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Endoscopic transpapillary gallbladder drainage: 10-year single center experience.
R Pannala1, B T Petersen, C J Gostout
1Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Minerva Gastroenterologica E Dietologica
|March 6, 2008
Summary
Endoscopic transpapillary gallbladder drainage (ETGBD) offers a valuable alternative for high-risk acute cholecystitis patients. This study reviews 10 years of ETGBD use, demonstrating its safety and efficacy in select cases.
Area of Science:
- Gastroenterology
- Minimally Invasive Procedures
- Hepatobiliary Surgery
Background:
- Acute cholecystitis poses significant risks for some patients undergoing surgery.
- Limited data exists on endoscopic transpapillary gallbladder drainage (ETGBD) for acute cholecystitis.
- ETGBD may be an alternative for high-risk individuals.
Purpose of the Study:
- To review the 10-year experience of ETGBD at Mayo Clinic.
- To evaluate patient and procedure characteristics of ETGBD for acute cholecystitis.
- To assess the safety and efficacy of ETGBD in high-risk patients.
Main Methods:
- Retrospective review of the endoscopy database (1998-2007).
- Identification of patients who underwent ETGBD for acute cholecystitis.
- Abstraction of clinical and procedural data from electronic medical records.
Main Results:
- Fifty-one patients underwent ETGBD; mean age 62, 67% male.
- Acute calculous cholecystitis was the primary indication (78%).
- Complications included bleeding (4%) and sedation-related issues (4%); 8% mortality from septic shock.
Conclusions:
- ETGBD is a viable alternative for acute cholecystitis in high-risk patients.
- It is particularly useful for those with contraindications to percutaneous drainage.
- ETGBD facilitates management in patients unsuitable for immediate cholecystectomy.
