Usefulness of a One-step Semi-deployment Flushing and Stenting Technique in Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis (With Video)

IF 1.4 Q4 GASTROENTEROLOGY & HEPATOLOGY

DEN open Pub Date : 2025-06-08 DOI:10.1002/deo2.70163

Yuki Kawasaki, Jun Ushio, Hisaki Kato, Kazuya Sumi, Yuki Shibata, Norihiro Nomura, Junichi Eguchi, Takayoshi Ito, Haruhiro Inoue

{"title":"Usefulness of a One-step Semi-deployment Flushing and Stenting Technique in Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis (With Video)","authors":"Yuki Kawasaki, Jun Ushio, Hisaki Kato, Kazuya Sumi, Yuki Shibata, Norihiro Nomura, Junichi Eguchi, Takayoshi Ito, Haruhiro Inoue","doi":"10.1002/deo2.70163","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>Endoscopic transpapillary gallbladder stenting (EGBS) has demonstrated high technical and clinical success rates in endoscopic transpapillary gallbladder drainage (ETGBD) for acute cholecystitis. The effectiveness of a 5-Fr endoscopic naso-gallbladder drainage (ENGBD) tube for flushing and the internal fistula technique after tube cutting has also been reported. We developed an alternative one-step semi-deployed flushing and stenting technique for EGBS using a 7-Fr pigtail stent that avoids tube resection and evaluated its effectiveness and safety compared with that of endoscopic nasogastric gallbladder drainage.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We retrospectively evaluated 30 patients who underwent ETGBD for acute cholecystitis between April 2023 and November 2024.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The technical and clinical success rates of the one-step semi-deployment flushing and stenting techniques were 95.2% (20/21) and 100% (20/20), respectively. No adverse events were reported. The procedure time did not differ significantly from that of ENGBD.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>EGBS using one-step semi-deployment flushing and stenting is a simple and effective treatment for acute cholecystitis in patients with ETGBD.</p>\n </section>\n </div>","PeriodicalId":93973,"journal":{"name":"DEN open","volume":"6 1","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/deo2.70163","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"DEN open","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/deo2.70163","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

Endoscopic transpapillary gallbladder stenting (EGBS) has demonstrated high technical and clinical success rates in endoscopic transpapillary gallbladder drainage (ETGBD) for acute cholecystitis. The effectiveness of a 5-Fr endoscopic naso-gallbladder drainage (ENGBD) tube for flushing and the internal fistula technique after tube cutting has also been reported. We developed an alternative one-step semi-deployed flushing and stenting technique for EGBS using a 7-Fr pigtail stent that avoids tube resection and evaluated its effectiveness and safety compared with that of endoscopic nasogastric gallbladder drainage.

Methods

We retrospectively evaluated 30 patients who underwent ETGBD for acute cholecystitis between April 2023 and November 2024.

Results

The technical and clinical success rates of the one-step semi-deployment flushing and stenting techniques were 95.2% (20/21) and 100% (20/20), respectively. No adverse events were reported. The procedure time did not differ significantly from that of ENGBD.

Conclusions

EGBS using one-step semi-deployment flushing and stenting is a simple and effective treatment for acute cholecystitis in patients with ETGBD.

查看原文本刊更多论文

一步半部署冲洗支架技术在急性胆囊炎内镜下经乳头胆囊引流术中的应用（附视频）

目的内镜下经乳头胆囊支架置入术（EGBS）在急性胆囊炎的内镜下经乳头胆囊引流术（ETGBD）中具有很高的技术和临床成功率。5-Fr内镜下鼻胆囊引流管（ENGBD）用于冲洗和切管后内瘘技术的有效性也有报道。我们开发了一种替代的一步半部署冲洗和EGBS支架技术，使用7-Fr pigtail支架，避免了管道切除，并与内镜下鼻胆囊引流相比，评估了其有效性和安全性。方法回顾性分析2023年4月至2024年11月间30例急性胆囊炎行ETGBD治疗的患者。结果一步半部署冲洗和支架术的技术成功率和临床成功率分别为95.2%（20/21）和100%（20/20）。无不良事件报告。手术时间与ENGBD无显著差异。结论一步半部署冲洗支架置入EGBS是治疗ETGBD急性胆囊炎简单有效的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

DEN open

CiteScore

1.30

自引率

0.00%

发文量