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

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.

Author
著者 鎌田 英紀
著者(ヨミ) カマダ ヒデキ
著者(別表記) Kamada Hideki
Publication Title
Canadian Journal of Gastroenterology and Hepatology
Volume
2018
Publisher
Hindawi Publishing Corporation
Published Date
2018-04-12
ISSN
2291-2789
PMID
29850454
DOI
10.1155/2018/3983707
Resource Type
Thesis or Dissertation
Language
eng
Relation
出版社版DOIリンク(URL): https://doi.org/10.1155/2018/3983707
Article ID 3983707
Resource URL
https://doi.org/10.1155/2018/3983707
Relation(isVersionOf)
Publisher's Version.
Rights
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)
Text Version
ETD
Grant ID
博乙第287号
Grant Date
2018-12-19
Degree Name
博士(医学)
Grantor
香川大学
Set
香川大学
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