Endoscopic Gallbladder Drainage EUS LAMS vs. ERCP Trans-papillary Drainage

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Endoscopy

Background:

• Acute cholecystitis requires gallbladder drainage, with cholecystectomy as the standard for surgical candidates.
• Percutaneous cholecystostomy (PTC-GBD) is a traditional drainage method for non-surgical patients.
• Endoscopic techniques have emerged as viable alternatives to PTC-GBD.

Purpose of the Study:

• To review the role of endoscopic gallbladder drainage for acute cholecystitis in non-surgical candidates.
• To describe technical aspects, clinical outcomes, and selection criteria for endoscopic gallbladder drainage.
• To compare endoscopic approaches with traditional methods.

Main Methods:

• Review of current literature on endoscopic gallbladder drainage techniques.
• Discussion of endoscopic transpapillary gallbladder drainage (ET-GBD) and endoscopic ultrasound-guided gallbladder drainage (EUS-GBD).
• Comparison of outcomes and quality of life with percutaneous cholecystostomy (PTC-GBD).

Main Results:

• ET-GBD and EUS-GBD are effective and safe alternatives to PTC-GBD.
• Endoscopic methods demonstrate improved patient quality of life compared to percutaneous approaches.
• Growing evidence supports the efficacy and safety of endoscopic gallbladder drainage.

Conclusions:

• Endoscopic gallbladder drainage is a valuable option for non-surgical patients with acute cholecystitis.
• The choice of endoscopic technique should be individualized based on clinical scenario and endoscopist preference.
• A multidisciplinary approach is recommended for optimal patient management.