Clinical efficacy and safety of endoscopic ultrasound-guided gallbladder drainage replacement of percutaneous drainage: A multicenter retrospective study
Kosuke Minaga
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Faculty of Medicine, Department of Gastroenterology and Hepatology, Kindai University, Osaka-Sayama, Japan
Search for more papers by this authorYukitaka Yamashita
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan
Search for more papers by this authorTakeshi Ogura
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Second Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan
Search for more papers by this authorMamoru Takenaka
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Faculty of Medicine, Department of Gastroenterology and Hepatology, Kindai University, Osaka-Sayama, Japan
Search for more papers by this authorYuzo Shimokawa
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Nakatsu Municipal Hospital, Nakatsu, Japan
Search for more papers by this authorTakeshi Hisa
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Saku Central Hospital Advanced Care Center, Saku, Japan
Search for more papers by this authorMasahiro Itonaga
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
Search for more papers by this authorHironari Kato
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
Search for more papers by this authorHidefumi Nishikiori
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Oita San-ai Medical Center, Oita, Japan
Search for more papers by this authorAtsushi Okuda
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Second Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan
Search for more papers by this authorHisakazu Matsumoto
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan
Search for more papers by this authorYoshito Uenoyama
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan
Search for more papers by this authorTomohiro Watanabe
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Faculty of Medicine, Department of Gastroenterology and Hepatology, Kindai University, Osaka-Sayama, Japan
Search for more papers by this authorYasutaka Chiba
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Clinical Research Center, Kindai University Hospital, Osaka-Sayama, Japan
Search for more papers by this authorKazuhide Higuchi
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Second Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan
Search for more papers by this authorMasatoshi Kudo
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Faculty of Medicine, Department of Gastroenterology and Hepatology, Kindai University, Osaka-Sayama, Japan
Search for more papers by this authorCorresponding Author
Masayuki Kitano
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
Corresponding: Masayuki Kitano, Second Department of Internal Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8509, Japan. Email: [email protected]Search for more papers by this authorKosuke Minaga
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Faculty of Medicine, Department of Gastroenterology and Hepatology, Kindai University, Osaka-Sayama, Japan
Search for more papers by this authorYukitaka Yamashita
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan
Search for more papers by this authorTakeshi Ogura
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Second Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan
Search for more papers by this authorMamoru Takenaka
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Faculty of Medicine, Department of Gastroenterology and Hepatology, Kindai University, Osaka-Sayama, Japan
Search for more papers by this authorYuzo Shimokawa
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Nakatsu Municipal Hospital, Nakatsu, Japan
Search for more papers by this authorTakeshi Hisa
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Saku Central Hospital Advanced Care Center, Saku, Japan
Search for more papers by this authorMasahiro Itonaga
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
Search for more papers by this authorHironari Kato
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
Search for more papers by this authorHidefumi Nishikiori
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Oita San-ai Medical Center, Oita, Japan
Search for more papers by this authorAtsushi Okuda
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Second Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan
Search for more papers by this authorHisakazu Matsumoto
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan
Search for more papers by this authorYoshito Uenoyama
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Department of Gastroenterology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan
Search for more papers by this authorTomohiro Watanabe
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Faculty of Medicine, Department of Gastroenterology and Hepatology, Kindai University, Osaka-Sayama, Japan
Search for more papers by this authorYasutaka Chiba
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Clinical Research Center, Kindai University Hospital, Osaka-Sayama, Japan
Search for more papers by this authorKazuhide Higuchi
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Second Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan
Search for more papers by this authorMasatoshi Kudo
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Faculty of Medicine, Department of Gastroenterology and Hepatology, Kindai University, Osaka-Sayama, Japan
Search for more papers by this authorCorresponding Author
Masayuki Kitano
Therapeutic Endoscopic Ultrasound Group, Osaka, Japan
Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
Corresponding: Masayuki Kitano, Second Department of Internal Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8509, Japan. Email: [email protected]Search for more papers by this authorAbstract
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.
Conflicts of interest
The authors declare no conflicts of interest for this article.
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