Original Article

Safety and efficacy of endoscopic ultrasound-guided gallbladder drainage combined with endoscopic retrograde cholangiopancreatography in the same session

Corresponding Author

Raul Torres Yuste

[email protected]

orcid.org/0000-0003-4240-4110

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

Corresponding: Raul Torres Yuste, Gastroenterology Department, Hospital Universitario Río Hortega, Calle Dulzaina 2, Valladolid 47012, Spain. Email: [email protected]

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Francisco Javier Garcia-Alonso,

Francisco Javier Garcia-Alonso

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Ramón Sanchez-Ocana,

Ramón Sanchez-Ocana

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Marta Cimavilla Roman,

Marta Cimavilla Roman

orcid.org/0000-0003-1894-9671

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Irene Peñas Herrero,

Irene Peñas Herrero

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Ana Yaiza Carbajo,

Ana Yaiza Carbajo

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Marina De Benito Sanz,

Marina De Benito Sanz

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Natalia Mora Cuadrado,

Natalia Mora Cuadrado

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Carlos De la Serna Higuera,

Carlos De la Serna Higuera

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Manuel Perez-Miranda,

Manuel Perez-Miranda

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Raul Torres Yuste,

Corresponding Author

Raul Torres Yuste

[email protected]

orcid.org/0000-0003-4240-4110

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

Corresponding: Raul Torres Yuste, Gastroenterology Department, Hospital Universitario Río Hortega, Calle Dulzaina 2, Valladolid 47012, Spain. Email: [email protected]

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Francisco Javier Garcia-Alonso,

Francisco Javier Garcia-Alonso

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Ramón Sanchez-Ocana,

Ramón Sanchez-Ocana

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Marta Cimavilla Roman,

Marta Cimavilla Roman

orcid.org/0000-0003-1894-9671

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Irene Peñas Herrero,

Irene Peñas Herrero

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Ana Yaiza Carbajo,

Ana Yaiza Carbajo

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Marina De Benito Sanz,

Marina De Benito Sanz

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Natalia Mora Cuadrado,

Natalia Mora Cuadrado

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Carlos De la Serna Higuera,

Carlos De la Serna Higuera

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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Manuel Perez-Miranda,

Manuel Perez-Miranda

Gastroenterology Department, University Hospital Rio Hortega, Valladolid, Spain

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First published: 13 October 2019

https://doi.org/10.1111/den.13562

Citations: 24

Link to data archived in a public repository: https://osf.io/g6dtv/?view_only=a5c96c93563149c2b3dc66fd564a1832

Part of this study was presented during Digestive Disease Week, June 2, 2018 in Washington DC as an oral presentation

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Abstract

Background and Aim

Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is an emerging option for acute cholecystitis in non-surgical candidates. Combining endoscopic retrograde cholangiopancreatography (ERCP) for common bile duct stones with EUS-GBD in a single session might become a non-surgical management strategy to comprehensively treat gallstone disease in selected patients.

Methods

Single-center retrospective cohort study comparing outcomes between EUS-GBD alone (group A) and single-session ERCP combined with EUS-GBD (group B). Consecutive patients who underwent EUS-GBD with a lumen-apposing metal stent (LAMS) between June 2011 and August 2018 were analyzed. Exclusion criteria were subjects included in randomized clinical trials, patients who had had ERCP within 5 days of EUS-GBD, patients in whom ERCP or EUS-GBD was carried out for salvage of one or the other procedure, and patients who underwent concurrent EUS-guided biliary drainage.

Results

One hundred and nine consecutive patients underwent EUS-GBD with LAMS during the study period. Seventy-one patients satisfied the inclusion criteria and 34 patients were in group A and 37 in group B. Baseline characteristics were similar in both groups. There were no significant differences in technical (97.1% vs 97.3%; P = 0.19) and clinical success rates (88.2% vs 94.6%; P = 0.42) of EUS-GBD in group A versus group B. Rate of adverse events was similar in both groups, five (14.7%) in group A versus five (13.5%) in group B.

Conclusions

Single-session EUS-GBD combined with ERCP has comparable rates of technical and clinical success to EUS-GBD alone. A combined EUS-GBD and ERCP procedure does not appear to increase adverse events and makes possible comprehensive treatment of gallstone disease by purely endoscopic means.

Conflicts of Interest

Dr Manuel Perez-Miranda is a consultant for Boston Scientific and M.I.Tech and has lectured for Boston Scientific, Taewoong and Olympus. None of the remaining authors has potential conflicts of interest.

References

1Yamashita Y, Takada T, Strasberg SM et al. TG13 surgical management of acute cholecystitis. J. Hepatobiliary Pancreat. Sci. 2013; 20: 89–96.
10.1007/s00534-012-0567-x
PubMed Web of Science® Google Scholar
2Tsuyuguchi T, Itoi T, Takada T et al. TG13 indications and techniques for gallbladder drainage in acute cholecystitis (with videos). J. Hepatobiliary Pancreat. Sci. 2013; 20: 81–8.
10.1007/s00534-012-0570-2
PubMed Web of Science® Google Scholar
3Winbladh A, Gullstrand P, Svanvik J, Sandström P. Systematic review of cholecystostomy as a treatment option in acute cholecystitis. HPB (Oxford). 2009; 11: 183–93.
10.1111/j.1477-2574.2009.00052.x
CAS PubMed Web of Science® Google Scholar
4Choi JH, Lee SS, Choi JH et al. Long-term outcomes after endoscopic ultrasonography-guided gallbladder drainage for acute cholecystitis. Endoscopy 2014; 46: 656–61.
10.1055/s-0034-1365720
PubMed Web of Science® Google Scholar
5García-Alonso FJ, de Lucas GallegoM, Bonillo Cambrodón D et al. Gallstone-related disease in the elderly: is there room for improvement? Dig. Dis. Sci. 2015; 60: 1770–7.
10.1007/s10620-014-3497-4
PubMed Web of Science® Google Scholar
6Chan JHY, Teoh AYB. Current status of endoscopic gallbladder drainage. Clin. Endosc. 2018; 51: 150–155.
10.5946/ce.2017.125
PubMed Web of Science® Google Scholar
7Khan MA, Atiq O, Kubiliun N et al. Efficacy and safety of endoscopic gallbladder drainage in acute cholecystitis: is it better than percutaneous gallbladder drainage? Gastrointest. Endosc. 2017; 85: 76–87.e3.
10.1016/j.gie.2016.06.032
PubMed Web of Science® Google Scholar
8Itoi T, Sofuni A, Itokawa F et al. Endoscopic transpapillary gallbladder drainage in patients with acute cholecystitis in whom percutaneous transhepatic approach is contraindicated or anatomically impossible (with video). Gastrointest. Endosc. 2008; 68: 455–60.
10.1016/j.gie.2008.02.052
PubMed Web of Science® Google Scholar
9Mutignani M, Iacopini F, Perri V et al. Endoscopic gallbladder drainage for acute cholecystitis: Technical and clinical results. Endoscopy 2009; 41: 539–46.
10.1055/s-0029-1214727
CAS PubMed Web of Science® Google Scholar
10De La Serna-Higuera C, Pérez-Miranda M, Gil-Simón P et al. EUS-guided transenteric gallbladder drainage with a new fistula-forming, lumen-apposing metal stent. Gastrointest. Endosc. 2013; 77: 303–8.
10.1016/j.gie.2012.09.021
PubMed Web of Science® Google Scholar
11Binmoeller KF, Shah J. A novel lumen-apposing stent for transluminal drainage of nonadherent extraintestinal fluid collections. Endoscopy 2011; 43: 337–42.
10.1055/s-0030-1256127
CAS PubMed Web of Science® Google Scholar
12Jang JW, Lee SS, Song TJ et al. Endoscopic ultrasound-guided transmural and percutaneous transhepatic gallbladder drainage are comparable for acute cholecystitis. Gastroenterology 2012; 142: 805–11.
10.1053/j.gastro.2011.12.051
PubMed Web of Science® Google Scholar
13Walter D, Teoh AY, Itoi T et al. EUS-guided gall bladder drainage with a lumen-apposing metal stent: A prospective long-term evaluation. Gut 2015; 65: 6–8.
10.1136/gutjnl-2015-309925
PubMed Web of Science® Google Scholar
14Dollhopf M, Larghi A, Will U et al. EUS-guided gallbladder drainage in patients with acute cholecystitis and high surgical risk using an electrocautery-enhanced lumen-apposing metal stent device. Gastrointest. Endosc. 2017; 86: 636–43.
10.1016/j.gie.2017.02.027
PubMed Web of Science® Google Scholar
15Peng WK, Sheikh Z, Nixon SJ. Role of liver function tests in predicting common bile duct stones in acute calculous cholecystitis. Br. J. Surg. 2005; 92: 1241–7.
10.1002/bjs.4955
CAS PubMed Web of Science® Google Scholar
16Reinders JS, Goud A, Timmer R et al. Early laparoscopic cholecystectomy improves outcomes after endoscopic sphincterotomy for choledochocystolithiasis. Gastroenterology 2010; 138: 2315–20.
10.1053/j.gastro.2010.02.052
PubMed Web of Science® Google Scholar
17Saumoy M, Novikov A, Kahaleh M. Long-term outcomes after EUS-guided gallbladder drainage. Endosc. Ultrasound 2018; 7: 97–101.
PubMed Web of Science® Google Scholar
18Yuste RT, García-Alonso FJ, Sánchez-Ocana R et al. Safety and clinical outcomes of endoscopic ultrasound-guided gallbladder drainage with lumen-apposing metal stents in patients with dwell time over one year. Ann. Gastroenterol. 2019; 32: 514–21.
PubMed Web of Science® Google Scholar
19Luzón Solanas L, Ollero Domenche L, Sierra Moros EM et al. The safety of deep sedation with propofol controlled by the endoscopist in endoscopic retrograde cholangiopancreatography (ERCP): A prospective study in a tertiary hospital. Rev. Esp. Enferm. Dig. 2018; 110: 217–22.
10.17235/reed.2018.5262/2017
CAS PubMed Web of Science® Google Scholar
20Staub J, Siddiqui A, Taylor LJ et al. ERCP performed through previously placed duodenal stents: A multicenter retrospective study of outcomes and adverse events. Gastrointest. Endosc. 2018; 87: 1499–504.
10.1016/j.gie.2018.01.040
PubMed Web of Science® Google Scholar
21Gornals JB, Esteban JM, Guarner-Argente C et al. Endoscopic ultrasound and endoscopic retrograde cholangiopancreatography: Can they be successfully combined? Gastroenterol. Hepatol. 2016; 39: 627–42.
10.1016/j.gastrohep.2015.12.008
PubMed Web of Science® Google Scholar
22Teoh AYB, Serna C, Penas I et al. Endoscopic ultrasound-guided gallbladder drainage reduces adverse events compared with percutaneous cholecystostomy in patients who are unfit for cholecystectomy. Endoscopy 2017; 49: 130–8.
PubMed Web of Science® Google Scholar
23Teoh AY, Perez-Miranda M, Kunda R et al. Outcomes of an international multicenter registry on EUS-guided gallbladder drainage in patients at high risk for cholecystectomy. Endosc. Int. Open 2019; 07: E964–73.
10.1055/a-0915-2098
CAS Web of Science® Google Scholar
24Peñas-Herrero I, De La Serna-Higuera C, Perez-Miranda M. Endoscopic ultrasound-guided gallbladder drainage for the management of acute cholecystitis (with video). J. Hepatobilary Pancreat. Sci. 2015; 22: 35–43.
10.1002/jhbp.182
PubMed Web of Science® Google Scholar
25Pérez-Miranda Castillo M. Endoscopic ultrasound-guided anastomosis with lumen-apposing metal stents in biliopancreatic diseases [Dissertation]. Valladolid: Universidad de Valladolid, 2015; p. 118.
Google Scholar
26Cotton PB, Eisen GM, Aabakken L et al. A lexicon for endoscopic adverse events: Report of an ASGE workshop. Gastrointest. Endosc. 2010; 71: 446–54.
10.1016/j.gie.2009.10.027
PubMed Web of Science® Google Scholar
27Nakai Y, Isayama H, Yamamoto N et al. Indications for endoscopic ultrasonography (EUS)-guided biliary intervention: Does EUS always come after failed endoscopic retrograde cholangiopancreatography? Dig. Endosc. 2016; 29: 218–25.
10.1111/den.12752
PubMed Web of Science® Google Scholar
28Riall TS, Zhang D, Townsend CM et al. Failure to perform cholecystectomy for acute cholecystitis in elderly patients is associated with increased morbidity, mortality, and cost. J. Am. Coll. Surg. 2010; 210: 668–77.
10.1016/j.jamcollsurg.2009.12.031
PubMed Web of Science® Google Scholar
29Doi S, Yasuda I, Mabuchi M et al. Hybrid procedure combining endoscopic gallbladder lavage and internal drainage with elective cholecystectomy for acute cholecystitis: A prospective pilot study (The BLADE study). Dig. Endosc. 2018; 30: 501–7.
10.1111/den.13028
PubMed Web of Science® Google Scholar
30Manta R, Mutignani M, Galloro G et al. Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis with a lumen-apposing metal stent: A systematic review of case series. Eur. J. Gastroenterol. Hepatol. 2018; 30: 695–8.
10.1097/MEG.0000000000001112
PubMed Web of Science® Google Scholar
31Siddiqui A, Kunda R, Tyberg A et al. Three-way comparative study of endoscopic ultrasound-guided transmural gallbladder drainage using lumen-apposing metal stents versus endoscopic transpapillary drainage versus percutaneous cholecystostomy for gallbladder drainage in high-risk surgical patients with acute cholecystitis: clinical outcomes and success in an International, Multicenter Study. Surg. Endosc. 2019; 33: 1260–70.
10.1007/s00464-018-6406-7
PubMed Web of Science® Google Scholar
32Walter D, Will U, Sanchez-Yague A et al. A novel lumen-apposing metal stent for endoscopic ultrasound-guided drainage of pancreatic fluid collections: A prospective cohort study. Endoscopy 2014; 47: 63–7.
10.1055/s-0034-1378113
PubMed Web of Science® Google Scholar
33Kahaleh M, Perez-Miranda M, Artifon EL et al. International collaborative study on EUS-guided gallbladder drainage: Are we ready for prime time? Dig. Liver Dis. 2016; 48: 1054–7.
10.1016/j.dld.2016.05.021
PubMed Web of Science® Google Scholar

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Volume32, Issue4

May 2020

Pages 608-615

Safety and efficacy of endoscopic ultrasound-guided gallbladder drainage combined with endoscopic retrograde cholangiopancreatography in the same session

Abstract

Background and Aim

Methods

Results

Conclusions

Conflicts of Interest

References

Citing Literature

References

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Safety and efficacy of endoscopic ultrasound-guided gallbladder drainage combined with endoscopic retrograde cholangiopancreatography in the same session

Abstract

Background and Aim

Methods

Results

Conclusions

Conflicts of Interest

References

Citing Literature

References

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