Subscribe to RSS
DOI: 10.1055/s-0043-1769768
Acute Pancreatitis following Percutaneous Electrohydraulic Lithotripsy
![](https://www.thieme-connect.de/media/sir/202303/lookinside/thumbnails/10-1055-s-0043-1769768_001479-1.jpg)
Abstract
The gold-standard treatment of acute calculous cholecystitis is cholecystectomy. For patients not suitable for surgery, endoscopic or percutaneous techniques can be used for gallbladder decompression. The national percutaneous cholecystostomy rates have increased by 567% from 1994 to 2009*. Some of these patients are still not surgical candidates after the acute cholecystitis episode has resolved. Hence, it is crucial to have a management plan in place for such patients. There are several peroral endoscopic treatment options available, including ultrasound-guided transmural drainage, lithotripsy, and transpapillary stenting**. Furthermore, due to the advent of percutaneous biliary endoscopes, interventional radiology (IR) can now perform percutaneous lithotripsy and gallstone removal followed by cystic duct stenting. This method aims to internalize gallbladder drainage without the need for a long-term external cholecystostomy tube. Acute pancreatitis is a rare complication that can arise following interventions involving the biliary and cystic ducts. Acute pancreatitis can occur after retrograde ampullary manipulation during endoscopic retrograde cholangiopancreatography. However, this can sometimes happen after percutaneous antegrade interventions performed by IR. In this report, we will examine a rare complication that occurred in a patient with acute calculous cholecystitis: acute pancreatitis following percutaneous electrohydraulic lithotripsy with cystic duct stenting performed by IR.
Publication History
Article published online:
20 July 2023
© 2023. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Venkatesan AM, Kundu S, Sacks D. et al; Society of Interventional Radiology Standards of Practice Committee. Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association [corrected]. J Vasc Interv Radiol 2010; 21 (11) 1611-1630 , quiz 1631
- 2 Bonner BC, Brown NI, Joseph VP, Chandrasegaram MD. Cholecystoduodenal stenting: an option in complicated acute calculous cholecystitis in the elderly comorbid patient. Case Rep Surg 2018; 2018: 1609601
- 3 Sperry C, Malik A, Reiland A. et al. Percutaneous cystic duct interventions and drain internalization for calculous cholecystitis in patients ineligible for surgery. J Vasc Interv Radiol 2023; 34 (04) 669-676
- 4 Inoue T, Suzuki Y, Yoshida M. et al. Long-term impact of endoscopic gallbladder stenting for calculous cholecystitis in poor surgical candidates: a multi-center comparative study. Dig Dis Sci 2023; 68 (04) 1529-1538
- 5 Al-Bahrani AZ, Holt A, Hamade AM. et al. Acute pancreatitis: an under-recognized risk of percutaneous transhepatic distal biliary intervention. HPB (Oxford) 2006; 8 (06) 446-450
- 6 Song J, Deng J, Wen F. Risk factors associated with acute pancreatitis after percutaneous biliary intervention: we do not know nearly enough. Gastroenterol Res Pract 2023; 2023: 9563074
- 7 Russolillo N, Massobrio A, Langella S, Lo Tesoriere R, Carbonatto P, Ferrero A. Acute pancreatitis after percutaneous biliary drainage: an obstacle in liver surgery for proximal biliary cancer. World J Surg 2017; 41 (06) 1595-1600
- 8 Greenberg JA, Hsu J, Bawazeer M. et al. Clinical practice guideline: management of acute pancreatitis. Can J Surg 2016; 59 (02) 128-140
- 9 Boal Carvalho P, Magalhães J, Dias de Castro F. et al. NSAIDs are not enough - a double blinded randomized controlled trial on the impact of intensive hydration for the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis. Eur J Gastroenterol Hepatol 2022; 34 (07) 751-756
- 10 Luo H, Zhao L, Leung J. et al. Routine pre-procedural rectal indometacin versus selective post-procedural rectal indometacin to prevent pancreatitis in patients undergoing endoscopic retrograde cholangiopancreatography: a multicentre, single-blinded, randomised controlled trial. Lancet 2016; 387 (10035): 2293-2301
- 11 Duszak Jr R, Behrman SW. National trends in percutaneous cholecystostomy between 1994 and 2009: perspectives from Medicare provider claims. J Am Coll Radiol 2012; 9 (07) 474-479 *
- 12 Almuhaidb A, Olson D, Aadam AA. Advancements in endoscopic biliary interventions by gastroenterology. Semin Intervent Radiol 2021; 38 (03) 280-290 **