Safety of EUS-guided gallbladder drainage using a lumen-apposing metal stent in patients requiring anticoagulation.

ABSTRACT:

Background and aims

EUS-guided gallbladder drainage (EUS-GBD) can be used to treat acute cholecystitis in patients with medical comorbidities that prevent definitive operative management. Historically, nonsurgical management of cholecystitis was achieved by way of percutaneous gallbladder drainage.

Methods

We examined the periprocedural bleeding rate of EUS-GBD for acute cholecystitis using lumen-apposing metal stents in 5 high-surgical-risk patients requiring anticoagulation. Data on 5 nonoperative candidates with acute cholecystitis who underwent EUS-GBD were studied retrospectively.

Results

There were no immediate or delayed postprocedure adverse events, including bleeding.

Conclusions

Although further study is needed, EUS-GBD appears safe in patients who require periprocedural anticoagulation.

SUBMITTER: Vozzo CF 

PROVIDER: S-EPMC7572616 | biostudies-literature |

REPOSITORIES: biostudies-literature