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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 262 - 268 (7page)
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Background/Aims: It is often diffcult to manage acute cholecystitis after metal stent (MS) placement in unresectable malignant biliarystrictures. The aim of this study was to evaluate the feasibility of endoscopic ultrasonography-guided gallbladder drainage (EUS-GBD)for acute cholecystitis. Methods: The clinical outcomes of 10 patients who underwent EUS-GBD for acute cholecystitis after MS placement between January2011 and August 2018 were retrospectively evaluated. The procedural outcomes of percutaneous transhepatic gallbladder drainage(PTGBD) with tube placement (n=11 cases) and aspiration (PTGBA) (n=27 cases) during the study period were evaluated as a reference. Results: The technical success and clinical effectiveness rates of EUS-GBD were 90% (9/10) and 89% (8/9), respectively. Severe bileleakage that required surgical treatment occurred in one case. Acute cholecystitis recurred after stent dislocation in 38% (3/8) of thecases. Both PTGBD and PTGBA were technically successful in all cases without severe adverse events and clinically effective in 91% and63% of the cases, respectively. Conclusions: EUS-GBD after MS placement was a feasible option for treating acute cholecystitis. However, it was a rescue techniquefollowing the established percutaneous intervention in the current setting because of the immature technical methodology, includingdedicated devices, which need further development.
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참고문헌 (31)
참고문헌 신청
Isayama H / 2006 / Cholecystitis after metallic stent placement in patients with malignant distal biliary obstruction / Clin Gastroenterol Hepatol 4:1148~1153
Hasan MK / 2013 / Endoscopic management of acute cholecystitis / Gastrointest Endosc Clin N Am 23:453~459
Tsuyuguchi T / 2013 / TG13 indications and techniques for gallbladder drainage in acute cholecystitis(with videos) / J Hepatobiliary Pancreat Sci 20:81~88
Ito K / 2004 / Percutaneous cholecystostomy versus gallbladder aspiration for acute cholecystitis : a prospective randomized controlled trial / AJR Am J Roentgenol 183:193~196
Giovannini M / 2001 / Endoscopic ultrasound-guided bilioduodenal anastomosis : a new technique for biliary drainage / Endoscopy 33:898~900
Hasan MK / 2013 / Endoscopic management of acute cholecystitis / Gastrointest Endosc Clin N Am 23:453~459
Tsuyuguchi T / 2013 / TG13 indications and techniques for gallbladder drainage in acute cholecystitis(with videos) / J Hepatobiliary Pancreat Sci 20:81~88
Ito K / 2004 / Percutaneous cholecystostomy versus gallbladder aspiration for acute cholecystitis : a prospective randomized controlled trial / AJR Am J Roentgenol 183:193~196
Giovannini M / 2001 / Endoscopic ultrasound-guided bilioduodenal anastomosis : a new technique for biliary drainage / Endoscopy 33:898~900
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