A Review on Endoscopic Management of Acute Cholecystitis: Endoscopic Ultrasound-Guided Gallbladder Drainage and Endoscopic Transpapillary Gallbladder Drainage.
Albert P ManudhaneMatthew D LeupoldHamza W ShahRaj ShahSamuel Y HanPeter J LeeJordan J BurlenGeorgios I PapachristouSomashekar G KrishnaPublished in: Medicina (Kaunas, Lithuania) (2024)
A percutaneous cholecystostomy tube (PCT) is the conventionally favored nonoperative intervention for treating acute cholecystitis. However, PCT is beset by high adverse event rates, need for scheduled reintervention, and inadvertent dislodgement, as well as patient dissatisfaction with a percutaneous drain. Recent advances in endoscopic therapy involve the implementation of endoscopic transpapillary drainage (ETP-GBD) and endoscopic ultrasound-guided gallbladder drainage (EUS-GBD), which are increasingly preferred over PCT due to their favorable technical and clinical success combined with lower complication rates. In this article, we provide a comprehensive review of the literature on EUS-GBD and ETP-GBD, delineating instances when clinicians should opt for endoscopic management and highlighting potential risks associated with each approach.
Keyphrases
- ultrasound guided
- fine needle aspiration
- randomized controlled trial
- liver failure
- healthcare
- drug induced
- respiratory failure
- human health
- emergency department
- case report
- mesenchymal stem cells
- risk assessment
- hepatitis b virus
- intensive care unit
- extracorporeal membrane oxygenation
- climate change
- aortic dissection
- bone marrow
- adverse drug
- cell therapy