The Use of a New Dedicated Electrocautery Lumen-Apposing Metal Stent for Gallbladder Drainage in Patients with Acute Cholecystitis

被引：6

作者：

Brandaleone, Luca ^{[1
,2
]}

Franchellucci, Gianluca ^{[1
,2
]}

Facciorusso, Antonio ^{[3
]}

Samanta, Jayanta ^{[4
]}

Moon, Jong Ho ^{[5
,6
]}

Vargas-Madrigal, Jorge ^{[7
]}

Medranda, Carlos Robles ^{[8
]}

Barbera, Carmelo ^{[9
]}

Di Matteo, Francesco ^{[10
]}

Bulajic, Milutin ^{[11
]}

Auriemma, Francesco ^{[12
]}

Paduano, Danilo ^{[12
]}

Calabrese, Federica ^{[12
]}

Gentile, Carmine ^{[12
]}

Massidda, Marco ^{[13
]}

Bianchi, Marco ^{[14
]}

De Luca, Luca ^{[15
]}

Polverini, Davide ^{[1
,2
]}

Masoni, Benedetta ^{[1
,2
]}

Poletti, Valeria ^{[1
,2
]}

Marcozzi, Giacomo ^{[1
,2
]}

Hassan, Cesare ^{[1
,2
]}

Repici, Alessandro ^{[1
,2
]}

Mangiavillano, Benedetto ^{[2
,12
]}

机构：

[1] IRCCS Humanitas Res Hosp, Digest Endoscopy, IRCCS, I-20089 Milan, Italy

[2] Humanitas Univ, Dept Biomed Sci, I-20072 Milan, Italy

[3] Foggia Univ Hosp, Dept Biomed Sci, Gastroenterol Unit, I-71122 Foggia, Puglia, Italy

[4] Post Grad Inst Med Educ & Res, Gastroenterol PGIMER, Chandigarh 160012, India

[5] SoonChunHyang Univ, Digest Dis Ctr, Sch Med, Bucheon 31538, South Korea

[6] SoonChunHyang Univ, Res Inst, Dept Internal Med, Sch Med, Bucheon 31538, South Korea

[7] Hosp Enr Baltodano Briceno, Dept Gastroenterol & Endoscopy, Liberia, Costa Rica

[8] Inst Ecuatoriano Enfermedades Digest IECED, Gastroenterol Av Abel Romero Castillo, Guayaquil 090505, Guayas, Ecuador

[9] Fdn Policlin Univ, Digest Endoscopy Unit, Campus Biomed,Via Alvaro Portillo 200, I-00128 Rome, Italy

[10] Campus Bio Med Univ, GIUnit, Digest Dis, I-00128 Rome, Italy

[11] Fatebenefratelli Isola Tiberina Gemelli Isola, Digest Endoscopy, I-00186 Rome, Italy

[12] Gastrointestinal Endoscopy Unit Human Mater Domin, I-21100 Castellanza, Varese, Italy

[13] Mater Olbia Hosp, Gastroenterol & Digest Endoscopy Unit, I-07026 Olbia, Sassari, Italy

[14] Policlin Casilino Hosp, I-00169 Rome, Italy

[15] ASST St Paolo & Carlo, Endoscop Unit, I-20142 Milan, Italy

来源：

DIAGNOSTICS | 2023年 / 13卷 / 21期

关键词：

new dedicated lumen-apposing metal stent (LAMS); acute cholecystitis; therapeutic endoscopic ultrasonography; PERCUTANEOUS CHOLECYSTOSTOMY; HEPATOBILIARY SCINTIGRAPHY; CHOLECYSTECTOMY; ULTRASONOGRAPHY; MULTICENTER; DIAGNOSIS; CRITERIA;

D O I：

10.3390/diagnostics13213341

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims: Lumen-apposing metal stents (LAMSs) in ultrasonography-guided gallbladder drainage (EUS-GBD) have become increasingly important for high-risk surgical patients. Our study aims to evaluate the technical and clinical success, safety, and feasibility of endoscopic ultrasonography-guided gallbladder drainage using a new dedicated LAMS. Methods: This is a retrospective multicenter study that included all consecutive patients not suitable for surgery who were referred to a tertiary center for EUS-GBD using a new dedicated electrocautery LAMS for acute cholecystitis at eight different centers. Results: Our study included 54 patients with a mean age of 76.48 years (standard deviation: 12.6 years). Out of the 54 endoscopic gallbladder drainages performed, 24 (44.4%) were cholecysto-gastrostomy, and 30 (55.4%) were cholecysto-duodenostomy. The technical success of LAMS placement was 100%, and clinical success was achieved in 23 out of 30 patients (76.67%). Adverse events were observed in two patients (5.6%). Patients were discharged after a median of 5 days post-stenting. Conclusions: EUS-GBD represents a valuable option for high-surgical-risk patients with acute cholecystitis. This new dedicated LAMS has demonstrated a high rate of technical and clinical success, along with a high level of safety.

引用

页数：12

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