Outcomes of an international multicenter registry on EUS-guided gallbladder drainage in patients at high risk for cholecystectomy

Endoscopy International Open
Anthony Y TeohRaul Torres-Yuste

Abstract

Background and study aims  The aim of the current study was to review the outcomes of a large-scale international registry on endoscopic ultrasound-guided gallbladder drainage (EGBD) that encompasses different stent systems in patients who are at high-risk for cholecystectomy. Patients and methods  This was a retrospective international multicenter registry on EGBD created by 13 institutions around the world. Consecutive patients who received EGBD for several indications were included. Outcomes include technical and clinical success, unplanned procedural events (UPE), adverse events (AEs), mortality, recurrent cholecystitis and learning curve of the procedure. Results  Between June 2011 and November 2017, 379 patients were recruited to the study. Technical and clinical success were achieved in 95.3 % and 90.8 % of the patients, respectively. The 30-day AE rate was 15.3 % and 30-day mortality was 9.2 %. UPEs were significantly more common in patients with EGBD performed for conversion of cholecystostomy and symptomatic gallstones ( P  < 0.001); and by endoscopists with experience of fewer than 25 procedures ( P  = 0.033). Both presence of clinical failure ( P  = 0.014; RR 8.69 95 %CI [1.56 - 48.47]) and endoscopist experience wi...Continue Reading

Citations

Oct 15, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Raul Torres YusteManuel Perez-Miranda
Jun 12, 2020·Clinical and Experimental Gastroenterology·Alessandro FugazzaAndrea Anderloni
Dec 8, 2020·Journal of Hepato-biliary-pancreatic Sciences·Takeshi OguraKazuhide Higuchi
Dec 8, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Anthony Yuen Bun TeohJong Ho Moon
Apr 13, 2021·Gastrointestinal Endoscopy·Mihai RimbaşAlberto Larghi
Jul 28, 2021·Gastrointestinal Endoscopy·UNKNOWN Prepared by: ASGE TECHNOLOGY COMMITTEEDavid R Lichtenstein
Aug 4, 2021·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Hyung Ku ChonTae Hyeon Kim
Aug 5, 2021·Gastrointestinal Endoscopy·Monica SaumoyDavid R Lichtenstein
Jun 7, 2021·Current Opinion in Gastroenterology·Christoph F DietrichChristian Jenssen

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