Three cases of endoscopic transpapillary gallbladder stenting (ETGBS) in patients with recurrent acute cholecystitis and high operative risk
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. A...
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| Published in | Tando Vol. 26; no. 4; pp. 610 - 614 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Biliary Association
2012
一般社団法人 日本胆道学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0914-0077 1883-6879 |
| DOI | 10.11210/tando.26.610 |
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| Abstract | 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. |
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| AbstractList | 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. 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. 要旨：急性胆嚢炎に対する経乳頭的ドレナージに関する報告は，一時的ドレナージを目的とした外瘻法の報告が主である．我々は，再発を繰り返す急性胆嚢炎例で手術困難な症例に対して，再発予防を目的とした永続的な内視鏡的経乳頭的胆嚢内ステント留置術（endoscopic transpapillary gallbladder stenting：ETGBS）を3例に施行した．2例は高度認知症，1例は急性期脳梗塞のため手術が困難であった．ETGBSの時点で2例が3回目の，1例が2回目の急性胆嚢炎を発症していた．3例のうち2例は17カ月と42カ月後に他病死するまで急性胆嚢炎の再発はなかった．1例は脳梗塞急性期の治療後，全身状態が安定したため，ETGBS後1カ月で胆嚢摘出術を施行したが，その間胆嚢炎の再発はなかった．今後，多数例での検討が必要であるが，手術困難な再発性胆嚢炎に対する有効な治療法になりうる可能性が示唆された． |
| Author | Ono, Masahiro Uchida, Naohito Kamada, Hideki Aritomo, Yuichi Kato, Kiyohito Tsutsui, Kunihiko |
| Author_FL | 加藤 清仁 鎌田 英紀 筒井 邦彦 小野 昌弘 有友 雄一 内田 尚仁 |
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| Author_xml | – sequence: 1 fullname: Tsutsui, Kunihiko organization: Department of Gastroenterology and Neurology Faculty of Medicine, Kagawa University – sequence: 1 fullname: Kato, Kiyohito organization: Department of Gastroenterology and Neurology Faculty of Medicine, Kagawa University – sequence: 1 fullname: Ono, Masahiro organization: Department of Gastroenterology and Neurology Faculty of Medicine, Kagawa University – sequence: 1 fullname: Kamada, Hideki organization: Department of Gastroenterology and Neurology Faculty of Medicine, Kagawa University – sequence: 1 fullname: Aritomo, Yuichi organization: Department of Gastroenterology and Neurology Faculty of Medicine, Kagawa University – sequence: 1 fullname: Uchida, Naohito organization: Department of Internal Medicine, Takinomiya General Hospital |
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| DocumentTitle_FL | 手術困難な再発性急性胆嚢炎に対して内視鏡的経乳頭的胆嚢内ステント留置術を行った3例 |
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| References | 2) Nakatsu T, Okada H, Saito K, et al. Endoscopic transpapillarygallbladder drainage for the treatment of acute cholecystitis. J Hep Bil Pancr Surg 1997; 4: 31-35 11) Shrestha R, Bilir BM, Everson GT, et al. Endoscopic stenting of gallbladder for symptomatic cholelithiasis in patients with end-stage liver disease awating orthotopic liver transplantation. Am J Gastroenterol 1996; 91: 595-598 5) Uchida N, Tsutsui K, Ezaki T, et al. Combination of assay of human telomerase reverse transcriptase mRNA and cytology using bile obtained by endoscopic transpapillary catheterization into the gallbladder for diagnosis of gallbladder carcinoma. Am J Gastroenterol 2003; 98: 2415-2419 10) Tamada K, Seki H, Sato K, et al. Efficacy of endoscopic retrograde cholecystoendoprosthesis (ERCCE) for cholecystitis. Endoscopy 1991; 23: 2-3 14) Schlenker C, Trotter JF, Shah RJ, et al. Endoscopic gallbladder stent placement for treatment of symptomatic cholelithiasis in patients with end-stage liver disease. Am J Gastroenterol 2006; 101: 278-283 15) Lee TH, Park DH, Lee SS, et al. Outcomes of endoscopic transpapillary gallbladder stenting for symptomatic gallbladder diseases: a multicenter prospective follow-up study. Endoscopy 2011; 43: 702-708 1) 急性胆道炎の診療ガイドライン作成出版委員会 編. 科学的根拠に基づく急性胆管炎・胆嚢炎の診療ガイドライン第1版. 東京: 医学図書出版, 2005 7) 印牧直人, 中澤三郎, 山雄健次, ほか. 結石による胆嚢管閉塞に対する内視鏡的経乳頭胆嚢ドレナージ（ETGBD）の臨床的検討. Gastroenterol Endosc 1996; 38: 1047-1056 12) Gaglio PJ, Buniak B, Leevy CB, et al. Primary endoscopic retrograde cholecystoendoprosthesis a nonsurgical modality for symptomatic cholelithiasis in cirrhotic patients. Gastrointest Endosc 1996; 44: 339-342 13) Conway JD, Russo MW, Shrestha R. Endoscopic stent insertion into the gallbladder for symptomatic gallbladder disease in patients with end-stage liver disease. Gastrointest Endosc 2005; 61: 32-36 4) Hirabayashi S, Nakatsu T, Nishioka M. The double contrast method by endoscopic transpapillary catheterization in the gallbladder. Dig Endosc 1990; 2: 40-46 3) Uchida N, Nakatsu T, Hirabayashi S, et al. Direct dissolution of gallstones with methyl tert-butyl ether (MTBE) via endoscopic transpapillary catheterization in the gallbladder (ETCG). J Gastroenterol 1994; 29: 486-494 8) 北島竜美, 林 裕之, 伊部直之, ほか. 急性無石胆嚢炎症例に経乳頭的胆嚢ドレナージ術を施行した1例. Gastroenterol Endosc 2000; 42: 1096-1101 9) Kalloo AN, Thuluvath PJ, Pasricha PJ. Treatment of high-risk patients with symptomatic cholelithiasis by endoscopic gallbladder stenting. Gastrointest Endosc 1994; 40: 608-610 6) Feretis C, Apostolidis N, Mallas E, et al. Endoscopic drainage of acuteobstructive cholecystitis in patients with increased operative risk. Endoscopy 1993; 25: 392-395 |
| References_xml | – reference: 15) Lee TH, Park DH, Lee SS, et al. Outcomes of endoscopic transpapillary gallbladder stenting for symptomatic gallbladder diseases: a multicenter prospective follow-up study. Endoscopy 2011; 43: 702-708 – reference: 2) Nakatsu T, Okada H, Saito K, et al. Endoscopic transpapillarygallbladder drainage for the treatment of acute cholecystitis. J Hep Bil Pancr Surg 1997; 4: 31-35 – reference: 9) Kalloo AN, Thuluvath PJ, Pasricha PJ. Treatment of high-risk patients with symptomatic cholelithiasis by endoscopic gallbladder stenting. Gastrointest Endosc 1994; 40: 608-610 – reference: 3) Uchida N, Nakatsu T, Hirabayashi S, et al. Direct dissolution of gallstones with methyl tert-butyl ether (MTBE) via endoscopic transpapillary catheterization in the gallbladder (ETCG). J Gastroenterol 1994; 29: 486-494 – reference: 13) Conway JD, Russo MW, Shrestha R. Endoscopic stent insertion into the gallbladder for symptomatic gallbladder disease in patients with end-stage liver disease. Gastrointest Endosc 2005; 61: 32-36 – reference: 1) 急性胆道炎の診療ガイドライン作成出版委員会 編. 科学的根拠に基づく急性胆管炎・胆嚢炎の診療ガイドライン第1版. 東京: 医学図書出版, 2005 – reference: 8) 北島竜美, 林 裕之, 伊部直之, ほか. 急性無石胆嚢炎症例に経乳頭的胆嚢ドレナージ術を施行した1例. Gastroenterol Endosc 2000; 42: 1096-1101 – reference: 6) Feretis C, Apostolidis N, Mallas E, et al. Endoscopic drainage of acuteobstructive cholecystitis in patients with increased operative risk. Endoscopy 1993; 25: 392-395 – reference: 11) Shrestha R, Bilir BM, Everson GT, et al. Endoscopic stenting of gallbladder for symptomatic cholelithiasis in patients with end-stage liver disease awating orthotopic liver transplantation. Am J Gastroenterol 1996; 91: 595-598 – reference: 4) Hirabayashi S, Nakatsu T, Nishioka M. The double contrast method by endoscopic transpapillary catheterization in the gallbladder. Dig Endosc 1990; 2: 40-46 – reference: 12) Gaglio PJ, Buniak B, Leevy CB, et al. Primary endoscopic retrograde cholecystoendoprosthesis a nonsurgical modality for symptomatic cholelithiasis in cirrhotic patients. Gastrointest Endosc 1996; 44: 339-342 – reference: 14) Schlenker C, Trotter JF, Shah RJ, et al. Endoscopic gallbladder stent placement for treatment of symptomatic cholelithiasis in patients with end-stage liver disease. Am J Gastroenterol 2006; 101: 278-283 – reference: 10) Tamada K, Seki H, Sato K, et al. Efficacy of endoscopic retrograde cholecystoendoprosthesis (ERCCE) for cholecystitis. Endoscopy 1991; 23: 2-3 – reference: 7) 印牧直人, 中澤三郎, 山雄健次, ほか. 結石による胆嚢管閉塞に対する内視鏡的経乳頭胆嚢ドレナージ（ETGBD）の臨床的検討. Gastroenterol Endosc 1996; 38: 1047-1056 – reference: 5) Uchida N, Tsutsui K, Ezaki T, et al. Combination of assay of human telomerase reverse transcriptase mRNA and cytology using bile obtained by endoscopic transpapillary catheterization into the gallbladder for diagnosis of gallbladder carcinoma. Am J Gastroenterol 2003; 98: 2415-2419 |
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| SubjectTerms | acute cholecystitis drainage stent ステント ドレナージ 急性胆嚢炎 |
| Title | Three cases of endoscopic transpapillary gallbladder stenting (ETGBS) in patients with recurrent acute cholecystitis and high operative risk |
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