Active Gallbladder Lavage Using a Double-pigtail Plastic Stent Delivery System During Endoscopic Ultrasound-guided Gallbladder Drainage (With Video).

ABSTRACT: Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) with a lumen-apposing metallic stent is advised for frail patients with acute cholecystitis. However, concerns remain about severe tissue reactions and potential negative impacts on subsequent surgery. EUS-GBD using a double-pigtail plastic stent (DPPS) is an alternative for these patients. However, multiple steps harbor bile or air leaking from the anastomosis site. Some DPPS systems comprise an inner sheath that mounts a DPPS and a delivery pusher catheter. This DPPS system gains a lavage function, similar to a long plastic irrigation tube, when the inner sheath is retracted to the "halfway back position" within the DPPS. This single-arm retrospective study reviewed the active gallbladder lavage technique using this "halfway bac

SUBMITTER: Ban T 

PROVIDER: S-EPMC12624415 | biostudies-literature | 2026 Apr

REPOSITORIES: biostudies-literature