A successful rendezvous endoscopic ultrasonography-guided gallbladder drainage in malignant cystic duct obstruction

2017 ◽  
Vol 6 (3) ◽  
pp. 180-182
Author(s):  
Hyoung Woo Kim ◽  
Jong-Chan Lee ◽  
Jongchan Lee ◽  
Jaihwan Kim ◽  
Jin-Hyeok Hwang
Keyword(s):  
Endoscopic Ultrasonography ◽  
Cystic Duct ◽  
Duct Obstruction ◽  
Gallbladder Drainage

Percutaneous transhepatic versus EUS-guided gallbladder drainage for malignant cystic duct obstruction

2017 ◽  
Vol 85 (2) ◽  
pp. 357-364 ◽  
Author(s):  
Jin Ho Choi ◽  
Hyoung Woo Kim ◽  
Jong-chan Lee ◽  
Kyu-hyun Paik ◽  
Nak Jong Seong ◽  
...  
Keyword(s):  
Cystic Duct ◽  
Duct Obstruction ◽  
Gallbladder Drainage

scholarly journals The Influence of Pre-Procedural Imaging and Cystic Duct Cholangiography on Endoscopic Transpapillary Gallbladder Drainage in Acute Cholecystitis

Diagnostics ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1286
Author(s):  
Junya Sato ◽  
Kazunari Nakahara ◽  
Yosuke Michikawa ◽  
Ryo Morita ◽  
Keigo Suetani ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Cholecystitis ◽  
Cystic Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Procedure Time ◽  
Technical Success ◽  
Factors Affecting ◽  
Gallbladder Drainage ◽  
Procedural Evaluation ◽  
The Relationship

Endoscopic transpapillary gallbladder drainage (ETGBD) for acute cholecystitis is challenging. We evaluated the influence of pre-procedural imaging and cystic duct cholangiography on ETGBD. Patients who underwent ETGBD for acute cholecystitis were retrospectively examined. The rate of gallbladder contrast on cholangiography, the accuracy of cystic duct direction and location by computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP), and the relationship between pre-procedural imaging and the technical success of ETGBD were investigated. A total of 145 patients were enrolled in this study. Gallbladder contrast on cholangiography was observed in 29 patients. The accuracy of cystic duct direction and location (proximal or distal, right or left, and cranial or caudal) by CT were, respectively, 79%, 60%, and 58% by CT and 68%, 55%, and 58% by MRCP. Patients showing gallbladder contrast on cholangiography underwent ETGBD with a significantly shorter procedure time and a lower rate of cystic duct injury. No other factors affecting procedure time, technical success, and cystic duct injury were identified. Pre-procedural evaluation of cystic duct direction and location by CT or MRCP was difficult in patients with acute cholecystitis. Patients who showed gallbladder contrast on cholangiography showed a shorter procedure time and a lower rate of cystic duct injury.

Endoscopic ultrasound-guided gallbladder drainage as a rescue therapy for unresectable malignant biliary obstruction: a multicenter experience

Endoscopy ◽  
2020 ◽  
Author(s):  
Danny Issa ◽  
Shayan Irani ◽  
Ryan Law ◽  
Shawn Shah ◽  
Sean Bhalla ◽  
...  
Keyword(s):  
Bile Duct ◽  
Success Rate ◽  
Clinical Success ◽  
Rescue Therapy ◽  
Bile Duct Obstruction ◽  
Distal Bile Duct ◽  
Metal Stent ◽  
Ultrasound Guided ◽  
Duct Obstruction ◽  
Gallbladder Drainage

Abstract Background Endoscopic retrograde cholangiopancreatography (ERCP) is often unsuccessful in patients with duodenal stenosis or malignant ampullary infiltration. While endoscopic ultrasound-guided biliary drainage (EUS-BD) has been proposed as an alternative, EUS-guided gallbladder drainage (EUS-GBD) is an attractive option when both approaches fail. We aimed to assess the effectiveness and safety of EUS-GBD as rescue therapy for malignant distal bile duct obstruction. Methods A multicenter retrospective study was performed on patients with unresectable malignant distal bile duct obstruction who underwent EUS-GBD between 2014 and 2019 after unsuccessful ERCP and EUS-BD. Clinical success was defined as a decrease in serum bilirubin of > 50 % within 2 weeks. Results 28 patients were included, with a lumen-apposing metal stent used in 26 (93 %) and a self-expandable metal stent in two (7 %). The technical success rate was 100 %. The clinical success rate was 93 %, with an improvement in bilirubin (7.3 [SD 5.4] pre-procedure vs. 2.8 [SD 1.1] post-procedure; P = 0.001). Delayed adverse events included food impaction of the stent (n = 3), with a further two patients developing cholecystitis and bleeding. Conclusion This study demonstrates the feasibility of gallbladder drainage to relieve malignant distal bile duct obstruction in patients with failed ERCP and EUS-BD.

Endoscopic ultrasonography-guided gallbladder drainage procedures: Is the glass half-full or half-empty?

2014 ◽  
Vol 26 (5) ◽  
pp. 636-637
Author(s):  
Masayuki Kitano ◽  
Ken Kamata ◽  
Masatoshi Kudo
Keyword(s):  
Endoscopic Ultrasonography ◽  
Gallbladder Drainage

Partial, Non calculous Cystic Duct Obstruction (Cystic Duct Syndrome)

1967 ◽  
Vol 47 (5) ◽  
pp. 1107-1114 ◽  
Author(s):  
Rudolph C. Camishion ◽  
Franz Goldstein
Keyword(s):  
Cystic Duct ◽  
Duct Obstruction ◽  
Duct Syndrome

Long-term outcomes after endoscopic ultrasonography-guided gallbladder drainage for acute cholecystitis

Endoscopy ◽  
2014 ◽  
Vol 46 (08) ◽  
pp. 656-661 ◽  
Author(s):  
Jun-Ho Choi ◽  
Sang Lee ◽  
Joon Choi ◽  
Do Park ◽  
Dong-Wan Seo ◽  
...  
Keyword(s):  
Acute Cholecystitis ◽  
Endoscopic Ultrasonography ◽  
Long Term Outcomes ◽  
Gallbladder Drainage
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