Clinical efficacy and safety of endoscopic ultrasound‐guided gallbladder drainage replacement of percutaneous drainage: A multicenter retrospective study

• DOI: 10.1111/den.13242
• Publication Date: 2018-07-24T07:14:06Z
• Authors: Kosuke Minaga; Yukitaka Yamashita; Takeshi Ogura; Mamoru Takenaka; Yuzo Shimokawa; Takeshi Hisa; Masahiro Itonaga; Hironari Kato; Hidefumi Nishikiori; Atsushi Okuda; Hisakazu Matsumoto; Yoshito Uenoyama; Tomohiro Watanabe; Yasutaka Chiba; Kazuhide Higuchi; Masatoshi Kudo; Masayuki Kitano
• Keywords: Aged, 80 and over; Male; Cholecystitis, Acute; Operative Time; Middle Aged; Endosonography; 3. Good health; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Japan; Drainage; Feasibility Studies; Humans; Female; Stents; Aged; Retrospective Studies

Objectives Percutaneous transhepatic gallbladder drainage ( PTGBD ) is widely used for patients with acute cholecystitis. There are little data on the efficacy and safety of endoscopic ultrasound‐guided EUS ‐ GBD replacement in who cannot undergo cholecystectomy. Methods This multicenter retrospective study Japan reviewed records underwent to replace between January 2010 December 2017. Outcomes evaluated included technical success, defined as successful stent placement gastrointestinal lumen gallbladder; clinical subsequent removal percutaneous catheter; adverse events; patency. Results was performed 21 (14 women, mean age 77.5 ± 8.0 years) that had been instituted cholecystitis n = 19) or obstructive jaundice 2). Technical success achieved 19 (90.5%). The median period from 11 days (range, 6–68 days). procedure time 19.5 5.1 min. No early events were observed. three late events, distal migration two cases occlusion causing recurrent one patient. Reintervention required patients. catheter removed after 17 at a 7 2–20 duration patency 139 8–664 Conclusions Where ongoing required, conversion feasible, effective, safe technique