{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T10:46:51Z","timestamp":1789469211485,"version":"build-2803163510"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"06","funder":[{"name":"Wonkwang University 2026","award":["2026"],"award-info":[{"award-number":["2026"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute perforated cholecystitis (APC) requires timely intervention, and endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) has emerged as a minimally invasive option for high-risk surgical candidates. This multicenter study evaluated the feasibility and safety of EUS-GBD in patients with Niemeier type II APC.<\/jats:p>\n                  <jats:p>Patients with type II APC who underwent EUS-GBD between January 2017 and December 2024 at five tertiary centers were retrospectively analyzed. The primary outcome was technical success; secondary outcomes included clinical success, adverse events, stent patency, and 30- and 90-day all-cause mortality.<\/jats:p>\n                  <jats:p>22 patients with radiologically confirmed type II APC were included. Technical and clinical success were achieved in all patients. Three adverse events occurred: biloma, stent migration, and stent occlusion with recurrent acute cholecystitis. No 30-day mortality occurred; one patient died from pneumonia within 90 days. During a median follow-up of 350 days (interquartile range [IQR] 240\u2013448), Kaplan\u2013Meier stent patency remained at 90.9% and the median patency time was 327 days (IQR 203\u2013413).<\/jats:p>\n                  <jats:p>EUS-GBD appeared feasible and safe for high-risk patients with type II APC, achieving high technical and clinical success with a low rate of adverse events.<\/jats:p>","DOI":"10.1055\/a-2788-2255","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:37:17Z","timestamp":1771375037000},"page":"654-659","source":"Crossref","is-referenced-by-count":2,"title":["Feasibility and safety of endoscopic ultrasound-guided gallbladder drainage for Niemeier type II acute perforated cholecystitis: a multicenter retrospective pilot study"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6068-3849","authenticated-orcid":false,"given":"Hyung Ku","family":"Chon","sequence":"additional","affiliation":[{"name":"Wonkwang University College of Medicine, Institute of Wonkwang Medical Science, Korea (the Republic of)","place":["Iksan"],"department":["Division of Biliopancreas, Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eui Joo","family":"Kim","sequence":"additional","affiliation":[{"name":"Gachon University Gil Medical Center, Gachon University College of Medicine, Korea (the Republic of)","place":["Incheon"],"department":["Division of Gastroenterology, Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Se Woo","family":"Park","sequence":"additional","affiliation":[{"name":"Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Korea (the Republic of)","place":["Hwaseong-si"],"department":["Division of Gastroenterology, Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun Nah","family":"Lee","sequence":"additional","affiliation":[{"name":"Soonchunhyang University School of Medicine, Korea (the Republic of)","place":["Bucheon"],"department":["Division of Gastroenterology, Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seong-Hun","family":"Kim","sequence":"additional","affiliation":[{"name":"Research Institute of Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital, Korea (the Republic of)","place":["Jeonju"],"department":["Division of Gastroenterology, Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"7832","DOI":"10.3748\/wjg.v12.i48.7832","article-title":"Diagnosis and treatment of 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Irani","year":"2023","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1111\/den.14946","article-title":"Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis","volume":"37","author":"JCY Fok","year":"2025","journal-title":"Dig Endosc"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"S553","DOI":"10.1016\/j.gie.2025.03.934","article-title":"Outcomes of EUS-guided gallbladder drainage in acute cholecystitis with contained perforation: a prospective cohort","volume":"101","author":"G Vanella","year":"2025","journal-title":"Gastrointest Endosc"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"S40","DOI":"10.4103\/eus.eus_49_19","article-title":"Outcomes and limitations in EUS-guided gallbladder drainage","volume":"8","author":"AYB Teoh","year":"2019","journal-title":"Endosc 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Liver"}],"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2788-2255.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T22:31:00Z","timestamp":1779402660000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2788-2255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,17]]},"references-count":20,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2026,5,21]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2788-2255","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,17]]}}}