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Updated: Feb 4, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

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Published on: March 25, 2022

Manejo Exitoso de Colecistitis Recurrente Cuatro Años Después de la Colocación de Stent Endoscópico de Vesícula

Takuya Koizumi¹, Akinori Maruta¹, Yosuke Ohashi¹

¹First Department of Internal Medicine, Gifu University Hospital, Gifu, JPN.

|February 2, 2026

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.

Palabras clave:

colangiopancreatografía retrógrada endoscópica drenaje endoscópico transpapilar de vesícula biliar drenaje interno y externo stent endoscópico permanente de vesícula biliar colecistitis recurrente

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