EUS guided drainage of gallbladder: own cohort of 66 patients for the period 2016–2022 from the Hospital Jablonec nad Nisou
Authors:
J. Pintová 1
; R. Procházka 1; M. Man 2; V. Nosek 1
Authors place of work:
Gastroenterologické oddělení, Nemocnice Jablonec nad Nisou, p. o.
1; Chirurgické oddělení, Nemocnice Jablonec nad Nisou, p. o.
2
Published in the journal:
Gastroent Hepatol 2023; 77(4): 326-335
Category:
Clinical and Experimental Gastroenterology: Original Article
doi:
https://doi.org/10.48095/ccgh2023326
Summary
Introduction: EUS-guided gallbladder drainage is a safe and effective endoscopic treatment modality for inoperable patients with severe acute cholecystitis with impending complications. It is also used as a salvage technique for patients with malignant biliary obstruction in whom conventional treatment with ERCP or EUS-guided biliary drainage has failed. Methods: The aim of this retrospective, consecutive cohort (November 2016 to December 2022) was to evaluate the technical and clinical success rates and peri-procedural, early and late complications of EUS-guided gallbladder drainage using the Hot AXIOS metallic lumen-apposing stent. Results: The cohort includes a total of 66 patients, of which 43 were benign and 23 were malignant. Technical success rate was 98.5%, clinical success rate was 98.5%. There were two periprocedural complications (bleeding and stent malposition), and two early post-procedural complications (peritonitis on day 2 after the drainage and subhepatic abscess on day 4 after the drainage), early complications were 6%. Late complications were only minor. Four times, we have observed partially or completely embedded LAMS. There was no recurrence of cholecystitis during the 12 months follow-ups. The mean duration of stent deployment for the benign indication was 327 days, and 199 days for patients with a malignant diagnosis. Conclusion: The evaluation of our cohort confirmed the high technical and clinical success of EUS-guided gallbladder drainage using Hot AXIOS stents with a low complication rate.
Keywords:
EUS guided gallbladder drainage – cholecystostomy – LAMS
Zdroje
1. Cucchetti A, Binda C, Dajti E et al. Trial sequential analysis of EUS-guided gallbladder drainage versus percutaneous cholecystostomy in patients with acute cholecystitis. Gastrointest Endosc 2022; 95 (3): 399–406. doi: 10.1016/j.gie.2021.09.028.
2. Siddiqui A, Kunda R, Tyberg A et al. Three-way comparative study of endoscopic ultrasound-guided transmural gallbladder drainage using lumen-apposing metal stents versus endoscopic transpapillary drainage versus percutaneous cholecystostomy for gallbladder drainage in high-risk surgical patients with acute cholecystitis: Clinical outcomes and success in an International, Multicenter Study. Surg Endosc 2019; 33 (4): 1260–1270. doi: 10.1007/s00 464-018-6406-7.
3. Baron T H, Topazian M D. Endoscopic transduodenal drainage of the gallbladder: implications for endoluminal treatment of gallbladder disease. Gastroint endosc 2007; 65 (4): 735–737. doi: 10.1016/j.gie.2006.07.041.
4. van der Merwe SW, van Wanrooij RLJ, Bronswijk M et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2022; 54 (2): 185–205. doi: 10.1055/a-17 17-1391.
5. Irani SS, Sharzehi K, Siddiqui UD. AGA Clinical Practice Update on Role of EUS-Guided Gallbladder Drainage in Acute Cholecystitis: Commentary. Clin Gastroenterol Hepatol 2023; 21 (5): 1141–1147. doi: 10.1016/j.cgh.2022.12.039.
6. Dollhopf M, Larghi A, Will U et al. EUS-guided gallbladder drainage in patients with acute cholecystitis and high surgical risk using an electrocautery-enhanced lumenapposing metal stent device. Gastrointest Endosc 2017; 86 (4): 636–643. doi: 10.1016/j.gie.2017.02.027.
7. McKay A, Abulfaraj M, Lipschitz J. Short- and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients. Surg Endosc 2012; 26 (5): 1343–1351. doi: 10.1007/s00464-011-2035-0.
8. Teoh AYB, Kitano M, Itoi T et al. Endosonography-guided gallbladder drainage versus percutaneous cholecystostomy in very high-risk surgical patients with acute cholecystitis: an international randomised multicentre controlled superiority trial (DRAC 1). Gut 2020; 69 (6): 1085–1091. doi: 10.1136/ gutjnl-2019-319 996.
9. Podboy A, Yuan J, Stave CD et al. Comparison of EUS-guided endoscopic transpapillary and percutaneous gallbladder drainage for acute cholecystitis: a systematic review with network meta-analysis. Gastrointest Endosc 2021; 93 (4): 797–804. doi: 10.1016/j.gie.2020.09.040.
10. Issa D, Irani S, Law R et al. Endoscopic ultrasound-guided gallbladder drainage as arescue therapy for unresectable malignant biliary obstruction: a multicenter experience. Endoscopy 2021; 53 (8): 827–831. doi: 10.1055/a-1259- 0349.
11. Kamal F, Khan MA, Lee-Smith W et al. Efficacy and safety of EUS-guided gallbladder drainage for rescue treatment of malignant biliary obstruction: A systematic review and meta-analysis. Endosc Ultrasound 2023; 12 (1): 8–15. doi: 10.4103/EUS-D-21-00206.
12. van Wanrooij RLJ, Bronswijk M, Kunda R et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review. Endoscopy 2022; 54 (3): 310–332. doi: 10.1055/a-1738-6780.
13. ESGE Days 2023. 2023 [online]. Dostupné z: https: //www.esge.com/event-calendar/ esge-days-2023/.
14. Rana S. Endoscopic ultrasound-guided gallbladder drainage: a technical review. Ann Gastroenterol 2021; 34 (2): 142–148. doi: 10.20524/aog.2020.0568.
15. Perez-Miranda M. Technical considerations in EUS-guided gallbladder drainage. Endosc Ultrasound 2018; 7 (2): 79–82. doi: 10.4103/eus.eus_5_18.
16. Saumoy M, Tyberg A, Brown E et al. Successful cholecystectomy after endoscopic ultrasound gallbladder drainage compared with percutaneous cholecystostomy, can it be done? J Clin Gastroenterol 2019; 53 (3): 231–235. doi: 10.1097/MCG.0000000000001036.
17. Sagami R, Hayasaka K, Ujihara T et al. Feasibility of endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis patients receiving antithrombotic therapy. Ann Gastroenterol 2020; 33 (4): 391–397. doi: 10.20524/aog.2020.0496.
18. Teoh AY, Perez-Miranda M, Kunda R et al. Outcomes of an international multicenter registry on EUS-guided gallbladder drainage in patients at high risk for cholecystectomy. Endosc Int Open 2019; 7 (8): E964–E973. doi: 10.1055/a-0915-2098.
Štítky
Paediatric gastroenterology Gastroenterology and hepatology SurgeryČlánok vyšiel v časopise
Gastroenterology and Hepatology
2023 Číslo 4
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
- Possibilities of Using Metamizole in the Treatment of Acute Primary Headaches
- Current Insights into the Antispasmodic and Analgesic Effects of Metamizole on the Gastrointestinal Tract
Najčítanejšie v tomto čísle
- Robotic pancreatic surgery in a high-volume pancreatic cancer surgery center – first experience
- Changing epidemiology of Clostridioides difficile infection – increasing number of community-acquired forms and infections in children
- Chest pain as an atypical symptom of acute cholecystitis
- Impact of the COVID-19 pandemic on acute pancreatitis in the Czech Republic – pilot data PANACOTA study (PANcreatitis Acuta in COVid Time Analysis)