PMID- 36556029
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221227
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 11
IP  - 24
DP  - 2022 Dec 14
TI  - Endoscopic Internalization by Cutting the Endoscopic Transpapillary 
      Nasogallbladder Drainage Tube in Management of Acute Cholecystitis: A 
      Retrospective Multicenter Cohort Study.
LID - 10.3390/jcm11247415 [doi]
LID - 7415
AB  - BACKGROUND: Both endoscopic nasogallbladder drainage (ENGBD) and endoscopic 
      gallbladder stenting (EGBS) are effective management for acute cholecystitis, 
      although ENGBD can cause discomfort due to its nature of external drainage. 
      Converting ENGBD to EGBS after improvement of cholecystitis might be one 
      treatment strategy. The drainage tube of ENGBD could be endoscopically cut inside 
      the stomach to convert to internal drainage without additional endoscopic 
      retrograde cholangiography (ERCP). AIMS: To evaluate the feasibility, efficacy 
      and safety of endoscopic internalization by cutting an ENGBD tube for acute 
      cholecystitis. METHODS: Twenty-one patients who underwent endoscopic 
      internalization by cutting the ENGBD tube were enrolled in this study. We 
      initially placed an ENGBD tube for gallbladder lavage and continuous drainage. 
      After improvement of cholecystitis, the tube was cut in the stomach by 
      esophagogastroduodenoscopy (EGD) and placed as EGBS until surgery. RESULTS: The 
      technical success rate of this procedure was 90.5% (19/21), and the clinical 
      success rate was 100% (19/19). The median procedural time was 5 min (range: 2-14 
      min). Procedural-related adverse events (AEs) were observed in two patients where 
      the tip of the ENGBD tube migrated into the common bile duct from the gallbladder 
      during the procedure in both. During the waiting period for elective surgery, no 
      AEs were identified, except for stent migration without symptoms in one patient 
      (4.7%). CONCLUSION: Endoscopic internalization by cutting the ENGBD tube after 
      improvement of cholecystitis could be an effective and safe treatment option for 
      preventing recurrent cholecystitis in the waiting period until cholecystectomy.
FAU - Maruta, Akinori
AU  - Maruta A
AUID- ORCID: 0000-0002-2166-715X
AD  - Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu 
      500-8717, Japan.
FAU - Iwashita, Takuji
AU  - Iwashita T
AUID- ORCID: 0000-0003-4978-1787
AD  - First Department of Internal Medicine, Gifu University Hospital, Gifu 501-1194, 
      Japan.
FAU - Yoshida, Kensaku
AU  - Yoshida K
AUID- ORCID: 0000-0001-8936-1248
AD  - Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu 
      500-8717, Japan.
FAU - Iwata, Keisuke
AU  - Iwata K
AD  - Department of Gastroenterology, Gifu Municipal Hospital, Gifu 500-8513, Japan.
FAU - Shimizu, Shogo
AU  - Shimizu S
AD  - Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu 
      500-8717, Japan.
FAU - Shimizu, Masahito
AU  - Shimizu M
AUID- ORCID: 0000-0002-1151-2058
AD  - First Department of Internal Medicine, Gifu University Hospital, Gifu 501-1194, 
      Japan.
LA  - eng
PT  - Journal Article
DEP - 20221214
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC9787409
OTO - NOTNLM
OT  - endoscopic retrograde cholangiopancreatography
OT  - endoscopic ultrasound
OT  - gallbladder drainage
OT  - internalization
OT  - palliative
COIS- The authors declare no conflict of interest.
EDAT- 2022/12/24 06:00
MHDA- 2022/12/24 06:01
PMCR- 2022/12/14
CRDT- 2022/12/23 01:38
PHST- 2022/11/17 00:00 [received]
PHST- 2022/12/11 00:00 [accepted]
PHST- 2022/12/23 01:38 [entrez]
PHST- 2022/12/24 06:00 [pubmed]
PHST- 2022/12/24 06:01 [medline]
PHST- 2022/12/14 00:00 [pmc-release]
AID - jcm11247415 [pii]
AID - jcm-11-07415 [pii]
AID - 10.3390/jcm11247415 [doi]
PST - epublish
SO  - J Clin Med. 2022 Dec 14;11(24):7415. doi: 10.3390/jcm11247415.