Tags

Type your tag names separated by a space and hit enter

Percutaneous transhepatic gallbladder stenting for recurrent acute acalculous cholecystitis after failed endoscopic attempt.
J Hepatobiliary Pancreat Surg. 2005; 12(4):286-9.JH

Abstract

Endoscopic gallbladder stenting is useful palliative therapy for acute cholecystitis in high-risk patients. Although the success rate of endoscopic gallbladder stenting is 79%-100%, an alternative method has not been reported. We succeeded in employing a method for percutaneous gallbladder stenting (PTGS) and herein describe this new method. A patient with acute acalculous cholecystitis related to ischemic atherosclerotic vascular disease, cholangitis due to Lemmel syndrome, and severe congestive heart failure underwent PTGS through the cystic duct from the gallbladder to the duodenal papilla, because an endoscopic method failed in the treatment of Lemmel syndrome. Because we were unable to place endoscopic transpapillary gallbladder drainage, percutaneous transhepatic gallbladder drainage (PTGBD) was performed and both the cholecystitis and cholangitis ceased. PTGS was performed as an alternative to endoscopic gallbladder stenting. Access to the cystic duct and gallbladder was obtained by the PTGBD route, using a guidewire (0.035-inch diameter) and seeking catheter (6.5 Fr) under fluoroscopic control. A 7-Fr 12-cm double-pigtail biliary polyethylene stent was placed. The patient remained asymptomatic for 3 months after the PTGS until he died, of an acute recurrent myocardial infarction. This new PTGS placement is an alternative treatment for symptomatic gallbladder disease in patients with increased operative risk when the endoscopic method is unsuccessful.

Authors+Show Affiliations

Division of Gastroenterology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16133694

Citation

Kubota, Kensuke, et al. "Percutaneous Transhepatic Gallbladder Stenting for Recurrent Acute Acalculous Cholecystitis After Failed Endoscopic Attempt." Journal of Hepato-biliary-pancreatic Surgery, vol. 12, no. 4, 2005, pp. 286-9.
Kubota K, Abe Y, Inamori M, et al. Percutaneous transhepatic gallbladder stenting for recurrent acute acalculous cholecystitis after failed endoscopic attempt. J Hepatobiliary Pancreat Surg. 2005;12(4):286-9.
Kubota, K., Abe, Y., Inamori, M., Kawamura, H., Kirikoshi, H., Kobayashi, N., Saito, S., Ueno, N., & Nakajima, A. (2005). Percutaneous transhepatic gallbladder stenting for recurrent acute acalculous cholecystitis after failed endoscopic attempt. Journal of Hepato-biliary-pancreatic Surgery, 12(4), 286-9.
Kubota K, et al. Percutaneous Transhepatic Gallbladder Stenting for Recurrent Acute Acalculous Cholecystitis After Failed Endoscopic Attempt. J Hepatobiliary Pancreat Surg. 2005;12(4):286-9. PubMed PMID: 16133694.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous transhepatic gallbladder stenting for recurrent acute acalculous cholecystitis after failed endoscopic attempt. AU - Kubota,Kensuke, AU - Abe,Yasunobu, AU - Inamori,Masahiko, AU - Kawamura,Harunobu, AU - Kirikoshi,Hiroyuki, AU - Kobayashi,Noritoshi, AU - Saito,Satoru, AU - Ueno,Norio, AU - Nakajima,Atushi, PY - 2005/02/15/received PY - 2005/03/30/accepted PY - 2005/9/1/pubmed PY - 2006/1/20/medline PY - 2005/9/1/entrez SP - 286 EP - 9 JF - Journal of hepato-biliary-pancreatic surgery JO - J Hepatobiliary Pancreat Surg VL - 12 IS - 4 N2 - Endoscopic gallbladder stenting is useful palliative therapy for acute cholecystitis in high-risk patients. Although the success rate of endoscopic gallbladder stenting is 79%-100%, an alternative method has not been reported. We succeeded in employing a method for percutaneous gallbladder stenting (PTGS) and herein describe this new method. A patient with acute acalculous cholecystitis related to ischemic atherosclerotic vascular disease, cholangitis due to Lemmel syndrome, and severe congestive heart failure underwent PTGS through the cystic duct from the gallbladder to the duodenal papilla, because an endoscopic method failed in the treatment of Lemmel syndrome. Because we were unable to place endoscopic transpapillary gallbladder drainage, percutaneous transhepatic gallbladder drainage (PTGBD) was performed and both the cholecystitis and cholangitis ceased. PTGS was performed as an alternative to endoscopic gallbladder stenting. Access to the cystic duct and gallbladder was obtained by the PTGBD route, using a guidewire (0.035-inch diameter) and seeking catheter (6.5 Fr) under fluoroscopic control. A 7-Fr 12-cm double-pigtail biliary polyethylene stent was placed. The patient remained asymptomatic for 3 months after the PTGS until he died, of an acute recurrent myocardial infarction. This new PTGS placement is an alternative treatment for symptomatic gallbladder disease in patients with increased operative risk when the endoscopic method is unsuccessful. SN - 0944-1166 UR - https://www.unboundmedicine.com/medline/citation/16133694/Percutaneous_transhepatic_gallbladder_stenting_for_recurrent_acute_acalculous_cholecystitis_after_failed_endoscopic_attempt_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0944-1166&date=2005&volume=12&issue=4&spage=286 DB - PRIME DP - Unbound Medicine ER -