Endoscopic transpapillary gallbladder stent placement inthepresence of uncovered biliary metal stents using a through-the-mesh technique.

Abstract

Percutaneous transhepatic gallbladder drainage (PTGBD) has traditionally been the treatment of choice for acute cholecystitis (AC) after biliary self-expandable metal stent (SEMS) placement.1 However, PTGBD or EUS-guided drainage cannot be performed on patients with ascites or coagulopathy. For these patients, endoscopic transpapillary gallbladder drainage (ETGBD) is the treatment of choice.2-5 Furthermore, ETGBD may have another advantage over PTGBD: Prompt internal drainage can be achieved by endoscopic transpapillary gallbladder stent placement.