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Endoscopic Methods for Gallbladder Drainage.

Jennifer T Higa1, Shayan S Irani2

  • 1Division of Gastroenterology and Hepatology, Fox Chase Cancer Center, 333 Cottman Avenue, P3179, Philadelphia, PA, 19111, USA.

Current Treatment Options in Gastroenterology
|July 19, 2019
PubMed
Summary
This summary is machine-generated.

Endoscopic gallbladder drainage (GBD) offers a viable alternative to surgery for non-operative patients with acute cholecystitis. Endoscopic methods show comparable outcomes to percutaneous drainage with potential advantages.

Keywords:
Acute cholecystitisERCPEUSGallbladder drainagePer-oral cholecystoscopy

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Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Abdominal Imaging

Background:

  • Acute cholecystitis management typically involves cholecystectomy.
  • Non-operative candidates require alternative gallbladder drainage (GBD) strategies.

Purpose of the Study:

  • To review endoscopic methods for gallbladder drainage in non-operative patients.
  • To compare endoscopic GBD with percutaneous drainage.

Main Methods:

  • Transpapillary cystic duct stenting.
  • Endoscopic ultrasound (EUS)-guided transmural stent placement.
  • Review of current evidence and clinical considerations.

Main Results:

  • Endoscopic GBD (EUS or ERCP with transpapillary stenting) is effective for non-operative candidates.
  • Outcomes are comparable to percutaneous transhepatic catheter drainage.
  • Endoscopic GBD may offer lower recurrence rates and fewer complications.

Conclusions:

  • Endoscopic GBD is an evolving and effective option for select patients.
  • Consideration of individual patient factors is crucial for optimal outcomes.
  • Endoscopic GBD presents advantages over percutaneous drainage in specific scenarios.