The Successful Treatment of Chronic Cholecystitis with SpyGlass Cholangioscopy-Assisted Gallbladder Drainage and Irrigation through Self-Expandable Metal Stents.
- Author:
Ellen GUTKIN
1
;
Syed A HUSSAIN
;
Sang H KIM
Author Information
1. New York Hospital Queens, Flushing, NY, USA. ellen.gutkin@gmail.com
- Publication Type:Brief Communication
- Keywords:
Cholecystitis;
Spyglass;
Gallbladder drainage;
Endoscopic retrograde cholangiopancreatography;
Biliary stent
- MeSH:
Adult;
Cholangiopancreatography, Endoscopic Retrograde;
Cholecystectomy;
Cholecystitis;
Cholelithiasis;
Cystic Duct;
Drainage;
Female;
Gallbladder;
Gallstones;
Heart Failure;
Humans;
Sarcoidosis, Pulmonary;
Stents;
Weight Loss
- From:Gut and Liver
2012;6(1):136-138
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 34-year-old female with a history of advanced pulmonary sarcoidosis and right-sided heart failure presented with chronic, postprandial right upper quadrant pain, and weight loss. Endoscopic biliary drainage was deemed to be the most appropriate therapeutic option for her chronic cholecystitis. Endoscopic retrograde cholangiopancreatography utilizing the SpyGlass cholangioscopy system allowed us to access the cystic duct through which the gallbladder was ultimately decompressed, via biliary stent placement and gallstone irrigation. This is the first report of SpyScope assisted placement of fully covered self-expandable metal biliary stents into the cystic duct enabling definitive treatment of symptomatic chronic cholecystitis and cholelithiasis without cholecystectomy.
