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Published on: March 25, 2022
Successful Management of Recurrent Cholecystitis Four Years After Endoscopic Gallbladder Stenting (EGBS) Placement
Takuya Koizumi1, Akinori Maruta1, Yosuke Ohashi1
1First Department of Internal Medicine, Gifu University Hospital, Gifu, JPN.
Insights
Recurrent cholecystitis can be treated with endoscopic transpapillary gallbladder drainage (ETGBD), even after permanent endoscopic gallbladder stenting (EGBS). The existing stent facilitates access, enabling effective combined internal and external gallbladder drainage for improved patient outcomes.
Area of Science:
- Gastroenterology
- Endoscopic procedures
- Biliary tract interventions
Background:
- Recurrent cholecystitis poses management challenges, particularly after prior endoscopic gallbladder stenting (EGBS).
- Optimal drainage strategies for complex gallbladder infections remain an area of investigation.
Abstract:
Recurrent cholecystitis can occur even after permanent endoscopic gallbladder stenting (EGBS), and optimal management in such situations remains challenging. In the present case, endoscopic transpapillary gallbladder drainage (ETGBD) was successfully achieved by using the indwelling EGBS to facilitate guidewire access to the gallbladder. Endoscopic nasobiliary gallbladder drainage was also placed, enabling combined internal and external drainage. The patient experienced a favorable clinical course following this approach. This case suggests that ETGBD is a feasible therapeutic option for recurrent cholecystitis after permanent EGBS placement, with the pre-existing stent aiding in gallbladder cannulation. Combined drainage may be particularly advantageous in the setting of purulent bile to ensure effective decompression.
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