Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 11 , ISSUE 3 ( September-December, 2022 ) > List of Articles


Use of Transmural Cholecystic Stents for Management of Acute Cholecystitis

Mary Bokenkamp, Pedro Teixeira

Keywords : Acute cholecystitis, Biliary drainage, Stenting.

Citation Information : Bokenkamp M, Teixeira P. Use of Transmural Cholecystic Stents for Management of Acute Cholecystitis. Panam J Trauma Crit Care Emerg Surg 2022; 11 (3):176-180.

DOI: 10.5005/jp-journals-10030-1403

License: CC BY-NC 4.0

Published Online: 31-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


The management of acute cholecystitis in high-risk surgical patients requires the use of alternative procedures for gallbladder drainage. This has historically been accomplished via percutaneous transhepatic gallbladder drainage (PTGBD). Over the past 20 years, advancements in endoscopy have produced alternative techniques for endoscopic ultrasound-guided gallbladder drainage (EUS-GBD). These drainage options have evolved from endoscopic transpapillary gallbladder drainage (ETPGBD) with an externalized nasocholecystic drain, to transmural gallbladder drainage with internalized stents. The aim of this article is to present a focused review of the current literature on transmural EUS-GBD with cholecystic stent placement for the treatment of acute cholecystitis.

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  1. Pisano M, Allievi N, Gurusamy K, et al. 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. World J Emerg Surg 2020;15(1):61. DOI: 10.1186/s13017-020-00336-x
  2. Mori Y, Itoi T, Baron TH, et al. Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018;25(1):87–95. DOI: 10.1002/jhbp.504
  3. Crino SF, Rimbaș M, Gabbrielli A, et al. Endoscopic ultrasound guided gallbladder interventions: a review of the current literature. J Gastrointestin Liver Dis 2019;28(3):339–347. DOI: 10.15403/jgld-215
  4. Baron TH, Topazian MD. Endoscopic transduodenal drainage of the gallbladder: implications for endoluminal treatment of gallbladder disease. Gastrointest Endosc 2007;65(4):735–737. DOI: 10.1016/j.gie.2006.07.041
  5. Kwan V, Eisendrath P, Antaki F, et al. EUS-guided cholecystenterostomy: a new technique (with videos). Gastrointest Endosc 2007;66(3):582–586. DOI: 10.1016/j.gie.2007.02.065
  6. Lee SS, Park DH, Hwang CY, et al. EUS-guided transmural cholecystostomy as rescue management for acute cholecystitis in elderly or high-risk patients: a prospective feasibility study. Gastrointest Endosc 2007;66(5):1008–1012. DOI: 10.1016/j.gie.2007.03.1080
  7. Anderloni A, Buda A, Vieceli F, et al. Endoscopic ultrasound-guided transmural stenting for gallbladder drainage in high-risk patients with acute cholecystitis: a systematic review and pooled analysis. Surg Endosc 2016;30(12):5200–5208. DOI: 10.1007/s00464-016-4894-x
  8. Kedia P, Sharaiha RZ, Kumta NA, et al. Endoscopic gallbladder drainage compared with percutaneous drainage. Gastrointest Endosc 2015;82(6):1031–1036. DOI: 10.1016/j.gie.2015.03.1912
  9. Teoh AYB, Kitano M, Itoi T, et al. Endosonography-guided gallbladder drainage versus percutaneous cholecystostomy in very high-risk surgical patients with acute cholecystitis: an international randomised multicentre controlled superiority trial (DRAC 1). Gut 2020;69(6):1085–1091. DOI: 10.1136/gutjnl-2019-319996
  10. Tyberg A, Saumoy M, Sequeiros EV, et al. EUS-guided versus percutaneous gallbladder drainage: isn't it time to convert? J Clin Gastroenterol 2018;52(1):79–84. DOI: 10.1097/MCG.0000000000000786
  11. Luo X, Sharaiha R, Teoh AYB. Endoscopic management of acute cholecystitis. Gastrointest Endosc Clin N Am 2022;32(3):527–543. DOI: 10.1016/j.giec.2022.02.004
  12. Higa JT, Sahar N, Kozarek RA, et al. EUS-guided gallbladder drainage with a lumen-apposing metal stent versus endoscopic transpapillary gallbladder drainage for the treatment of acute cholecystitis (with videos). Gastrointest Endosc 2019;90(3):483–492. DOI: 10.1016/j.gie.2019.04.238
  13. Kalva NR, Vanar V, Forcione D, et al. Efficacy and safety of lumen apposing self-expandable metal stents for EUS guided cholecystostomy: a meta-analysis and systematic review. Can J Gastroenterol Hepatol 2018;2018:7070961. DOI: 10.1155/2018/7070961
  14. Jang JW, Lee SS, Park DH, et al. Feasibility and safety of EUS-guided transgastric/transduodenal gallbladder drainage with single-step placement of a modified covered self-expandable metal stent in patients unsuitable for cholecystectomy. Gastrointest Endosc 2011;74(1):176–181. DOI: 10.1016/j.gie.2011.03.1120
  15. Jain D, Bhandari BS, Agrawal N, et al. Endoscopic ultrasound-guided gallbladder drainage using a lumen-apposing metal stent for acute cholecystitis: a systematic review. Clin Endosc 2018;51(5):450–462. DOI: 10.5946/ce.2018.024
  16. Baron TH, Grimm IS, Swanstrom LL. Interventional approaches to gallbladder disease. N Engl J Med 2015;373(4):357–365. DOI: 10.1056/NEJMra1411372
  17. Peñas-Herrero I, de la Serna-Higuera C, Perez-Miranda M. Endoscopic ultrasound-guided gallbladder drainage for the management of acute cholecystitis (with video). J Hepatobiliary Pancreat Sci 2015;22(1):35–43. DOI: 10.1002/jhbp.182
  18. Dollhopf M, Larghi A, Will U, et al. EUS-guided gallbladder drainage in patients with acute cholecystitis and high surgical risk using an electrocautery-enhanced lumen-apposing metal stent device. Gastrointest Endosc 2017;86(4):636–643. DOI: 10.1016/j.gie.2017.02.027
  19. Choi JH, Lee SS, Choi JH, et al. Long-term outcomes after endoscopic ultrasonography-guided gallbladder drainage for acute cholecystitis. Endoscopy 2014;46(8):656–661. DOI: 10.1055/s-0034-1365720
  20. Itoi T, Binmoeller KF, Shah J, et al. Clinical evaluation of a novel lumen-apposing metal stent for endosonography-guided pancreatic pseudocyst and gallbladder drainage (with videos). Gastrointest Endosc 2012;75(4):870–876. DOI: 10.1016/j.gie.2011.10.020
  21. Teoh AY, Perez-Miranda M, Kunda R, et al. Outcomes of an international multicenter registry on EUS-guided gallbladder drainage in patients at high risk for cholecystectomy. Endosc Int Open 2019;7(8):E964–E973. DOI: 10.1055/a-0915-2098
  22. Walter D, Teoh AY, Itoi T, et al. EUS-guided gall bladder drainage with a lumen-apposing metal stent: a prospective long-term evaluation. Gut 2016;65(1):6–8. DOI: 10.1136/gutjnl-2015-309925
  23. McCarty TR, Hathorn KE, Bazarbashi AN, et al. Endoscopic gallbladder drainage for symptomatic gallbladder disease: a cumulative systematic review meta-analysis. Surg Endosc 2021;35(9):4964–4985. DOI: 10.1007/s00464-020-07758-3
  24. Saumoy M, Tyberg A, Brown E, et al. Successful cholecystectomy after endoscopic ultrasound gallbladder drainage compared with percutaneous cholecystostomy, can it be done? J Clin Gastroenterol 2019;53(3):231–235. DOI: 10.1097/MCG.0000000000001036
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