急性胆嚢炎に対するbridge to surgeryとしての内視鏡的経乳頭的胆嚢ステント留置術の有用性：20症例の検討

小林 聖幸; 鎌田 英紀; 中林 良太; 小野 正大; 河野 寿明; 波間 大輔; 藤田 直樹; 山名 浩喜; 徳毛 誠樹; 國土 泰孝

doi:10.11210/tando.37.747

Original Articles

Endoscopic gallbladder stenting as a bridge to surgery for acute cholecystitis: A study of 20 cases

Kiyoyuki Kobayashi, Hideki Kamada, Ryota Nakabayashi, Masahiro Ono, Toshiaki Kono, Daisuke Namima, Naoki Fujita, Hiroki Yamana, Masaki Tokumo, Yasutaka Kokudo

Author information

Kiyoyuki Kobayashi
Department of Internal Medicine, Kagawa Rosai Hospital
Division of Innovative Medicine for Hepatobiliary and Pancreatology, Faculty of Medicine, Kagawa University
Hideki Kamada
Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University
Ryota Nakabayashi
Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University
Masahiro Ono
Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University
Toshiaki Kono
Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University
Daisuke Namima
Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University
Naoki Fujita
Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University
Hiroki Yamana
Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University
Masaki Tokumo
Department of Hepato-Biliary-Pancreatic Surgery, Kagawa Rosai Hospital
Yasutaka Kokudo
Department of Hepato-Biliary-Pancreatic Surgery, Kagawa Rosai Hospital

Keywords: acute cholecystitis, endoscopic transpapillary gallbladder drainage, endoscopic gallbladder stenting, bridge to surgery, cholecystectomy

JOURNAL FREE ACCESS

2023 Volume 37 Issue 4 Pages 747-753

DOI https://doi.org/10.11210/tando.37.747

Details

Abstract

Endoscopic transpapillary gallbladder drainage has become a popular drainage method for acute cholecystitis (AC), but there are few reports on its use as a bridge to surgery (BTS). We report on the efficacy and safety of 20 AC patients who underwent endoscopic gallbladder stenting (EGBS) as BTS. The technical EGBS success rate was 100% (20/20). Procedure-related complications (mild acute pancreatitis) occurred in 1 patient, who improved rapidly with conservative treatment. Preoperative stent issues were seen in 1 patient who underwent stent exchange endoscopically followed by cholecystectomy. EGBS as BTS is considered to be effective and safe for AC patients undergoing planned cholecystectomy.

Corresponding author

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