Successful Management of Recurrent Cholecystitis Four Years After Endoscopic Gallbladder Stenting (EGBS) Placement Using Internal and External Fistula Drainage

Description

Takuya Koizumi, Akinori Maruta, Yosuke Ohashi, Takuji Iwashita, and Masahito Shimizu wrote this case report, published in 2025. It describes how doctors handled a gallbladder infection that returned four years after a permanent stent had been placed to drain the organ.

Stenting through an endoscope is used when surgery is too risky, but infection can still come back. In this patient, the team threaded a new drain through the bile duct into the gallbladder, using the old stent as a guide for the wire. They added a second drain through the nose, so the gallbladder was drained both inside and outside at once. The patient recovered smoothly. The authors say the old stent, far from blocking the fix, made it easier, and that double drainage suits cases where the bile is infected and thick.

Catalog record

Source: https://europepmc.org/articles/PMC12857235