Endoscopic ultrasound-guided transmural stenting for gallbladder drainage in high-risk patients with acute cholecystitis: a systematic review and pooled analysis

Abstract

Among the different drainage approaches in the non-surgical management of acute cholecystitis, EUS-guided transmural stenting for gallbladder drainage appears to be feasible, safe, and effective. LAMSs seem to have high potentials in terms of efficacy and safety, although further prospective studies are needed.

Clinical efficacy and safety of endoscopic ultrasound‐guided gallbladder drainage replacement of percutaneous drainage: A multicenter retrospective study

“…EUS‐GBD avoids these problems by allowing direct decompression of the gallbladder from the gastrointestinal lumen. It reportedly has a >95% technical success rate when performed by an endoscopist with expertise in the procedure . We had a similar excellent success rate in this multicenter study.…”

“…It reportedly has a >95% technical success rate when performed by an endoscopist with expertise in the procedure. 11,17 We had a similar excellent success rate in this multicenter study. AEs related to primary EUS-GBD include bile leakage, bile peritonitis, and pneumoperitoneum.…”

“…Facilities in Japan that can perform EUS‐GBD are very limited compared with those performing PTGBD. Also, of concern is the relatively high rate of procedure‐related adverse events (AEs), such as bile leakage and bile peritonitis, reported with primary EUS‐GBD …”

“…Also, of concern is the relatively high rate of procedure-related adverse events (AEs), such as bile leakage and bile peritonitis, reported with primary EUS-GBD. 17,18 Another option is to convert PTGBD to EUS-GBD. 19 Internalization of gallbladder drainage can improve QoL.…”

Hybrid procedure combining endoscopic gallbladder lavage and internal drainage with elective cholecystectomy for acute cholecystitis: A prospective pilot study (The BLADE study)

“…Recently, devices related to EUS‐guided gallbladder drainage (EUS‐GBD) have been developed and this procedure may become more popular in the future . However, if patients have anatomy or fibrous wall thickness of the gallbladder that are remarkable, the transpapillary approach may be a more suitable option than EUS‐GBD.…”