Clinical efficacy and safety of endoscopic ultrasound-guided gallbladder drainage replacement of percutaneous drainage

A multicenter retrospective study

Kosuke Minaga, Yukitaka Yamashita, Takeshi Ogura, Mamoru Takenaka, Yuzo Shimokawa, Takeshi Hisa, Masahiro Itonaga, Hironari Katou, Hidefumi Nishikiori, Atsushi Okuda, Hisakazu Matsumoto, Yoshito Uenoyama, Tomohiro Watanabe, Yasutaka Chiba, Kazuhide Higuchi, Masatoshi Kudo, Masayuki Kitano

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: Percutaneous transhepatic gallbladder drainage (PTGBD) is widely used for patients with acute cholecystitis. There are little data on the efficacy and safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) replacement of PTGBD in patients who cannot undergo cholecystectomy. Methods: This multicenter retrospective study in Japan reviewed records of patients who underwent EUS-GBD to replace PTGBD between January 2010 and December 2017. Outcomes evaluated included technical success, defined as successful stent placement between the gastrointestinal lumen and the gallbladder; clinical success, defined as subsequent removal of the percutaneous catheter; adverse events; and stent patency. Results: EUS-GBD was performed in 21 patients (14 women, mean age 77.5 ± 8.0 years) to replace PTGBD that had been instituted for acute cholecystitis (n = 19) or obstructive jaundice (n = 2). Technical success was achieved in 19 (90.5%). The median period from PTGBD placement to EUS-GBD was 11 days (range, 6–68 days). The mean procedure time was 19.5 ± 5.1 min. No early adverse events were observed. There were three late adverse events, distal stent migration in two cases and stent occlusion causing recurrent cholecystitis in one patient. Reintervention was required in two patients. The percutaneous catheter was removed after EUS-GBD in 17 patients at a median of 7 days (range, 2–20 days). The duration of stent patency was 139 days (range, 8–664 days). Conclusions: Where ongoing gallbladder drainage is required, conversion from PTGBD to EUS-GBD is a feasible, effective, and safe technique for patients who cannot undergo cholecystectomy.

Original languageEnglish
JournalDigestive Endoscopy
DOIs
Publication statusAccepted/In press - Jan 1 2018

Fingerprint

Gallbladder
Multicenter Studies
Drainage
Retrospective Studies
Safety
Stents
Acute Cholecystitis
Cholecystectomy
Catheters
Cholecystitis
Obstructive Jaundice
Japan

Keywords

  • cholecystitis
  • endoscopic ultrasound
  • EUS-GBD
  • EUS-guided gallbladder drainage
  • gallbladder drainage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Clinical efficacy and safety of endoscopic ultrasound-guided gallbladder drainage replacement of percutaneous drainage : A multicenter retrospective study. / Minaga, Kosuke; Yamashita, Yukitaka; Ogura, Takeshi; Takenaka, Mamoru; Shimokawa, Yuzo; Hisa, Takeshi; Itonaga, Masahiro; Katou, Hironari; Nishikiori, Hidefumi; Okuda, Atsushi; Matsumoto, Hisakazu; Uenoyama, Yoshito; Watanabe, Tomohiro; Chiba, Yasutaka; Higuchi, Kazuhide; Kudo, Masatoshi; Kitano, Masayuki.

In: Digestive Endoscopy, 01.01.2018.

Research output: Contribution to journalArticle

Minaga, K, Yamashita, Y, Ogura, T, Takenaka, M, Shimokawa, Y, Hisa, T, Itonaga, M, Katou, H, Nishikiori, H, Okuda, A, Matsumoto, H, Uenoyama, Y, Watanabe, T, Chiba, Y, Higuchi, K, Kudo, M & Kitano, M 2018, 'Clinical efficacy and safety of endoscopic ultrasound-guided gallbladder drainage replacement of percutaneous drainage: A multicenter retrospective study', Digestive Endoscopy. https://doi.org/10.1111/den.13242
Minaga, Kosuke ; Yamashita, Yukitaka ; Ogura, Takeshi ; Takenaka, Mamoru ; Shimokawa, Yuzo ; Hisa, Takeshi ; Itonaga, Masahiro ; Katou, Hironari ; Nishikiori, Hidefumi ; Okuda, Atsushi ; Matsumoto, Hisakazu ; Uenoyama, Yoshito ; Watanabe, Tomohiro ; Chiba, Yasutaka ; Higuchi, Kazuhide ; Kudo, Masatoshi ; Kitano, Masayuki. / Clinical efficacy and safety of endoscopic ultrasound-guided gallbladder drainage replacement of percutaneous drainage : A multicenter retrospective study. In: Digestive Endoscopy. 2018.
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abstract = "Objectives: Percutaneous transhepatic gallbladder drainage (PTGBD) is widely used for patients with acute cholecystitis. There are little data on the efficacy and safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) replacement of PTGBD in patients who cannot undergo cholecystectomy. Methods: This multicenter retrospective study in Japan reviewed records of patients who underwent EUS-GBD to replace PTGBD between January 2010 and December 2017. Outcomes evaluated included technical success, defined as successful stent placement between the gastrointestinal lumen and the gallbladder; clinical success, defined as subsequent removal of the percutaneous catheter; adverse events; and stent patency. Results: EUS-GBD was performed in 21 patients (14 women, mean age 77.5 ± 8.0 years) to replace PTGBD that had been instituted for acute cholecystitis (n = 19) or obstructive jaundice (n = 2). Technical success was achieved in 19 (90.5{\%}). The median period from PTGBD placement to EUS-GBD was 11 days (range, 6–68 days). The mean procedure time was 19.5 ± 5.1 min. No early adverse events were observed. There were three late adverse events, distal stent migration in two cases and stent occlusion causing recurrent cholecystitis in one patient. Reintervention was required in two patients. The percutaneous catheter was removed after EUS-GBD in 17 patients at a median of 7 days (range, 2–20 days). The duration of stent patency was 139 days (range, 8–664 days). Conclusions: Where ongoing gallbladder drainage is required, conversion from PTGBD to EUS-GBD is a feasible, effective, and safe technique for patients who cannot undergo cholecystectomy.",
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T2 - A multicenter retrospective study

AU - Minaga, Kosuke

AU - Yamashita, Yukitaka

AU - Ogura, Takeshi

AU - Takenaka, Mamoru

AU - Shimokawa, Yuzo

AU - Hisa, Takeshi

AU - Itonaga, Masahiro

AU - Katou, Hironari

AU - Nishikiori, Hidefumi

AU - Okuda, Atsushi

AU - Matsumoto, Hisakazu

AU - Uenoyama, Yoshito

AU - Watanabe, Tomohiro

AU - Chiba, Yasutaka

AU - Higuchi, Kazuhide

AU - Kudo, Masatoshi

AU - Kitano, Masayuki

PY - 2018/1/1

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N2 - Objectives: Percutaneous transhepatic gallbladder drainage (PTGBD) is widely used for patients with acute cholecystitis. There are little data on the efficacy and safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) replacement of PTGBD in patients who cannot undergo cholecystectomy. Methods: This multicenter retrospective study in Japan reviewed records of patients who underwent EUS-GBD to replace PTGBD between January 2010 and December 2017. Outcomes evaluated included technical success, defined as successful stent placement between the gastrointestinal lumen and the gallbladder; clinical success, defined as subsequent removal of the percutaneous catheter; adverse events; and stent patency. Results: EUS-GBD was performed in 21 patients (14 women, mean age 77.5 ± 8.0 years) to replace PTGBD that had been instituted for acute cholecystitis (n = 19) or obstructive jaundice (n = 2). Technical success was achieved in 19 (90.5%). The median period from PTGBD placement to EUS-GBD was 11 days (range, 6–68 days). The mean procedure time was 19.5 ± 5.1 min. No early adverse events were observed. There were three late adverse events, distal stent migration in two cases and stent occlusion causing recurrent cholecystitis in one patient. Reintervention was required in two patients. The percutaneous catheter was removed after EUS-GBD in 17 patients at a median of 7 days (range, 2–20 days). The duration of stent patency was 139 days (range, 8–664 days). Conclusions: Where ongoing gallbladder drainage is required, conversion from PTGBD to EUS-GBD is a feasible, effective, and safe technique for patients who cannot undergo cholecystectomy.

AB - Objectives: Percutaneous transhepatic gallbladder drainage (PTGBD) is widely used for patients with acute cholecystitis. There are little data on the efficacy and safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) replacement of PTGBD in patients who cannot undergo cholecystectomy. Methods: This multicenter retrospective study in Japan reviewed records of patients who underwent EUS-GBD to replace PTGBD between January 2010 and December 2017. Outcomes evaluated included technical success, defined as successful stent placement between the gastrointestinal lumen and the gallbladder; clinical success, defined as subsequent removal of the percutaneous catheter; adverse events; and stent patency. Results: EUS-GBD was performed in 21 patients (14 women, mean age 77.5 ± 8.0 years) to replace PTGBD that had been instituted for acute cholecystitis (n = 19) or obstructive jaundice (n = 2). Technical success was achieved in 19 (90.5%). The median period from PTGBD placement to EUS-GBD was 11 days (range, 6–68 days). The mean procedure time was 19.5 ± 5.1 min. No early adverse events were observed. There were three late adverse events, distal stent migration in two cases and stent occlusion causing recurrent cholecystitis in one patient. Reintervention was required in two patients. The percutaneous catheter was removed after EUS-GBD in 17 patients at a median of 7 days (range, 2–20 days). The duration of stent patency was 139 days (range, 8–664 days). Conclusions: Where ongoing gallbladder drainage is required, conversion from PTGBD to EUS-GBD is a feasible, effective, and safe technique for patients who cannot undergo cholecystectomy.

KW - cholecystitis

KW - endoscopic ultrasound

KW - EUS-GBD

KW - EUS-guided gallbladder drainage

KW - gallbladder drainage

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