PMID- 37337417
OWN - NLM
STAT- MEDLINE
DCOM- 20230914
LR  - 20230914
IS  - 1868-6982 (Electronic)
IS  - 1868-6974 (Linking)
VI  - 30
IP  - 9
DP  - 2023 Sep
TI  - Endoscopic internalization by cutting versus removal of the endoscopic 
      transpapillary naso-gallbladder drainage tube in preoperative management of acute 
      cholecystitis: A retrospective multicenter cohort study.
PG  - 1152-1160
LID - 10.1002/jhbp.1344 [doi]
AB  - BACKGROUND: Endoscopic transpapillary naso-gallbladder drainage (ENGBD) has been 
      reported to be an effective treatment option for acute cholecystitis. At our 
      institution, ENGBD was first placed for external fistula management, and 
      endoscopic internalization by cutting was performed, shifting to endoscopic 
      transpapillary gallbladder stenting (EGBS) after improvement of cholecystitis. 
      However, there has been no comparative study to define which preoperative 
      management is better: converting ENGBD to EGBS or removing ENGBD. The study aimed 
      to compare the incidence rate of the late adverse events (AEs) related to biliary 
      system between shifting from ENGBD to EGBS and removal of ENGBD. METHODS: We 
      retrospectively studied 122 patients who underwent ENGBD for acute cholecystitis 
      between January 2010 and October 2022. The patients were divided into two groups: 
      the cutting group (converting ENGBD to EGBS) and the removal group (removal of 
      ENGBD). The short and late clinical outcomes were compared between groups. 
      RESULTS: Endoscopic transpapillary naso-gallbladder drainage was successfully 
      placed in 78.6% (96/122), and elective cholecystectomy was performed in 31 and 36 
      patients in the cutting and removal groups, respectively. The cumulative late-AE 
      rates were 6.4% and 33.3% (p = .007), with a median waiting period for elective 
      cholecystectomy of 58 and 33 days (p = .390) in the cutting and removal groups, 
      respectively. In the multivariate analysis, only endoscopic internalization by 
      cutting was an independent factor affecting late AEs. CONCLUSION: Endoscopic 
      internalization by cutting ENGBD after the resolution of acute cholecystitis was 
      considered effective in reducing the risk of late AEs during the waiting period 
      for an elective cholecystectomy.
CI  - (c) 2023 Japanese Society of Hepato-Biliary-Pancreatic Surgery.
FAU - Maruta, Akinori
AU  - Maruta A
AUID- ORCID: 0000-0002-2166-715X
AD  - Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, 
      Japan.
FAU - Iwashita, Takuji
AU  - Iwashita T
AUID- ORCID: 0000-0003-4978-1787
AD  - First Department of Internal Medicine, Gifu University Hospital, Gifu, Japan.
FAU - Yoshida, Kensaku
AU  - Yoshida K
AD  - Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, 
      Japan.
FAU - Iwata, Keisuke
AU  - Iwata K
AD  - Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan.
FAU - Shimizu, Shogo
AU  - Shimizu S
AD  - Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, 
      Japan.
FAU - Shimizu, Masahito
AU  - Shimizu M
AD  - First Department of Internal Medicine, Gifu University Hospital, Gifu, Japan.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20230619
PL  - Japan
TA  - J Hepatobiliary Pancreat Sci
JT  - Journal of hepato-biliary-pancreatic sciences
JID - 101528587
SB  - IM
MH  - Humans
MH  - *Gallbladder/surgery
MH  - Retrospective Studies
MH  - Cohort Studies
MH  - *Cholecystitis, Acute/therapy
MH  - Drainage/adverse effects
MH  - Stents
OTO - NOTNLM
OT  - endoscopic retrograde cholangiopancreatography
OT  - endoscopic transpapillary naso-gallbladder drainage
OT  - internalization
OT  - preoperative
EDAT- 2023/06/20 06:42
MHDA- 2023/09/14 06:43
CRDT- 2023/06/20 01:13
PHST- 2023/04/03 00:00 [revised]
PHST- 2023/02/21 00:00 [received]
PHST- 2023/04/14 00:00 [accepted]
PHST- 2023/09/14 06:43 [medline]
PHST- 2023/06/20 06:42 [pubmed]
PHST- 2023/06/20 01:13 [entrez]
AID - 10.1002/jhbp.1344 [doi]
PST - ppublish
SO  - J Hepatobiliary Pancreat Sci. 2023 Sep;30(9):1152-1160. doi: 10.1002/jhbp.1344. 
      Epub 2023 Jun 19.