Clinical Endoscopy

  • 제56권5호
  • /
  • Pages.650-657
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  • 2023
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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Clinical outcomes of permanent stenting with endoscopic ultrasound gallbladder drainage

  • Eisuke Suzuki (Department of Hepato-Biliary-Pancreatic Medicine, NTT Tokyo Medical Center) ;
  • Yuji Fujita (Department of Hepato-Biliary-Pancreatic Medicine, NTT Tokyo Medical Center) ;
  • Kunihiro Hosono (Department of Gastroenterology and Hepatology, Yokohama City University School of Medicine) ;
  • Yuji Koyama (Department of Hepato-Biliary-Pancreatic Medicine, NTT Tokyo Medical Center) ;
  • Seitaro Tsujino (Department of Hepato-Biliary-Pancreatic Medicine, NTT Tokyo Medical Center) ;
  • Takuma Teratani (Department of Hepato-Biliary-Pancreatic Medicine, NTT Tokyo Medical Center) ;
  • Atsushi Nakajima (Department of Gastroenterology and Hepatology, Yokohama City University School of Medicine) ;
  • Nobuyuki Matsuhashi (Department of Gastroenterology, NTT Tokyo Medical Center)
  • 투고 : 2022.07.15
  • 심사 : 2022.09.14
  • 발행 : 2023.09.30
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초록

Background/Aims: Endoscopic ultrasound gallbladder drainage (EUS-GBD) is gaining attention as a treatment method for cholecystitis. However, only a few studies have assessed the outcomes of permanent stenting with EUS-GBD. Therefore, we evaluated the clinical outcomes of permanent stenting using EUS-GBD. Methods: This was a retrospective, single-center cohort study. The criteria for EUS-GBD at our institution are a high risk for surgery, inability to perform surgery owing to poor performance status, and inability to obtain consent for emergency surgery. EUS-GBD was performed using a 7-Fr double-pigtail plastic stent with a dilating device. The primary outcomes were the recurrence-free rate of cholecystitis and the late-stage complication-avoidance rate. Secondary outcomes were technical success, clinical success, and procedural adverse events. Results: A total of 41 patients were included in the analysis. The median follow-up period was 168 (range, 10-1,238) days. The recurrence-free and late-stage complication-avoidance rates during the follow-up period were 95% (38 cases) and 90% (36 cases), respectively. There were only two cases of cholecystitis recurrence during the study period. Conclusions: EUS-GBD using double-pigtail plastic stent was safe and effective with few complications, even in the long term, in patients with acute cholecystitis.

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참고문헌

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