Clinical efficacy and safety of endoscopic ultrasound‐guided gallbladder drainage replacement of percutaneous drainage: A multicenter retrospective study

Minaga, Kosuke; Yamashita, Yoshihisa; Ogura, Takeshi; Takenaka, Mamoru; Shimokawa, Yuzo; Hisa, Takeshi; Itonaga, Masahiro; Kato, Hironari; Nishikiori, Hidefumi; Okuda, Atsushi; Matsumoto, Hisakazu; Uenoyama, Yoshito; Watanabe, Tomohiro; Chiba, Yasutaka; Higuchi, Kazuhide; Kudo, Masatoshi; Kitano, Masayuki

doi:10.1111/den.13242

Cited by 34 publications

(29 citation statements)

References 33 publications

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“…There were no early adverse events. However, two patients required repeat interventions[37]. Larger studies are lacking at this time to accurately predict the risks and benefits of replacing percutaneous cholecystostomy with EUS guided LAMS drainage.…”

Section: Eus-guided Gallbladder Drainagementioning

confidence: 99%

Endoscopic ultrasound guided gallbladder drainage - is it ready for prime time?

Boregowda

Umapathy

Nanjappa

et al. 2018

WJGPT

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Management of acute cholecystitis includes initial stabilization and antibiotics. However, the most definitive treatment is cholecystectomy. A small percentage of patients who are not suitable for surgery due to the severity of cholecystitis or comorbidities will require a temporary measure as a bridge to surgery or permanent nonoperative management to decrease the mortality and morbidity. Most of these patients who require conservative management were managed with percutaneous transhepatic cholecystostomy or trans-papillary drainage of gallbladder drainage with cystic duct stenting through endoscopic retrograde cholangiopancreaticography (ERCP). Although, these conservative measures are effective, they can cause significant discomfort to the patients especially if used as a long-term measure. In view of this, there is a need for further minimally invasive procedures, which is safe, effective and comfortable to patients. Endoscopic ultrasound (EUS) guided gallbladder drainage is a novel method of gallbladder drainage first described in 2007[1]. Over the last decade, EUS guided gallbladder drainage has evolved as an effective alternative to percutaneous cholecystostomy and trans-papillary gallbladder drainage. Our goal is to review available literature regarding the scope of EUS guided gallbladder drainage as a viable alternative to percutaneous cholecystostomy or cystic duct stenting through ERCP among patients who are not suitable for cholecystectomy.

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Section: Eus-guided Gallbladder Drainagementioning

confidence: 99%

Endoscopic ultrasound guided gallbladder drainage - is it ready for prime time?

Boregowda

Umapathy

Nanjappa

et al. 2018

WJGPT

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“…Patients with percutaneous tubes who need long-term GB drainage can also be converted to complete internal drainage using transmural EUS approach. 66 In this approach, the GB is infused with saline to result in distension. Percutaneous tubes can be safely removed after the EUS-guided internal drainage.…”

Section: Eus-guided Gall Bladder Drainagementioning

confidence: 99%

Endoscopic Pancreato-Biliary Interventions

Raza¹,

Krishnan

2018

Dig Dis Interv

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Endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) play a critical role in the diagnosis and management of benign and malignant pancreatobiliary diseases. In the last several years, role of ERCP has evolved from just a diagnostic procedure to mostly a therapeutic procedure. It plays a key role in the diagnosis of indeterminate biliary strictures and evaluation of bile leaks. Therapeutic ERCP utilizes various techniques for the extraction of biliary and pancreatic stones, management of bile leaks, and the treatment of malignant and benign strictures. EUS plays a central role in tissue acquisition for diagnostic purposes. Therapeutic applications of EUS have significantly increased in the recent years and include management of pancreatic fluid collections, pancreatic necrosis, drainage of the biliary obstruction, gall bladder drainage, and EUS-assisted ERCP. These procedures have good efficacy and acceptable side effect profile when performed by expert endoscopists at tertiary care medical centers.

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“…Coiling of a guidewire within the gallbladder (GB), fistula dilation, and eventual proper positioning of a stent are essential prerequisites for successful EUS-GBD [5]. Technical failures of EUS-GBD made by beginners are often attributed to failure of over-the-wire insertion of a fistula-dilating device or stent delivery system into the GB [1, 6, 7], or stent misplacement in the final technical step [3, 8, 9]. Although most previous trials have reported technical failures of EUS-GBD with numerical data, few studies have reported details about technical failure and countermeasures for dealing with difficult situations in which technical failure is imminent.…”

Section: Introductionmentioning

confidence: 99%

Tips for Dealing with Common Beginner’s Mistakes Made during Endoscopic Ultrasound-Guided Gallbladder Drainage

Yang

Hwang

Yoo

et al. 2020

Dig Dis

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Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) has been performed as an alternative to percutaneous drainage in surgically high-risk patients. Technical failures of EUS-GBD made by beginners are often attributed to failure of over-the-wire insertion of a fistula-dilating device or stent delivery system into the gallbladder, or stent misplacement in the final technical step. We herein report technical tips to prevent the failure of fistula dilation and provide tricks to avoid inward or outward stent misplacement.

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Clinical efficacy and safety of endoscopic ultrasound‐guided gallbladder drainage replacement of percutaneous drainage: A multicenter retrospective study

Abstract: Where ongoing gallbladder drainage is required, conversion from PTGBD to EUS-GBD is a feasible, effective, and safe technique for patients who cannot undergo cholecystectomy.

Cited by 34 publications

References 33 publications

Endoscopic ultrasound guided gallbladder drainage - is it ready for prime time?

Endoscopic ultrasound guided gallbladder drainage - is it ready for prime time?

Endoscopic Pancreato-Biliary Interventions

Tips for Dealing with Common Beginner’s Mistakes Made during Endoscopic Ultrasound-Guided Gallbladder Drainage

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