Recurrence rate of cholecystitis after initial gallbladder stenting versus secondary gallbladder stenting: A propensity score matching study

IF 1.4 Q4 GASTROENTEROLOGY & HEPATOLOGY DEN open Pub Date : 2024-12-26 DOI:10.1002/deo2.70047

Ryota Nakabayashi, Hideki Kamada, Masahiro Ono, Toshiaki Kono, Naoki Fujita, Hiroki Yamana, Kiyoyuki Kobayashi, Joji Tani, Yasuhisa Ando, Hironobu Suto, Minoru Oshima, Keiichi Okano, Hideki Kobara

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Abstract

Objective

Limitations are sometimes encountered in the application of laparoscopic cholecystectomy to the treatment of acute cholecystitis. Endoscopic gallbladder stenting (EGBS) has emerged as an additional option. However, the long-term stent patency remains an issue. This study was performed to compare the efficacy of primary and secondary EGBS.

Methods

Sixty-one patients who underwent preplanned EGBS because of poor surgical tolerance from January 2006 to July 2023 were retrospectively analyzed. The patients were divided into the initial EGBS group, in which EGBS was performed as the first option (n = 37), and the secondary EGBS group, in which EGBS was performed following other treatments (n = 24). The primary endpoint was the 3-month recurrence rate, and the secondary endpoint was the technical success rate. Propensity score matching was performed to align the patients’ background factors between the two groups.

Results

After propensity score matching, six patients from each group were selected for analysis. The technical success rate was significantly higher in the secondary EGBS group (73.0% [27/37] vs. 95.8% [23/24], respectively). Furthermore, the 3-month recurrence rate was significantly higher in the initial than secondary EGBS group (66.7% [4/6] vs. 0.0% [0/6], respectively; p = 0.0232).

Conclusion

Secondary EGBS may effectively prevent recurrent cholecystitis in patients with poor surgical tolerance.

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初次胆囊支架置入术与继发性胆囊支架置入术后胆囊炎复发率：倾向评分匹配研究。

目的：应用腹腔镜胆囊切除术治疗急性胆囊炎有时会遇到局限性。内镜胆囊支架置入术（EGBS）已成为一种额外的选择。然而，支架的长期通畅仍然是一个问题。本研究旨在比较原发性和继发性EGBS的疗效。方法：回顾性分析2006年1月至2023年7月61例因手术耐受性差而接受EGBS手术的患者。将患者分为初始EGBS组（n = 37）和二次EGBS组（n = 24），其中EGBS作为第一选择，在其他治疗后进行EGBS。主要终点为3个月复发率，次要终点为技术成功率。对两组患者的背景因素进行倾向评分匹配。结果：经倾向评分匹配后，每组选取6例患者进行分析。二次EGBS组的技术成功率明显更高（分别为73.0%[27/37]和95.8%[23/24]）。此外，初始EGBS组3个月复发率明显高于继发EGBS组（分别为66.7%[4/6]和0.0% [0/6]）；p = 0.0232)。结论：继发EGBS可有效预防手术耐受性差患者胆囊炎复发。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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DEN open

CiteScore

1.30

自引率

0.00%

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