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Case Reports
. 2021 Aug 15;60(16):2613-2615.
doi: 10.2169/internalmedicine.6964-20. Epub 2021 Mar 8.

Endoscopic Transpapillary Gallbladder Drainage in a Patient with Billroth-II Reconstruction

Yuichi Takano  1 , Jun Noda  1 , Masataka Yamawaki  1 , Tetsushi Azami  1 , Takahiro Kobayashi  1 , Fumitaka Niiya  1 , Naotaka Maruoka  1 , Masatsugu Nagahama  1
Affiliations
Case Reports

Endoscopic Transpapillary Gallbladder Drainage in a Patient with Billroth-II Reconstruction

Yuichi Takano et al. Intern Med. .

Abstract

Endoscopic transpapillary gallbladder drainage (ETGBD) is an established procedure and is listed in the Tokyo guidelines 2018. Although there are many reports of ETGBD in normal anatomy cases, it is rarely performed for patients with a surgically altered anatomy. We herein report the case of a patient who underwent ETGBD with Billroth-II reconstruction. ETGBD could be an effective treatment option even for patients with a surgically altered anatomy.

Keywords: Endoscopic transpapillary gallbladder drainage; acute cholecystitis; surgically altered anatomy.

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Conflict of interest statement

The authors state that they have no Conflict of Interest (COI).

Figures

Figure 1.
Figure 1.
Abdominal computed tomography showed numerous stones inside a swollen gallbladder accompanied by fat stranding.
Figure 2.
Figure 2.
A: Endoscopic retrograde cholangiography was performed using a single balloon endoscope. Deep bile duct cannulation was achieved using a conventional catheter. B: Cholangiography revealed numerous stones that filled the cystic duct and gallbladder. Percutaneous transhepatic gallbladder drainage was already inserted. A guidewire was deeply passed into the gallbladder, and a 5-Fr transpapillary gallbladder stent was placed. C: A plain abdominal radiograph obtained on the day after the procedure was performed. Both percutaneous transhepatic gallbladder drainage and transpapillary gallbladder drainage are placed. D: An indwelling transpapillary gallbladder stent.
Figure 3.
Figure 3.
A 5-Fr transpapillary gallbladder stent (IYO-stentTM, Gadelius, Tokyo, Japan).
See this image and copyright information in PMC

References

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