Cholecystostomy

Cholecystostomy is a medical procedure that involves the creation of an opening into the gallbladder. This procedure is typically performed to treat gallstones or inflammation of the gallbladder.

Indications

Cholecystostomy is often indicated for patients who have acute cholecystitis and are not suitable candidates for surgery due to high risk factors. It can also be used as a temporary measure to alleviate symptoms until cholecystectomy, or surgical removal of the gallbladder, can be performed.

Procedure

During a cholecystostomy, a small incision is made in the skin and a catheter is inserted directly into the gallbladder. This allows for the drainage of bile and any gallstones that may be present. The procedure is typically performed under local anesthesia and guided by ultrasound or computed tomography (CT) scan.

Risks and Complications

As with any medical procedure, there are potential risks and complications associated with cholecystostomy. These may include infection, bleeding, injury to surrounding organs, and the possibility of gallstones returning after the procedure.

Aftercare

Following the procedure, patients are typically monitored in the hospital for a short period of time. The catheter may remain in place for several weeks to ensure complete drainage of the gallbladder. Patients are usually prescribed antibiotics to prevent infection and pain medication to manage any discomfort.

See Also

• Cholecystectomy
• Gallstones
• Cholecystitis