Endoscopic gallbladder lithotripsy for the treatment of recurrent lithiasic cholecystitis after EUS-guided gallbladder drainage

Abstract Text An 86-year-old female with acute lithiasic cholecystitis unfit for surgery underwent EUS-guided gallbladder drainage (EUS-GBD) using a lumen apposing-metal stent (LAMS). Two months later she was readmitted for a new episode of acute cholecystitis. Computed tomography scan showed obstruction of the LAMS and two large lithiasis, one of them adjacent to the cystic duct. During the procedure we identified that the LAMS was embedded so we repermeabilized it, performed a direct cholecystoscopy with a standard gastroscope through the LAMS, cleaned the gallbladder and replaced the LAMS with two double pigtail plastic stents.

Endoscopic gallbladder lithotripsy after EUS-GBD was effective and safe. This approach could be necessary in selected patients with large cholelithiasis.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/6d10770b-bb7a-40b0-b5cb-8e170c738920/Uploads/13821_ESGE_DAYS%20DEFINITIVO%20CON%20DIAPOS%20INCLUIDAS%202-0.mp4

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Artikel online veröffentlicht:
15. April 2024