Endoscopic transpapillary gallbladder stent placement in the presence of uncovered biliary metal stents using a through-the-mesh technique

Nakahara, Kazunari; Michikawa, Yosuke; Morita, Ryo; Suetani, Keigo; Itoh, Fumio

doi:10.1016/j.vgie.2020.03.013

Cited by 2 publications

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References 7 publications

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“…In addition, PTGBD has a general disadvantage in that it is contraindicated in the presence of a bleeding tendency due to antiplatelet/anticoagulant use or thrombocytopenia, massive as-cites, or an anatomically inaccessible location of the gallbladder (9). ETGBD, which involves internal drainage through the papilla, is effective for the management of cholecystitis and can be an alternative therapy to PTGBD (10,11); however, limited reports are available on the application of ETGBD for cholecystitis after SEMS placement (5,12,13). In a retrospective study, Nakahara et al evaluated 12 patients who underwent ETGBD for cholecystitis after SEMS placement.…”

Section: Discussionmentioning

confidence: 99%

“…ETGBD, which involves internal drainage through the papilla, is effective for the management of cholecystitis and can be an alternative therapy to PTGBD ( 10 , 11 ); however, limited reports are available on the application of ETGBD for cholecystitis after SEMS placement ( 5 , 12 , 13 ). In a retrospective study, Nakahara et al evaluated 12 patients who underwent ETGBD for cholecystitis after SEMS placement.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Transpapillary Gallbladder Drainage for Recurrent Cholecystitis after Covered Self-expandable Metal Stent Placement for Unresectable Malignant Biliary Obstruction

et al. 2023

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A 76-year-old woman with advanced pancreatic cancer developed recurrent cholecystitis after covered selfexpandable metal stent (CSEMS) placement. The cholecystitis was refractory to repeated percutaneous transhepatic gallbladder drainage (PTGBD). Cholecystography showed a patent cystic duct with right and cranial side bifurcation, which is indicative of an increased likelihood of success of endoscopic transpapillary gallbladder drainage (ETGBD). We were able to manage the cholecystitis by ETGBD without further recurrence. ETGBD is considered an effective internal drainage method for the management of acute cholecystitis after CSEMS placement, and its indication may be decided on the basis of the findings of cholecystography through the PTGBD route.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endoscopic Transpapillary Gallbladder Drainage for Recurrent Cholecystitis after Covered Self-expandable Metal Stent Placement for Unresectable Malignant Biliary Obstruction

et al. 2023

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Prophylactic endoscopic transpapillary gallbladder stenting to prevent acute cholecystitis induced after metallic stent placement for malignant biliary strictures: a retrospective study in Japan

Kozakai,

Kanno,

Koshita

et al. 2024

Clin Endosc

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Background/Aims: Endoscopic biliary drainage using self-expandable metallic stents (SEMSs) for malignant biliary strictures occasionally induces acute cholecystitis (AC). This study evaluated the efficacy of prophylactic gallbladder stents (GBS) during SEMS placement.Methods: Among 158 patients who underwent SEMS placement for malignant biliary strictures between January 2018 and March 2023, 30 patients who attempted to undergo prophylactic GBS placement before SEMS placement were included.Results: Technical success was achieved in 21 cases (70.0%). The mean diameter of the cystic duct was more significant in the successful cases (6.5 mm vs. 3.7 mm, p<0.05). Adverse events occurred for 7 patients (23.3%: acute pancreatitis in 7; non-obstructive cholangitis in 1; perforation of the cystic duct in 1 with an overlap), all of which improved with conservative treatment. No patients developed AC when the GBS placement was successful, whereas 25 of the 128 patients (19.5%) without a prophylactic GBS developed AC during the median follow-up period of 357 days (p=0.043). In the multivariable analysis, GBS placement was a significant factor in preventing AC (hazard ratio, 0.61; 95% confidence interval, 0.37–0.99; p=0.045).Conclusions: GBS may contribute to the prevention of AC after SEMS placement for malignant biliary strictures.

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Endoscopic transpapillary gallbladder stent placement in the presence of uncovered biliary metal stents using a through-the-mesh technique

Abstract: Figure 8. CT showed improvement of acute cholecystitis after endoscopic transpapillary gallbladder stent placement (arrow).

Cited by 2 publications

References 7 publications

Endoscopic Transpapillary Gallbladder Drainage for Recurrent Cholecystitis after Covered Self-expandable Metal Stent Placement for Unresectable Malignant Biliary Obstruction

Endoscopic Transpapillary Gallbladder Drainage for Recurrent Cholecystitis after Covered Self-expandable Metal Stent Placement for Unresectable Malignant Biliary Obstruction

Prophylactic endoscopic transpapillary gallbladder stenting to prevent acute cholecystitis induced after metallic stent placement for malignant biliary strictures: a retrospective study in Japan

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