Comparison of the effectiveness and safety of lumen-apposing metal stents and anti-migrating tubular self-expandable metal stents for EUS-guided gallbladder drainage in high surgical risk patients with acute cholecystitis
DC Field | Value | Language |
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dc.contributor.author | Cho, Sung Hyun | - |
dc.contributor.author | Oh, Dongwook | - |
dc.contributor.author | Song, Tae Jun | - |
dc.contributor.author | Park, Do Hyun | - |
dc.contributor.author | Seo, Dong-Wan | - |
dc.contributor.author | Lee, Sung Koo | - |
dc.contributor.author | Kim, Myung-Hwan | - |
dc.contributor.author | Lee, Yun Nah | - |
dc.contributor.author | Moon, Jong Ho | - |
dc.contributor.author | Lee, Sang Soo | - |
dc.date.accessioned | 2021-08-11T08:37:28Z | - |
dc.date.available | 2021-08-11T08:37:28Z | - |
dc.date.issued | 2020-03 | - |
dc.identifier.issn | 0016-5107 | - |
dc.identifier.issn | 1097-6779 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/3061 | - |
dc.description.abstract | Background and Aims: Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) using an anti-migrating tubular self-expandable metal stent (ATSEMS) is performed in high surgical risk patients with acute cholecystitis. The newly introduced lumen-apposing metal stent (LAMS) is expected to reduce the risk of tubular self-expandable metal stent-related adverse events such as stent migration, but no comparative studies have been carried out between LAMSs and ATSEMSs for EUS-GBD. Methods: We reviewed the prospectively collected EUS-GBD database at Asan Medical Center and Bucheon Soonchunhyang hospital to analyze consecutive patients with acute cholecystitis who underwent EUS-GBD with LAMSs or ATSEMSs between January 2015 and December 2017. Technical success, clinical success, adverse events, and recurrence of cholecystitis were evaluated. Results: A total of 71 patients (36 with LAMSs, 35 with ATSEMSs) were analyzed. The LAMS group had longer median procedure time (15.5 minutes) than the ATSEMS group (11 minutes; P = .017). The 2 groups did not show significant differences in terms of technical success (LAMS, 94% vs ATSEMS, 100%; P = .49), clinical success (94% vs 100%; P = .49), procedure-related adverse events (0% vs 2.9%; P = .99), and stent-related late adverse events (11.8% vs 5.8%; P = .43). During follow-up, the 2 groups had similar rates of cholecystitis recurrence at 6 months (LAMS, 3.4% vs ATSEMS, 3.1%, P = .99) and 12 months (8.3% vs 3.1%, P = .56). Conclusions: In high surgical risk patients with acute cholecystitis, LAMSs and ATSEMSs for EUS-GBD showed similar rates of technical success, clinical success, procedure-related adverse events, stent-related late adverse events, and recurrence of cholecystitis. | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Mosby Inc. | - |
dc.title | Comparison of the effectiveness and safety of lumen-apposing metal stents and anti-migrating tubular self-expandable metal stents for EUS-guided gallbladder drainage in high surgical risk patients with acute cholecystitis | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1016/j.gie.2019.09.042 | - |
dc.identifier.scopusid | 2-s2.0-85076537326 | - |
dc.identifier.wosid | 000514847000006 | - |
dc.identifier.bibliographicCitation | Gastrointestinal Endoscopy, v.91, no.3, pp 543 - 550 | - |
dc.citation.title | Gastrointestinal Endoscopy | - |
dc.citation.volume | 91 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 543 | - |
dc.citation.endPage | 550 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | LONG-TERM OUTCOMES | - |
dc.subject.keywordPlus | PERCUTANEOUS CHOLECYSTOSTOMY | - |
dc.subject.keywordPlus | FEASIBILITY | - |
dc.subject.keywordAuthor | Comparison of the effectiveness and safety of lumen-apposing metal stents and anti-migrating tubular self-expandable metal stents for EUS-guided gallbladder drainage in high surgical risk patients with acute cholecystitis | - |
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