{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:58:46Z","timestamp":1792180726502,"version":"4.4.0"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T00:00:00Z","timestamp":1549843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Percutaneous cholecystostomy (PC) has been frequently used as an alternative treatment for acute cholecystitis in seriously ill patients unfit for surgery. The aim of this study was to investigate the recurrence rate and risk factors of recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of 102 patients who were followed up for more than 1\u00a0year after PC tube removal among 716 patients who underwent PC for acute cholecystitis treatment were retrospectively analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The recurrence rate of acute cholecystitis after PC tube removal was 20.6% (21\/102), and the mean time to recur was 660\u00a0days. Underlying cancer (odds ratio [OR]: 3.369; 95% confidence interval [CI]: 1.006\u201311.282; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0489), PC duration shorter than 44\u00a0days (OR: 5.596; 95% CI: 1.35\u201323.201; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0176), and the presence of common bile duct stone in initial imaging studies (OR: 24.393; 95% CI: 2.696\u2013220.746; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0045) were positively correlated with recurrence. Tubogram before PC tube removal did not significantly lower the recurrence. However, PC tube clamping for several days significantly lowered the recurrence (OR: 0.108; 95% CI: 0.015\u20130.794; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0288). Fifty\u2010nine (57.8%) had acalculous cholecystitis. Calculous cholecystitis was negatively correlated with recurrence (OR: 0.267; 95% CI: 0.074\u20130.967; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0444). Receiver operating characteristic curve of the prediction model for recurrence verified its accuracy (area under the curve: 0.8475).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We should try to keep PC more than 6\u00a0weeks and clamp for 1\u20132\u00a0weeks before removal. For those with the presence of common bile duct stones, calculous cholecystitis, and underlying malignancy, we should keep PC for longer duration and carefully observe symptoms and signs of recurrence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.14611","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T19:18:34Z","timestamp":1548357514000},"page":"784-790","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Long\u2010term outcome and recurrence factors after percutaneous cholecystostomy as a definitive treatment for acute cholecystitis"],"prefix":"10.1111","volume":"34","author":[{"given":"Jae Keun","family":"Park","sequence":"first","affiliation":[{"name":"Department of Medicine Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ju\u2010Il","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Medicine Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul Korea"},{"name":"Division of Gastroenterology, Department of Internal Medicine Good Gang\u2010an Hospital  Busan Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Woo","family":"Wi","sequence":"additional","affiliation":[{"name":"Department of Medicine Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joo Kyung","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Medicine Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwang Hyuck","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyu Taek","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1298-0494","authenticated-orcid":false,"given":"Jong Kyun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.512"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.516"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2015.05.005"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-015-0601-1"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1744-1633.12212"},{"key":"e_1_2_5_7_1","first-page":"330","article-title":"Ultrasonically guided percutaneous catheter drainage for gallbladder empyema","volume":"49","author":"Radder RW","year":"1980","journal-title":"Diagn. 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