Lumen-apposing metal stent–assisted electrohydraulic lithotripsy and mechanical lithotripsy for cholelithiasis in a nonsurgical patient

摘要

EUS-guided gallbladder drainage has been clinically and technically successful, with fewer adverse events than with current percutaneous techniques.” However, stone impaction and recurrent cholecystitis remain problematic in patients with large calculi.” We present a case in a patient with acute calculous cholecystitis who was not a surgical candidate because of her age and multiple comorbidities. We performed EUS-guided gallbladder drainage initially, followed by endoscopic electrohydraulic lithotripsy (EHL), and mechanical lithotripsy (ML) of the gallstone 3 weeks later (Video 1, available online at www. VideoGIE.org).