Long-term outcomes of endoscopic gallbladder stenting in high-risk surgical patients with calculous cholecystitis (with videos)

Efficacy and safety of endoscopic gallbladder drainage in acute cholecystitis: Is it better than percutaneous gallbladder drainage?

“…Eighteen studies (8, 16-25, 28, 30-33, 36, 37) (8,23,29,30,(32)(33)(34)38) were rated as high quality, 10 (17, 19, 21, 24, 25, 27, 28, 31, 35, 36) were of moderate quality, and 4 (16,18,20,22) were of low quality as per the NOS quality assessment. The 2 randomized studies (26,37) had lowrisk of bias as per the Cochran tool for assessing risk of bias.…”

“…Three studies (26,30,38) directly compared the efficacy and safety of endoscopic gallbladder drainage in acute cholecystitis as compared with percutaneous gallbladder drainage. EUSguided transmural drainage was exclusively used by Jang et al (26), whereas Kedia et al (38) used both EUS-guided transmural and ERC-guided transpapillary drainage.…”

“…EUSguided transmural drainage was exclusively used by Jang et al (26), whereas Kedia et al (38) used both EUS-guided transmural and ERC-guided transpapillary drainage. Inoue et al (30) used transpapillary drainage exclusively. The pooled odds ratio (OR) with 95% CI for technical success was 0.51 (95% CI, 0.09 -2.88), Cochran Q test P = 0.23, I 2 =23% (Fig.…”

“…EGBD can also be a definitive treatment in cases who are deemed not surgical candidates. Only one study (30) compared cholecystitis recurrence between PGBD and EGBD. A significantly higher recurrence rate was seen with PGBD (17.2%) compared with EGBD (0%).…”

Recent Advances in Endoscopy

“…Early data suggest that LAMS provide comparable efficacy and safety to percutaneous cholecystostomy drainage and potentially superior quality of life. This rapidly expanding literature, composed primarily of small cohort studies, has focused on a few areas of interest, including EUS-GBD for acute cholecystitis in poor operative candidates, [7][8][9][10][11][12][13][14][15] EUS-GBD for malignant biliary obstruction below the cyst duct takeoff, [16][17][18] long-term outcomes in nonsurgical candidates with cholecystitis, 19 and direct endoscopic cholecystoscopy via LAMS. 20…”