Schiborra, F, McConnell, JF and Maddox, TW
(2017)
Percutaneous ultrasound-guided cholecystocentesis: complications and association of ultrasonographic findings with bile culture results.
JOURNAL OF SMALL ANIMAL PRACTICE, 58 (7).
pp. 389-394.
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Abstract
Objectives To retrospectively evaluate cases presented for percutaneous ultrasound‐guided cholecystocentesis for associated complications, identify risk factors associated with complications and to assess ultrasonographic findings and relate these to bacterial culture results. Methods Data on 300 patients presented for percutaneous ultrasound‐guided cholecystocentesis were retrospectively collected and ultrasonographic images were assessed for defined structural changes. The incidence of major complications was determined. Multi‐variable multi‐level logistic regression was used to investigate the association of ultrasonographic findings with positive bile culture. Results Three hundred percutaneous ultrasound‐guided cholecystocentesis procedures performed in 201 dogs and 51 cats were included; 35 patients had the procedure performed more than once. The overall incidence of major complications was 8 of 300 procedures (2·7%). Bile peritonitis occurred in 2 of 300 procedures (0·7%). An ultrasonographically abnormal gall bladder was found in 52% of cases and had a sensitivity, specificity and accuracy of 82, 55·7 and 61·5% respectively, to predict a positive bile culture. Clinical Significance Percutaneous ultrasound‐guided cholecystocentesis is overall a safe technique when carried out in selected patients. Abnormal ultrasonographic findings are only a fair predictor of a positive bile culture.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Gallbladder, Bile, Animals, Dogs, Cats, Gallbladder Diseases, Cat Diseases, Dog Diseases, Postoperative Complications, Ultrasonography, Biliary Tract Surgical Procedures, Female, Male |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 25 Oct 2019 07:55 |
| Last Modified: | 19 Jan 2023 00:21 |
| DOI: | 10.1111/jsap.12697 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3059347 |
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