NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
Status Awaiting development
Technology type Procedure
Decision Selected
Reason for decision Anticipate the topic will be of importance to patients, carers, professionals, commissioners and the health of the public to ensure clinical benefit is realised, inequalities in use addressed, and help them make the best use of NHS resources
Process IP
ID number 1912
Description This procedure is typically done under sedation or general anaesthesia using a specialist endoscope with an ultrasound probe and fluoroscopic guidance. Preprocedural imaging is undertaken to determine the feasibility of the procedure. An anastomotic tract is created between the gallbladder through either the wall of the antrum of the stomach (cholecystogastrostomy) or the wall of the duodenum (cholecystoduodenostomy) and a stent is inserted to establish biliary drainage into the gut and relieve the gallbladder obstruction. Occasionally, the anastomotic tract may be created between the gallbladder and jejunum (cholecystojejunostomy) if the anatomy has previously been altered by surgery. The aim is to drain bile from the gallbladder and avoid the need for emergency cholecystectomy, particularly in high-risk surgical candidates There are different technologies in use for the creation of the anastomotic tract and deployment of the stent, and stents made of different materials can be used. If a metal stent is used, it needs to be replaced after tract maturation and within 6 weeks with a plastic stent to avoid metal stent-related adverse events.

Provisional Schedule

IPAC 1 08 December 2022
Interventional procedure consultation 01 February 2023 - 01 February 2023
IPAC 2 13 April 2023
Expected publication 28 June 2023

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Timeline

Key events during the development of the guidance:

Date Update
04 May 2022 Awaiting development. Status change linked to Topic Selection Decision being set to Selected

For further information on how we develop interventional procedures guidance, please see our IP manual