Endoscopic ultrasound-guided gallbladder drainage: Results of long-term follow-up.
Endoscopic ultrasound-guided gallbladder drainage: Results of long-term follow-up.
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DOI：
10.4103/sjg.sjg_506_17
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发表时间：
2018-05
期刊：
影响因子：
--
通讯作者：
Higuchi K
中科院分区：
文献类型：
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作者：
Ahmed O;Ogura T;Eldahrouty A;Khalaf H;Mohammed E;Okasha H;Sameer A;Abdelaal U;Higuchi K
最近，出现了使用自膨胀金属支架（SEMS）的内镜超声引导胆囊引流（EUS-GBD）。该研究的目的是评估该手术的长期结果。此外，评估了EUS-GBD与SEMS的有效性和安全性。本回顾性研究纳入了2014年2月至2016年9月期间接受EUS-GBD治疗急性胆囊炎的13例连续患者。EUS-GBD是在EUS和透视引导下，用针穿刺胆囊，插入导丝，扩张穿刺孔，放置SEMS。技术成功率、功能成功率和不良事件发生率分别为100%、92.3%和7.7%。中位手术时间为26.9 min（范围19-42 min）。中位随访时间为240天（范围14-945天），在该随访期间，在1例患者（7.7%）中观察到胆囊炎复发。EUS-GBD联合SEMS是高手术风险患者急性胆囊炎的可能替代治疗。EUS-GBD后的长期结局是有希望的。
Recently, endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) has emerged using a self-expandable metallic stent (SEMS). The aim of the study was to evaluate the long-term outcomes of this procedure. In addition, the efficacy and safety of EUS-GBD with SEMS were assessed. Thirteen consecutive patients who underwent EUS-GBD for acute cholecystitis between February 2014 and September 2016 were included in this retrospective study. EUS-GBD was performed under the guidance of EUS and fluoroscopy, through puncturing the gallbladder with a needle, inserting a guidewire, dilating the puncture hole, and placing a SEMS. The rates of technical success, functional success, and adverse events were 100%, 92.3% and 7.7%, respectively. The median procedure time was 26.9 min (range 19–42 min). The median follow-up time was 240 days (range 14–945 days) and during this follow-up period recurrence of cholecystitis was observed in one patient (7.7%). EUS-GBD with a SEMS is a possible alternative treatment for acute cholecystitis in high surgical risk patients. Long-term outcomes after EUS-GBD were promising.