Related Experiment Video
Updated: Jan 25, 2026
04:35
Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound
Published on: November 21, 2023
1.0K
Endoscopic ultrasound-guided gallbladder drainage: Current status and future prospects
Takeshi Ogura1, Kazuhide Higuchi1
12nd Department of Internal Medicine, Osaka Medical College, Osaka, Japan.
Summary
For acute cholecystitis (AC) patients unfit for surgery, gallbladder drainage is an option. Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is emerging as a viable alternative to traditional methods like percutaneous transhepatic gallbladder drainage (PTGBD).
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Interventional Endoscopy
Background:
- Laparoscopic surgery is the standard for acute cholecystitis (AC), but not suitable for all patients.
- Gallbladder drainage offers an alternative for AC patients with contraindications to surgery.
- Established drainage methods include PTGBD and ETGBD, each with limitations.
Purpose of the Study:
- To review the current status and challenges of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD).
- To analyze technical aspects, clinical data, indications, and outcomes of EUS-GBD.
- To compare EUS-GBD with existing drainage techniques (PTGBD, ETGBD) and discuss future prospects.
Main Methods:
- Review of existing literature on EUS-GBD, PTGBD, and ETGBD.
- Analysis of technical procedures for EUS-GBD.
- Comparison of clinical data, indications, and long-term outcomes.
Main Results:
- EUS-GBD is an emerging alternative to PTGBD and ETGBD for AC patients unsuitable for surgery.
- The review covers technical aspects, clinical data, and comparative outcomes of EUS-GBD.
- EUS-GBD presents potential advantages and challenges compared to PTGBD and ETGBD.
Conclusions:
- EUS-GBD is a promising minimally invasive option for AC patients with surgical contraindications.
- Further research and high-volume expertise are crucial for optimizing EUS-GBD procedures.
- EUS-GBD may become a significant alternative to PTGBD and ETGBD in select patient populations.
Keywords:
acute cholecystitisendoscopic gallbladder drainageendoscopic ultrasoundendoscopic ultrasound-guided gallbladder drainagelumen-apposing metal stentMore Related Videos
07:44Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
6.7K
10:19Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
26.3K
Related Concept Videos
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
639
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
639
01:17Gallbladder
2.1K
The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
2.1K
01:26Diseases of the Liver and Gallbladder
1.9K
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
1.9K
01:20Cavity Drainage and Flashings in Masonry walls
436
Typically, a cavity wall consists of two wythes separated by a gap of at least 2 inches, which may contain insulation while still maintaining a minimum clear space of 1 inch to facilitate adequate drainage. Advanced methods like the insertion of a continuous drainage mat can further reduce this space while ensuring effective moisture expulsion.
Weep holes, strategically placed at the base of the cavity, are critical for draining accumulated water. These openings are created by leaving head...
Weep holes, strategically placed at the base of the cavity, are critical for draining accumulated water. These openings are created by leaving head...
436
01:26Marcia's Theory of Identity Status
1.5K
James Marcia's identity status model provides a framework for understanding how adolescents navigate identity formation through varying degrees of exploration and commitment. Marcia's model builds on Erik Erikson's theories of psychosocial development, focusing specifically on how adolescents reconcile individual aspirations with societal expectations. His model describes identity formation as a dynamic process where adolescents move between different states depending on their level...
1.5K
01:10Electrical Current
6.9K
Electrical current is defined as the rate at which charge flows. When there is a large current present, such as that used to run a refrigerator, a large amount of charge moves through the wire in a small amount of time. If the current is small, such as that used to operate a handheld calculator, a small amount of charge moves through the circuit over a long period of time. The SI unit for current is the ampere (A), named for the French physicist André-Marie Ampère (1775–1836).
6.9K