ASGE DDW Videos from Around the World | 2023-ERCP TRANSPAPILLARY NASOGALLBLADDER DRAINAGE: A LAST RESORT FOR ENDOSCOPIC MANAGEMENT OF CHOLECYSTITIS

ERCP TRANSPAPILLARY NASOGALLBLADDER DRAINAGE: A LAST RESORT FOR ENDOSCOPIC MANAGEMENT OF CHOLECYSTITIS

Video Transcription

Video Summary

The video discusses the management of acute cholecystitis in non-surgical candidates. It explores the options of EUS-guided transmural drainage and ERCP with transpapillary stenting, highlighting the higher success rate of the former. The case of a 64-year-old man with unresectable carcinoma and cholecystitis is detailed, showcasing the challenges faced during ERCP and the subsequent placement of a gallbladder stent. Despite initial improvement, the patient experienced a recurrence of cholecystitis and underwent a second ERCP, leading to the placement of a nasal gallbladder drain. The drain eventually resulted in the healing of the gallbladder wall. The video concludes with recommendations for clinical practice in similar cases. No credits were mentioned.

Asset Subtitle

Honorable Mention

Keywords

acute cholecystitis

non-surgical candidates

EUS-guided transmural drainage

ERCP with transpapillary stenting

gallbladder stent