Abstract No. 223 Early human experience with percutaneous cholecysto-enteric anastomosis: a novel percutaneous approach for internal gallbladder drainage using lumen-apposing metal stents

Abstract

High surgical risk patients with acute cholecystitis are frequently treated with a percutaneous cholecystectomy tube. These are associated with frequent tube complications and patient discomfort. Endoscopic Ultrasound (EUS) -guided gallbladder (GB) drainage is well described but can be difficult in the non-acute setting of a decompressed GB with a patent cystic duct and a cholecystostomy tube. Following our prior animal feasibility studies, we describe our early human experience with a novel percutaneous approach for the creation of an internal cholecysto-enteric anastomosis using a lumen apposing metal stent (PCEA-LAMS).