{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:47:56Z","timestamp":1787064476676,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T00:00:00Z","timestamp":1588032000000},"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":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Lumen\u2010apposing metal stent is widely used for endoscopic ultrasound\u2010guided gallbladder drainage (EUS\u2010GBD) nowadays but not approved in many countries and might be unsuitable for elective laparoscopic cholecystectomy (LC) because of its large enterocholecysto fistula. A combination of double pigtail plastic stent (DPPS) and naso\u2010cystic tube (NCT) could overcome these problems. The aim of this study was to estimate the efficacy and safety of this method in patients with acute cholecystitis unfit for urgent cholecystectomy both as bridge to surgery and palliation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective, single\u2010center feasibility study. EUS\u2010GBD was performed with a 7Fr DPPS followed by an NCT placement. NCT was removed after 1\u00a0week. LC was performed 2 or 3\u00a0months after EUS\u2010GBD in eligible patients. In patients who did not underwent cholecystectomy, DPPS was left in place.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010three patients were enrolled. Both technical and clinical success rates were 96% (22\/23). Early adverse events rate was 13% (3\/23), including one bile peritonitis, one intraperitoneal abscess, and one melena. LC was attempted in 12 patients, and conversion to open cholecystectomy was required in three (25%). Neither recurrence of cholecystitis nor late adverse event occurred during 6\u00a0months of follow up in 10 patients who did not undergo cholecystectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>EUS\u2010GBD with a combination of DPPS and NCT is considered an effective and safe technique both as bridge to surgery and palliation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgh.15065","type":"journal-article","created":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T10:43:46Z","timestamp":1586342626000},"page":"1821-1827","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Endoscopic ultrasound\u2010guided gallbladder drainage with a combined internal and external drainage tubes for acute 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