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.
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References
LA Weltter LN Wag (1991) ArticleTitleSurgical therapy for gallstone disease Gastroenterol Clin North Am 20 157–70 Occurrence Handle2022419
R Shrestha TE Trouillot GT Everson (1999) ArticleTitleEndoscopic stenting of the gallbladder for symptomatic gallbladder disease in patients with end-stage liver disease awaiting orthotopic liver trasplantation Liver Transplant 5 275–81 Occurrence Handle10.1002/lt.500050402
AN Kalloo PJ Thuluvath PJ Pasricha (1993) ArticleTitleTreatment of high-risk patients with symptomatic cholelithiasis by endoscopic gallbladder stenting Gastrointest Endosc 40 608–10
C Feretis N Apostolidis E Mallas et al. (1993) ArticleTitleEndoscopic drainage of acute obstructive cholecystitis in patients with increased operative risk Endoscopy 25 392–5 Occurrence Handle8404707
K Tamada H Seki K Sato et al. (1991) ArticleTitleEfficacy of endoscopic retrograde cholecystoendoprosthesis (ERCCE) for cholecystitis Endoscopy 23 2–3 Occurrence Handle2009832
N Soehendra H Schulz VCh Nam et al. (1990) ArticleTitleESWL and gallstone dissolution with MTBE via a naso-vesicular catheter Endoscopy 22 176–9 Occurrence Handle2209501
C Feretis E Mallas A Mansouras et al. (1992) ArticleTitleEndoscopic transpapillary catheterization of the gallbladder followed by external shock wave lithotripsy and solvent infusion for the treatement of gallstone disease Gastrointest Endosc 38 19–22 Occurrence Handle1612373
S Mikami H Suga I Ohno et al. (2001) ArticleTitleEndoscopic transpapillary gallbladder drainage for an advanced-age case of relapsing cholecystitis with cirrhotic liver (in Japanese with English abstract) J Jpn Biliary Assoc 15 66–70
N Kanemaki S Nakazawa K Yamao et al. (1996) ArticleTitleClinical study of endoscopic transpapillary gallbladder drainage for cystic duct obstruction by impacted gallstones (in Japanese with English abstract) Gastroenterol Endosc 38 1047–56
T Nakatu H Okada K Saito et al. (1997) ArticleTitleEndoscopic transpapillary gallbladder drainage (ETGBD) for the treatment of acute cholecystitis J Hepatobiliary Pancreat Surg 4 31–5 Occurrence Handle10.1007/BF01211341
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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 12, 286–289 (2005). https://doi.org/10.1007/s00534-005-0989-9
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DOI: https://doi.org/10.1007/s00534-005-0989-9