Endoscopic ultrasound in the management of acute cholecystitis

Elsevier

Available online 17 November 2022, 101806

Best Practice & Research Clinical GastroenterologyAbstract

Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is increasingly utilized for patients with acute cholecystitis who are high-risk candidates for surgery. The technique to perform EUS-GBD has evolved and matured over the last two decades since EUS-GBD was first described in 2007 using a nasobiliary catheter. Compared to percutaneous gallbladder drainage (PT-GBD), EUS-GBD offers benefits of shorter hospitalisation stay and lesser procedural pain and need for reintervention. The purpose of this review is to provide an updated review of the equipment and techniques available for EUS-GBD, outcomes of the procedure and how it compares against endoscopic transpapillary drainage (ET-GBD), PT-GBD and laparoscopic cholecystectomy. Controversies surrounding the procedure will also be discussed.

Keywords

Acute cholecystitis

Lumen apposing metal stents

Endoscopic gallbladder drainage

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© 2022 Published by Elsevier Ltd.

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