Long-Term Management of Recurrent Cholecystitis after Initial Conservative Treatment: Endoscopic Transpapillary Gallbladder Stenting
URI | http://shark.lib.kagawa-u.ac.jp/kuir/metadata/28575 | ||||||
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タイトル |
Long-Term Management of Recurrent Cholecystitis after Initial Conservative Treatment: Endoscopic Transpapillary Gallbladder Stenting
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ファイル |
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内容記述 |
Abstract Endoscopic transpapillary gallbladder stenting (ETGBS) is an effective procedure for treating high-risk patients with acute cholecystitis and severe comorbidities. However, the efficacy of ETGBS for recurrent cholecystitis (RC) remains unclear. This study aimed to explore its efficacy in patients with RC for whom cholecystectomy is contraindicated because of its high surgical risk. Data on 19 high-risk patients who had undergone ETGBS for RC after initial conservative therapy in our institution between June 2006 and May 2012 were retrospectively examined. The primary outcome was the clinical success rate, which was defined as no recurrences of acute cholecystitis after ETGBS until death or the end of the follow-up period. Secondary outcomes were technical success rate and adverse events (AEs). The clinical success rate of ETGBS was 100%, the technical success rate 94.7%, and AE rate 5%: one patient developed procedure-related mild acute pancreatitis. The clinical courses of all patients were as follows: four died of nonbiliary disease, and the remaining 15 were subsequently treated conservatively. The median duration of follow-up was 14.95 months (range 3-42 months). ETGBS is an effective alternative for managing RC in high-risk patients with severe comorbidities. |
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著者 |
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掲載誌 |
Canadian Journal of Gastroenterology and Hepatology
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巻 |
2018
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出版者 |
Hindawi Publishing Corporation
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出版年月日 |
2018-04-12
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ISSN |
2291-2789
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PMID |
29850454
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DOI |
10.1155/2018/3983707
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資料タイプ |
学位論文
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言語 |
英語
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関連情報 |
出版社版DOIリンク(URL): https://doi.org/10.1155/2018/3983707
Article ID 3983707
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関連情報URL |
https://doi.org/10.1155/2018/3983707
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関連情報(isVersionOf) |
Publisher's Version.
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権利関係 |
Copyright © 2018 Hideki Kamada et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution License (CC-by)
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版 |
博士論文(全文を含む)
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学位授与番号 |
博乙第287号
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学位授与年月日 |
2018-12-19
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学位名 |
博士(医学)
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学位授与機関 |
香川大学
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区分 |
香川大学
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