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Published on: March 25, 2022
Endoscopic Management of Gallbladder Disease
Joshua L Hudson1, Todd H Baron2
1Division of Gastroenterology and Hepatology, Department of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Endoscopic interventions offer minimally invasive options for gallbladder diseases, reducing the need for surgery. Lumen-opposing metal stents (LAMS) and endoscopic ultrasound (EUS) are advancing gallbladder preservation and treatment.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Endoscopic Interventions
Background:
- Gallbladder diseases are increasingly managed with endoscopic interventions.
- These methods can serve as alternatives to or obviate the need for cholecystectomy.
Purpose of the Study:
- To review recent data on the endoscopic management of common gallbladder diseases.
- Highlighting advancements and novel techniques in gallbladder preservation.
Main Methods:
- Review of recent literature on endoscopic management of gallbladder diseases.
- Focus on lumen-opposing metal stents (LAMS) and endoscopic ultrasound (EUS).
Main Results:
- Lumen-opposing metal stents (LAMS) have revolutionized gallbladder management, particularly for cholecystitis.
- Endoscopic ultrasound (EUS) provides advanced gallbladder imaging.
- Novel LAMS techniques enable gallbladder lesion/polyp resection and treatment of non-cholecystitis conditions, promoting gallbladder preservation.
Conclusions:
- Multiple interventional endoscopic techniques effectively manage common gallbladder diseases like cholecystitis, cholelithiasis, polyps, and cancer.
- Ongoing development promises further minimally invasive endoscopic solutions for gallbladder conditions.
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