{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:56Z","timestamp":1787014076058,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"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":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Patients with acute cholecystitis receiving antithrombotic therapy (ATT) have an increased risk of bleeding complications during surgery and percutaneous drainage. Endoscopic transpapillary gallbladder drainage (ETGBD) is recommended for such cases; however, evidence is limited. To investigate this issue further, we performed a retrospective multicenter study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred thirty patients with acute cholecystitis who underwent ETGBD were enrolled. They were divided into an ATT group (continuation of ATT on the day of the procedure and\/or heparin substitution) and a Non\u2010ATT group (discontinuation or no use of ATT). The primary outcome was bleeding complication rate, and the secondary outcomes were technical success rate, clinical success rate and total complication rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010three patients were enrolled in the ATT group, and 47 were enrolled in the Non\u2010ATT group. In the ATT group, 42.2% continued multi\u2010agent ATT. No bleeding complications occurred in either group. There were no significant differences between the ATT and Non\u2010ATT groups in the technical success rate (84.3% vs 89.4%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.426 respectively) or the clinical success rate (97.1% vs 100%,\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      =\u00a00.259, respectively). The overall early complication rate was 3.1% (4\/130): mild pancreatitis (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a03) and cholangitis (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a01). Stent dysfunction was found in 10.9% of patients (at 196\u00a0days on average), and the 12\u2010month stent patency rate was 69.0%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>No significant difference was found in the bleeding complication rate between ETGBD with and without ATT. ETGBD may be an ideal drainage method for patients with acute cholecystitis receiving ATT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/den.13650","type":"journal-article","created":{"date-parts":[[2020,2,13]],"date-time":"2020-02-13T03:37:51Z","timestamp":1581565071000},"page":"1092-1099","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Endoscopic transpapillary gallbladder drainage for acute cholecystitis is feasible for patients receiving antithrombotic therapy"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4961-3521","authenticated-orcid":false,"given":"Ryota","family":"Sagami","sequence":"first","affiliation":[{"name":"Departments of Department of Gastroenterology New Tokyo Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Hayasaka","sequence":"additional","affiliation":[{"name":"Departments of Department of Gastroenterology New Tokyo Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuro","family":"Ujihara","sequence":"additional","affiliation":[{"name":"Departments of Department of Gastroenterology New Tokyo Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6300-0495","authenticated-orcid":false,"given":"Ryotaro","family":"Nakahara","sequence":"additional","affiliation":[{"name":"Departments of Department of Gastroenterology New Tokyo Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Murakami","sequence":"additional","affiliation":[{"name":"Departments of Department of Gastroenterology New Tokyo Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoyuki","family":"Iwaki","sequence":"additional","affiliation":[{"name":"Departments of Department of Gastroenterology New Tokyo Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Suehiro","sequence":"additional","affiliation":[{"name":"Departments of Department of Gastroenterology New Tokyo Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasushi","family":"Katsuyama","sequence":"additional","affiliation":[{"name":"Departments of Department of Gastroenterology New Tokyo Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9951-7100","authenticated-orcid":false,"given":"Hideaki","family":"Harada","sequence":"additional","affiliation":[{"name":"Departments of Department of Gastroenterology New Tokyo Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidefumi","family":"Nishikiori","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Oita San\u2010ai Medical Center Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunari","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Faculty of Medicine Oita University Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4480-3222","authenticated-orcid":false,"given":"Yuji","family":"Amano","sequence":"additional","affiliation":[{"name":"Department of Endoscopy New Tokyo Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.515"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.504"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2008.03.033"},{"key":"e_1_2_6_5_1","first-page":"34","article-title":"Cholecystectomy in the elderly","volume":"54","author":"Margiotta SJ","year":"1988","journal-title":"Am. 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