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KMID : 0882420200950010043
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Korean Journal of Medicine
2020 Volume.95 No. 1 p.43 ~ p.49
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Endoscopic Transpapillary Gallbladder Stenting for Acute Cholecystitis in a Patient with Metastatic Pancreatic Cancer
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Nam So-Hye
Baek Seung-Ho
Yoo Dong-Ryeol
Choi Su-Jin
Lee Joune-Seup
Oh Dong-Wook
Kim Myung-Hwan
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Abstract
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Percutaneous transhepatic gallbladder drainage is an effective treatment for acute cholecystitis in poor surgical candidates. Endoscopic gallbladder drainage procedures, such as endoscopic ultrasound-guided gallbladder drainage, endoscopic gallbladder stenting, and endoscopic naso-gallbladder drainage, have been used as alternative treatments for acute cholecystitis. These procedures are associated with increased patient comfort and physiologic drainage. We report a case of endoscopic gallbladder stenting for acute cholecystitis in a 62-year-old male undergoing chemotherapy for metastatic pancreatic cancer. After endoscopic gallbladder stenting, the patient’s acute cholecystitis resolved and he was able to undergo scheduled chemotherapy. The inserted double-pigtail plastic stent will be left in situ permanently. The choice of drainage modality for acute cholecystitis will generally be based on resources, patient preferences, local expertise, and clinical context.
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KEYWORD
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Pancreatic cancer, Cholecystitis, Acute, Endoscopy, drainage
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