Open AccessEndoscopic transpapillary gallbladder drainage with replacement of a covered self-expandable metal stent
Author(s) -
Kazumichi Kawakubo,
Hiroyuki Isayama,
Naoki Sasahira,
Yousuke Nakai,
Hirofumi Kogure,
Takashi Sasaki,
Kenji Hirano,
Minoru Tada,
Kazuhiko Koike
Publication year - 2011
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v3.i2.46
Subject(s) - medicine , gallbladder , stent , cholecystitis , bile duct , acute cholecystitis , surgery , percutaneous , gallbladder cancer , self expandable metallic stent , covered stent , complication , common bile duct , general surgery
Endoscopic self-expandable metal stent (SEMS) placement has become a standard palliative therapy for patients with malignant biliary obstruction. Acute cholecystitis after SEMS placement is a serious complication. We report a patient with an acute cholecystitis after covered SEMS placement, who was managed successfully with endoscopic transpapillary gallbladder drainage (ETGBD) and replacement of the covered SEMS. An 85-year-old man with pancreatic cancer suffered from acute cholecystitis after covered SEMS placement. It was impossible to perform percutaneous transhepatic gallbladder drainage. After removal of the covered SEMS with a snare, a 7Fr double pigtail stent was placed between the gallbladder and duodenum, subsequently followed by another covered SEMS insertion into the common bile duct beside the gallbladder stent. The cholecystitis improved immediately after ETGBD. ETGBD with replacement of the covered SEMS thus proved to be effective for treatment of patients with acute cholecystitis after covered SEMS placement.