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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 Moura
Published 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.
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