EUS-guided transmural gallbladder drainage: a new era has begun

Xu, Mingming; Kahaleh, Michel

doi:10.1177/1756283x15618178

Cited by 9 publications

(7 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Though percutaneous drainage is highly successful and minimally invasive, there are significant complications and risks associated with this approach, such as bleeding, bile leaks, and peritonitis, pneumothorax, perforation of the bowel, and catheter migration [4,5]. Moreover, patients with ascites or on anticoagulation cannot undergo this procedure [4]. Recent advancements in EUS have led to endoscopic gallbladder decompression via the approach of transpupillary drainage or transmural stenting [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, patients with ascites or on anticoagulation cannot undergo this procedure [4]. Recent advancements in EUS have led to endoscopic gallbladder decompression via the approach of transpupillary drainage or transmural stenting [4][5][6]. EUS-guided gallbladder decompression is minimally invasive with fewer complications, which is evidenced by numerous retrospective studies demonstrating high success rates, decreased leaks and/or stent migration, shorter hospital stays, and fewer unplanned admissions as compared to percutaneous drainage [4,5,7].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic Treatment of Acute Cholelithiasis Using AXIOS Stenting and Lithotripsy: A Case Series

Tagliaferri¹,

Melki²,

Cavanagh³

2023

Cureus

View full text Add to dashboard Cite

The management of gallbladder diseases, including acute cholecystitis and choledocholithiasis, puts a significant strain on healthcare. The first-line treatment for acute cholecystitis is cholecystectomy. Patients who have concomitant choledocholithiasis, large stones, and/or gallstone pancreatitis may also benefit from endoscopic interventions. Endoscopic treatments may also be utilized in patients who are not surgical candidates due to underlying comorbidities. Studies examining the role of endoscopic lithotripsy in concomitant cholecystitis are limited. Herein we present a case series in which an AXIOS stent (Boston Scientific, Marlborough, Massachusetts) was placed into the gallbladder for decompression and utilized to access the gallbladder lumen to perform electrohydraulic lithotripsy in two patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endoscopic Treatment of Acute Cholelithiasis Using AXIOS Stenting and Lithotripsy: A Case Series

Tagliaferri¹,

Melki²,

Cavanagh³

2023

Cureus

View full text Add to dashboard Cite

show abstract

“…The first line management of acute cholecystitis remains cholecystectomy for patients with good operative candidates. However, early surgical management in elderly patients, those with multiple comorbidities, and those with severe cholecystitis is associated with increased morbidity and mortality [43][44][45].…”

Section: Eus-guided Gallbladder Drainagementioning

confidence: 99%

Endoscopic Ultrasonography (EUS) and Gallbladder

Alizadeh¹

2017

Updates in Gallbladder Diseases

View full text Add to dashboard Cite

Diseases of the gallbladder commonly manifest as cholelithiasis and gallbladder cancer. Cholelithiasis has become a significant health problem in developed societies, affecting 10-15% of the adult population. Gallbladder polyps are incidentally detected in approximately 4-7% of patients. In addition, other gallbladder problems may also occur, but these are extremely rare: remnant cystic duct, gallbladder anomalies, Mirizzi syndrome, and gallbladder parasites. Endoscopic ultrasound (EUS) is an excellent method for visualizing the bile duct and gallbladder given its proximity when imaging from the duodenum. EUS can be used for evaluation of gallbladder disease that includes investigation of suspected cholelithiasis or biliary sludge, imaging of polypoid lesions of the gallbladder, and diagnosis and staging of gallbladder cancer. This procedure can be helpful to further distinguish benign from malignant or potentially malignant gallbladder polyps and play an important role in determining the treatment strategy for gallbladder polyps. Furthermore, EUS can help in the diagnosis of rarely gallbladder diseases such as remnant cystic duct, gallbladder anomalies, Mirizzi syndrome, and gallbladder parasites. Recent studies have suggested that EUS-guided gallbladder drainage (EUS-GBD) can be considered to be an effective emergency treatment for acute cholecystitis patients at high risk for surgery.

show abstract

“…EUS-guided gallbladder drainage has been clinically and technically successful, with fewer adverse events than with current percutaneous techniques 1, 2, 3, 4, 5. However, stone impaction and recurrent cholecystitis remain problematic in patients with large calculi 5 .…”

mentioning

confidence: 99%