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Hybrid Percutaneous-Endoscopic Removal (HPER) of Cholelithiasis by C. Roberto Simons-Linares; Ram Gurajala; Gareth Morris-Stiff; Prabhleen Chahal is a Medicine article available to read on EtoBox.

What is Hybrid Percutaneous-Endoscopic Removal (HPER) of Cholelithiasis about?

Acute cholecystitis (AC) affects over 20 million Americans annually, leading to annual costs exceeding USD 6 billion. Optimal treatment is early cholecystectomy. However, patients deemed high surgical risk undergo percutaneous cholecystostomy tube (PCT) placement as a bridge to surgery or more commonly as a definitive therapy. We hereby describe our experience with a new procedure named “Hybrid Percutaneous Endoscopic Removal (HPER) of cholelithiasis” that is meant for patients with chronic indwelling PCT. This procedure is an effective alternative to EUS-guided gallbladder drainage in high-risk patients. It does not require special expertise or technology and is simply performed by placing a fully covered metal stent conduit through the existing mature percutaneous tract allowing the endoscopic removal of gallstones through this conduit. This procedure can prevent the recurrence of gallstone-related complications as well as chronic PCT-related costs and adverse events. In our video, we present a case series and long-term follow-up of patients who underwent HPER as an alternative definitive therapy for calculous AC.

Who reads Hybrid Percutaneous-Endoscopic Removal (HPER) of Cholelithiasis?

Author

C. Roberto Simons-Linares; Ram Gurajala; Gareth Morris-Stiff; Prabhleen Chahal

Publisher

S. Karger AG (ISSN 0257-2753)

Published

2020

Language

EN

Field

Medicine (Health Sciences)