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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 450 - 462 (13page)
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초록· 키워드
오류제보하기
Surgery remains the standard treatment for acute cholecystitis except in high-risk candidates where percutaneous transhepatic gallbladderdrainage (PT-GBD), endoscopic transpapillary cystic duct stenting (ET-CDS), and endoscopic ultrasound-guided gallbladder drainage(EUS-GBD) are potential choices. PT-GBD is contraindicated in patients with coagulopathy or ascites and is not preferred by patientsowing to aesthetic reasons. ET-CDS is successful only if the cystic duct can be visualized and cannulated. For 189 patients whounderwent EUS-GBD via insertion of a lumen-apposing metal stent (LAMS), the composite technical success rate was 95.2%, which increasedto 96.8% when LAMS was combined with co-axial self-expandable metal stent (SEMS). The composite clinical success rate was96.7%. We observed a small risk of recurrent cholecystitis (5.1%), gastrointestinal bleeding (2.6%) and stent migration (1.1%). Cauteryenhanced LAMS significantly decreases the stent deployment time compared to non-cautery enhanced LAMS. Prophylactic placementof a pigtail stent or SEMS through the LAMS avoids re-interventions, particularly in patients, where it is intended to remain in situ indefinitely. Limited evidence suggests that the effcacy of EUS-GBD via LAMS is comparable to that of PT-GBD with the former showingbetter results in postoperative pain, length of hospitalization, and need for antibiotics. EUS-GBD via LAMS is a safe and effcaciousoption when performed by experts.
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등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Hassler KR / Gallbladder, cholecystectomy, laparoscopic
Friedman GD / 1989 / Prognosis of gallstones with mild or no symptoms: 25 years of follow-up in a health maintenance organization / J Clin Epidemiol 42:127~136
Garden OJ / 2002 / Principles and practice of surgery / Churchill Livingstone
Zacks SL / 2002 / A population-based cohort study comparing laparoscopic cholecystectomy and open cholecystectomy / Am J Gastroenterol 97:334~340
Itoi T / 2008 / Endoscopic transpapillary gallbladder drainage in patients with acute cholecystitis in whom percutaneous transhepatic approach is contraindicated or anatomically impossible (with video) / Gastrointest Endosc 68:455~460
Friedman GD / 1989 / Prognosis of gallstones with mild or no symptoms: 25 years of follow-up in a health maintenance organization / J Clin Epidemiol 42:127~136
Garden OJ / 2002 / Principles and practice of surgery / Churchill Livingstone
Zacks SL / 2002 / A population-based cohort study comparing laparoscopic cholecystectomy and open cholecystectomy / Am J Gastroenterol 97:334~340
Itoi T / 2008 / Endoscopic transpapillary gallbladder drainage in patients with acute cholecystitis in whom percutaneous transhepatic approach is contraindicated or anatomically impossible (with video) / Gastrointest Endosc 68:455~460
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