Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage
- Author:
Eisuke SUZUKI
1
;
Yuji FUJITA
;
Kunihiro HOSONO
;
Yuji KOYAMA
;
Seitaro TSUJINO
;
Takuma TERATANI
;
Atsushi NAKAJIMA
;
Nobuyuki MATSUHASHI
Author Information
- Publication Type:Original Article
- From:Clinical Endoscopy 2023;56(5):650-657
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
