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
Affiliations
Luca Brandaleone
Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy
Gianluca Franchellucci
Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy
Antonio Facciorusso
Gastroenterology Unit, Department of Biomedical Science, Foggia University Hospital, 71122 Foggia, Puglia, Italy
Jayanta Samanta
Gastroenterology PGIMER, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
Jong Ho Moon
Digestive Disease Center and Research Institute, Department of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon 31538, Republic of Korea
Jorge Vargas-Madrigal
Department of Gastroenterology and Endoscopy, Hospital Enrique Baltodano Briceño, Liberia 50101, Costa Rica
Carlos Robles Medranda
Instituto Ecuatoriano de Enfermedades Digestivas—IECED, Gastroenterology Av Abel Romero Castillo, Guayaquil 090505, Guayas, Ecuador
Carmelo Barbera
Digestive Endoscopy Unit, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Rome, Italy
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.
