Cholecystostomy Tube Placement/Changes
A cholecystostomy is a procedure where a stoma is created in the gallbladder, which can facilitate placement of a tube for drainage. It is sometimes used in cases of cholecystitis, where the patient is critically ill, or if there is a need to delay cholecystectomy (surgical removal of the gallbladder). After the patient’s symptoms resolve and his/her condition is stabilized, definitive treatment is still gallbladder removal.
This procedure is performed using conscious sedation. The drainage catheter is placed once access to the gallbladder is achieved with a needle and guide wire. Access is easily accomplished using ultrasound and x-ray guidance.
Cholecystostomy Tube Placement/ChangesExchanges of these drainage catheters may be necessary if they become clogged and stop draining. This is a quick, straightforward procedure, and can be done using a guide wire.