Diagnostics (Oct 2023)

The Use of a New Dedicated Electrocautery Lumen-Apposing Metal Stent for Gallbladder Drainage in Patients with Acute Cholecystitis

  • Luca Brandaleone,
  • Gianluca Franchellucci,
  • Antonio Facciorusso,
  • Jayanta Samanta,
  • Jong Ho Moon,
  • Jorge Vargas-Madrigal,
  • Carlos Robles Medranda,
  • Carmelo Barbera,
  • Francesco Di Matteo,
  • Milutin Bulajic,
  • Francesco Auriemma,
  • Danilo Paduano,
  • Federica Calabrese,
  • Carmine Gentile,
  • Marco Massidda,
  • Marco Bianchi,
  • Luca De Luca,
  • Davide Polverini,
  • Benedetta Masoni,
  • Valeria Poletti,
  • Giacomo Marcozzi,
  • Cesare Hassan,
  • Alessandro Repici,
  • Benedetto Mangiavillano

DOI
https://doi.org/10.3390/diagnostics13213341
Journal volume & issue
Vol. 13, no. 21
p. 3341

Abstract

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Aims: Lumen-apposing metal stents (LAMSs) in ultrasonography-guided gallbladder drainage (EUS-GBD) have become increasingly important for high-risk surgical patients. Our study aims to evaluate the technical and clinical success, safety, and feasibility of endoscopic ultrasonography-guided gallbladder drainage using a new dedicated LAMS. Methods: This is a retrospective multicenter study that included all consecutive patients not suitable for surgery who were referred to a tertiary center for EUS-GBD using a new dedicated electrocautery LAMS for acute cholecystitis at eight different centers. Results: Our study included 54 patients with a mean age of 76.48 years (standard deviation: 12.6 years). Out of the 54 endoscopic gallbladder drainages performed, 24 (44.4%) were cholecysto-gastrostomy, and 30 (55.4%) were cholecysto-duodenostomy. The technical success of LAMS placement was 100%, and clinical success was achieved in 23 out of 30 patients (76.67%). Adverse events were observed in two patients (5.6%). Patients were discharged after a median of 5 days post-stenting. Conclusions: EUS-GBD represents a valuable option for high-surgical-risk patients with acute cholecystitis. This new dedicated LAMS has demonstrated a high rate of technical and clinical success, along with a high level of safety.

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