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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

190
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
190
Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

Ultrasound II: Endoscopic Ultrasound and FibroScan

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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
98
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

101
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
101
Gallbladder01:17

Gallbladder

496
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...
496
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

128
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
128

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Endosonography-guided choledochoduodenostomy using a lumen apposing metal stent vs. ERCP: Individual patient data and aggregate meta-analyses.

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Related Experiment Video

Updated: Jun 25, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

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Endoscopic Ultrasonography-Guided Gallbladder Drainage.

Shannon Melissa Chan1, Anthony Yuen Bun Teoh1

  • 1Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China.

Gastrointestinal Endoscopy Clinics of North America
|May 25, 2024
PubMed
Summary
This summary is machine-generated.

Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) offers a safe and effective treatment for acute calculous cholecystitis in high-risk patients. EUS-GBD demonstrates lower recurrence and reintervention rates compared to other drainage methods.

Keywords:
Acute cholecystitisEUS-GBDEUS-guided gallbladder drainage

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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Area of Science:

  • Gastroenterology
  • Interventional Endoscopy

Background:

  • Acute calculous cholecystitis is common in patients unfit for surgery.
  • Traditional drainage methods like percutaneous cholecystostomy have limitations.
  • Endoscopic transpapillary gallbladder drainage is an alternative but has drawbacks.

Purpose of the Study:

  • To review the efficacy and safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD).
  • To compare EUS-GBD with other gallbladder drainage techniques.
  • To discuss the procedural steps, precautions, and long-term management of EUS-GBD.

Main Methods:

  • Review of existing literature including cohorts, meta-analyses, and randomized controlled trials.
  • Analysis of technical and clinical success rates.
  • Evaluation of complication and recurrence rates.

Main Results:

  • EUS-GBD shows comparable technical and clinical success rates to transpapillary cystic duct stenting.
  • EUS-GBD is associated with significantly lower rates of recurrent cholecystitis.
  • EUS-GBD demonstrates lower rates of unplanned reinterventions compared to other methods.

Conclusions:

  • EUS-GBD is a viable and effective alternative for gallbladder drainage in high-risk surgical patients.
  • EUS-GBD offers improved long-term outcomes regarding recurrence and reinterventions.
  • The article provides guidance on performing EUS-GBD and its subsequent management.