New endoscopic procedure may offer better Long-Term relief for gallbladder patients too sick for surgery
NCT ID NCT07575360
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at 484 high-risk surgical patients with acute cholecystitis (gallbladder inflammation) who first received a standard drainage tube through the skin. Some then had a newer procedure using an endoscope to place a metal stent inside the gallbladder. Researchers compared long-term outcomes like repeat infections and need for further procedures. The goal is to find a safer, more effective way to manage these patients.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- endoscopic ultrasound-guided gallbladder drainage with a metal stent
- What this could lead to
- If successful, this approach could offer a safer, long-term alternative to standard drainage tubes for high-risk patients with gallbladder inflammation.
- What could go wrong
- This is a retrospective observational study, not a randomized trial, so results may be less reliable. The procedure carries risks like bleeding or infection.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
484 people
The number who actually took part.
- Started
-
Apr 2024
- Finished
-
Sep 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population includes adult patients (≥18 years) with acute cholecystitis who were considered high-risk for surgery and managed with percutaneous trans-hepatic gallbladder drainage (PT-GBD). All patients were deemed unfit for cholecystectomy after multidisciplinary evaluation. Eligible patients are retrospectively identified from participating centers and include all consecutive cases undergoing PT-GBD during the study period. The population reflects a real-world cohort of frail patients with significant comorbidities. Two groups are defined based on subsequent management: conversion to endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) with lumen-apposing metal stent (LAMS) versus standard management.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age \>18 years * Patients considered unfit for surgery after multidisciplinary discussion * Patients who underwent PT-GBD for acute cholecystitis Exclusion Criteria: * Patients with improved general conditions who become fit for laparoscopic cholecystectomy * Use of anticoagulants that cannot be discontinued * Coagulation and/or platelet hereditary disorders and/or INR \>1.5, PLT \<50,000 * Absolute contraindication for EUS-GBD * Post-surgical altered upper gastrointestinal anatomy * Malignant biliary obstruction
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Gastroenterology Unit, Hospital of Imola
Imola, 40026, Italy
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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