Original article

Endoscopic retrograde cholangiopancreatography combined with SpyGlass digital system choledochoscope in treatment of gallbladder neck stones and acute cholecystitis

Expand
  • Department of Gastroenterology, Jilin People's Hospital, Jilin Jilin 132001, China

Received date: 2020-09-27

  Online published: 2022-07-20

Abstract

Objective To investigate the safety and feasibility of endoscopic retrograde cholangiopancreatography (ERCP) combined with SpyGlass digital system (DS) choledochoscope in the treatment of gallbladder neck stones and acute cholecystitis. Methods The clinical data of 11 patients with gallbladder neck stone and acute cholecystitis were retrospectively analyzed for the treatment using ERCP combined with SpyGlass DS choledochoscope in the Department of Gastroenterology our hospital from September 2017 to May 2020. Results There were 11 patients including 6 cases with gallbladder neck stones and acute cholecystitis, 4 cases with choledocholithiasis and gallbladder neck stones and suppurative cholecystitis, and 1 case with Mirrizi syndrome and suppurative cholecystitis. All the removal of gallbladder neck stones for 11 cases was successful by endoscopy. ERCP time was (30.0±19.9) (24-71) min with SpyGlass DS time (13.0±6.4) (5-25) min, postoperative feeding time (2.8±1.0) (2-5) d and hospital stay (6.3±1.6) (5-10) d. Postoperative symptoms and complication were mild. Conclusions ERCP combined with SpyGlass DS choledochoscope in treatment of gallbladder neck stone and acute cholecystitis would be safe and feasible.

Cite this article

WANG Hongguang, TAO Liying, GUO Qingmei . Endoscopic retrograde cholangiopancreatography combined with SpyGlass digital system choledochoscope in treatment of gallbladder neck stones and acute cholecystitis[J]. Journal of Surgery Concepts & Practice, 2020 , 25(06) : 481 -485 . DOI: 10.16139/j.1007-9610.2020.06.008

References

[1] Giger UF, Michel JM, Opitz I, et al. Risk factors for perioperative complications in patients undergoing laparoscopic cholecystectomy analysis of 22 953 consecutive cases from the Swiss Association of Laparoscopic and Thoracoscopic Surgery database[J]. J Am Coil Surg, 2006, 203(5):723-728.
[2] 陆磊, 金旭文, 陆峰, 等. 高危急性胆囊炎患者在内镜下行胆囊引流治疗的体会[J]. 中华消化内镜杂志, 2016, 33(2):116-118.
[3] 张航, 刘丹青, 肖乐, 等. ERCP联合SpyGlass 系统治疗高危胆囊结石合并继发胆总管结石可行性研究[J]. 中国实用外科杂志, 2018, 38(11):1310-1313.
[4] Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6 336 patients and results of a survey[J]. Ann Surg, 2004, 240(2):205-213.
[5] Hungness ES, Soper NJ. Management of common bile duct stones[J]. Gastrointest Surg, 2006, 10(4):612-619.
[6] 全志伟, 汤朝晖, 张文杰. 重视内镜技术在胆道疾病外科诊治中的规范应用[J]. 中国实用外科杂志, 2017, 37(8):832-837.
[7] 刘春涛, 王拥军, 李鹏, 等. SpyGlass DS直视胆道镜系统在胆道疾病诊治中的初步临床研究[J]. 中华消化内镜杂志, 2018, 35(5):318-321.
[8] Imanishi M, Ogura T, Kurisu Y, et al. A feasibility study of digital single-operator cholangioscopy for diagnostic and therapeutic procedure (with videos)[J]. Medicine (Baltimore), 2017, 96(15):e6619.
[9] Navaneethan U, Hasan MK, Kommaraju K, et al. Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video)[J]. Gastrointest Endosc, 2016, 84(4):649-655.
[10] Abed AL, Emad A, Areej AB, et al. The utility of digital cholangioscopy (SpyGlass DS) in biliary and pancreatic diseases: a clinical feasibility study at two tertiary care centers in Saudi Arabia (with Videos)[J]. Arab J Gastroenterol, 2020, 3(13):1-5.
[11] Karagyozov P, Boeva I, Tishkov I. Role of digital single-operator cholangioscopy in the diagnosis and treatment of biliary disorders[J]. World J Gastrointest Endosc, 2019, 11(1):31-40.
Outlines

/