| Autor: |
Luca Brandaleone, Gianluca Franchellucci, Antonio Facciorusso, Jayanta Samanta, Jong Ho Moon, Jorge Vargas-Madrigal, Carlos Robles Medranda, Carmelo Barbera, Francesco Di Matteo, Milutin Bulajic, Francesco Auriemma, Danilo Paduano, Federica Calabrese, Carmine Gentile, Marco Massidda, Marco Bianchi, Luca De Luca, Davide Polverini, Benedetta Masoni, Valeria Poletti, Giacomo Marcozzi, Cesare Hassan, Alessandro Repici, Benedetto Mangiavillano |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Diagnostics, Vol 13, Iss 21, p 3341 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2075-4418 |
| DOI: |
10.3390/diagnostics13213341 |
| Popis: |
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: |
Directory of Open Access Journals |
| Externí odkaz: |
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