Related Experiment Videos
Single-Session Outpatient Gallstone Organ-Sparing Cholangioscopy and Percutaneous Extraction (GO-SCOPE) for
John Smirniotopoulos1, Neil Jain2, Emily Kim3
1Division of Interventional Radiology, Department of Radiology, MedStar Washington Hospital Center, Washington, DC; Division of Interventional Radiology, Department of Radiology, MedStar Georgetown University Hospital, Washington, DC.
Summary
Gallstone Organ-Sparing Cholangioscopy and Percutaneous Extraction (GO-SCOPE) offers a successful, organ-sparing treatment for gallstone disease, achieving high symptom relief and safety. This minimally invasive approach provides a viable alternative to cholecystectomy.
Area of Science:
- Minimally Invasive Surgery
- Gastroenterology
- Interventional Radiology
Background:
- Symptomatic gallstone disease often necessitates cholecystectomy.
- Non-surgical management options for gallstone disease are limited.
- Organ-sparing techniques are sought to avoid cholecystectomy.
Purpose of the Study:
- To evaluate the Gallstone Organ-Sparing Cholangioscopy and Percutaneous Extraction (GO-SCOPE) procedure.
- To assess GO-SCOPE's technical success, symptom improvement, and safety.
- To determine GO-SCOPE's efficacy as a non-surgical alternative for symptomatic gallstone disease.
Main Methods:
- Retrospective study of 66 patients undergoing GO-SCOPE.
- GO-SCOPE involves percutaneous gallbladder access and cholangioscopy-assisted gallstone extraction.
- Outcomes included technical success, clinical success, and adverse events.
Main Results:
- 90.9% single-session technical success (60/66 patients).
- 98.3% clinical success at 3 months and 96.8% at 12 months.
- Acceptable safety profile with 4 adverse events (1 moderate, 3 severe).
Conclusions:
- GO-SCOPE demonstrates high technical and clinical success.
- The procedure offers an acceptable safety profile.
- GO-SCOPE is a promising organ-sparing alternative to cholecystectomy for gallstone disease.
Related Concept Videos
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
01:20Cholecystitis
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...