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KMID : 1038120230560050650
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Clinical Endoscopy
2023 Volume.56 No. 5 p.650 ~ p.657
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Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage
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Eisuke Suzuki
Kim Min-Young
Kunihiro Hosono
Yuji Koyama
Kim Mi-Ran
Takuma Teratani
Atsushi Nakajima
Nobuyuki Matsuhashi
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Abstract
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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.
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KEYWORD
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Cholecystitis, Cystic duct, Drainage, Endosonography, Stents
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