超高齢者急性胆囊炎に内視鏡的胆囊ステント留置術が有用であった1例

• 小林 照宗

  船橋市立医療センター／消化器内科

• 興梠 慧輔

  船橋市立医療センター／消化器内科

• 水本 英明

  船橋市立医療センター／消化器内科

書誌事項

タイトル別名

• A case of endoscopic transpapillary gallbladder stenting for acute cholecystitis in elderly patient

抄録

A 91-year-old female was admitted due to acute cholecystitis with choledocholithiasis.<br> Abdominal computer tomography (CT) revealed stones, 25 mm in diameter in the common bile (CBD) and 15 mm in diameter in the neck of the gallbladder. We attempted percutaneous transhepatic gallbladder drainage, but it was difficult to ensure a safe percutaneous puncture route.<br> Therefore, we performed endoscopic drainage. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a stone in the CBD ; however, the cystic duct was not detected. Following this procedure, it was possible to approach the gallbladder via advancement of a guidewire ; ERCP revealed another stone in the cystic duct. Following endoscopic papillotomy, a biliary plastic stent was placed in the gallbladder and the CBD. No complications were observed following treatment, and the clinical course during recovery was good.Endoscopic transpapillary gallbladder stenting is an effective treatment for patients with acute cholecystitis who have contraindications to percutaneous drainage.

収録刊行物

• Progress of Digestive Endoscopy

  Progress of Digestive Endoscopy 89 (1), 152-153, 2016

  一般社団法人 日本消化器内視鏡学会 関東支部

キーワード

• 急性胆囊炎
• 胆囊ステント

詳細情報

• CRID: 1390282680416309760
• NII論文ID: 130005303561
• DOI: 10.11641/pde.89.1_152
• ISSN: 21874999
• ISSN: 13489844
• Web Site: https://www.jstage.jst.go.jp/article/pde/89/1/89_152/_pdf
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可