Gastrointestinal Interventions

Session: Educational Exhibit Presentations - Station 4: Gastrointestinal Interventions

Percutaneous Cholecystoduodenal Stenting: Review of an Effective Option for Long-Term Intraduodenal Drainage for Cholecystitis

Monday, March 6, 2023

5:20 PM – 5:25 PM

Location: Phoenix Convention Center, North Ballroom 120ABC, Poster Hall

Abstract Presenter(s)

Mensur Koso, BS

Medical Student
The Ohio State University College of Medicine

Disclosure(s): No financial relationships to disclose

Author/Co-author(s)

Mina S. Makary, MD (he/him/his)

Interventional Radiologist
The Ohio State University Wexner Medical Center

Disclosure(s):

Mensur Koso, BS: No financial relationships to disclose

Mina S. Makary, MD: No financial relationships to disclose

Learning Objectives: To review the clinical indications for cholecystoduodenal stenting, its role in the management of cholecystitis, and detailed procedural technique of this stenting method.

Background: Cholecystitis is a common biliary condition that presents a major disease burden. Though first-line treatment for acute cholecystitis includes cholecystectomy, certain patients are poor candidates and rely on other techniques, such as interventional or endoscopic, to treat the condition. Among the interventional techniques, percutaneous drainage of the gallbladder via cholecystostomy tube placement is the first-line for appropriate, non-surgical patients. While this intervention has been demonstrated to achieve positive clinical outcomes, it can come with disadvantages such as needing long-term external drainage which may not be tolerated or acceptable to some patients. Cholecystoduodenal stenting can achieve long-term intraduodenal drainage without the need for repeated drainages.

Clinical Findings/Procedure Details: This educational exhibit will cover 1) an overview of the structural anatomy of the biliary system, 2) review the pathogenesis and disease burden of cholecystitis, 3) review the current first-time treatments and common alternatives for cholecystitis treatment, 4) analyze the role and indications of cholecystoduodenal stenting, 5) evaluate the potential complications and risks for cholecystoduodenal stenting, 6) describe the technical procedural details of cholecystoduodenal stenting, 7) evaluate current literature in reference to patient outcomes who have undergone cholecystoduodenal stenting, and 8) discuss future considerations and directions of cholecystoduodenal stenting.

Conclusion and/or Teaching Points:

After reviewing the exhibit, the viewer will gain a deeper understanding of the role of cholecystoduodenal stenting in the appropriate candidates, the technical details of the procedure, and important considerations and outcomes of this interventional therapy.