Feasibility and safety of endoscopic trans-gastric cholecystolithotomy combined with endoscopic retrograde cholangiopancreatography for cholecystolithiasis and choledocholithiasis (with video)
10.3760/cma.j.cn321463-20201207-00732
- VernacularTitle:内镜经胃保胆取石术联合经内镜逆行胰胆管造影治疗胆囊结石合并胆总管结石的可行性探索(含视频)
- Author:
Liang ZHU
1
;
Mingyan CAI
;
Xiaoyue XU
;
Xianli CAI
;
Ping WANG
;
Quanlin LI
;
Boqun ZHU
;
Wenzheng QIN
;
Weifeng CHEN
;
Yiqun ZHANG
;
Yunshi ZHONG
;
Liqing YAO
;
Pinghong ZHOU
Author Information
1. 复旦大学附属中山医院内镜中心，上海 200032
- Keywords:
Cholangiopancreatography, endoscopic retrograde;
Cholecystolithiasis and choledocholithiasis;
Endoscopic trans-gastric cholecystolithotomy
- From:
Chinese Journal of Digestive Endoscopy
2021;38(11):912-916
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the feasibility and safety of endoscopic trans-gastric cholecystolithotomy(ETGC) combined with endoscopic retrograde cholangiopancreatography (ERCP) for cholecystolithiasis and choledocholithiasis. Data of patients with cholecystolithiasis and choledocholithiasis who underwent ETGC after ERCP in Zhongshan Hospital Affiliated to Fudan University from November 2018 to April 2019 were analyzed. Six patients with cholecystolithiasis and choledocholithiasis, 4 males and 2 females, were included in this study.The interval between ERCP and ETGC ranged from 1 to 77 days (median 5 days). All the 6 patients successfully completed ETGC after ERCP, with a surgical success rate of 100%. All the patients had multiple cholecystolithiasis and one patient was complicated with gallbladder polyps.The ETGC operation time was 22-100 min (median 65 min), and the length of hospital stay was 3-9 d (median 6.5 d). Two patients had dull pain in the upper abdomen and increased body temperature after surgery. Abdominal ultrasound in one patient suggested local effusion in the right upper abdomen.Both patients improved after conservative treatment.None of the patients had cholecystitis and cholangitis related symptoms such as right upper abdominal pain or fever during postoperative follow-up, and the follow-up rate was 100%with median follow-up time of 18 month.All the 6 patients underwent abdominal ultrasound examination after surgery. No recurrence occurred in 5 patients. One of the patients showed cholesterol crystals in the gallbladder wall and bile mud deposition.ETGC combined with ERCP is safe and feasible for cholecystolithiasis and choledocholithiasis.
