Permanent Endoscopic Transpapillary Gallbladder Drainage Using a Novel Spiral Stent (IYO-stent)

Overview

Journal DEN Open

Specialty Gastroenterology

Date 2022 Mar 21

PMID 35310723

Authors

Yuichi Takano

Jun Noda

Masataka Yamawaki

Tetsushi Azami

Takahiro Kobayashi

Fumitaka Niiya

Naotaka Maruoka

Tatsuya Yamagami

Masatsugu Nagahama

Affiliations

Soon will be listed here.

Abstract

Background And Aim: Endoscopic transpapillary gallbladder drainage (ETGBD) is widely performed. However, there is no consensus on the appropriate diameter, length, and shape of the stent that should be used in this procedure. In addition, there are limited data on the outcomes of permanent ETGBD. In our facility, a stent with a novel spiral structure (IYO-stent) is permanently placed in patients with acute cholecystitis who are not indicated for surgery. This study examined the efficacy and safety of the IYO-stent in cases of permanent ETGBD.

Methods: We retrospectively examined patients who underwent permanent ETGBD using the IYO-stent from April 2018 to December 2020.

Results: Eleven patients were included in this study. The technical success and the clinical success rate were 91%. One patient had a post-procedure adverse event (post-endoscopic sphincterotomy bleeding). Within the median observation period of 312 days (range: 109-742), late adverse events, including cholangitis ( = 1) and incomplete stent migration ( = 1), were observed. However, none of the patients experienced cholecystitis relapse.

Conclusion: Permanent ETGBD with IYO-stent is an effective treatment for the patients with acute cholecystitis who are not indicated for surgery.

Citing Articles

Feasibility of a novel 5F plastic stent in endoscopic transpapillary gallbladder drainage for acute cholecystitis.

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PMID: 40012576 PMC: 11863549. DOI: 10.1055/a-2465-7130.

Endoscopic transpapillary gallbladder drainage using a novel sphincterotome.

Ishikawa T, Kumano R, Kawashima H Dig Endosc. 2024; 37(3):297-299.

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Endoscopic Gallbladder Drainage Conversion versus Conservative Treatment Following Percutaneous Gallbladder Drainage in High-Risk Surgical Patients.

Chon H, Kim S, Kim T Gut Liver. 2023; 18(2):348-357.

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References

Doi S, Yasuda I, Mabuchi M, Iwata K, Ando N, Iwashita T . Hybrid procedure combining endoscopic gallbladder lavage and internal drainage with elective cholecystectomy for acute cholecystitis: A prospective pilot study (The BLADE study). Dig Endosc. 2018; 30(4):501-507. DOI: 10.1111/den.13028. View

Wakabayashi G, Iwashita Y, Hibi T, Takada T, Strasberg S, Asbun H . Tokyo Guidelines 2018: surgical management of acute cholecystitis: safe steps in laparoscopic cholecystectomy for acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2017; 25(1):73-86. DOI: 10.1002/jhbp.517. View

Cotton P, Eisen G, Aabakken L, Baron T, Hutter M, Jacobson B . A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest Endosc. 2010; 71(3):446-54. DOI: 10.1016/j.gie.2009.10.027. View

Itoi T, Sofuni A, Itokawa F, Tsuchiya T, Kurihara T, Ishii K . Endoscopic transpapillary gallbladder drainage in patients with acute cholecystitis in whom percutaneous transhepatic approach is contraindicated or anatomically impossible (with video). Gastrointest Endosc. 2008; 68(3):455-60. DOI: 10.1016/j.gie.2008.02.052. View

Okamoto K, Suzuki K, Takada T, Strasberg S, Asbun H, Endo I . Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci. 2017; 25(1):55-72. DOI: 10.1002/jhbp.516. View

Itoi T, Itokawa F, Kurihara T . Endoscopic ultrasonography-guided gallbladder drainage: actual technical presentations and review of the literature (with videos). J Hepatobiliary Pancreat Sci. 2010; 18(2):282-6. DOI: 10.1007/s00534-010-0310-4. View

Mohan B, Khan S, Trakroo S, Ponnada S, Jayaraj M, Asokkumar R . Endoscopic ultrasound-guided gallbladder drainage, transpapillary drainage, or percutaneous drainage in high risk acute cholecystitis patients: a systematic review and comparative meta-analysis. Endoscopy. 2019; 52(2):96-106. DOI: 10.1055/a-1020-3932. View

Nakahara K, Michikawa Y, Morita R, Suetani K, Morita N, Sato J . Endoscopic transpapillary gallbladder stenting using a newly designed plastic stent for acute cholecystitis. Endosc Int Open. 2019; 7(9):E1105-E1114. PMC: 6715425. DOI: 10.1055/a-0747-5668. View

Inoue T, Okumura F, Kachi K, Fukusada S, Iwasaki H, Ozeki T . Long-term outcomes of endoscopic gallbladder stenting in high-risk surgical patients with calculous cholecystitis (with videos). Gastrointest Endosc. 2015; 83(5):905-13. DOI: 10.1016/j.gie.2015.08.072. View

10.

Itoi T, Kawakami H, Katanuma A, Irisawa A, Sofuni A, Itokawa F . Endoscopic nasogallbladder tube or stent placement in acute cholecystitis: a preliminary prospective randomized trial in Japan (with videos). Gastrointest Endosc. 2014; 81(1):111-8. DOI: 10.1016/j.gie.2014.09.046. View

11.

Mori Y, Itoi T, Baron T, Takada T, Strasberg S, Pitt H . Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2017; 25(1):87-95. DOI: 10.1002/jhbp.504. View