Takagi Wataru, Ogura Takeshi, Sano Tatsushi, Onda Saori, Okuda Atsushi, Masuda Daisuke, Imoto Akira, Takeuchi Toshihisa, Fukunishi Shinya, Higuchi Kazuhide
2nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
2nd Department of Internal Medicine, Osaka Medical College, 2-7 Daigakuchou, Takatsukishi, Osaka 569-8686, Japan.
Therap Adv Gastroenterol. 2016 Jan;9(1):19-25. doi: 10.1177/1756283X15609285.
Recently, endoscopic ultrasound-guided gall bladder drainage (EUS-GBD) has been reported using a self-expandable metallic stent. To prevent stent migration and food flowing into the common bile duct through the cystic duct, we perform a novel EUS-guided cholecystoduodenostomy. The aim of our study was to evaluate the safety and feasibility of EUS-guided cholecystoduodenostomy with an anti-stent migration and anti-food impaction system.
A total of 16 consecutive patients who underwent EUS-guided cholecystoduodenostomy for acute cholecystitis were included in this study.
Technical and clinical success was obtained in all patients. The median procedure time was 26.9 min (range 19-42 min). Median follow-up time was 181.5 days (range 18-604 days), and in this time, recurrence of acute cholecystitis was not seen in all patients. Adverse events such as stent migration and cholangitis were not seen in any patients, although pneumoperitoneum was seen in one patient.
Our technique may be favorable and effective for the prevention of adverse events on EUS-GBD.
最近，有报道称使用自膨式金属支架进行内镜超声引导下胆囊引流（EUS-GBD）。为防止支架移位以及食物通过胆囊管流入胆总管，我们开展了一项新型的内镜超声引导下胆囊十二指肠造口术。本研究的目的是评估采用抗支架移位和抗食物嵌塞系统的内镜超声引导下胆囊十二指肠造口术的安全性和可行性。
本研究纳入了连续16例因急性胆囊炎接受内镜超声引导下胆囊十二指肠造口术的患者。
所有患者均取得技术和临床成功。中位手术时间为26.9分钟（范围19 - 42分钟）。中位随访时间为181.5天（范围18 - 604天），在此期间，所有患者均未出现急性胆囊炎复发。尽管有1例患者出现气腹，但未观察到任何患者出现支架移位和胆管炎等不良事件。
我们的技术对于预防EUS-GBD的不良事件可能是有利且有效的。
