Clinical Endoscopy

Tarun Rustagi

3 Articles

Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis using Two Gallbladder Stents (Dual Gallbladder Stenting): Zain A Sobani, Sergio A. Sánchez-Luna, Tarun Rustagi; Clin Endosc 2021;54(6):899-902. Published online May 31, 2021; DOI: https://doi.org/10.5946/ce.2021.023

Background
/Aims: Endoscopic transpapillary gallbladder drainage (ETPGBD) is gaining popularity for the management of acute cholecystitis (AC) in high-risk patients. However, the stents placed during the procedure are not immune to obstruction. Here we describe a novel technique of stenting with two transpapillary stents and evaluate its technical feasibility, safety, and efficacy in AC.
Methods
A retrospective analysis of all patients undergoing ETPGBD using dual stents for AC at our institution between November 1, 2017 and August 31, 2020 was conducted. We abstracted patient data to evaluate technical and clinical success, adverse events, and long-term outcomes. Two stents were placed either during the index procedure or during an interval procedure performed 4–6 weeks after the index procedure.
Results
A total of 21 patients underwent ETPGBD with dual stenting (57.14% male, mean age: 62.14±17.21 years). The median interval between the placement of the first and the second stents was 37 days (range: 0–226 days). Technical and clinical success rates were 100%, with a recurrence rate of 4.76% (n=1) and adverse event rate of 9.52% (n=2) during a mean follow-up period of 471.74±345.64 days (median: 341 days, range: 55–1084 days).
Conclusions
ETPGBD with dual gallbladder stenting is a safe and effective technique for long-term gallbladder drainage in non-surgical candidates. Larger controlled studies are needed to validate our findings for the widespread implementation of this technique.

Citations

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Endoscopic Transpapillary Gallbladder Drainage With 2 Stents Versus 1 Stent Reduces Reinterventions: A Multicenter Study
James D. Haddad, Natalie Wilson, Vijay S. Are, Shawn L. Shah, Danny Issa, Tarek Sawas, Mohammad Bilal, Thomas Tielleman
Techniques and Innovations in Gastrointestinal Endoscopy.2025; 27(1): 150899. CrossRef
Endoscopic Gallbladder Drainage EUS LAMS vs. ERCP Trans-papillary Drainage
Maham Hayat, Yasi Xiao, Mustafa A. Arain, Dennis Yang
Current Gastroenterology Reports.2025;[Epub] CrossRef
Endoscopic Gallbladder Drainage: A Comprehensive Review on Indications, Techniques, and Future Perspectives
Edoardo Troncone, Rosa Amendola, Alessandro Moscardelli, Elena De Cristofaro, Pasquale De Vico, Omero Alessandro Paoluzi, Giovanni Monteleone, Manuel Perez-Miranda, Giovanna Del Vecchio Blanco
Medicina.2024; 60(4): 633. CrossRef
Approaches to Cholecystitis: Surgical, Endoscopic, and Percutaneous Management
Nicole Cherng, Ikechukwu Achebe, Mason Winkie, Julie Thomann, Eric Then, Neil B. Marya
Journal of Intensive Care Medicine.2024;[Epub] CrossRef
Interval cholecystectomy following drainage procedures for acute cholecystitis: percutaneous transhepatic vs endoscopic transpapillary gallbladder drainage
Morihiro Katsura, Kazuhide Matsushima, Takashi Kato, Christine Isabella Bent, Tadao Kubota, Tomiaki Kubota, Masafumi Ie
Journal of Gastrointestinal Surgery.2024; 28(11): 1912. CrossRef
Long-Term Impact of Endoscopic Gallbladder Stenting for Calculous Cholecystitis in Poor Surgical Candidates: A Multi-center Comparative Study
Tadahisa Inoue, Yuta Suzuki, Michihiro Yoshida, Itaru Naitoh, Fumihiro Okumura, Rena Kitano, Kenichi Haneda, Kazuki Hayashi, Masashi Yoneda
Digestive Diseases and Sciences.2023; 68(4): 1529. CrossRef
Intermediate- to long-term outcomes of endoscopic transpapillary gallbladder stenting in patients with gallstone-related disease: a 10-year single-center experience
Wiriyaporn Ridtitid, Natee Faknak, Panida Piyachaturawat, Nicha Teeratorn, Yingluk Sritunyarat, Phonthep Angsuwatcharakon, Parit Mekaroonkamol, Pradermchai Kongkam, Rungsun Rerknimitr
Endoscopy.2023; 55(05): 469. CrossRef
Percutaneous Cystic Duct Interventions and Drain Internalization for Calculous Cholecystitis in Patients Ineligible for Surgery
Courtney Sperry, Asad Malik, Allison Reiland, Bartley Thornburg, Rajesh Keswani, Muhammed Sufyaan Ebrahim Patel, Aziz Aadam, Anthony Yang, Ezra Teitelbaum, Riad Salem, Ahsun Riaz
Journal of Vascular and Interventional Radiology.2023; 34(4): 669. CrossRef
Tips and tricks for endoscopic transpapillary gallbladder drainage
Jad P. AbiMansour, Ryan J. Law, Andrew C. Storm, Vinay Chandrasekhara
VideoGIE.2023; 8(11): 474. CrossRef
Assessment of Gallbladder Drainage Methods in the Treatment of Acute Cholecystitis: A Literature Review
Dorotea Bozic, Zarko Ardalic, Antonio Mestrovic, Josipa Bilandzic Ivisic, Damir Alicic, Ivan Zaja, Tomislav Ivanovic, Ivona Bozic, Zeljko Puljiz, Andre Bratanic
Medicina.2023; 60(1): 5. CrossRef
Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
Tadahisa Inoue, Michihiro Yoshida, Yuta Suzuki, Rena Kitano, Fumihiro Okumura, Itaru Naitoh
Journal of Clinical Medicine.2021; 10(21): 4842. CrossRef
Transpapillary Gallbladder Drainage for Acute Cholecystitis: Two Stents or Not Two Stents
Jad AbiMansour, Ryan Law
Clinical Endoscopy.2021; 54(6): 783. CrossRef

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Underwater Endoscopic Mucosal Resection for 10 mm or Larger Nonpedunculated Colorectal Polyps: A Systematic Review and Meta-Analysis: Rajat Garg, Amandeep Singh, Manik Aggarwal, Jaideep Bhalla, Babu P. Mohan, Carol Burke, Tarun Rustagi, Prabhleen Chahal; Clin Endosc 2021;54(3):379-389. Published online April 29, 2021; DOI: https://doi.org/10.5946/ce.2020.276

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Background
/Aims: Recent studies have reported the favorable outcomes of underwater endoscopic mucosal resection (UEMR) for colorectal polyps. We performed a systematic review and meta-analysis evaluating the efficacy and safety of UEMR for nonpedunculated polyps ≥10 mm.
Methods
We performed a comprehensive search of multiple databases (through May 2020) to identify studies reporting the outcomes of UEMR for ≥10 mm nonpedunculated colorectal polyps. The assessed outcomes were recurrence rate on the first follow-up, en bloc resection, incomplete resection, and adverse events after UEMR.
Results
A total of 1276 polyps from 16 articles were included in our study. The recurrence rate was 7.3% (95% confidence interval [CI], 4.3–12) and 5.9% (95% CI, 3.6–9.4) for nonpedunculated polyps ≥10 and ≥20 mm, respectively. For nonpedunculated polyps ≥10 mm, the en bloc resection, R0 resection, and incomplete resection rates were 57.7% (95% CI, 42.4–71.6), 58.9% (95% CI, 42.4–73.6), and 1.5% (95% CI, 0.8–2.6), respectively. The rates of pooled adverse events, intraprocedural bleeding, and delayed bleeding were 7.0%, 5.4%, and 2.9%, respectively. The rate of perforation and postpolypectomy syndrome was 0.8%.
Conclusions
Our systematic review and meta-analysis demonstrates that UEMR for nonpedunculated colorectal polyps ≥10 mm is safe and effective with a low rate of recurrence.

Citations

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JGH Open.2024;[Epub] CrossRef
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Karl Kwok, Sasan Mosadeghi, Daniel Lew
Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(4): 361. CrossRef
Underwater versus conventional endoscopic mucosal resection for colorectal lesions: a systematic review and meta-analysis of randomized clinical trials
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International Journal of Colorectal Disease.2023;[Epub] CrossRef
Endoscopic treatment of colorectal polyps and early colorectal cancer
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Journal of the Korean Medical Association.2023; 66(11): 642. CrossRef
EMR and ESD: Indications, techniques and results
Mamoon Ur Rashid, Mohammad Alomari, Sadaf Afraz, Tolga Erim
Surgical Oncology.2022; 43: 101742. CrossRef
Safety and effectiveness of underwater cold snare resection without submucosal injection of large non-pedunculated colorectal lesions
Andrew W. Yen, Joseph W. Leung, Malcom Koo, Felix W. Leung
Endoscopy International Open.2022; 10(06): E791. CrossRef
Underwater or conventional endoscopic mucosal resection for intermediate‐sized colorectal neoplasm?
Li‐Chun Chang
Advances in Digestive Medicine.2021; 8(3): 133. CrossRef

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White Bile in Malignant Biliary Obstruction: A Poor Prognostic Marker: Anas Gremida, Tarun Rustagi; Clin Endosc 2018;51(1):109-110. Published online October 16, 2017; DOI: https://doi.org/10.5946/ce.2017.111

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