Endoscopic Transpapillary Gallbladder Drainage for Recurrent Cholecystitis after Covered Self-expandable Metal Stent Placement for Unresectable Malignant Biliary Obstruction

Akinori Maruta; Takuji Iwashita; Kaori Banno; Takuya Koizumi; Soichi Iritani; Kensaku Yoshida; Shogo Shimizu; Masahito Shimizu

doi:10.2169/internalmedicine.9706-22

CASE REPORTS

Endoscopic Transpapillary Gallbladder Drainage for Recurrent Cholecystitis after Covered Self-expandable Metal Stent Placement for Unresectable Malignant Biliary Obstruction

Akinori Maruta, Takuji Iwashita, Kaori Banno, Takuya Koizumi, Soichi Iritani, Kensaku Yoshida, Shogo Shimizu, Masahito Shimizu

Author information

Akinori Maruta
Department of Gastroenterology, Gifu Prefectural General Medical Center, Japan
Takuji Iwashita
First Department of Internal Medicine, Gifu University Hospital, Japan
Kaori Banno
Department of Gastroenterology, Gifu Prefectural General Medical Center, Japan
Takuya Koizumi
Department of Gastroenterology, Gifu Prefectural General Medical Center, Japan
Soichi Iritani
Department of Gastroenterology, Gifu Prefectural General Medical Center, Japan
Kensaku Yoshida
Department of Gastroenterology, Gifu Prefectural General Medical Center, Japan
Shogo Shimizu
Department of Gastroenterology, Gifu Prefectural General Medical Center, Japan
Masahito Shimizu
First Department of Internal Medicine, Gifu University Hospital, Japan

Keywords: palliative, gallbladder drainage, endoscopic gallbladder stenting, endoscopic ultrasound, endoscopic retrograde cholangiopancreatography

JOURNAL OPEN ACCESS

2023 Volume 62 Issue 2 Pages 237-241

DOI https://doi.org/10.2169/internalmedicine.9706-22

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Details

Abstract

A 76-year-old woman with advanced pancreatic cancer developed recurrent cholecystitis after covered self-expandable metal stent (CSEMS) placement. The cholecystitis was refractory to repeated percutaneous transhepatic gallbladder drainage (PTGBD). Cholecystography showed a patent cystic duct with right and cranial side bifurcation, which is indicative of an increased likelihood of success of endoscopic transpapillary gallbladder drainage (ETGBD). We were able to manage the cholecystitis by ETGBD without further recurrence. ETGBD is considered an effective internal drainage method for the management of acute cholecystitis after CSEMS placement, and its indication may be decided on the basis of the findings of cholecystography through the PTGBD route.

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