{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:55:58Z","timestamp":1792155358102,"version":"4.4.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"08","license":[{"start":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T00:00:00Z","timestamp":1563926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002The aim of the current study was to review the outcomes of a large-scale international registry on endoscopic ultrasound-guided gallbladder drainage (EGBD) that encompasses different stent systems in patients who are at high-risk for cholecystectomy.<\/jats:p><jats:p>\n          Patients and methods\u2002This was a retrospective international multicenter registry on EGBD created by 13 institutions around the world. Consecutive patients who received EGBD for several indications were included. Outcomes include technical and clinical success, unplanned procedural events (UPE), adverse events (AEs), mortality, recurrent cholecystitis and learning curve of the procedure.<\/jats:p><jats:p>\n          Results\u2002Between June 2011 and November 2017, 379 patients were recruited to the study. Technical and clinical success were achieved in 95.3\u200a% and 90.8\u200a% of the patients, respectively. The 30-day AE rate was 15.3\u200a% and 30-day mortality was 9.2\u200a%. UPEs were significantly more common in patients with EGBD performed for conversion of cholecystostomy and symptomatic gallstones (P\u200a&lt;\u200a0.001); and by endoscopists with experience of fewer than 25 procedures (P\u200a=\u200a0.033). Both presence of clinical failure (P\u200a=\u200a0.014; RR 8.69 95\u200a%CI [1.56\u200a\u2013\u200a48.47]) and endoscopist experience with fewer than 25 procedures (P\u200a=\u200a0.002; RR 4.68 95\u200a%CI [1.79\u200a\u2013\u200a12.26]) were significant predictors of 30-day AEs. Presence of 30-day AEs was a significant predictor of mortality (P\u200a&lt;\u200a0.001; RR 103 95\u200a%CI [11.24\u200a\u2013\u200a944.04]).<\/jats:p><jats:p>\n          Conclusion\u2002EGBD was associated with high success rates in this large-scale study. EGBD performed for indications other than acute cholecystitis was associated with higher UPEs. The number of cases required to gain competency with the technique by experienced interventional endosonographers was 25 procedures. <\/jats:p>","DOI":"10.1055\/a-0915-2098","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T18:31:02Z","timestamp":1563993062000},"page":"E964-E973","source":"Crossref","is-referenced-by-count":67,"title":["Outcomes of an international multicenter registry on EUS-guided gallbladder drainage in patients at high risk for cholecystectomy"],"prefix":"10.1055","volume":"07","author":[{"given":"A.Y.","family":"Teoh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Perez-Miranda","sequence":"additional","affiliation":[{"name":"Department of Medicine, University Hospital Rio Hortega, Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rastislav","family":"Kunda","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Soo","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shayan","family":"Irani","sequence":"additional","affiliation":[{"name":"Digestive Disease Institute, Virginia Mason Medical Center, Seattle, Washington, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Yeaton","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Carilion Clinic, Roanoke, Virginia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siyu","family":"Sun","sequence":"additional","affiliation":[{"name":"Endoscopy Center, Shengjing Hospital of China Medical University, Shenyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd Huntley","family":"Baron","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Ho","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, SoonChunHyang University College of Medicine, Bucheon Hospital, Bucheon\/Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronte","family":"Holt","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, St Vincent\u02bcs Hospital, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.L.","family":"Khor","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rungsun","family":"Rerknimitr","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, King Chulalongkorn Memorial Hospital, Bangkok"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amol","family":"Bapaye","sequence":"additional","affiliation":[{"name":"Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon Melissa","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Jong","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, SoonChunHyang University College of Medicine, Bucheon Hospital, Bucheon\/Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore William","family":"James","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradermchai","family":"Kongkam","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, King Chulalongkorn Memorial Hospital, Bangkok"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun Nah","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, SoonChunHyang University College of Medicine, Bucheon Hospital, Bucheon\/Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parth","family":"Parekh","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School, Norfolk, Virginia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiriyaporn","family":"Ridtitid","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, King Chulalongkorn Memorial Hospital, Bangkok"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Serna-Higuera","sequence":"additional","affiliation":[{"name":"Department of Medicine, University Hospital Rio Hortega, Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien M.Y.","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Torres-Yuste","sequence":"additional","affiliation":[{"name":"Department of Medicine, University Hospital Rio Hortega, Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,7,24]]},"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0915-2098.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T18:31:05Z","timestamp":1563993065000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0915-2098"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,24]]},"references-count":0,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2019,7,24]]},"published-print":{"date-parts":[[2019,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0915-2098","relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,24]]}}}