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. 2022 Aug 15;7(10):361-363.
doi: 10.1016/j.vgie.2022.07.007. eCollection 2022 Oct.

Successful minimally invasive management of adverse events following EUS-guided gallbladder drainage in a suboptimal surgical patient

Affiliations

Successful minimally invasive management of adverse events following EUS-guided gallbladder drainage in a suboptimal surgical patient

Bianca L Di Cocco et al. VideoGIE. .

Abstract

Video 1Successful minimally invasive management of adverse events following EUS-guided gallbladder drainage in a suboptimal surgical patient.

Keywords: EUS-GB, EUS-guided gallbladder drainage.

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Figures

Figure 1
Figure 1
A 15-mm AXIOS (Boston Scientific, Marlborough, Mass, USA) lumen-opposing metal stent deployed between gastric antrum and gallbladder as viewed from the stomach.
Figure 2
Figure 2
Electrohydraulic lithotripsy being performed through the new cholecystogastrostomy fistula tract.
Figure 3
Figure 3
Fluoroscopy showing extravasation of contrast from the cholecystogastrostomy fistula tract.
Figure 4
Figure 4
A large stone visualized in the gallbladder neck.
Figure 5
Figure 5
A 1-mm perforation in the neck of the gallbladder.
Figure 6
Figure 6
Four endoscopic clips were deployed in the gallbladder and closed the perforation.
Figure 7
Figure 7
Fluoroscopy after placement of the endoscopic clips showed no contrast extravasation.
Figure 8
Figure 8
Three months later, the endoscopic clips were able to be removed, revealing a healed gallbladder wall.

References

    1. Cianci P., Restini E. Management of cholelithiasis with choledocholithiasis: endoscopic and surgical approaches. World J Gastroenterol. 2021;27:4536–4554. - PMC - PubMed
    1. Wang W., Liu B., Qi K., et al. Efficacy and safety of endoscopic laser lithotripsy and lithotomy through the lumen-apposing metal stent for giant gallbladder stones. VideoGIE. 2020;5:318–323. - PMC - PubMed
    1. Boregowda U., Umapathy C., Nanjappa A., et al. Endoscopic ultrasound guided gallbladder drainage: is it ready for prime time? World J Gastrointest Pharmacol Ther. 2018;9:47–54. - PMC - PubMed
    1. Mohan B.P., Asokkumar R., Shakhatreh M., et al. Adverse events with lumen-apposing metal stents in endoscopic gallbladder drainage: a systematic review and meta-analysis. Endosc Ultrasound. 2019;8:241–248. - PMC - PubMed
    1. Rustagi T., Abu Dayyeh B.K. Endoscopic closure of gallbladder perforation. Gastrointest Endosc. 2016;84:528–529. - PubMed

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