EUS-guided gallbladder drainage (EUS-GBD) is emerging as a valuable treatment for acute cholecystitis (AC) in patients unfit for surgery. When lumen-apposing metal stents are used, large-caliber access to the gallbladder allows for subsequent direct peroral endoscopic cholecystoscopy (POEC) and eventual cholecystolithotomy (CL), offering a potentially "curative" solution for frailer patients. The aim of this series was to evaluate the outcome of these procedures in oncologic patients experiencing AC, with a specific focus on chemotherapy continuity.

EUS-guided gallbladder drainage and subsequent peroral endoscopic cholecystolithotomy: A tool to reduce chemotherapy discontinuation in neoplastic patients?

Vanella, Giuseppe;Dell'Anna, Giuseppe;Reni, Michele;Falconi, Massimo;Arcidiacono, Paolo Giorgio
2022-01-01

Abstract

EUS-guided gallbladder drainage (EUS-GBD) is emerging as a valuable treatment for acute cholecystitis (AC) in patients unfit for surgery. When lumen-apposing metal stents are used, large-caliber access to the gallbladder allows for subsequent direct peroral endoscopic cholecystoscopy (POEC) and eventual cholecystolithotomy (CL), offering a potentially "curative" solution for frailer patients. The aim of this series was to evaluate the outcome of these procedures in oncologic patients experiencing AC, with a specific focus on chemotherapy continuity.
AC, acute cholecystitis
CL, cholecystolithotomy
DPPS, double-pigtail plastic stent
EUS-GBD, EUS-guided gallbladder drainage
LAMS, lumen-apposing metal stent
PDAC, pancreatic ductal adenocarcinoma
POEC, peroral endoscopic cholecystoscopy
SEMS, self-expandable metal stent
ec-LAMS, electrocautery-enhanced lumen apposing metal stent
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/134909
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