Three cases of endoscopic transpapillary gallbladder stenting (ETGBS) in patients with recurrent acute cholecystitis and high operative risk

• Published in: Tando Vol. 26; no. 4; pp. 610 - 614
• Main Authors: Tsutsui, Kunihiko, Kato, Kiyohito, Ono, Masahiro, Kamada, Hideki, Aritomo, Yuichi, Uchida, Naohito
• Format: Journal Article
• Language: Japanese
• Published: Japan Biliary Association 2012; 一般社団法人 日本胆道学会
• Subjects: acute cholecystitis; drainage; stent; ステント; ドレナージ; 急性胆嚢炎
• ISSN: 0914-0077; 1883-6879
• DOI: 10.11210/tando.26.610

Transpapillary gallbladder drainage is most frequently performed for short-term external gallbladder drainage. Endoscopic transpapillary gallbladder stenting (ETGBS) was performed in 3 patients with recurrent acute cholecystitis and high operative risk to prevent recurrence of acute cholecystitis. Acute cholecystitis had occurred 3 times in 2 patients and 2 times in one patient. Surgery was difficult due to severe dementia in 2 of the 3 patients and acute-phase cerebral bleeding in the remaining patient. There were no recurrences of acute cholecystitis after ETGBS in any of the 3 patients. Two patients died due to other diseases at 17 and 42 months after ETGBS. The remaining patient underwent cholecystectomy one month after ETGBS since his condition became stable. Although further studies with a larger number of patients are needed, ETGBS is thought to be a useful method for the treatment of patients with recurrent acute cholecystitis and high operative risk.