Endoscopy 2025; 57(S 02): S421-S422
DOI: 10.1055/s-0045-1806078
Abstracts | ESGE Days 2025
ePosters

Single-session EUS-guided gallbladder drainage for acute cholecystitis with LAMS and gallbladder rendezvous through the LAMS for choledocholithiasis in inacessibile peridiverticular papilla: a video case report

D Scalvini
1   Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
A Mauro
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
S Mazza
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
C Ciccioli
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
3   Section of gastroenterology and hepatology, PROMISE, Palermo, Italy
,
D Alfieri
1   Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
A Cappellini
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
1   Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy
,
L Pozzi
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
L Veronese
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
M Bardone
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
V Ravetta
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
L Rovedatti
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
F Torello Viera
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
A Anderloni
2   Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
1   Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy
› Institutsangaben
› Weitere Informationen
Auch verfügbar aufeRef
 

Abstract Text An 85 y-o frail woman was admitted for acute cholecystitis and common bile duct (CBD) stones. ERCP was initiated, but it was suspended for invisible papilla major, dislocated by a duodenal diverticulum. Thus, a EUS-guided gallbladder drainage was effectively performed from the antrum, with a 15x10 mm LAMS. Subsequently a large balloon dilation was employed to dilate the LAMS and to enter with a gastroscope in the gallbladder. Using a guidewire on a sphincterotome, the cystic duct was cannulated from inside, and the wire was advanced into the CBD and then further into the duodenum. Cholangiography confirmed the presence of stones. Papilla was anterograde dilated with a balloon, maintaining the wire in the duodenum that facilitated the cannulation. Then, a lateral-view duodenoscope was introduced, the CBD was cannulated and cleared from 3 stones using an extractor balloon [1].

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/a1169622-7726-4563-96de-d3e81d75abab/Uploads/16849_RENDEZ_VOUS%20COLECISTI%20MP4%20DA%20CONVERTIRE.avi



Publikationsverlauf

Artikel online veröffentlicht:
27. März 2025

© 2025. European Society of Gastrointestinal Endoscopy. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

  • References

  • 1 Klair JS, Zafar Y, Ashat M. et al. Effectiveness and Safety of EUS Rendezvous After Failed Biliary Cannulation With ERCP: A Systematic Review and Proportion Meta-analysis. J Clin Gastroenterol 2023; 57 (2): 211-217
    CrossrefPubMedSuche in Google Scholar