{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:42:24Z","timestamp":1791877344075,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,8,27]],"date-time":"2018-08-27T00:00:00Z","timestamp":1535328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Percutaneous transhepatic gallbladder drainage (<jats:styled-content style=\"fixed-case\">PTGBD<\/jats:styled-content>) is widely used for patients with acute cholecystitis. There are little data on the efficacy and safety of endoscopic ultrasound\u2010guided gallbladder drainage (<jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">GBD<\/jats:styled-content>) replacement of <jats:styled-content style=\"fixed-case\">PTGBD<\/jats:styled-content> in patients who cannot undergo cholecystectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This multicenter retrospective study in Japan reviewed records of patients who underwent <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">GBD<\/jats:styled-content> to replace <jats:styled-content style=\"fixed-case\">PTGBD<\/jats:styled-content> between January 2010 and December 2017. Outcomes evaluated included technical success, defined as successful stent placement between the gastrointestinal lumen and the gallbladder; clinical success, defined as subsequent removal of the percutaneous catheter; adverse events; and stent patency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">GBD<\/jats:styled-content> was performed in 21 patients (14 women, mean age 77.5 \u00b1 8.0 years) to replace <jats:styled-content style=\"fixed-case\">PTGBD<\/jats:styled-content> that had been instituted for acute cholecystitis (<jats:italic>n<\/jats:italic> = 19) or obstructive jaundice (<jats:italic>n<\/jats:italic> = 2). Technical success was achieved in 19 (90.5%). The median period from <jats:styled-content style=\"fixed-case\">PTGBD<\/jats:styled-content> placement to <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">GBD<\/jats:styled-content> was 11 days (range, 6\u201368 days). The mean procedure time was 19.5 \u00b1 5.1 min. No early adverse events were observed. There were three late adverse events, distal stent migration in two cases and stent occlusion causing recurrent cholecystitis in one patient. Reintervention was required in two patients. The percutaneous catheter was removed after <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">GBD<\/jats:styled-content> in 17 patients at a median of 7 days (range, 2\u201320 days). The duration of stent patency was 139 days (range, 8\u2013664 days).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Where ongoing gallbladder drainage is required, conversion from <jats:styled-content style=\"fixed-case\">PTGBD<\/jats:styled-content> to <jats:styled-content style=\"fixed-case\">EUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">GBD<\/jats:styled-content> is a feasible, effective, and safe technique for patients who cannot undergo cholecystectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.13242","type":"journal-article","created":{"date-parts":[[2018,7,24]],"date-time":"2018-07-24T07:14:06Z","timestamp":1532416446000},"page":"180-187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Clinical efficacy and safety of endoscopic ultrasound\u2010guided gallbladder drainage replacement of percutaneous drainage: A multicenter retrospective 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