Endoscopic retrograde cholangiopancreatography combined with SpyGlass digital system choledochoscope in treatment of gallbladder neck stones and acute cholecystitis

Abstract

Objective To investigate the safety and feasibility of endoscopic retrograde cholangiopancreatography (ERCP) combined with SpyGlass digital system (DS) choledochoscope in the treatment of gallbladder neck stones and acute cholecystitis. Methods The clinical data of 11 patients with gallbladder neck stone and acute cholecystitis were retrospectively analyzed for the treatment using ERCP combined with SpyGlass DS choledochoscope in the Department of Gastroenterology our hospital from September 2017 to May 2020. Results There were 11 patients including 6 cases with gallbladder neck stones and acute cholecystitis, 4 cases with choledocholithiasis and gallbladder neck stones and suppurative cholecystitis, and 1 case with Mirrizi syndrome and suppurative cholecystitis. All the removal of gallbladder neck stones for 11 cases was successful by endoscopy. ERCP time was (30.0±19.9) (24-71) min with SpyGlass DS time (13.0±6.4) (5-25) min, postoperative feeding time (2.8±1.0) (2-5) d and hospital stay (6.3±1.6) (5-10) d. Postoperative symptoms and complication were mild. Conclusions ERCP combined with SpyGlass DS choledochoscope in treatment of gallbladder neck stone and acute cholecystitis would be safe and feasible.

Keywords

• |endoscopic retrograde cholangiopancreatography|spyglass digital system choledochoscope|gallbladder neck stone|acute cholecystitis|choledocholithiasis