A primary study on curative effects of endoscopic ultrasound-guided gallbladder drainage for patients with acute cholecystitis and high surgical risk
10.3760/cma.j.issn.1007-5232.2018.05.002
- VernacularTitle:内镜超声引导下胆囊穿刺引流术治疗高危急性胆囊炎的初步研究
- Author:
Lei LU
1
;
Di ZHANG
;
Xiaowei TANG
;
Jing YANG
;
Hangbin JIN
;
Jianfeng YANG
;
Xiaofeng ZHANG
Author Information
1. 南京医科大学附属杭州市第一人民医院消化内科
- Keywords:
Cholecystitis,acute;
Endosonography;
Stents;
Endoscopic gallbladder drainage
- From:
Chinese Journal of Digestive Endoscopy
2018;35(5):309-313
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of endoscopic ultrasound-guided gallbladder drainage ( EUS-GBD) for patients with acute cholecystitis, who are unfit for cholecystectomy. Methods Patients who underwent EUS-GBD at Hangzhou First People′s Hospital from April 2015 to December 2016 were enrolled in this study. Clinical data were collected, and effectiveness and complications were analyzed. Results EUS-GBD was achieved in all 5 patients, and the mean procedure time of EUS-GBD was 26. 0±3. 1 min. Double pigtail plastic stents were successfully placed in 4 patients. A nasobiliary drainage tube was placed in 1 patient and the tube was endoscopically cut 5 days after procedure acting as internal drainage. All patients recovered without complications and no procedure-related death occurred. During the follow-up period (46-692 d), no patient experienced recurrent cholecystitis and stent migration. Conclusion At an experienced endoscopic center, EUS-GBD is a safe, effective and minimally invasive method for patients with acute cholecystitis and high surgical risk.
