Single-pigtail plastic stent made from endoscopic nasobiliary drainage tubes in endoscopic ultrasound-guided gallbladder drainage: a retrospective case series.

IF 2.1 Q3 GASTROENTEROLOGY & HEPATOLOGY Clinical Endoscopy Pub Date : 2024-03-01 Epub Date: 2023-04-04 DOI:10.5946/ce.2022.213
Koichi Soga
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Abstract

Technical failure of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is often attributed to device failure. To rectify this problem, we developed a single-pigtail plastic stent (SPPS) for EUS-GBD. We retrospectively reviewed the cases of four patients who underwent EUS-GBD for acute cholecystitis. To prepare the SPPS, a 7.5-Fr endoscopic nasobiliary drainage tube was cut to an appropriate length. The use of SPPS during EUS-GBD was successful from both technical and clinical standpoints. The SPPS spontaneously detached 57 days after the procedure in patient 4 and 412 days after the procedure in patient 1. Patient 1 developed cholecystitis after 426 days and was managed with antibiotics. The other three patients did not develop any complications after surgery. In conclusion, we designed a new SPPS dedicated to EUS-GBD and established its technical feasibility and clinical effectiveness.

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在内镜超声引导下胆囊引流术中利用内镜鼻胆管引流管制作的单猪尾塑料支架:回顾性病例系列。
内镜超声引导胆囊引流术(EUS-GBD)的技术失败通常归因于设备故障。为了解决这个问题,我们开发了一种用于 EUS-GBD 的单尾塑料支架 (SPPS)。我们对四例因急性胆囊炎接受 EUS-GBD 的患者进行了回顾性研究。为了准备 SPPS,我们将一根 7.5-Fr 的内镜鼻胆管引流管剪成适当的长度。从技术和临床角度来看,在 EUS-GBD 期间使用 SPPS 都是成功的。患者 4 的 SPPS 在术后 57 天自动脱落,患者 1 的 SPPS 在术后 412 天自动脱落。患者 1 在 426 天后出现胆囊炎,使用抗生素进行了治疗。其他三名患者术后未出现任何并发症。总之,我们设计了一种专用于 EUS-GBD 的新型 SPPS,并确定了其技术可行性和临床有效性。
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来源期刊
Clinical Endoscopy
Clinical Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.40
自引率
8.00%
发文量
95
审稿时长
26 weeks
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