)4120-4128
Number of pages9
JournalJournal of International Medical Research
Issue number10
StatePublished - 1 Oct 2018

Bibliographical note

Publisher Copyright:
© The Author(s) 2018.


  • Cholecystostomy
  • biliary decompression
  • biliary obstruction
  • cholangitis
  • cholestasis
  • pancreatitis


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