Percutaneous and endoscopic gallbladder drainage for acute cholecystitis: international multicenter comparative study using propensity score‐matched analysis
Background Tokyo Guideline 2013 (TG13) proposed three drainage techniques for the treatment of acute cholecystitis. We evaluated the clinical efficacy and adverse events between percutaneous transhepatic intervention (PTGBI) including percutaneous transhepatic gallbladder drainage (PTGBD) and percut...
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Veröffentlicht in: | Journal of hepato-biliary-pancreatic sciences 2017-06, Vol.24 (6), p.362-368 |
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creator | Itoi, Takao Takada, Tadahiro Hwang, Tsann‐Long Endo, Itaru Akazawa, Kohei Miura, Fumihiko Chen, Miin‐Fu Jan, Yi‐Yin Ker, Chen‐Guo Wang, Hsiu‐Po Gomi, Harumi Yokoe, Masamichi Kiriyama, Seiki Wada, Keita Yamaue, Hiroki Miyazaki, Masaru Yamamoto, Masakazu |
description | Background
Tokyo Guideline 2013 (TG13) proposed three drainage techniques for the treatment of acute cholecystitis. We evaluated the clinical efficacy and adverse events between percutaneous transhepatic intervention (PTGBI) including percutaneous transhepatic gallbladder drainage (PTGBD) and percutaneous transhepatic gallbladder aspiration (PTGBA) and endoscopic transpapillary gallbladder drainage (EGBD).
Methods
A cohort study was performed using propensity score matching to reduce treatment selection bias. This involved the analysis of collected data for 1,764 patients who underwent PTGBI and EGBD.
Results
Propensity score matching extracted 330 pairs of patients. The difference in the clinical success rate within 3 days between PTGBI and EGBD were 62.5% and 69.8%, respectively (P = 0.085). The differences in the suboptimal clinical success rates within 7 days between PTGBI and EGBD were 87.6% and 89.2% (P = 0.579). The differences in the complication rate between PTGBI and EGBD were 4.8% and 8.2% (P = 0.083). The differences in the complication rate among PTGBD, PTGBA and EGBD were 5.6%, 1.6% and 8.2% (P = 0.11). Median required days of PTGBD (3.0 days) was significantly longer than those of PTGBA and EGBD (1.5 and 2.0 days, respectively) (P = 0.001).
Conclusion
The current study showed the PTGBI showed similar clinical efficacy compared with EGBD without significant discrepancy of complication rate for the treatment of acute cholecystitis.
HighlightItoi and colleagues evaluated the clinical efficacy and adverse events of percutaneous transhepatic intervention (PTGBI), including percutaneous transhepatic drainage and aspiration, and endoscopic transpapillary gallbladder drainage (EGBD). The clinical efficacy of PTGBI was comparable to that of EGBD without significant discrepancy in complication rates for the treatment of acute cholecystitis. |
doi_str_mv | 10.1002/jhbp.454 |
format | Article |
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Tokyo Guideline 2013 (TG13) proposed three drainage techniques for the treatment of acute cholecystitis. We evaluated the clinical efficacy and adverse events between percutaneous transhepatic intervention (PTGBI) including percutaneous transhepatic gallbladder drainage (PTGBD) and percutaneous transhepatic gallbladder aspiration (PTGBA) and endoscopic transpapillary gallbladder drainage (EGBD).
Methods
A cohort study was performed using propensity score matching to reduce treatment selection bias. This involved the analysis of collected data for 1,764 patients who underwent PTGBI and EGBD.
Results
Propensity score matching extracted 330 pairs of patients. The difference in the clinical success rate within 3 days between PTGBI and EGBD were 62.5% and 69.8%, respectively (P = 0.085). The differences in the suboptimal clinical success rates within 7 days between PTGBI and EGBD were 87.6% and 89.2% (P = 0.579). The differences in the complication rate between PTGBI and EGBD were 4.8% and 8.2% (P = 0.083). The differences in the complication rate among PTGBD, PTGBA and EGBD were 5.6%, 1.6% and 8.2% (P = 0.11). Median required days of PTGBD (3.0 days) was significantly longer than those of PTGBA and EGBD (1.5 and 2.0 days, respectively) (P = 0.001).
Conclusion
The current study showed the PTGBI showed similar clinical efficacy compared with EGBD without significant discrepancy of complication rate for the treatment of acute cholecystitis.
HighlightItoi and colleagues evaluated the clinical efficacy and adverse events of percutaneous transhepatic intervention (PTGBI), including percutaneous transhepatic drainage and aspiration, and endoscopic transpapillary gallbladder drainage (EGBD). The clinical efficacy of PTGBI was comparable to that of EGBD without significant discrepancy in complication rates for the treatment of acute cholecystitis.</description><identifier>ISSN: 1868-6974</identifier><identifier>EISSN: 1868-6982</identifier><identifier>DOI: 10.1002/jhbp.454</identifier><identifier>PMID: 28371480</identifier><language>eng</language><publisher>Japan: Wiley Subscription Services, Inc</publisher><subject>Acute cholecystitis ; Aged ; Aged, 80 and over ; Cholecystitis, Acute - diagnosis ; Cholecystitis, Acute - mortality ; Cholecystitis, Acute - therapy ; Cohort Studies ; Conservative Treatment - methods ; Drainage - methods ; Endoscopic gallbladder stenting ; Endoscopic naso‐gallbladder drainage ; Endoscopy ; Endoscopy, Digestive System - methods ; Female ; Gallbladder ; Gallbladder diseases ; Gallbladder drainage ; Humans ; Internationality ; Japan ; Male ; Middle Aged ; Percutaneous transhepatic gallbladder drainage ; Prognosis ; Propensity Score ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Survival Rate ; Taiwan ; Treatment Outcome</subject><ispartof>Journal of hepato-biliary-pancreatic sciences, 2017-06, Vol.24 (6), p.362-368</ispartof><rights>2017 Japanese Society of Hepato‐Biliary‐Pancreatic Surgery</rights><rights>2017 Japanese Society of Hepato-Biliary-Pancreatic Surgery.</rights><rights>2017 Japanese Society of Hepato-Biliary-Pancreatic Surgery</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4734-44d33ce225ea08645049f46769911daaa9d8fb372021174311cda5738f15030f3</citedby><cites>FETCH-LOGICAL-c4734-44d33ce225ea08645049f46769911daaa9d8fb372021174311cda5738f15030f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjhbp.454$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjhbp.454$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28371480$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Itoi, Takao</creatorcontrib><creatorcontrib>Takada, Tadahiro</creatorcontrib><creatorcontrib>Hwang, Tsann‐Long</creatorcontrib><creatorcontrib>Endo, Itaru</creatorcontrib><creatorcontrib>Akazawa, Kohei</creatorcontrib><creatorcontrib>Miura, Fumihiko</creatorcontrib><creatorcontrib>Chen, Miin‐Fu</creatorcontrib><creatorcontrib>Jan, Yi‐Yin</creatorcontrib><creatorcontrib>Ker, Chen‐Guo</creatorcontrib><creatorcontrib>Wang, Hsiu‐Po</creatorcontrib><creatorcontrib>Gomi, Harumi</creatorcontrib><creatorcontrib>Yokoe, Masamichi</creatorcontrib><creatorcontrib>Kiriyama, Seiki</creatorcontrib><creatorcontrib>Wada, Keita</creatorcontrib><creatorcontrib>Yamaue, Hiroki</creatorcontrib><creatorcontrib>Miyazaki, Masaru</creatorcontrib><creatorcontrib>Yamamoto, Masakazu</creatorcontrib><title>Percutaneous and endoscopic gallbladder drainage for acute cholecystitis: international multicenter comparative study using propensity score‐matched analysis</title><title>Journal of hepato-biliary-pancreatic sciences</title><addtitle>J Hepatobiliary Pancreat Sci</addtitle><description>Background
Tokyo Guideline 2013 (TG13) proposed three drainage techniques for the treatment of acute cholecystitis. We evaluated the clinical efficacy and adverse events between percutaneous transhepatic intervention (PTGBI) including percutaneous transhepatic gallbladder drainage (PTGBD) and percutaneous transhepatic gallbladder aspiration (PTGBA) and endoscopic transpapillary gallbladder drainage (EGBD).
Methods
A cohort study was performed using propensity score matching to reduce treatment selection bias. This involved the analysis of collected data for 1,764 patients who underwent PTGBI and EGBD.
Results
Propensity score matching extracted 330 pairs of patients. The difference in the clinical success rate within 3 days between PTGBI and EGBD were 62.5% and 69.8%, respectively (P = 0.085). The differences in the suboptimal clinical success rates within 7 days between PTGBI and EGBD were 87.6% and 89.2% (P = 0.579). The differences in the complication rate between PTGBI and EGBD were 4.8% and 8.2% (P = 0.083). The differences in the complication rate among PTGBD, PTGBA and EGBD were 5.6%, 1.6% and 8.2% (P = 0.11). Median required days of PTGBD (3.0 days) was significantly longer than those of PTGBA and EGBD (1.5 and 2.0 days, respectively) (P = 0.001).
Conclusion
The current study showed the PTGBI showed similar clinical efficacy compared with EGBD without significant discrepancy of complication rate for the treatment of acute cholecystitis.
HighlightItoi and colleagues evaluated the clinical efficacy and adverse events of percutaneous transhepatic intervention (PTGBI), including percutaneous transhepatic drainage and aspiration, and endoscopic transpapillary gallbladder drainage (EGBD). The clinical efficacy of PTGBI was comparable to that of EGBD without significant discrepancy in complication rates for the treatment of acute cholecystitis.</description><subject>Acute cholecystitis</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cholecystitis, Acute - diagnosis</subject><subject>Cholecystitis, Acute - mortality</subject><subject>Cholecystitis, Acute - therapy</subject><subject>Cohort Studies</subject><subject>Conservative Treatment - methods</subject><subject>Drainage - methods</subject><subject>Endoscopic gallbladder stenting</subject><subject>Endoscopic naso‐gallbladder drainage</subject><subject>Endoscopy</subject><subject>Endoscopy, Digestive System - methods</subject><subject>Female</subject><subject>Gallbladder</subject><subject>Gallbladder diseases</subject><subject>Gallbladder drainage</subject><subject>Humans</subject><subject>Internationality</subject><subject>Japan</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Percutaneous transhepatic gallbladder drainage</subject><subject>Prognosis</subject><subject>Propensity Score</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Survival Rate</subject><subject>Taiwan</subject><subject>Treatment Outcome</subject><issn>1868-6974</issn><issn>1868-6982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9u1DAUhyMEolWpxAmQJTZsUvwvscMOKqCgSnQB6-iN_TLjkRMH2ynKjiNwA-7GSfBoSpGQ8MaW_fl7z_5V1VNGLxil_OV-t5kvZCMfVKdMt7puO80f3q-VPKnOU9rTMgQTnaCPqxOuhWJS09Pq5w1Gs2SYMCyJwGQJTjYkE2ZnyBa833iwFiOxEdwEWyRDiATKFSRmFzyaNWWXXXpF3JQxTpBdmMCTcfHZGTzsERPGGWI5uUWS8mJXsiQ3bckcw4xTcnklpWLEX99_jJDNDm3pBPyaXHpSPRrAJzy_m8-qL-_efr68qq8_vf9w-fq6NlIJWUtphTDIeYNAdSsbKrtBtqrtOsYsAHRWDxuhOOWMKSkYMxYaJfTAGiroIM6qF0dv6enrgin3o0sGvT_-TM-0lqz4OC_o83_QfVjKw32hOqp40zaq-ys0MaQUcejn6EaIa89of8itP-TWl9wK-uxOuGxGtPfgn5QKUB-Bb87j-l9R__Hqzc1B-BvoWKYJ</recordid><startdate>201706</startdate><enddate>201706</enddate><creator>Itoi, Takao</creator><creator>Takada, Tadahiro</creator><creator>Hwang, Tsann‐Long</creator><creator>Endo, Itaru</creator><creator>Akazawa, Kohei</creator><creator>Miura, Fumihiko</creator><creator>Chen, Miin‐Fu</creator><creator>Jan, Yi‐Yin</creator><creator>Ker, Chen‐Guo</creator><creator>Wang, Hsiu‐Po</creator><creator>Gomi, Harumi</creator><creator>Yokoe, Masamichi</creator><creator>Kiriyama, Seiki</creator><creator>Wada, Keita</creator><creator>Yamaue, Hiroki</creator><creator>Miyazaki, Masaru</creator><creator>Yamamoto, Masakazu</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201706</creationdate><title>Percutaneous and endoscopic gallbladder drainage for acute cholecystitis: international multicenter comparative study using propensity score‐matched analysis</title><author>Itoi, Takao ; Takada, Tadahiro ; Hwang, Tsann‐Long ; Endo, Itaru ; Akazawa, Kohei ; Miura, Fumihiko ; Chen, Miin‐Fu ; Jan, Yi‐Yin ; Ker, Chen‐Guo ; Wang, Hsiu‐Po ; Gomi, Harumi ; Yokoe, Masamichi ; Kiriyama, Seiki ; Wada, Keita ; Yamaue, Hiroki ; Miyazaki, Masaru ; Yamamoto, Masakazu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4734-44d33ce225ea08645049f46769911daaa9d8fb372021174311cda5738f15030f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acute cholecystitis</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cholecystitis, Acute - diagnosis</topic><topic>Cholecystitis, Acute - mortality</topic><topic>Cholecystitis, Acute - therapy</topic><topic>Cohort Studies</topic><topic>Conservative Treatment - methods</topic><topic>Drainage - methods</topic><topic>Endoscopic gallbladder stenting</topic><topic>Endoscopic naso‐gallbladder drainage</topic><topic>Endoscopy</topic><topic>Endoscopy, Digestive System - methods</topic><topic>Female</topic><topic>Gallbladder</topic><topic>Gallbladder diseases</topic><topic>Gallbladder drainage</topic><topic>Humans</topic><topic>Internationality</topic><topic>Japan</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Percutaneous transhepatic gallbladder drainage</topic><topic>Prognosis</topic><topic>Propensity Score</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Survival Rate</topic><topic>Taiwan</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Itoi, Takao</creatorcontrib><creatorcontrib>Takada, Tadahiro</creatorcontrib><creatorcontrib>Hwang, Tsann‐Long</creatorcontrib><creatorcontrib>Endo, Itaru</creatorcontrib><creatorcontrib>Akazawa, Kohei</creatorcontrib><creatorcontrib>Miura, Fumihiko</creatorcontrib><creatorcontrib>Chen, Miin‐Fu</creatorcontrib><creatorcontrib>Jan, Yi‐Yin</creatorcontrib><creatorcontrib>Ker, Chen‐Guo</creatorcontrib><creatorcontrib>Wang, Hsiu‐Po</creatorcontrib><creatorcontrib>Gomi, Harumi</creatorcontrib><creatorcontrib>Yokoe, Masamichi</creatorcontrib><creatorcontrib>Kiriyama, Seiki</creatorcontrib><creatorcontrib>Wada, Keita</creatorcontrib><creatorcontrib>Yamaue, Hiroki</creatorcontrib><creatorcontrib>Miyazaki, Masaru</creatorcontrib><creatorcontrib>Yamamoto, Masakazu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hepato-biliary-pancreatic sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Itoi, Takao</au><au>Takada, Tadahiro</au><au>Hwang, Tsann‐Long</au><au>Endo, Itaru</au><au>Akazawa, Kohei</au><au>Miura, Fumihiko</au><au>Chen, Miin‐Fu</au><au>Jan, Yi‐Yin</au><au>Ker, Chen‐Guo</au><au>Wang, Hsiu‐Po</au><au>Gomi, Harumi</au><au>Yokoe, Masamichi</au><au>Kiriyama, Seiki</au><au>Wada, Keita</au><au>Yamaue, Hiroki</au><au>Miyazaki, Masaru</au><au>Yamamoto, Masakazu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous and endoscopic gallbladder drainage for acute cholecystitis: international multicenter comparative study using propensity score‐matched analysis</atitle><jtitle>Journal of hepato-biliary-pancreatic sciences</jtitle><addtitle>J Hepatobiliary Pancreat Sci</addtitle><date>2017-06</date><risdate>2017</risdate><volume>24</volume><issue>6</issue><spage>362</spage><epage>368</epage><pages>362-368</pages><issn>1868-6974</issn><eissn>1868-6982</eissn><abstract>Background
Tokyo Guideline 2013 (TG13) proposed three drainage techniques for the treatment of acute cholecystitis. We evaluated the clinical efficacy and adverse events between percutaneous transhepatic intervention (PTGBI) including percutaneous transhepatic gallbladder drainage (PTGBD) and percutaneous transhepatic gallbladder aspiration (PTGBA) and endoscopic transpapillary gallbladder drainage (EGBD).
Methods
A cohort study was performed using propensity score matching to reduce treatment selection bias. This involved the analysis of collected data for 1,764 patients who underwent PTGBI and EGBD.
Results
Propensity score matching extracted 330 pairs of patients. The difference in the clinical success rate within 3 days between PTGBI and EGBD were 62.5% and 69.8%, respectively (P = 0.085). The differences in the suboptimal clinical success rates within 7 days between PTGBI and EGBD were 87.6% and 89.2% (P = 0.579). The differences in the complication rate between PTGBI and EGBD were 4.8% and 8.2% (P = 0.083). The differences in the complication rate among PTGBD, PTGBA and EGBD were 5.6%, 1.6% and 8.2% (P = 0.11). Median required days of PTGBD (3.0 days) was significantly longer than those of PTGBA and EGBD (1.5 and 2.0 days, respectively) (P = 0.001).
Conclusion
The current study showed the PTGBI showed similar clinical efficacy compared with EGBD without significant discrepancy of complication rate for the treatment of acute cholecystitis.
HighlightItoi and colleagues evaluated the clinical efficacy and adverse events of percutaneous transhepatic intervention (PTGBI), including percutaneous transhepatic drainage and aspiration, and endoscopic transpapillary gallbladder drainage (EGBD). The clinical efficacy of PTGBI was comparable to that of EGBD without significant discrepancy in complication rates for the treatment of acute cholecystitis.</abstract><cop>Japan</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28371480</pmid><doi>10.1002/jhbp.454</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acute cholecystitis Aged Aged, 80 and over Cholecystitis, Acute - diagnosis Cholecystitis, Acute - mortality Cholecystitis, Acute - therapy Cohort Studies Conservative Treatment - methods Drainage - methods Endoscopic gallbladder stenting Endoscopic naso‐gallbladder drainage Endoscopy Endoscopy, Digestive System - methods Female Gallbladder Gallbladder diseases Gallbladder drainage Humans Internationality Japan Male Middle Aged Percutaneous transhepatic gallbladder drainage Prognosis Propensity Score Retrospective Studies Risk Assessment Severity of Illness Index Survival Rate Taiwan Treatment Outcome |
title | Percutaneous and endoscopic gallbladder drainage for acute cholecystitis: international multicenter comparative study using propensity score‐matched analysis |
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