The Use of a New Dedicated Electrocautery Lumen-Apposing Metal Stent for Gallbladder Drainage in Patients with Acute Cholecystitis.

Autor: Brandaleone L; Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy.; Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Milan, Italy., Franchellucci G; Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy.; Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Milan, Italy., Facciorusso A; Gastroenterology Unit, Department of Biomedical Science, Foggia University Hospital, 71122 Foggia, Puglia, Italy., Samanta J; Gastroenterology PGIMER, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India., Moon JH; Digestive Disease Center and Research Institute, Department of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon 31538, Republic of Korea., Vargas-Madrigal J; Department of Gastroenterology and Endoscopy, Hospital Enrique Baltodano Briceño, Liberia 50101, Costa Rica., Robles Medranda C; Instituto Ecuatoriano de Enfermedades Digestivas-IECED, Gastroenterology Av Abel Romero Castillo, Guayaquil 090505, Guayas, Ecuador., Barbera C; Digestive Endoscopy Unit, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Rome, Italy., Di Matteo F; GIUnit, Digestive Diseases, Campus Bio Medico University, 00128 Rome, Rome, Italy., Bulajic M; Digestive Endoscopy, Fatebenefratelli Isola Tiberina-Gemelli Isola, 00186 Rome, Rome, Italy., Auriemma F; Gastrointestinal Endoscopy Unit-Humanitas Mater Domini, 21100 Castellanza, Varese, Italy., Paduano D; Gastrointestinal Endoscopy Unit-Humanitas Mater Domini, 21100 Castellanza, Varese, Italy., Calabrese F; Gastrointestinal Endoscopy Unit-Humanitas Mater Domini, 21100 Castellanza, Varese, Italy., Gentile C; Gastrointestinal Endoscopy Unit-Humanitas Mater Domini, 21100 Castellanza, Varese, Italy., Massidda M; Gastroenterology and Digestive Endoscopy Unit, Mater Olbia Hospital, 07026 Olbia, Sassari, Italy., Bianchi M; Policlinico Casilino Hospital, 00169 Rome, Rome, Italy., De Luca L; Endoscopic Unit, ASST Santi Paolo e Carlo, 20142 Milan, Milan, Italy., Polverini D; Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy.; Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Milan, Italy., Masoni B; Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy.; Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Milan, Italy., Poletti V; Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy.; Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Milan, Italy., Marcozzi G; Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy.; Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Milan, Italy., Hassan C; Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy.; Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Milan, Italy., Repici A; Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy.; Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Milan, Italy., Mangiavillano B; Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Milan, Italy.; Gastrointestinal Endoscopy Unit-Humanitas Mater Domini, 21100 Castellanza, Varese, Italy.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2023 Oct 30; Vol. 13 (21). Date of Electronic Publication: 2023 Oct 30.
DOI: 10.3390/diagnostics13213341
Abstrakt: Aims: Lumen-apposing metal stents (LAMSs) in ultrasonography-guided gallbladder drainage (EUS-GBD) have become increasingly important for high-risk surgical patients. Our study aims to evaluate the technical and clinical success, safety, and feasibility of endoscopic ultrasonography-guided gallbladder drainage using a new dedicated LAMS. Methods: This is a retrospective multicenter study that included all consecutive patients not suitable for surgery who were referred to a tertiary center for EUS-GBD using a new dedicated electrocautery LAMS for acute cholecystitis at eight different centers. Results : Our study included 54 patients with a mean age of 76.48 years (standard deviation: 12.6 years). Out of the 54 endoscopic gallbladder drainages performed, 24 (44.4%) were cholecysto-gastrostomy, and 30 (55.4%) were cholecysto-duodenostomy. The technical success of LAMS placement was 100%, and clinical success was achieved in 23 out of 30 patients (76.67%). Adverse events were observed in two patients (5.6%). Patients were discharged after a median of 5 days post-stenting. Conclusions : EUS-GBD represents a valuable option for high-surgical-risk patients with acute cholecystitis. This new dedicated LAMS has demonstrated a high rate of technical and clinical success, along with a high level of safety.
Databáze: MEDLINE
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