Journal article
Outcomes of Endoscopic Ultrasound-Guided Gallbladder Drainage Using Lumen-Apposing Metal Stent Performed by Early Career Advanced Endoscopists: A Multicenter Study
Digestive diseases and sciences, Vol.71(4), pp.1541-1546
04/2026
DOI: 10.1007/s10620-025-09483-0
PMID: 41152606
Abstract
Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) has gained popularity for acute cholecystitis (AC) management in patients deemed unfit for surgery. Recent studies have found > 95% technical success and > 90% clinical success when performed by experienced advanced endoscopists. Recently, the U.S. Food and Drug Administration (FDA) approved the use of lumen-apposing metal stent (LAMS) for EUS-GBD. The aim of this study is to evaluate the safety and efficacy of EUS-GBD performed by early-career advanced endoscopists in North America.
This was a retrospective multicenter study of patients who underwent EUS-GBD performed by 8 early-career advanced endoscopists (defined as within 3 years of graduation from advanced endoscopy fellowship (AEF)) between January 2021 and March 2024. Primary outcomes included technical success (ability to place LAMS into the gallbladder) and clinical success (resolution of symptoms and laboratory abnormalities). Secondary outcomes included adverse events (AEs) and 30-day readmission rates.
A total of 57 patients (mean age 70.7 years, 59.6% male) were included. The most common site of EUS-GBD was the duodenum (57.9%) and LAMS size 10 × 10 mm (71.9%). The technical success rate was 98.2%, and the clinical success rate was 98.2%. AEs occurred in 3.5% (n = 2), including gallbladder perforation and recurrent AC following stent migration. The 30-day readmission rate was 5.3% (n = 3). There was no procedure-related mortality.
Our study demonstrates that EUS-GBD is safe and effective when performed by early-career advanced endoscopists. These outcomes are similar to previous data when performed by experienced advanced endoscopists.
Details
- Title: Subtitle
- Outcomes of Endoscopic Ultrasound-Guided Gallbladder Drainage Using Lumen-Apposing Metal Stent Performed by Early Career Advanced Endoscopists: A Multicenter Study
- Creators
- Suchapa Arayakarnkul - University of MinnesotaNatalie Wilson - University of MinnesotaAmir Rumman - University of Oklahoma Health Sciences CenterNicholas McDonald - University of MinnesotaHafiz Muzaffar Akbar Khan - SUNY Upstate Medical UniversityEric Montminy - John H. Stroger, Jr. Hospital of Cook CountySeema Gandhi - John H. Stroger, Jr. Hospital of Cook CountyThomas Tielleman - The University of Texas Southwestern Medical CenterMunish Ashat - University of IowaAmaninder Dhaliwal - University of South CarolinaCorey S Miller - Jewish General HospitalChristopher A Bouvette - University of Oklahoma Health Sciences CenterMaham Hayat - AdventHealth OrlandoMohamed Abdallah - University of MinnesotaMohammad Bilal - University of Colorado Anschutz Medical Campus
- Resource Type
- Journal article
- Publication Details
- Digestive diseases and sciences, Vol.71(4), pp.1541-1546
- DOI
- 10.1007/s10620-025-09483-0
- PMID
- 41152606
- NLM abbreviation
- Dig Dis Sci
- ISSN
- 0163-2116
- eISSN
- 1573-2568
- Publisher
- Springer Nature
- Language
- English
- Electronic publication date
- 10/28/2025
- Date published
- 04/2026
- Academic Unit
- Internal Medicine
- Record Identifier
- 9985019033402771
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