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1. Newsletter – Summer 1998

Author

Jonas Ranstam, N. Hennes, Cihan Uras, Koichiro Hata, José Klinger-Roitman, Yueh-Er Liu, Kemal Alemdaroglu, J. Mendez, D. Koufogiannis, Z.B. Jankovic, Carlos K. Bergh, C. Schröders, Yukihiko Tokunaga, Ifat A. Shah, Sheila X. Wong, Susanne Bach Lausten, Tayfun Karahasanoglu, Hans U. Baer, Metin Ertem, P.M. Pesko, K. Kotzampassi, Takayuki Tanaka, M-Yousri Rashed, A. Fukuda, F. Hanyu, Steen Lindkær Jensen, Junichi Kaganoi, Jong-Shyong Cheng, B. Ulrich, H. Farmakis, T. Imaizumi, Gregorio F. Cenitagoya, H.-D. Röher, Ryota Nishitai, Kouji Shimizu, Marie-Odile Schlageter, M. Aleksic, E. Eleftheriadis, J.E. Bilbao, Kennichi Yamagata, Sabri Erguney, Noboru Nakayama, C. Emparan, M. Schilling, M. Imhof, Ibrahim Boghdadi, C. Ohmann, N. Harada, Olfat El-Sibai, Lars-Erik Hammarström, Kouki Masuo, Kiyosi Ohsumi, King-Teh Lee, Talaat El-Sefi, Chen-Guo Ker, S. Landen, Simon Brönnimann, T. Hatori, Kazuhide Kumagai, I. Iturburu, Markus W. Büchler, Osama S. Gani, Sen-Ren Wong, Pai-Ching Sheen, J. Sontheimer, J. Ortiz, Raffaele Malinverni, Maher O. Osman, Ahmed Shafik, and A. Herodotou

Subjects
medicine.medical_specialty, business.industry, Family medicine, Gastroenterology, medicine, Physiology, Surgery, business
Published
1998
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2. Program of the EDS Meeting in Barcelona

Author

T. Imaizumi, Maher O. Osman, T. Hatori, Tayfun Karahasanoglu, Ahmed Shafik, Sen-Ren Wong, I. Iturburu, Susanne Bach Lausten, N. Harada, A. Herodotou, Takayuki Tanaka, Metin Ertem, C. Ohmann, M. Imhof, M-Yousri Rashed, B. Ulrich, S. Landen, Olfat El-Sibai, Kazuhide Kumagai, A. Fukuda, Koichiro Hata, Hans U. Baer, Simon Brönnimann, Raffaele Malinverni, Carlos K. Bergh, Junichi Kaganoi, D. Koufogiannis, H.-D. Röher, Yueh-Er Liu, J. Sontheimer, E. Eleftheriadis, Kennichi Yamagata, F. Hanyu, Cihan Uras, Kouki Masuo, C. Emparan, Talaat El-Sefi, J. Ortiz, Chen-Guo Ker, K. Kotzampassi, José Klinger-Roitman, Markus W. Büchler, Jonas Ranstam, Z.B. Jankovic, Osama S. Gani, Kemal Alemdaroglu, P.M. Pesko, Marie-Odile Schlageter, Noboru Nakayama, Lars-Erik Hammarström, Jong-Shyong Cheng, Pai-Ching Sheen, N. Hennes, M. Aleksic, Kiyosi Ohsumi, J. Mendez, Sabri Erguney, M. Schilling, Ifat A. Shah, King-Teh Lee, Ibrahim Boghdadi, J.E. Bilbao, C. Schröders, Yukihiko Tokunaga, Sheila X. Wong, Steen Lindkær Jensen, H. Farmakis, Kouji Shimizu, Gregorio F. Cenitagoya, and Ryota Nishitai

Subjects
Gerontology, Medical education, business.industry, Gastroenterology, Medicine, Surgery, business
Published
1998
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3. Ultrasound-Guided Percutaneous Cholecystostomy as an Initial Treatment for Acute Cholecystitis in Elderly Patients

Author

Jong-Shyong Cheng, Sen-Ren Wong, King-Teh Lee, Chen-Guo Ker, Yueh-Er Liu, and Pai-Ching Sheen

Subjects
Aged, 80 and over, Male, medicine.medical_specialty, business.industry, Age Factors, Gastroenterology, Ultrasound guided, Treatment Outcome, Acute Disease, Catheterization, Peripheral, Cholecystitis, Acute cholecystitis, Humans, Medicine, Percutaneous cholecystostomy, Initial treatment, Female, Surgery, Radiology, business, Cholecystostomy, Aged, Follow-Up Studies, Ultrasonography
Abstract

Background/Aims: Acute cholecystitis may atypically present itself in the elderly, thus causing diagnostic and therapeutic problems, and it is well recognized as a high-risk condition for morbidity. The outcome has been attributed to the presence of servere co-morbid disease. In an attempt to minimize the postoperative morbidity and mortality, we performed ultrasound-guided percutaneous transhepatic cholecystostomy (PC) on elderly patients with acute cholecystitis for both initial treatment and subsequent diagnosis of their biliary tract disorders. Methods: Those being more than 70 years old, had acute episode of cholecystitis for more than 48 h and still had positive Murphy’s signs and distended gallbladders were candidates for ultrasound-guided PC. Results: Forty-two elderly patients underwent ultrasound-guided PC. Once the condition of each patient showed signs of improvement and stability, cholangiography was performed via PC tube. The results of the cholangiography showed 20 patients with gallbladder stones, 16 with common bile duct stones and 6 with acalculous cholecystitis. Once stable enough, 32 patients underwent definite surgery, 18 having cholecystectomies, 14 having cholecystectomies and choledocholithotomies. The 6 patients with acalculous cholecystitis had the PC tube removed 3 weeks later, without further surgery. Two patients had gallbladder stones removed by choledochofiberscope. Two patients had common bile duct stone removed by endoscopic sphincteroplasty. Although postoperative complications occurred in 5 patients (11.9%), no instance of operative mortality was found. Conclusion: Our findings lead us to conclude that the use of PC in the early treatment of acute cholecystitis in elderly patients can decrease postoperative morbidity and mortality.

Published
1998
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