Long-Term Management of Recurrent Cholecystitis after Initial Conservative Treatment : Endoscopic Transpapillary Gallbladder Stenting

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DOI[info:doi/10.1155/2018/3983707]to the data of the same series

Long-Term Management of Recurrent Cholecystitis after Initial Conservative Treatment : Endoscopic Transpapillary Gallbladder Stenting

Persistent ID (NDL): info:ndljp/pid/11246017

Material type: 博士論文

Author: 鎌田, 英紀

Publisher: -

Publication date: 2018-12-19

Material Format: Digital

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Name of awarding university/degree: 香川大学,博士（医学）

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Note (General)：: Background: Endoscopic transpapillary gallbladder stenting (ETGBS) is an effective procedure for treating high-risk patients with acute cholecystitis ...

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Material Type: 博士論文
Title: Long-Term Management of Recurrent Cholecystitis after Initial Conservative Treatment : Endoscopic Transpapillary Gallbladder Stenting
Author/Editor: 鎌田, 英紀
Author Heading: 鎌田, 英紀
Publication Date: 2018-12-19
Publication Date (W3CDTF): 2018-12-19
Degree grantor/type: 香川大学
Date Granted: 2018-12-19
Date Granted (W3CDTF): 2018-12-19
Dissertation Number: 乙第287号
Degree Type: 博士（医学）
Conferring No. (Dissertation): 乙第287号
Text Language Code: eng
Alias of Author: Kamada, Hideki
Target Audience: 一般
Note (General): Background: Endoscopic transpapillary gallbladder stenting (ETGBS) is an effective procedure for treating high-risk patients with acute cholecystitis and severe comorbidities. However, the efficacy of ETGBS for recurrent cholecystitis (RC) remains unclear. This study aimed to explore its efficacy in patients with RC for whom cholecystectomy is contraindicated because of its high surgical risk.
Methods: Data on 19 high-risk patients who had undergone ETGBS for RC after initial conservative therapy in our institution between June 2006 and May 2012 were retrospectively examined. The primary outcome was the clinical success rate, which was defined as no recurrences of acute cholecystitis after ETGBS until death or the end of the follow-up period. Secondary outcomes were technical success rate and adverse events (AEs).
Results: The clinical success rate of ETGBS was 100%, the technical success rate 94.7%, and AE rate 5%: one patient developed procedure-related mild acute pancreatitis. The clinical courses of all patients were as follows: four died of nonbiliary disease, and the remaining 15 were subsequently treated conservatively. The median duration of follow-up was 14.95 months (range 3-42 months).
Conclusions: ETGBS is an effective alternative for managing RC in high-risk patients with severe comorbidities.
DOI: info:doi/10.1155/2018/3983707
https://doi.org/info:doi/10.1155/2018/3983707
Persistent ID (NDL): info:ndljp/pid/11246017
https://dl.ndl.go.jp/pid/11246017
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2019-03-03T03:58:25+09:00
Date Created (W3CDTF): 2020-10-27
Format (IMT): PDF
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Periodical Title (URI): https://kagawa-u.repo.nii.ac.jp/records/346
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp