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EUS-guided cholecystoduodenostomy for acute cholecystitis with an anti-stent migration and anti-food impaction system; a pilot study
- Source :
- Therapeutic Advances in Gastroenterology, Vol 9 (2016)
- Publication Year :
- 2016
- Publisher :
- SAGE Publishing, 2016.
-
Abstract
- Background: Recently, endoscopic ultrasound-guided gall bladder drainage (EUS-GBD) has been reported using a self-expandable metallic stent. To prevent stent migration and food flowing into the common bile duct through the cystic duct, we perform a novel EUS-guided cholecystoduodenostomy. The aim of our study was to evaluate the safety and feasibility of EUS-guided cholecystoduodenostomy with an anti-stent migration and anti-food impaction system. Methods: A total of 16 consecutive patients who underwent EUS-guided cholecystoduodenostomy for acute cholecystitis were included in this study. Results: Technical and clinical success was obtained in all patients. The median procedure time was 26.9 min (range 19–42 min). Median follow-up time was 181.5 days (range 18–604 days), and in this time, recurrence of acute cholecystitis was not seen in all patients. Adverse events such as stent migration and cholangitis were not seen in any patients, although pneumoperitoneum was seen in one patient. Conclusion: Our technique may be favorable and effective for the prevention of adverse events on EUS-GBD.
- Subjects :
- medicine.medical_specialty
Common bile duct
business.industry
Impaction
medicine.medical_treatment
Gastroenterology
Stent
medicine.disease
System a
digestive system diseases
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Pneumoperitoneum
030220 oncology & carcinogenesis
medicine
Acute cholecystitis
Cystic duct
030211 gastroenterology & hepatology
lcsh:Diseases of the digestive system. Gastroenterology
Radiology
lcsh:RC799-869
business
Adverse effect
Original Research
Subjects
Details
- Language :
- English
- ISSN :
- 17562848
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Therapeutic Advances in Gastroenterology
- Accession number :
- edsair.doi.dedup.....2bb0dae5267cca394c50b4625018cd8e