A Guidewire May Save the Day

The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Rajat Garg, Mohammed Barawi

Abstract

Endoscopic gallbladder drainage (EGBD) has been used to treat acute cholecystitis or to relieve malignant biliary obstruction as an alternative to percutaneous gallbladder drainage and patient's are poor surgical candidates. This is currently being performed by placement of lumen apposing metallic stent (LAMS) with electrocautery mounted tip delivery system also called as "hot" technique. We had reported a case of self-expanding metallic stent (SEMS) within LAMS after stent migration during EGBD using "hot" technique and propose routine use of guidewire in patients undergoing the procedure.

References

Dec 5, 2012·Gastrointestinal Endoscopy·Carlos de la Serna-HigueraHenar Nuñez-Rodriguez
Nov 4, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Ryan LawTodd H Baron
Mar 2, 2016·Therapeutic Advances in Gastroenterology·Ming-Ming Xu, Michel Kahaleh
Jan 4, 2017·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Shayan IraniMouen A Khashab
Nov 18, 2017·Clinical Endoscopy·Joey Ho Yi Chan, Anthony Yuen Bun Teoh

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