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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Gallbladder drainage guided by endoscopic ultrasound
José Carlos Súbtil1, Maite Betes, Miguel Muñoz-Navas
1José Carlos Súbtil, Maite Betes, Miguel Muñoz-Navas, Gastroenterology Department, University Clinic of Navarra, Pamplona 31008, Spain.
World Journal of Gastrointestinal Endoscopy
|December 17, 2010
Summary
Endoscopic ultrasound-guided gallbladder drainage offers a minimally invasive alternative to percutaneous cholecystostomy for acute cholecystitis. This technique may improve patient quality of life when surgery is not an option.
Area of Science:
- Gastroenterology and Hepatology
- Minimally Invasive Endoscopic Procedures
Background:
- Cholecystectomy is the standard treatment for acute cholecystitis.
- Percutaneous cholecystostomy is an alternative for patients unsuitable for surgery but can cause discomfort and complications.
- Endoscopic ultrasound (EUS)-guided gallbladder drainage presents a novel, less invasive option.
Purpose of the Study:
- To detail the EUS-guided cholecystenterostomy technique for acute cholecystitis management.
- To outline patient preparation, necessary equipment, and procedural steps.
- To discuss indications and review existing literature and clinical experience.
Main Methods:
- Detailed description of the EUS-guided cholecystenterostomy procedure.
- Explanation of patient preparation and required accessories.
- Review of published data and institutional experience with the technique.
Main Results:
- The study provides a comprehensive guide to performing EUS-guided cholecystenterostomy.
- It highlights the technique as a viable alternative for select patients.
- Discussion includes potential benefits and limitations based on current evidence.
Conclusions:
- EUS-guided cholecystenterostomy is an effective, minimally invasive alternative for acute cholecystitis in patients with contraindications to surgery.
- This technique may offer improved patient outcomes and quality of life compared to traditional methods.
- Further research and broader adoption are warranted to establish its full potential.
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