Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage
Background/Aims Endoscopic ultrasound gallbladder drainage (EUS-GBD) is gaining attention as a treatment method for cholecystitis. However, only a few studies have assessed the outcomes of permanent stenting with EUS-GBD. Therefore, we evaluated the clinical outcomes of permanent stenting using EUS-...
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2023-09-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2022-190.pdf |
| _version_ | 1797673812522696704 |
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| author | Eisuke Suzuki Yuji Fujita Kunihiro Hosono Yuji Koyama Seitaro Tsujino Takuma Teratani Atsushi Nakajima Nobuyuki Matsuhashi |
| author_facet | Eisuke Suzuki Yuji Fujita Kunihiro Hosono Yuji Koyama Seitaro Tsujino Takuma Teratani Atsushi Nakajima Nobuyuki Matsuhashi |
| author_sort | Eisuke Suzuki |
| collection | DOAJ |
| description | Background/Aims Endoscopic ultrasound gallbladder drainage (EUS-GBD) is gaining attention as a treatment method for cholecystitis. However, only a few studies have assessed the outcomes of permanent stenting with EUS-GBD. Therefore, we evaluated the clinical outcomes of permanent stenting using EUS-GBD. Methods This was a retrospective, single-center cohort study. The criteria for EUS-GBD at our institution are a high risk for surgery, inability to perform surgery owing to poor performance status, and inability to obtain consent for emergency surgery. EUS-GBD was performed using a 7-Fr double-pigtail plastic stent with a dilating device. The primary outcomes were the recurrence-free rate of cholecystitis and the late-stage complication-avoidance rate. Secondary outcomes were technical success, clinical success, and procedural adverse events. Results A total of 41 patients were included in the analysis. The median follow-up period was 168 (range, 10–1,238) days. The recurrence-free and late-stage complication-avoidance rates during the follow-up period were 95% (38 cases) and 90% (36 cases), respectively. There were only two cases of cholecystitis recurrence during the study period. Conclusions EUS-GBD using double-pigtail plastic stent was safe and effective with few complications, even in the long term, in patients with acute cholecystitis. |
| first_indexed | 2024-03-11T21:50:48Z |
| format | Article |
| id | doaj.art-bb0644907d0344b79b33cd740fbc90e3 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T21:50:48Z |
| publishDate | 2023-09-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-bb0644907d0344b79b33cd740fbc90e32023-09-26T09:03:08ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432023-09-0156565065710.5946/ce.2022.1907730Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainageEisuke Suzuki0Yuji Fujita1Kunihiro Hosono2Yuji Koyama3Seitaro Tsujino4Takuma Teratani5Atsushi Nakajima6Nobuyuki Matsuhashi7 Department of Hepato-Biliary-Pancreatic Medicine, NTT Tokyo Medical Center, Tokyo, Japan Department of Hepato-Biliary-Pancreatic Medicine, NTT Tokyo Medical Center, Tokyo, Japan Department of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Japan Department of Hepato-Biliary-Pancreatic Medicine, NTT Tokyo Medical Center, Tokyo, Japan Department of Hepato-Biliary-Pancreatic Medicine, NTT Tokyo Medical Center, Tokyo, Japan Department of Hepato-Biliary-Pancreatic Medicine, NTT Tokyo Medical Center, Tokyo, Japan Department of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Japan Department of Gastroenterology, NTT Tokyo Medical Center, Tokyo, JapanBackground/Aims Endoscopic ultrasound gallbladder drainage (EUS-GBD) is gaining attention as a treatment method for cholecystitis. However, only a few studies have assessed the outcomes of permanent stenting with EUS-GBD. Therefore, we evaluated the clinical outcomes of permanent stenting using EUS-GBD. Methods This was a retrospective, single-center cohort study. The criteria for EUS-GBD at our institution are a high risk for surgery, inability to perform surgery owing to poor performance status, and inability to obtain consent for emergency surgery. EUS-GBD was performed using a 7-Fr double-pigtail plastic stent with a dilating device. The primary outcomes were the recurrence-free rate of cholecystitis and the late-stage complication-avoidance rate. Secondary outcomes were technical success, clinical success, and procedural adverse events. Results A total of 41 patients were included in the analysis. The median follow-up period was 168 (range, 10–1,238) days. The recurrence-free and late-stage complication-avoidance rates during the follow-up period were 95% (38 cases) and 90% (36 cases), respectively. There were only two cases of cholecystitis recurrence during the study period. Conclusions EUS-GBD using double-pigtail plastic stent was safe and effective with few complications, even in the long term, in patients with acute cholecystitis.http://www.e-ce.org/upload/pdf/ce-2022-190.pdfcholecystitiscystic duct, drainageendosonographystents |
| spellingShingle | Eisuke Suzuki Yuji Fujita Kunihiro Hosono Yuji Koyama Seitaro Tsujino Takuma Teratani Atsushi Nakajima Nobuyuki Matsuhashi Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage Clinical Endoscopy cholecystitis cystic duct, drainage endosonography stents |
| title | Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage |
| title_full | Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage |
| title_fullStr | Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage |
| title_full_unstemmed | Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage |
| title_short | Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage |
| title_sort | clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage |
| topic | cholecystitis cystic duct, drainage endosonography stents |
| url | http://www.e-ce.org/upload/pdf/ce-2022-190.pdf |
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