Endoscopic ultrasound (EUS)-guided cholecystostomy versus percutaneous cholecystostomy (PTC) in the management of acute cholecystitis in patients unfit for surgery: a systematic review and meta-analysis.
Matheus Candido HemerlyDiogo Turiani Hourneaux de MouraEpifanio Silvino do Monte JuniorIgor Mendonça ProençaIgor Braga RibeiroErika Yuki YvamotoPedro Henrique Boraschi Vieira RibasSergio A Sánchez-LunaWanderley Marques BernardoEduardo Guimarães Hourneaux de MouraPublished in: Surgical endoscopy (2022)
EUS-GBD using cautery-enhanced LAMS is superior to PT-GBD in terms of safety profile, recurrent cholecystitis, and hospital readmission rates in the management of patients with acute cholecystitis who are suboptimal candidates for cholecystectomy. However, when cautery-enhanced LAMS are not used, the outcomes of EUS-GBD and PT-GBD are similar. Thus, EUS-GBD with cautery-enhanced LAMS should be considered the preferable approach for gallbladder drainage for this challenging population.
Keyphrases
- ultrasound guided
- fine needle aspiration
- end stage renal disease
- minimally invasive
- ejection fraction
- newly diagnosed
- chronic kidney disease
- magnetic resonance imaging
- liver failure
- peritoneal dialysis
- emergency department
- computed tomography
- acute care
- patient reported outcomes
- atrial fibrillation
- adipose tissue
- aortic dissection
- acute coronary syndrome
- weight loss
- electronic health record
- contrast enhanced ultrasound