Shearing of guidewire coating by the tip of the electrocautery dilator during endoscopic ultrasound-guided gallbladder drainage
We present the case of an 86-year-old man with acute gallstone-induced cholecystitis who underwent endoscopic ultrasound-guided gallbladder drainage. Despite the successful one-step gallbladder puncture and tract dilation using a fine-gauge electrocautery dilator, significant resistance was encounte...
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| Format: | Article |
| Language: | English |
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Society of Gastrointestinal Intervention
2025-01-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| Online Access: | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240042 |
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| author | Koichiro Mandai Takato Inoue |
| author_facet | Koichiro Mandai Takato Inoue |
| author_sort | Koichiro Mandai |
| collection | DOAJ |
| description | We present the case of an 86-year-old man with acute gallstone-induced cholecystitis who underwent endoscopic ultrasound-guided gallbladder drainage. Despite the successful one-step gallbladder puncture and tract dilation using a fine-gauge electrocautery dilator, significant resistance was encountered during guidewire manipulation, ultimately revealing a peeled-off coating of the guidewire at the dilator tip. Although a subsequent attempt led to a successful stent placement, a peeled coating was observed in the duodenum. This case highlights the importance of careful attention to guidewire manipulation to prevent accidental shearing, not only through the needle but also through the electrocautery dilator. It emphasizes the necessity to practice caution in this technique-sensitive procedure to ensure both patient safety and procedural success. |
| format | Article |
| id | doaj-art-57bf97ccf58140159a29be34f7f91078 |
| institution | Kabale University |
| issn | 2636-0004 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj-art-57bf97ccf58140159a29be34f7f910782025-01-22T15:13:37ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042025-01-01141394110.18528/ijgii240042ijgii240042Shearing of guidewire coating by the tip of the electrocautery dilator during endoscopic ultrasound-guided gallbladder drainageKoichiro Mandai0Takato Inoue1Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kyoto, JapanDepartment of Gastroenterology, Kyoto Second Red Cross Hospital, Kyoto, JapanWe present the case of an 86-year-old man with acute gallstone-induced cholecystitis who underwent endoscopic ultrasound-guided gallbladder drainage. Despite the successful one-step gallbladder puncture and tract dilation using a fine-gauge electrocautery dilator, significant resistance was encountered during guidewire manipulation, ultimately revealing a peeled-off coating of the guidewire at the dilator tip. Although a subsequent attempt led to a successful stent placement, a peeled coating was observed in the duodenum. This case highlights the importance of careful attention to guidewire manipulation to prevent accidental shearing, not only through the needle but also through the electrocautery dilator. It emphasizes the necessity to practice caution in this technique-sensitive procedure to ensure both patient safety and procedural success.https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240042cholecystitis, acutedrainageendosonographygallbladderstents |
| spellingShingle | Koichiro Mandai Takato Inoue Shearing of guidewire coating by the tip of the electrocautery dilator during endoscopic ultrasound-guided gallbladder drainage International Journal of Gastrointestinal Intervention cholecystitis, acute drainage endosonography gallbladder stents |
| title | Shearing of guidewire coating by the tip of the electrocautery dilator during endoscopic ultrasound-guided gallbladder drainage |
| title_full | Shearing of guidewire coating by the tip of the electrocautery dilator during endoscopic ultrasound-guided gallbladder drainage |
| title_fullStr | Shearing of guidewire coating by the tip of the electrocautery dilator during endoscopic ultrasound-guided gallbladder drainage |
| title_full_unstemmed | Shearing of guidewire coating by the tip of the electrocautery dilator during endoscopic ultrasound-guided gallbladder drainage |
| title_short | Shearing of guidewire coating by the tip of the electrocautery dilator during endoscopic ultrasound-guided gallbladder drainage |
| title_sort | shearing of guidewire coating by the tip of the electrocautery dilator during endoscopic ultrasound guided gallbladder drainage |
| topic | cholecystitis, acute drainage endosonography gallbladder stents |
| url | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240042 |
| work_keys_str_mv | AT koichiromandai shearingofguidewirecoatingbythetipoftheelectrocauterydilatorduringendoscopicultrasoundguidedgallbladderdrainage AT takatoinoue shearingofguidewirecoatingbythetipoftheelectrocauterydilatorduringendoscopicultrasoundguidedgallbladderdrainage |