Niiya F, Tamai N, Yamawaki M, Noda J, Azami T, Takano Y, Nishimoto F, Nagahama M. Benefits of endoscopic gallbladder stenting following percutaneous transhepatic gallbladder drainage. World J Gastrointest Surg 2024; 16(9): 2902-2909 [PMID: 39351569 DOI: 10.4240/wjgs.v16.i9.2902]
Corresponding Author of This Article
Yuichi Takano, MD, Chief Doctor, Division of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama 227-8501, Kanagawa, Japan. yuichitakano1028@yahoo.co.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Sep 27, 2024; 16(9): 2902-2909 Published online Sep 27, 2024. doi: 10.4240/wjgs.v16.i9.2902
Table 1 Patient characteristics, n (%)
Characteristics
n = 35
Age, years, median (range)
75 (49-90)
Sex, male
30 (85.7)
Severity of cholecystitis
Mild
2 (5.7)
Moderate
27 (77.1)
Severe
6 (17.1)
Cystic duct diameter, mm, median (range)
3 (2-5.5)
Stone impaction in the cystic duct
8 (22.9)
CBD diameter, mm, median (range)
7 (4-13)
Presence of a CBD stone
11 (31.4)
Table 2 Endoscopic procedure, n (%)
Characteristics
n = 35
Technical success
27 (77.1)
Contrast cystic duct via cholangiogram
21 (60)
Final contrast cystic duct
34 (97.1)
Procedure time, mm, median (range)
24 (8-53)
Early adverse events
4 (11.4)
Pancreatitis
3 (8.6)
Cholangitis
1 (2.9)
Cystic duct perforation
0
Bleeding
0
Table 3 Late adverse events, n (%)
Characteristics
n = 27
Late adverse events
Cholecystitis
1 (3.7)
Cholangitis
0
Median follow-up period, days, median (range)
123 (20-1435)
Table 4 Characteristics of failed procedures
Age, year/sex
Type of cholecystitis
Severity grade
Presence of a CBD stone
Contrast cystic duct
Cystic diameter, mm
CBD diameter, mm
Cause of failed procedure
Adverse events
31/M
Calculous
Moderate
Yes
Yes
3.5
9
Failure of catheter insertion due to stone impaction
No
40/M
Calculous
Moderate
Yes
Yes
3.5
9
Failure of wire insertion
No
41/M
Calculous
Moderate
No
Yes
3
8.5
Failure of wire insertion
No
56/M
Calculous
Moderate
No
Yes
2.5
9
Failure of wire insertion
No
57/M
Calculous
Moderate
Yes
Yes
2.5
4
Failure of wire insertion
No
70/F
Calculous
Mild
No
Yes
3
12
Failure of wire insertion
No
71/F
Calculous
Moderate
Yes
Yes
3.5
9
Failure of catheter insertion due to stone impaction
No
89/M
Calculous
Moderate
Yes
Yes
4
12
Failure of wire insertion due to stone impaction
No
Citation: Niiya F, Tamai N, Yamawaki M, Noda J, Azami T, Takano Y, Nishimoto F, Nagahama M. Benefits of endoscopic gallbladder stenting following percutaneous transhepatic gallbladder drainage. World J Gastrointest Surg 2024; 16(9): 2902-2909