EUS-guided cholecystoduodenostomy for acute cholecystitis with an anti-stent migration and anti-food impaction system; a pilot study

Therapeutic Advances in Gastroenterology
Wataru TakagiKazuhide Higuchi

Abstract

Recently, endoscopic ultrasound-guided gall bladder drainage (EUS-GBD) has been reported using a self-expandable metallic stent. To prevent stent migration and food flowing into the common bile duct through the cystic duct, we perform a novel EUS-guided cholecystoduodenostomy. The aim of our study was to evaluate the safety and feasibility of EUS-guided cholecystoduodenostomy with an anti-stent migration and anti-food impaction system. A total of 16 consecutive patients who underwent EUS-guided cholecystoduodenostomy for acute cholecystitis were included in this study. Technical and clinical success was obtained in all patients. The median procedure time was 26.9 min (range 19-42 min). Median follow-up time was 181.5 days (range 18-604 days), and in this time, recurrence of acute cholecystitis was not seen in all patients. Adverse events such as stent migration and cholangitis were not seen in any patients, although pneumoperitoneum was seen in one patient. Our technique may be favorable and effective for the prevention of adverse events on EUS-GBD.

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Citations

Nov 3, 2016·Endoscopic Ultrasound·Satyarth Chaudhary, Siyu Sun
Mar 21, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Shomei RyozawaTetsuya Mine
Jul 25, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kosuke MinagaMasayuki Kitano
Apr 18, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takeshi Ogura, Kazuhide Higuchi
Mar 29, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Shunsuke SugawaraYasuaki Arai
Jun 1, 2018·Canadian Journal of Gastroenterology & Hepatology·Nikhil R KalvaSrinivas Reddy Puli
Jul 4, 2016·Current Gastroenterology Reports·Baldwin Yeung, Anthony Yuen Bun Teoh
Nov 12, 2020·Journal of Clinical Medicine·Se Woo Park, Sang Soo Lee
Jul 19, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Se Woo Park, Sang Soo Lee

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