Conversion of Percutaneous Cholecystostomy to Internal Transmural Gallbladder Drainage Using an Endoscopic Ultrasound–Guided, Lumen-Apposing Metal Stent

“…In this situation, ETGS after PC should be considered. Because transmural puncture is not performed during the procedure, the risk of bile leakage, bile peritonitis, and bleeding is low [12]. ETGS can be used as a bridge therapy (if elective cholecystectomy is scheduled) or as a definite therapy (if there is a contraindication to elective cholecystectomy) [6,7,13,14].…”

Section: Discussionmentioning

confidence: 99%

Conversion of Percutaneous Cholecystostomy to Endoscopic Gallbladder Stenting by Using the Rendezvous Technique

Nam

Choi

2017

Clin Endosc

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We report the successful conversion of percutaneous cholecystostomy (PC) to endoscopic transpapillary gallbladder stenting (ETGS) with insertion of an antegrade guidewire into the duodenum. An 84-year-old man presented with severe acute cholecystitis and septic shock. He had significant comorbidities, and emergent PC was successfully performed. Subsequent ETGS was attempted but unsuccessful owing to difficulties with cystic duct cannulation. However, via the PC tract, the guidewire was passed antegradely into the duodenum, and ETGS with a double-pigtail plastic stent was successfully performed with the rendezvous technique. The PC tube was removed, and no recurrence was reported during the 17-month follow-up period. Conversion of PC to ETGS is a viable option in patients with acute cholecystitis who are not candidates for surgery. Antegrade guidewire insertion via the PC tract may increase the success rate of conversion and decrease the risk of procedure-related complications.

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“…The expected advantages of this technique compared to other procedures when treating acute cholecystitis are no risk of post‐ERCP pancreatitis, internal drainage without the need for tube maintenance, less pain and burden on patients, and less chance of dislodgement or migration. A recent study reported the feasibility and usefulness of conversion of percutaneous drainage to EUS‐GBD in selected cases . Jang et al .…”

Section: Cutting Edge Of Interventional Eusmentioning

confidence: 99%

Current status of interventional endoscopic ultrasound

Ryozawa

Fujita²,

Irisawa

et al. 2017

Digestive Endoscopy

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Endoscopic ultrasound (EUS) is being used increasingly in the management of pancreatic fluid collection, biliary and pancreatic duct drainage in cases of failed endoscopic retrograde cholangiopancreatography, drainage of the gallbladder, and other conditions. The role of interventional EUS is rapidly expanding and new interventions are continuously emerging. The development of devices could be a major breakthrough in the field of interventional EUS. New devices would enable the expansion of its role even further and prompt its widespread use in clinical practice. This review focuses on the current status of interventional EUS, especially highlighting the topics that are presently drawing the interest of endoscopists.

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Conversion of Percutaneous Cholecystostomy to Internal Transmural Gallbladder Drainage Using an Endoscopic Ultrasound–Guided, Lumen-Apposing Metal Stent

Cited by 83 publications

References 12 publications

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

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

Conversion of Percutaneous Cholecystostomy to Endoscopic Gallbladder Stenting by Using the Rendezvous Technique

Current status of interventional endoscopic ultrasound

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