Long-Term Management of Recurrent Cholecystitis after Initial Conservative Treatment: Endoscopic Transpapillary Gallbladder Stenting

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URI http://shark.lib.kagawa-u.ac.jp/kuir/metadata/28575
タイトル
Long-Term Management of Recurrent Cholecystitis after Initial Conservative Treatment: Endoscopic Transpapillary Gallbladder Stenting
ファイル
内容記述

Abstract
Background:

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.
Methods:

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).
Results:

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).
Conclusions:

ETGBS is an effective alternative for managing RC in high-risk patients with severe comorbidities.

著者
著者 鎌田 英紀
著者(ヨミ) カマダ ヒデキ
著者(別表記) Kamada Hideki
掲載誌
Canadian Journal of Gastroenterology and Hepatology
2018
出版者
Hindawi Publishing Corporation
出版年月日
2018-04-12
ISSN
2291-2789
PMID
29850454
DOI
10.1155/2018/3983707
資料タイプ
学位論文
言語
英語
関連情報
出版社版DOIリンク(URL): https://doi.org/10.1155/2018/3983707
Article ID 3983707
関連情報URL
https://doi.org/10.1155/2018/3983707
関連情報(isVersionOf)
Publisher's Version.
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)
博士論文(全文を含む)
学位授与番号
博乙第287号
学位授与年月日
2018-12-19
学位名
博士(医学)
学位授与機関
香川大学
区分
香川大学
Copyright (C) 2009 Kagawa University All rights reserved.