Özet:

Objective: In this study, we investigated the technical and clinical success and complications of transpapillary gallbladder drainage with endoscopic retrograde cholangiopancreatography in patients with gallbladder or cystic duct related diseases accompanied by comorbid conditions. Material and Methods: This study was performed on 19 patients with acute cholecystitis who had already an indication for endoscopic retrograde cholangiopancreatography due to choledocholitiasis, cholangitis or Mirizzi syndrome between 2011-2017. After choledochal and cystic duct stones had been removed, or choledochal stents had been placed according to indication, transpapillary gallbladder drainage with nasocystic drain or pigtail stent were provided in all patients. The technical and clinical success of transpapillary gallbladder drainage and the complications of the procedure were evaluated. Results: 15 (79%) of the patients had at least one comorbid disease. Cystic duct stones were observed in 10 patients. Balloon wash to all patients with cystic duct stones, basket and mechanical lithotripsy to 3 patients, and ballon dilatation to the entrance of cystic duct to one patient were applied. Transpapillary gallbladder drainage was provided with 7F nasocystic drain in 8 patients, stent made from 7F nasobiliary drain in 6 patients, 7F double pigtail stent in 3 patients and 10F double pigtail stent in 2 patients. In this study, the technical success of transpapillary gallbladder drainage was found 100% and clinical success was found 89%. No complications including death were observed due to the procedure. Conclusion: Transpapillary gallbladder drainage with endoscopic retrograde cholangiopancreatography is a successful and less complicated procedure in patients who have gallbladder or cystic duct related diseases with comorbid conditions.

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