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© 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Endoscopic ultrasound‐guided gallbladder drainage for patients with cholecystitis and high surgical risk is commonly performed by dilating the fistula before inserting the delivery sheath; however, this carries an increased risk of peritonitis. To overcome this problem, we developed a new technique that did not require dilation, using a 0.035‐inch stiff guidewire, and retrospectively evaluated the efficacy and safety of this technique. This retrospective case series report collected data on non‐surgical patients who underwent endoscopic ultrasound‐guided gallbladder drainage for various indications at Steel Memorial Muroran Hospital between November 2020 and October 2022. A total of 71 patients were included (mean age 83 ± 7.6 years; 33 women and 38 men). Breakthrough of the delivery sheath without dilation of the fistula was successful in 97.2% (n = 69) of patients. The success rate of stent placement was 98.6% (n = 70), as was the clinical success rate. Complications occurred in 2.8% (n = 2) of patients. Early and late adverse events occurred in 2.8% (n = 2) and 12.7% (n = 9) of patients, respectively. The mean procedure time was 24.8 ± 9.3 min. If a 0.035‐inch stiff guidewire is used, the dilation procedure can be omitted in the endoscopic ultrasound‐guided gallbladder drainage using self‐expandable metal stents.

Details

Title
Efficacy and safety of endoscopic ultrasound‐guided gallbladder drainage without dilation by using a 0.035‐inch stiff guidewire
Author
Ono, Michihiro 1   VIAFID ORCID Logo  ; Ikeda, Yuki 2   VIAFID ORCID Logo  ; Ohmori, Ginji 2 ; Arihara, Yohei 3 ; Shibuya, Ryo 4 ; Uesugi, Atsushi 5 ; Oiwa, Shutaro 5   VIAFID ORCID Logo  ; Ito, Ryo 4 ; Usami, Makoto 5 ; Yamada, Michiko 5 ; Abe, Tomoyuki 5 ; Maeda, Masahiro 5 

 Department of Pancreatobiliary Medicine, Steel Memorial Muroran Hospital, Hokkaido, Japan 
 Department of Gastroenterology, Oji General Hospital, Hokkaido, Japan 
 Department of Medical Oncology, Sapporo Medical University School of Medicine, Hokkaido, Japan 
 Department of Medical Oncology, Sapporo Medical University School of Medicine, Hokkaido, Japan, Department of Gastroenterology, Steel Memorial Muroran Hospital, Hokkaido, Japan 
 Department of Gastroenterology, Steel Memorial Muroran Hospital, Hokkaido, Japan 
Section
TECHNIQUES AND INNOVATION
Publication year
2024
Publication date
Apr 1, 2024
Publisher
John Wiley & Sons, Inc.
ISSN
26924609
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3212681043
Copyright
© 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.