A New Technique of Endoscopic Transpapillary Gallbladder Drainage Combined with Intraductal Ultrasonography for the Treatment of Acute Cholecystitis
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Background/Aims: Endoscopic transpapillary gallbladder drainage (ETGBD) is useful for the treatment of acute cholecystitis; however,the technique is diffcult to perform. When intraductal ultrasonography (IDUS) is combined with ETGBD, the orifice of the cystic ductin the common bile duct may be more easily detected in the cannulation procedure. The aim of this study was to evaluate the effcacy ofETGBD with IDUS compared with that of ETGBD alone. Methods: A total of 100 consecutive patients with acute cholecystitis requiring ETGBD were retrospectively recruited. The first 50consecutive patients were treated using ETGBD without IDUS, and the next 50 patients were treated using ETGBD with IDUS. Through propensity score matching analysis, we compared the clinical outcomes between the groups. The primary outcome was thetechnical success rate. Results: The technical success rate of ETGBD with IDUS was significantly higher than that of ETGBD without IDUS (92.0% vs. 76.0%, p=0.044). There was no significant difference in procedure length between the two groups (74.0 min vs. 66.7 min, p=0.310). Thecomplication rate of ETGBD with IDUS was significantly higher than that of ETGBD without IDUS (6.0% vs. 0%, p<0.001); however,only one case showed an IDUS technique-related complication (pancreatitis). Conclusions: The assistance of IDUS may be useful in ETGBD.
Abstract
Background/Aims: Endoscopic transpapillary gallbladder drainage (ETGBD) is useful for the treatment of acute cholecystitis; however,the technique is diffcult to perform. When intraductal ultrasonography (IDUS) is combined with ETGBD, the orifice of the cystic ductin the common bile duct may be more easily detected in the cannulation procedure. The aim of this study was to evaluate the effcacy ofETGBD with IDUS compared with that of ETGBD alone. Methods: A total of 100 consecutive patients with acute cholecystitis requiring ETGBD were retrospectively recruited. The first 50consecutive patients were treated using ETGBD without IDUS, and the next 50 patients were treated using ETGBD with IDUS. Through propensity score matching analysis, we compared the clinical outcomes between the groups. The primary outcome was thetechnical success rate. Results: The technical success rate of ETGBD with IDUS was significantly higher than that of ETGBD without IDUS (92.0% vs. 76.0%, p=0.044). There was no significant difference in procedure length between the two groups (74.0 min vs. 66.7 min, p=0.310). Thecomplication rate of ETGBD with IDUS was significantly higher than that of ETGBD without IDUS (6.0% vs. 0%, p<0.001); however,only one case showed an IDUS technique-related complication (pancreatitis). Conclusions: The assistance of IDUS may be useful in ETGBD.
참고문헌 (37)
- Yokoe M, "Tokyo guidelines 2018 : diagnostic criteria and severity grading of acute cholecystitis(with videos)", J Hepatobiliary Pancreat Sci, 25, pp.41~54 (2018)
- Hannan EL, "Laparoscopic and open cholecystectomy in New York state : mortality, complications, and choice of procedure", Surgery, 125, pp.223~231 (1999)
- Duncan CB, "Evidence-based current surgical practice : calculous gallbladder disease", J Gastrointest Surg, 16, pp.2011~2025 (2012)
- Csikesz NG, "Trends in surgical management for acute cholecystitis", Surgery, 144, pp.283~289 (2008)
- Margiotta SJ Jr, "Cholecystectomy in the elderly", Am J Surg, 156, pp.509~512 (1988)
- Glenn F, "Cholecystostomy in the high risk patient with biliary tract disease", Ann Surg, 185, pp.185~191 (1977)
- Roslyn JJ, "Open cholecystectomy. A contemporary analysis of 42, 474patients", Ann Surg, 218, pp.129~137 (1993)
- Chopra S, "Treatment of acute cholecystitis in non-critically ill patients at high surgical risk : comparison of clinical outcomes after gallbladder aspiration and after percutaneous cholecystostomy", AJR Am J Roentgenol, 176, pp.1025~1031 (2001)
- Ito K, "Percutaneous cholecystostomy versus gallbladder aspiration for acute cholecystitis : a prospective randomized controlled trial", AJR Am J Roentgenol, 183, pp.193~196 (2004)
- Sosna J, "Ultrasound-guided percutaneous cholecystostomy : update on technique and clinical applications", Surg Technol Int, 11, pp.135~139 (2003)
- Patel M, "Percutaneous cholecystostomy is an effective treatment for high-risk patients with acute cholecystitis", Am Surg, 66, pp.33~37 (2000)
- Griniatsos J, "Percutaneous cholecystostomy without interval cholecystectomy as definitive treatment of acute cholecystitis in elderly and critically ill patients", South Med J, 101, pp.586~590 (2008)
- Itoi T, "Endoscopic transpapillary gallbladder drainage in patients with acute cholecystitis in whom percutaneous transhepatic approach is contraindicated or anatomically impossible(with video)", Gastrointest Endosc, 68, pp.455~460 (2008)
- Hasan MK, "Endoscopic management of acute cholecystitis", Gastrointest Endosc Clin N Am, 23, pp.453~459 (2013)
- Mori Y, "Tokyo guidelines 2018 : management strategies for gallbladder drainage in patients with acute cholecystitis(with videos)", J Hepatobiliary Pancreat Sci, 25, pp.87~95 (2018)
- Burke DR, "Quality improvement guidelines for percutaneous transhepatic cholangiography and biliary drainage", J Vasc Interv Radiol, 14(9 Pt 2), pp.S243~S246 (2003)
- Hatzidakis AA, "Acute cholecystitis in high-risk patients : percutaneous cholecystostomy vs conservative treatment", Eur Radiol, 12, pp.1778~1784 (2002)
- Ha JP, "Cholecystectomy or not after percutaneous cholecystostomy for acute calculous cholecystitis in high-risk patients", Hepatogastroenterology, 55, pp.1497~1502 (2008)
- Tamada K, "Efficacy of endoscopic retrograde cholecystoendoprosthesis(ERCCE)for cholecystitis", Endoscopy, 23, pp.2~3 (1991)
- Feretis C, "Endoscopic drainage of acute obstructive cholecystitis in patients with increased operative risk", Endoscopy, 25, pp.392~395 (1993)
- Kalloo AN, "Treatment of high-risk patients with symptomatic cholelithiasis by endoscopic gallbladder stenting", Gastrointest Endosc, 40, pp.608~610 (1994)
- Gaglio PJ, "Primary endoscopic retrograde chole cystoendoprosthesis : a nonsurgical modality for symptomatic cholelithiasis in cirrhotic patients", Gastrointest Endosc, 44, pp.339~342 (1996)
- Itoi T, "Endoscopic gallbladder drainage for management of acute cholecystitis", Gastrointest Endosc, 71, pp.1038~1045 (2010)
- Yu W, "Early percutaneous transhepatic gallbladder drainage compared with endoscopic retrograde cholangiopancreatography and papillotomy treatment for severe gallstone associated acute pancreatitis", Postgrad Med J, 83, pp.187~191 (2007)
- Jessica Widmer, "Endoscopic Gallbladder Drainage for Acute Cholecystitis", Clinical Endoscopy, 48(5), pp.411~420 (2015), 대한소화기내시경학회
- Súbtil JC, "Gallbladder drainage guided by endoscopic ultrasound", World J Gastrointest Endosc, 2, pp.203~209 (2010)
- Hayasaka K, "The effectiveness of intraductal ultrasonography for cystic duct cannulation", Gastrointest Endosc, 85, pp.1307~1308 (2017)
- Ogawa O, "Predicting the success of endoscopic transpapillary gallbladder drainage for patients with acute cholecystitis during pretreatment evaluation", Can J Gastroenterol, 22, pp.681~685 (2008)
- Kjaer DW, "Endoscopic gallbladder drainage of patients with acute cholecystitis", Endoscopy, 39, pp.304~308 (2007)
- Pannala R, "Endoscopic transpapillary gallbladder drainage : 10-year single center experience", Minerva Gastroenterol Dietol, 54, pp.107~113 (2008)
- Mutignani M, "Endoscopic gallbladder drainage for acute cholecystitis : technical and clinical results", Endoscopy, 41, pp.539~546 (2009)
- Khan MA, "Efficacy and safety of endoscopic gallbladder drainage in acute cholecystitis : is it better than percutaneous gallbladder drainage?", Gastrointest Endosc, 85, pp.76~87.e3 (2017)
- McCarthy ST, "Endoscopic transpapillary gallbladder stent placement is safe and effective in high-risk patients without cirrhosis", Dig Dis Sci, 60, pp.2516~2522 (2015)
- Barkay O, "Endoscopic transpapillary gallbladder drainage with the SpyGlass cholangiopancreatoscopy system", Gastrointest Endosc, 70, pp.1039~1040 (2009)
- Shaw MJ, "Cystic duct anatomy : an endoscopic perspective", Am J Gastroenterol, 88, pp.2102~2106 (1993)
- Berci G, "Biliary ductal anatomy and anomalies. The role of intraoperative cholangiography during laparoscopic cholecystectomy", Surg Clin North Am, 72, pp.1069~1075 (1992)
- Itoi T, "Endoscopic transpapillary gallbladder drainage", Gastroenterological Endoscopy, 52, pp.3337~3346 (2010)
