{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:53:33Z","timestamp":1785488013659,"version":"3.56.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJR"],"abstract":"Objective:<\/jats:title> To investigate the outcomes of percutaneous cholecystostomy (PC) as a definitive treatment for acute acalculous cholecystitis (AAC) and to identify the risk factors for cholecystitis recurrence after catheter removal. <\/jats:p><\/jats:sec>Methods:<\/jats:title> Between January 2008 and December 2017, 124 patients who had undergone PC as definitive treatment for moderate or severe AAC. The initial clinical success, complications, and recurrent cholecystitis after PC removal were retrospectively assessed. Twenty-one relevant variables were analyzed to identify risk factors for recurrent cholecystitis. <\/jats:p><\/jats:sec>Results:<\/jats:title> Clinical effectiveness was achieved in 107 patients (86.3%) at 3 days and in all patients (100%) at 5 days after PC placement. Six Grade 2 adverse events occurred, including catheter dislodgement (n = 3) and clogging (n = 3), which required catheter exchange. The PC catheter was removed in 123 patients (99.2%), with a median indwelling duration of 18 days (range 5\u2013116 days). During the follow-up period (median, 1624 days; range, 40\u20134945 days), five patients experienced recurrent cholecystitis (4.1%). The cumulative recurrence rates were 3.3%, 4.1%, and 4.1% at 6\u2009months, 1\u2009year, and 5 years, respectively. Multivariate analysis revealed that an age-adjusted Charlson comorbidity index (aCCI)\u22657 positively correlated with recurrence (OR, 1.97; 95% confidence interval, 1.07\u20133.64; p = 0.029). <\/jats:p><\/jats:sec>Conclusions:<\/jats:title> Definitive PC is a safe and effective treatment option for patients with AAC. The PC catheters can be safely removed in most patients. An aCCI\u22657 was a risk factor for cholecystitis recurrence after catheter removal. <\/jats:p><\/jats:sec>Advances in knowledge:<\/jats:title> 1. Percutaneous cholecystostomy (PC) is a safe and effective as a definitive treatment in patients with acute acalculous cholecystitis (AAC). 2. PC can be safely removed after recover from AAC in the majority of patients (99.2%) with low rate of recurrence of cholecystitis (4.1%). 3. Age-adjusted Charlson comorbidity index \u22657 was a risk factor for recurrence of cholecystitis after PC removal. <\/jats:p><\/jats:sec>","DOI":"10.1259\/bjr.20220943","type":"journal-article","created":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T15:15:55Z","timestamp":1686410155000},"source":"Crossref","is-referenced-by-count":12,"title":["Percutaneous cholecystostomy as a definitive treatment for acute acalculous cholecystitis: clinical outcomes and risk factors for recurrent cholecystitis"],"prefix":"10.1093","author":[{"given":"Yoon Ah","family":"Do","sequence":"first","affiliation":[{"name":"Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7660-0489","authenticated-orcid":false,"given":"Chang Jin","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea"},{"name":"Seoul National University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Hwan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea"},{"name":"Seoul National University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Won Seok","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chong-ho","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,6,10]]},"reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.2350"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000019057"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-022-06566-1"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-021-01411-z"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-017-5112-5"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1159\/000477780"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1177\/1457496914564107"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.515"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.516"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.14611"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-018-1884-5"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2017.04.006"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2021.616320"},{"key":"b14","first-page":"415","volume":"71","author":"Macchini D","year":"2016","journal-title":"Minerva Chir"},{"key":"b15","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0b013e3182274375"}],"container-title":["The British Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.birpublications.org\/doi\/pdf\/10.1259\/bjr.20220943","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T16:45:41Z","timestamp":1705077941000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjr\/article\/7469198"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,10]]},"references-count":15,"alternative-id":["10.1259\/bjr.20220943"],"URL":"https:\/\/doi.org\/10.1259\/bjr.20220943","relation":{},"ISSN":["0007-1285","1748-880X"],"issn-type":[{"value":"0007-1285","type":"print"},{"value":"1748-880X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,10]]},"article-number":"20220943"}}