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Article

The Use of a New Dedicated Electrocautery Lumen-Apposing Metal Stent for Gallbladder Drainage in Patients with Acute Cholecystitis

by
Luca Brandaleone
1,2,*,
Gianluca Franchellucci
1,2,*,
Antonio Facciorusso
3,
Jayanta Samanta
4,
Jong Ho Moon
5,
Jorge Vargas-Madrigal
6,
Carlos Robles Medranda
7,
Carmelo Barbera
8,
Francesco Di Matteo
9,
Milutin Bulajic
10,
Francesco Auriemma
11,
Danilo Paduano
11,
Federica Calabrese
11,
Carmine Gentile
11,
Marco Massidda
12,
Marco Bianchi
13,
Luca De Luca
14,
Davide Polverini
1,2,
Benedetta Masoni
1,2,
Valeria Poletti
1,2,
Giacomo Marcozzi
1,2,
Cesare Hassan
1,2,
Alessandro Repici
1,2 and
Benedetto Mangiavillano
2,11,*
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1
Digestive Endoscopy, IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy
2
Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Milan, Italy
3
Gastroenterology Unit, Department of Biomedical Science, Foggia University Hospital, 71122 Foggia, Puglia, Italy
4
Gastroenterology PGIMER, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
5
Digestive Disease Center and Research Institute, Department of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon 31538, Republic of Korea
6
Department of Gastroenterology and Endoscopy, Hospital Enrique Baltodano Briceño, Liberia 50101, Costa Rica
7
Instituto Ecuatoriano de Enfermedades Digestivas—IECED, Gastroenterology Av Abel Romero Castillo, Guayaquil 090505, Guayas, Ecuador
8
Digestive Endoscopy Unit, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Rome, Italy
9
GIUnit, Digestive Diseases, Campus Bio Medico University, 00128 Rome, Rome, Italy
10
Digestive Endoscopy, Fatebenefratelli Isola Tiberina—Gemelli Isola, 00186 Rome, Rome, Italy
11
Gastrointestinal Endoscopy Unit—Humanitas Mater Domini, 21100 Castellanza, Varese, Italy
12
Gastroenterology and Digestive Endoscopy Unit, Mater Olbia Hospital, 07026 Olbia, Sassari, Italy
13
Policlinico Casilino Hospital, 00169 Rome, Rome, Italy
14
Endoscopic Unit, ASST Santi Paolo e Carlo, 20142 Milan, Milan, Italy
*
Authors to whom correspondence should be addressed.
Diagnostics 2023, 13(21), 3341; https://doi.org/10.3390/diagnostics13213341
Submission received: 7 September 2023 / Revised: 6 October 2023 / Accepted: 16 October 2023 / Published: 30 October 2023

Abstract

Aims: Lumen-apposing metal stents (LAMSs) in ultrasonography-guided gallbladder drainage (EUS-GBD) have become increasingly important for high-risk surgical patients. Our study aims to evaluate the technical and clinical success, safety, and feasibility of endoscopic ultrasonography-guided gallbladder drainage using a new dedicated LAMS. Methods: This is a retrospective multicenter study that included all consecutive patients not suitable for surgery who were referred to a tertiary center for EUS-GBD using a new dedicated electrocautery LAMS for acute cholecystitis at eight different centers. Results: Our study included 54 patients with a mean age of 76.48 years (standard deviation: 12.6 years). Out of the 54 endoscopic gallbladder drainages performed, 24 (44.4%) were cholecysto-gastrostomy, and 30 (55.4%) were cholecysto-duodenostomy. The technical success of LAMS placement was 100%, and clinical success was achieved in 23 out of 30 patients (76.67%). Adverse events were observed in two patients (5.6%). Patients were discharged after a median of 5 days post-stenting. Conclusions: EUS-GBD represents a valuable option for high-surgical-risk patients with acute cholecystitis. This new dedicated LAMS has demonstrated a high rate of technical and clinical success, along with a high level of safety.
Keywords: new dedicated lumen-apposing metal stent (LAMS); acute cholecystitis; therapeutic endoscopic ultrasonography new dedicated lumen-apposing metal stent (LAMS); acute cholecystitis; therapeutic endoscopic ultrasonography

Share and Cite

MDPI and ACS Style

Brandaleone, L.; Franchellucci, G.; Facciorusso, A.; Samanta, J.; Moon, J.H.; Vargas-Madrigal, J.; Robles Medranda, C.; Barbera, C.; Di Matteo, F.; Bulajic, M.; et al. The Use of a New Dedicated Electrocautery Lumen-Apposing Metal Stent for Gallbladder Drainage in Patients with Acute Cholecystitis. Diagnostics 2023, 13, 3341. https://doi.org/10.3390/diagnostics13213341

AMA Style

Brandaleone L, Franchellucci G, Facciorusso A, Samanta J, Moon JH, Vargas-Madrigal J, Robles Medranda C, Barbera C, Di Matteo F, Bulajic M, et al. The Use of a New Dedicated Electrocautery Lumen-Apposing Metal Stent for Gallbladder Drainage in Patients with Acute Cholecystitis. Diagnostics. 2023; 13(21):3341. https://doi.org/10.3390/diagnostics13213341

Chicago/Turabian Style

Brandaleone, Luca, Gianluca Franchellucci, Antonio Facciorusso, Jayanta Samanta, Jong Ho Moon, Jorge Vargas-Madrigal, Carlos Robles Medranda, Carmelo Barbera, Francesco Di Matteo, Milutin Bulajic, and et al. 2023. "The Use of a New Dedicated Electrocautery Lumen-Apposing Metal Stent for Gallbladder Drainage in Patients with Acute Cholecystitis" Diagnostics 13, no. 21: 3341. https://doi.org/10.3390/diagnostics13213341

APA Style

Brandaleone, L., Franchellucci, G., Facciorusso, A., Samanta, J., Moon, J. H., Vargas-Madrigal, J., Robles Medranda, C., Barbera, C., Di Matteo, F., Bulajic, M., Auriemma, F., Paduano, D., Calabrese, F., Gentile, C., Massidda, M., Bianchi, M., De Luca, L., Polverini, D., Masoni, B., ... Mangiavillano, B. (2023). The Use of a New Dedicated Electrocautery Lumen-Apposing Metal Stent for Gallbladder Drainage in Patients with Acute Cholecystitis. Diagnostics, 13(21), 3341. https://doi.org/10.3390/diagnostics13213341

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