Post written by Takaoki Hayakawa, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan. Endoscopic transpapillary gallbladder drainage is an effective treatment for acute cholecystitis in patients who cannot undergo surgery because of adverse events or bleeding tendencies. This video describes the use of a new …
Tag: cholecystitis
Tips and tricks for endoscopic transpapillary gallbladder drainage
Post written by Jad AbiMansour, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The video highlights best practices, devices, and techniques for endoscopic transpapillary gallbladder drainage through a series of narrated cases ranging from routine to technically challenging. Endoscopic transpapillary gallbladder drainage is an invaluable tool for palliation of acute cholecystitis …
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Definitive nonsurgical management of stump cholecystitis with EUS-guided lumen-apposing metal stent placement and electrohydraulic lithotripsy
Post written by Rishi Pawa, MD, from the Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. A 31-year-old woman presented with right-upper-quadrant pain and imaging findings of acute cholecystitis. She underwent an open subtotal cholecystectomy because of extensive adhesive disease involving the gallbladder. Initially, the patient did well postoperatively but started having recurrent symptoms …
Prophylactic EUS-guided gallbladder drainage prevents acute cholecystitis in patients with malignant biliary obstruction and cystic duct orifice involvement: a randomized trial (with video)
Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas, Guyaquil, Ecuador. This study focuses on the benefits of prophylactic EUS-guided gallbladder drainage (EUS-GBD) in patients with unresectable malignant biliary obstruction (MBO) and occlusion of the orifice of the cystic duct (OCD). Although acute cholecystitis (AC) will not always develop in patients with …
Transpapillary gallbladder stent placement for long-term therapy of acute cholecystitis
Post written by Andrew C. Storm, MD, from the Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Acute cholecystitis (AC) is a common disease, and while gallbladder removal surgery is one of the most commonly performed operations, some patients are not candidates for surgery. Left untreated, patients with AC can develop gangrene and gallbladder perforation, …
EUS-guided gallbladder drainage versus laparoscopic cholecystectomy for acute cholecystitis
Post written by Anthony Yuen Bun Teoh, FRCSEd (Gen), from the Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong SAR. EUS-guided gallbladder drainage (EUS-GBD) is a safe alternative to percutaneous cholecystostomy (PT-GBD) for acute cholecystitis. How the procedure compares to laparoscopic cholecystectomy (LC) is uncertain. The aim of …
EUS-guided cholecystogastrostomy for acute cholecystitis in a patient with an omphalocele
Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. We present a case of a 34-year-old woman with a history of an incompletely repaired omphalocele with recurrent small bowel obstructions and lung hypoplasia complicated by chronic respiratory failure requiring nocturnal non-invasive ventilation, who presented with concern …
Long-term outcomes of EGBS
Tadahisa Inoue, MD, from the Department of Gastroenterology, Gifu Prefectural Tajimi Hospital, in Tajimi, Japan discusses this Original Article "Long-term outcomes of endoscopic gallbladder stenting in high-risk surgical patients with calculous cholecystitis (with videos)." The focus of this study was to evaluate the long-term outcomes associated with endoscopic gallbladder stenting (EGBS). Cholecystectomy is a fundamental …
Endoscopic vs percutaneous gallbladder drainage
Nikhil A. Kumta, MD, from the Division of Gastroenterology and Hepatology, Weill Cornell Medical College, in New York, New York, USA discusses this Original Article, "Endoscopic gallbladder drainage compared with percutaneous drainage." Our aim was to compare endoscopic gallbladder drainage (EGBD) and percutaneous gallbladder drainage (PGBD) for patients with cholecystitis who were non-surgical candidates in …
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Single-step EUS-guided stent puncture and delivery
Anthony Yuen Bun Teoh, FRCSEd (Gen) from the Department of Surgery at the Prince of Wales Hospital at the Chinese University of Hong Kong in Hong Kong SAR, China shares this video case from the VideoGIE section "Single-step EUS-guided puncture and delivery of a lumen-apposing stent for gallbladder drainage using a novel cautery-tipped stent delivery system." …
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