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Comparable efficacy of endoscopic transpapillary gallbladder drainage and percutaneous transhepatic gallbladder

Chikara Iino1,2,3, Tadashi Shimoyama3, Takasato Igarashi2,3

  • 1Department of Gastroenterology and Hematology, Hirosaki National Hospital, Aomori, Japan.

Endoscopy International Open
|May 11, 2018
PubMed

Insights

Endoscopic transpapillary gallbladder drainage (ETGBD) is effective for acute cholecystitis, offering similar outcomes to percutaneous transhepatic gallbladder drainage (PTGBD) but with a shorter hospital stay. ETGBD is a viable alternative treatment option.

Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Surgical Outcomes

Background:

  • Acute cholecystitis requires effective gallbladder drainage.
  • Endoscopic transpapillary gallbladder drainage (ETGBD) is a known treatment.
  • Comparison with percutaneous transhepatic gallbladder drainage (PTGBD) is limited.

Purpose of the Study:

  • To compare the efficacy and safety of ETGBD versus PTGBD.
  • To evaluate clinical outcomes and hospitalization duration.
  • To identify factors predicting shorter hospital stays.

Main Methods:

  • Retrospective study of 75 patients with acute cholecystitis requiring drainage.
  • Propensity score matching analysis to compare ETGBD and PTGBD groups.
  • Multivariate analysis to determine predictors of hospitalization period.

Main Results:

  • Successful drainage rates were 77% for ETGBD and 100% for PTGBD.
  • No significant differences in inflammatory markers between groups.
  • ETGBD group had a significantly shorter hospitalization period.
  • No significant difference in complication rates.

Conclusions:

  • ETGBD is as effective as PTGBD for acute cholecystitis.
  • ETGBD is associated with reduced hospitalization duration.
  • ETGBD presents a valuable alternative treatment option.
Abstract

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