Acute Cholecystitis
Conditions
Interventions
None listed
Sponsors
Yokohama City Minato Red Cross Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients diagnosed with acute cholecystitis who require gallbladder drainage. Patients with moderate acute cholecystitis or mild cases that do not respond to initial treatment. Patients with a Performance Status (PS) Grade of 0-4. Patients aged 18 years or older at the time of consent. Patients who have received a thorough explanation of the study, fully understood its details, and provided written informed consent voluntarily.
Exclusion criteria
Exclusion criteria: Patients with severe cholecystitis, as defined by the Tokyo Guidelines 2018. Patients with concomitant cholangitis due to bile duct stones. Patients with a history of gastrectomy (Billroth I reconstruction, Billroth II reconstruction, or Roux-en-Y reconstruction). Patients with unstable respiratory or circulatory status. Patients receiving long-term steroid therapy. Patients with severe ascites. Patients with a severe bleeding tendency. Patients with severe cardiac disease. Pregnant or lactating women, or those who may be pregnant. Patients deemed inappropriate for the study by the principal investigator or sub-investigators.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effectiveness and safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) using a 0.81-mm guidewire for acute cholecystitis and to assess the insertion rate of a 7Fr plastic stent among all cases. | — |
Secondary
| Measure | Time frame |
|---|---|
| Technical success rate of EUS-GBD without fistula dilation Clinical success rate Adverse event rate Length of hospital stay Stent patency duration during the observation period | — |
Countries
Japan
Contacts
Public ContactHidenobu Hara
Yokohama City Minato Red Cross Hospital Gastroenterology
Outcome results
None listed