EUS-guided gallbladder drainage in acute cholecystitis: long-term problems with surgical approach

Bang, Ji Young; Arnoletti, Juan Pablo; Wagner, Andrew; Varadarajulu, Shyam

doi:10.1136/gutjnl-2023-331245

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…Despite that, about 35% of cases in the EUS-GBD group were finally managed with open cholecystectomy [59]. Recently, Bang and colleagues reported 25 cases of cholecystectomy after EUS-GBD [60]. In three cases of transgastric EUS-GBD (12%), a minimally invasive approach (robotic or laparoscopic cholecystectomy) was unsuccessful due to the presence of pericholecystic adhesions and/or cholecystogastric fistula, which necessitated conversion to open or subtotal cholecystectomy.…”

Section: Eus-guided Gallbladder Drainage In Possible Surgical Candidatesmentioning

confidence: 99%

Endoscopic Gallbladder Drainage: A Comprehensive Review on Indications, Techniques, and Future Perspectives

Troncone,

Amendola,

Moscardelli

et al. 2024

Medicina

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In recent years, therapeutic endoscopy has become a fundamental tool in the management of gallbladder diseases in light of its minimal invasiveness, high clinical efficacy, and good safety profile. Both endoscopic transpapillary gallbladder drainage (TGBD) and endoscopic ultrasound (EUS)-guided gallbladder drainage (EUS-GBD) provide effective internal drainage in patients with acute cholecystitis unfit for cholecystectomy, avoiding the drawbacks of external percutaneous gallbladder drainage (PGBD). The availability of dedicated lumen-apposing metal stents (LAMS) for EUS-guided transluminal interventions contributed to the expansion of endoscopic therapies for acute cholecystitis, making endoscopic gallbladder drainage easier, faster, and hence more widely available. Moreover, EUS-GBD with LAMS opened the possibility of several cholecystoscopy-guided interventions, such as gallstone lithotripsy and clearance. Finally, EUS-GBD has also been proposed as a rescue drainage modality in malignant biliary obstruction after failure of standard techniques, with encouraging results. In this review, we will describe the TBGD and EUS-GBD techniques, and we will discuss the available data on clinical efficacy in different settings in comparison with PGBD. Finally, we will comment on the future perspectives of EUS-GBD, discussing the areas of uncertainty in which new data are more strongly awaited.

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Section: Eus-guided Gallbladder Drainage In Possible Surgical Candidatesmentioning

confidence: 99%

Endoscopic Gallbladder Drainage: A Comprehensive Review on Indications, Techniques, and Future Perspectives

Troncone,

Amendola,

Moscardelli

et al. 2024

Medicina

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show abstract

“…The choice of drainage method will depend on local expertise and the availability of the different drainage techniques [73]. A sophisticated treatment algorithm for patients with acute cholecystitis and varied surgical risk was recently proposed by a group from Orlando [100].…”

Section: Percutaneous Gallbladder Drainagementioning

confidence: 99%

Ultrasound-Guided Interventions in the Biliary System

Müller,

Braden

2024

Diagnostics

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Ultrasound guidance in biliary interventions has become the standard tool to facilitate percutaneous biliary drainage as well as percutaneous gall bladder drainage. Monitoring of the needle tip whilst penetrating the tissue in real time using ultrasound allows precise manoeuvres and exact targeting without radiation exposure. Without the need for fluoroscopy, ultrasound-guided drainage procedures can be performed bedside as a sometimes life-saving procedure in patients with severe cholangitis/cholecystitis when they are critically ill in intensive care units and cannot be transported to a fluoroscopy suite. This article describes the current data background and guidelines and focuses on specific sonographic aspects of both the procedures of percutaneous biliary drainage and gallbladder drainage.

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Outcomes of endoscopic ultrasound-guided gallbladder drainage: A multicenter study from India (with video)

Chavan,

Singla,

Sundaram

et al. 2024

Indian J Gastroenterol

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EUS-guided gallbladder drainage in acute cholecystitis: long-term problems with surgical approach

Cited by 5 publications

References 9 publications

Endoscopic Gallbladder Drainage: A Comprehensive Review on Indications, Techniques, and Future Perspectives

Endoscopic Gallbladder Drainage: A Comprehensive Review on Indications, Techniques, and Future Perspectives

Ultrasound-Guided Interventions in the Biliary System

Outcomes of endoscopic ultrasound-guided gallbladder drainage: A multicenter study from India (with video)

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