Evidence map›Paper›PMID 38902473›Full record

ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2024

Outcomes of endoscopic ultrasound-guided gallbladder drainage: A multicenter study from India (with video).

Radhika Chavan, Vikas Singla, Sridhar Sundaram, Shankar Zanwar, Chirag Shah, Sukrit Sud, Pankaj Singh, Chaiti Gandhi, Pratin Bhatt, Akash Goel and 1 more

Abstract readMulticenter StudyVideo-Audio Media
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In one paragraph

Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Radhika ChavanDepartment of Gastroenterology and Endoscopy, Ansh Clinic, Maninagar, Ahmedabad, 380 008, India. drradhikachavan@gmail.com.ORCID 0000-0002-5363-597X
Vikas SinglaCenter for Gastroenterology, Hepatology and Endoscopy, Max Super Speciality Hospital, Delhi, India.
Sridhar SundaramDepartment of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Mumbai, 400 012, India.
Shankar ZanwarMax Nanavati Hospital, Mumbai, Maharashtra, India.
Chirag ShahMission Gastro Hospital, Ahmedabad, Gujarat, India.
Sukrit SudInstitute of Digestive and Hepatobiliary Sciences, Medanta the Medicity, Gurugram, India.
Pankaj SinghCenter for Gastroenterology, Hepatology and Endoscopy, Max Super Speciality Hospital, Delhi, India.
Chaiti GandhiDepartment of Gastroenterology and Endoscopy, Ansh Clinic, Maninagar, Ahmedabad, 380 008, India.
Pratin BhattMission Gastro Hospital, Ahmedabad, Gujarat, India.
Akash GoelCenter for Gastroenterology, Hepatology and Endoscopy, Max Super Speciality Hospital, Delhi, India.
Sanjay RajputDepartment of Gastroenterology and Endoscopy, Ansh Clinic, Maninagar, Ahmedabad, 380 008, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic ultrasound-guided gallbladder drainage (EUS-GBD) offers a safe and minimally invasive alternative for percutaneous cholecystostomy (PCC) in acute cholecystitis patients with high-surgical risk. Additionally, EUS-GBD serves as a rescue biliary drainage in malignant distal biliary obstruction. Despite its widespread application, data within the Indian context remains sparse. This study aims to report the outcomes of EUS-GBD through the first multi-center study from India.

methodsWe retrospectively analyzed patients undergoing EUS-GBD at six tertiary care centers of India from March 2022 to November 2023. EUS-GBD was performed by free hand or over-the-guidewire technique with lumen-apposing metal stent (LAMS) or large caliber metal stent (LCMS). The primary outcome was technical success (defined as successful deployment of stent between gallbladder and stomach/duodenal lumen). The secondary outcomes were clinical success (defined as resolution of symptoms of acute cholecystitis and more than > 50% reduction in bilirubin level within two weeks in distal biliary obstruction), adverse event rate, 30-day mortality rate and 90-day reintervention rate.

resultsTotal 29 patients (mean age 65.86 ± 12.91, 11 female) underwent EUS-GBD. The indication for EUS-GBD were acute cholecystitis (79.31%) and rescue biliary drainage for malignant distal biliary obstruction (20.69%). LAMS was deployed in 92.86%, predominantly by free-hand technique (78.57%). Technical and clinical success rates were 96.55% and 82.75%, respectively. Adverse events occurred in 27.59% patients, with severe adverse events (bile leak and bleeding) being uncommon (10%). Both 30-day mortality rate and 90-day reintervention rate were 13.79% in patients. Cholecysto-duodenal fistula facilitated cholecystoscopic intervention and stone removal in one patient and transgastric EUS-GBD did not hamper bilio-enteric anastomosis during Whipple surgery in two patients.

conclusionEUS-GBD is a safe and effective technique for managing acute cholecystitis in high-risk patients and for biliary drainage in cases with malignant distal biliary obstruction.

Indexed as

Cholecystitis, AcuteDrainageEndosonographyAgedCholecystostomyFemaleGallbladderHumansIndiaMaleMiddle AgedRetrospective StudiesStentsTreatment OutcomeUltrasonography, InterventionalAcute cholecystitisAdverse eventsEndoscopic gallbladder drainageEndoscopic ultrasoundGallbladder drainage

Identifiers

PMID38902473

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.