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Updated: Oct 25, 2025

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Endoscopic therapies for gallbladder drainage.

Monica Saumoy1, Julie Yang2, Amit Bhatt3

  • 1Department of Gastroenterology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Gastrointestinal Endoscopy
|August 4, 2021
PubMed
Summary
This summary is machine-generated.

Endoscopic gallbladder drainage (EUS-GBD and ET-GBD) offers a viable alternative to percutaneous cholecystostomy (PC) for acute cholecystitis. These endoscopic methods show comparable success rates with potentially fewer adverse events and improved quality of life.

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Area of Science:

  • Gastroenterology and Endoscopy
  • Minimally Invasive Procedures
  • Acute Cholecystitis Management

Background:

  • Acute cholecystitis management traditionally involves percutaneous cholecystostomy (PC) for nonoperative candidates.
  • Endoscopic techniques for gallbladder drainage have advanced, offering alternatives to PC.
  • This review focuses on endoscopic transpapillary gallbladder drainage (ET-GBD) and EUS-guided gallbladder drainage (EUS-GBD).

Framework:

  • Systematic literature search of MEDLINE database through March 2021.
  • Keywords included 'acute cholecystitis,' 'interventional EUS,' 'percutaneous cholecystostomy,' and various endoscopic gallbladder drainage terms.
  • Data reviewed include technical aspects, success rates, and adverse events of ET-GBD and EUS-GBD compared to PC.

Implementation:

  • Endoscopic gallbladder drainage techniques (ET-GBD, EUS-GBD) demonstrate acceptable outcomes compared to PC.
  • Published data suggest endoscopic methods may have lower adverse event rates.
  • Clinical decision-making requires a multidisciplinary approach considering patient factors.

Implications:

  • EUS-guided gallbladder drainage (EUS-GBD) and ET-GBD may offer favorable outcomes for high-risk surgical patients with acute cholecystitis.
  • These endoscopic approaches can lead to improved quality of life.
  • Further advancements in techniques and training are expected to increase adoption of endoscopic gallbladder drainage.