DEN open · 2025
Usefulness of a One-step Semi-deployment Flushing and Stenting Technique in Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis (With Video).
СтатьяНазвание и аннотация: Перевод в очереди
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Kawasaki Yuki, Ushio Jun, Kato Hisaki, Sumi Kazuya, Shibata Yuki, Nomura Norihiro, Eguchi Junichi, Ito Takayoshi, Inoue Haruhiro
Аннотация
OBJECTIVES: Endoscopic transpapillary gallbladder stenting (EGBS) has demonstrated high technical and clinical success rates in endoscopic transpapillary gallbladder drainage (ETGBD) for acute cholecystitis. The effectiveness of a 5-Fr endoscopic naso-gallbladder drainage (ENGBD) tube for flushing and the internal fistula technique after tube cutting has also been reported. We developed an alternative one-step semi-deployed flushing and stenting technique for EGBS using a 7-Fr pigtail stent that avoids tube resection and evaluated its effectiveness and safety compared with that of endoscopic nasogastric gallbladder drainage.
METHODS: We retrospectively evaluated 30 patients who underwent ETGBD for acute cholecystitis between April 2023 and November 2024.
RESULTS: The technical and clinical success rates of the one-step semi-deployment flushing and stenting techniques were 95.2% (20/21) and 100% (20/20), respectively. No adverse events were reported. The procedure time did not differ significantly from that of ENGBD.
CONCLUSIONS: EGBS using one-step semi-deployment flushing and stenting is a simple and effective treatment for acute cholecystitis in patients with ETGBD.
METHODS: We retrospectively evaluated 30 patients who underwent ETGBD for acute cholecystitis between April 2023 and November 2024.
RESULTS: The technical and clinical success rates of the one-step semi-deployment flushing and stenting techniques were 95.2% (20/21) and 100% (20/20), respectively. No adverse events were reported. The procedure time did not differ significantly from that of ENGBD.
CONCLUSIONS: EGBS using one-step semi-deployment flushing and stenting is a simple and effective treatment for acute cholecystitis in patients with ETGBD.