Quality of life after cholecystectomy and after successful lithotripsy for gallbladder stones: a matched-pairs comparison

Carrilho-Ribeiro, Luís; Serra, David; A, Pinto-Correia; Velosa, José; Moura, Miguel Carneiro de

doi:10.1097/00042737-200207000-00005

Cited by 10 publications

(6 citation statements)

References 11 publications

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“…The successful rate of the anchor assisted group was high than the guidewire assisted group (92.9% Vs 70%, P=0.07). On the average of 12.25±2.77 (range [8][9][10][11][12][13][14][15][16][17] days after the initial BD drainage procedure, 20 patients received the per-oral cholecystoscopy via the fistula. Fistula broken was found in 2 patients in which the per-oral cholecystoscopy was applied on the ninth day after the EUS-GBD.…”

Section: Resultsmentioning

confidence: 99%

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Endoscopic ultrasound-based transluminal cholecystolithotomy: the retrievable anchor assisted procedure

Ge¹,

Hu²,

Yang³

et al. 2019

Preprint

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Background EUS guided gallbladder drainage has gradually emerging as an option among patients with cholecystitis. Stent bridged endoscope intervention in the gallbladder was further introduced. The aim of this study was to assess the effectiveness and safety of the ECE-LAMS and this newly designed retrievable puncture anchor applied in the transmural Cholecystolithotomy. Method We retrospectively reviewed consecutive patients undergoing EUS-guided transmural cholecystoscopic therapy. The main outcome measures for the EUS-GBD procedure were techniques success and adverse events, which were also compared between guided assisted group and retrievable anchor assisted group. The main outcome measures for the transmural cholecystoscopy after EUS-GBD were the stent indwelling time, clinical success and adverse events. Results A total of 24 (15 female) patients with gallstones were received the transluminal Cholecystolithotomy. Mean age is 36.08±13.69 years old. The successful rate of the anchor assisted group was high than the guidewire assisted group (92.9% Vs 70%, P=0.07). On the average of 12.25±2.77 (range 8-17) days after the initial BD drainage procedure, 20 patients received the per-oral cholecystoscopy via the fistula. Fistula broken was found in 2 patients in which the per-oral cholecystoscopy was applied on the ninth day after the EUS-GBD. During the follow-up period (mean 314.2± 213.7 days) no GB stones recurrence or other long term complications reported. Conclusion In conclusion, we have demonstrated that EUS-assisted per-oral cholecystoscopy technique with ECE-LMAS is an efficient and safe procedure. For the EUS-GBD procedure, retrievable anchor could significantly increase the success rate compared with the guidewire.

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Section: Resultsmentioning

confidence: 99%

“…This has the potential to become the procedure of choice for gallstones besides LC. Long-term follow-up studies have found that cholecystectomy is associated with an increased incidence of dyspepsia, calculus of the common bile duct, and colon carcinoma 17 . So, LC at young patients could become a potential risk for a life long time.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound-based transluminal cholecystolithotomy: the retrievable anchor assisted procedure

Ge¹,

Hu²,

Yang³

et al. 2019

Preprint

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“…In their matched-pairs comparison of 36 patients, CE was assoziated with a higher rate of dyspeptic complaints than ESWL (24).…”

Section: Discussionmentioning

confidence: 97%

Predictions and Associations of Cholecystectomy in Patients with Cholecystolithiasis treated with Extracorporeal Shock Wave Lithotripsy

et al. 2004

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Extracorporeal shock wave lithotripsy (ESWL) is effective in the treatment of symptomatic cholecystolithiasis in well-selected patients. We analyzed the predictors of cholecystectomy in a large series of gallstone patients after ESWL. This was a retrospective follow-up cohort-study of consecutive patients undergoing ESWL for symptomatic cholecystolithiasis over a 9-year period. It was possible to analyze a total of 297 patients; there were 211 women and 86 men, with a mean age of 52 years (range, 8-81 years). Patients that had been cholecystectomized after ESWL were compared to patients with their gallbladder still in situ and determinants of cholecystemctomy in terms of clinical, stone, and gallbladder parameters and symptoms analyzed. The mean duration of follow-up was 99 months (range, 27-134 months). During follow-up, 106 (36%) patients underwent a cholecystectomy at a mean of 34 months (range, 0-127 months) after ESWL. Histological data showed a normal gallbladder wall in only 4 cases; 101 examinations revealed some kind of (chronic) inflammation, which was not different from histological gallbladder results in patients without prior lithotripsy. Three gallbladder polyps were found, but no carcinoma. Cholecystectomy after ESWL of gallbladder stones was strongly associated with persitent and/or renewed biliary symtoms. Nevertheless, only three of four patients became asymptomatic after CE. Thus, ESWL proved to be a valuable organ-preserving alternative to cholecystectomy in selected patients.

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“…It has the potential to become the procedure of choice for gallstones besides laparoscopic cholecystectomy (LC). Long-term follow-up studies have found that cholecystectomy is associated with an increased incidence of dyspepsia, calculus of the common bile duct, and colon carcinoma 18 . Thus, LC at a young age could become a potential risk for life long.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound-based transluminal cholecystolithotomy: the retrievable anchor assisted procedure

Ge¹,

Yang

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is gradually emerging as an option among patients with cholecystitis. A stent-bridged endoscopic intervention in the gallbladder (GB) was further introduced. The aim of this study was to assess the effectiveness and safety of the electrocautery-enhanced delivery of a lumen apposing metal stent (ECE-LAMS) and this newly designed retrievable anchor (RA) applied in the transmural cholecystolithotomy. Method We retrospectively reviewed consecutive patients undergoing EUS-guided transmural cholecystoscopic therapy. The main outcome measures for the EUS-GBD procedure were technical success and adverse events, which were also compared between the guided assisted group and the RA-assisted group. The main outcome measures for transmural cholecystoscopy after EUS-GBD were the stent indwelling time, clinical success, and adverse events. Results A total of 24 (15 female) patients with gallstones received transluminal cholecystolithotomy. The mean age of the patients was 36.08±13.69 years. The success rate of the anchor-assisted group was higher than that of the guidewire-assisted group (92.9% vs. 70%, P=0.07). On an average of 12.25±2.77 (range 8-17) days after the initial GB drainage procedure, 20 patients received per-oral cholecystoscopy via the fistula. A ruptured fistula was found in 2 patients in whom the per-oral cholecystoscopy was applied on the ninth day after EUS-GBD. During the follow-up period (mean 314.2± 213.7 days), no GB stone recurrence or other long-term complications were reported. Conclusion We demonstrated that the EUS-assisted per-oral cholecystoscopy technique with ECE-LMAS is an efficient and safe procedure. For the EUS-GBD procedure, a RA could significantly increase the success rate compared with the guidewire.

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Quality of life after cholecystectomy and after successful lithotripsy for gallbladder stones: a matched-pairs comparison

Abstract: The quality of life after either cholecystectomy or extra-corporeal shock-wave lithotripsy is good overall, but cholecystectomy might be associated with a higher rate of dyspeptic complaints than a gallbladder preserving treatment like extra-corporeal shock-wave lithotripsy.

Cited by 10 publications

References 11 publications

Endoscopic ultrasound-based transluminal cholecystolithotomy: the retrievable anchor assisted procedure

Endoscopic ultrasound-based transluminal cholecystolithotomy: the retrievable anchor assisted procedure

Predictions and Associations of Cholecystectomy in Patients with Cholecystolithiasis treated with Extracorporeal Shock Wave Lithotripsy

Endoscopic ultrasound-based transluminal cholecystolithotomy: the retrievable anchor assisted procedure

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