Endoscopic transpapillary catheterization of the gallbladder followed by external shock wave lithotripsy and solvent infusion for the treatment of gallstone disease

Feretis, Ch.B.; Malas, E.G.; Mansouras, A.J.; Koutsoumanis, C.G.; Apostolidis, Nikolaos; Papadimitriou, J.; Golematis, B

doi:10.1016/s0016-5107(92)70324-1

Cited by 7 publications

(6 citation statements)

References 7 publications

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“…Although the surgical mortality rate is 1% or less in fit patients, the mortality rate in patients with liver cirrhosis and cardiovascular disease is excessive 3. Nonsurgical treatments for symptomatic gallbladder disease include percutaneous cholecystostomy and endoscopic gallbladder drainage (ETGBD) …”

Section: Discussionmentioning

confidence: 99%

“…3 Nonsurgical treatments for symptomatic gallbladder disease include percutaneous cholecystostomy and endoscopic gallbladder drainage (ETGBD). [2][3][4][5][6][7][8][9][10] ETGBD is an effective palliative short-term therapy for patients with symptomatic gallbladder disease awaiting orthotopic liver transplantation. 2 The technique of endoscopic stenting of the gallbladder is not completely new and has been described previously.…”

Section: Discussionmentioning

confidence: 99%

“…Cholecystectomy in patients with increased operative risk, such as cardiovascular disease, diabetes, and liver cirrhosis is associated with high morbidity and mortality, regardless of the method used 1. Scattered case reports have suggested that endoscopic gallbladder stenting (ETGBD) is effective in high‐risk patients (Table 1). Although the success rate of ETGBD is 79%–100%, an alternative method has not been reported.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous transhepatic gallbladder stenting for recurrent acute acalculous cholecystitis after failed endoscopic attempt

Kubota

Abe

Inamori

et al. 2005

J Hepatobiliary Pancreat Surg

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Endoscopic gallbladder stenting is useful palliative therapy for acute cholecystitis in high-risk patients. Although the success rate of endoscopic gallbladder stenting is 79%-100%, an alternative method has not been reported. We succeeded in employing a method for percutaneous gallbladder stenting (PTGS) and herein describe this new method. A patient with acute acalculous cholecystitis related to ischemic atherosclerotic vascular disease, cholangitis due to Lemmel syndrome, and severe congestive heart failure underwent PTGS through the cystic duct from the gallbladder to the duodenal papilla, because an endoscopic method failed in the treatment of Lemmel syndrome. Because we were unable to place endoscopic transpapillary gallbladder drainage, percutaneous transhepatic gallbladder drainage (PTGBD) was performed and both the cholecystitis and cholangitis ceased. PTGS was performed as an alternative to endoscopic gallbladder stenting. Access to the cystic duct and gallbladder was obtained by the PTGBD route, using a guidewire (0.035-inch diameter) and seeking catheter (6.5 Fr) under fluoroscopic control. A 7-Fr 12-cm double-pigtail biliary polyethylene stent was placed. The patient remained asymptomatic for 3 months after the PTGS until he died, of an acute recurrent myocardial infarction. This new PTGS placement is an alternative treatment for symptomatic gallbladder disease in patients with increased operative risk when the endoscopic method is unsuccessful.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Percutaneous transhepatic gallbladder stenting for recurrent acute acalculous cholecystitis after failed endoscopic attempt

Kubota

Abe

Inamori

et al. 2005

J Hepatobiliary Pancreat Surg

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“…The higher resolution images of the lesions achieved by intragallbladder sonography is superior to those of EUS and US when the microprobe is sufficiently in contact with the lesions. The EUS image of the gallbladder wall usually consists of two layers but may reveal three layers in some cases 6 . On the contrary, three layers can be seen by intragallbladder sonography on appropriate contact to the wall.…”

Section: Intragallbladder Sonography By Etcgmentioning

confidence: 99%

“…The EUS image of the gallbladder wall usually consists of two layers but may reveal three layers in some cases. 6 On the contrary, three layers can be seen by intragallbladder sonography on appropriate contact to the wall. Intragallbladder sonography could therefore be superior to EUS in demarcating the depth of tumor invasion when the microprobe is sufficiently in contact with the lesions.…”

Section: Intragallbladder Sonography By Etcgmentioning

confidence: 99%

Endoscopic Transpapillary Catheterization Into the Gallbladder for Diagnosis of Gallbladder Carcinoma

Uchida

Tsutsui

Kamada

et al. 2006

Digestive Endoscopy

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It is often difficult to determine the precise nature of lesions in the gallbladder by radiographic, endoscopic and ultrasonographic methods. The approach to the gallbladder by a percutaneous transhepatic route has been reported. However, there is a possibility of seeding tumor cells into the peritoneal cavity and liver in a percutaneous procedure. On the contrary, transpapillary route can be performed without a possibility of seeding. The double‐contrast cholecystography, intragallbladder sonography, direct biopsy of gallbladder lesions and cytology using gallbladder bile have been performed by the procedure of the transpapillary catheterization into the gallbladder. Confirming malignancy by histopathological diagnosis is desirous for determining therapeutic strategy in gallbladder carcinoma. Gathering gallbladder bile is comparatively easier than biopsy of the lesion using the transpapillary catheterization into the gallbladder. Examination of telomerase‐related molecules is useful for diagnosis of pancreatic carcinoma. Usefulness of combination assay of human telomerase reverse transcriptase mRNA (hTERT mRNA) and cytology using gallbladder bile obtained by transpapillary catheterization is reported here. However, it would appear that hTERT mRNA is less important in the diagnosis of gallbladder carcinoma than in that of pancreatic carcinoma. When the molecular biological substances with higher sensitivity are found, the reliance of the combination assay of the molecular biological substances and cytology will be established.

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Relationship between cystic duct diameter and the presence of cholelithiasis

et al. 1993

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We sought to measure cystic duct diameter in patients without biliary calculi and in those with cholelithiasis or choledocholithiasis. Using endoscopic retrograde cholangiopancreatography (ERCP), we visualized the cystic duct in 168 patients referred to our unit. These patients were distributed into three groups based on findings at ERCP: Group I (N = 57), no calculi in the gallbladder or common bile duct; group II (N = 27), stones found in the gallbladder but absent from the common bile duct; and group III (N = 34), stones present in the common bile duct with or without gallbladder stones. The diameter of the cystic duct was measured at its widest and narrowest dimensions. The largest diameter measured was greater in group III (7.72 +/- 2.29 mm) than in groups I (2.63 +/- 0.67 mm) and II (4.59 +/- 1.13 mm) (P < 0.001). The same differences were found in measurement of the smallest diameter (5.00 +/- 0.99 mm, 3.10 +/- 0.62 mm, and 1.83 +/- 0.53 mm, for groups III, II, and I, respectively) (P < 0.001). Maximal and minimal cystic duct diameter show a progressive increase at each level of disease. This increase in cystic duct size may facilitate the migration of gallstone fragments after lithotripsy and facilitate the instrumentation of the cystic duct during ERCP and laparoscopic cholecystectomy.

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Endoscopic transpapillary catheterization of the gallbladder followed by external shock wave lithotripsy and solvent infusion for the treatment of gallstone disease

Cited by 7 publications

References 7 publications

Percutaneous transhepatic gallbladder stenting for recurrent acute acalculous cholecystitis after failed endoscopic attempt

Percutaneous transhepatic gallbladder stenting for recurrent acute acalculous cholecystitis after failed endoscopic attempt

Endoscopic Transpapillary Catheterization Into the Gallbladder for Diagnosis of Gallbladder Carcinoma

Relationship between cystic duct diameter and the presence of cholelithiasis

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