Current Status of Endoscopic Gallbladder Drainage.
- Author:
Joey Ho Yi CHAN
1
;
Anthony Yuen Bun TEOH
Author Information
- Publication Type:Review
- Keywords: Endoscopic gallbladder drainage; Endoscopic ultrasound-guided gallbladder drainage; Percutaneous cholecystostomy; Cholecystitis, acute; Interventional endoscopic ultrasonography
- MeSH: Cholecystectomy; Cholecystectomy, Laparoscopic; Cholecystitis, Acute; Cholecystostomy; Drainage*; Gallbladder*; Humans; Sepsis; Stents; Ultrasonography
- From:Clinical Endoscopy 2018;51(2):150-155
- CountryRepublic of Korea
- Language:English
- Abstract: The gold standard for treatment of acute cholecystitis is laparoscopic cholecystectomy. However, cholecystectomy is often not suitable for surgically unfit patients who are too frail due to various co-morbidities. As such, several less invasive endoscopic treatment modalities have been developed to control sepsis, either as a definitive treatment or as a temporizing modality until the patient is stable enough to undergo cholecystectomy at a later stage. Recent developments in endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) with endoscopic ultrasound EUS-specific stents having lumen-apposing properties have demonstrated potential as a definitive treatment modality. Furthermore, advanced gallbladder procedures can be performed using the stents as a portal. With similar effectiveness as percutaneous transhepatic cholecystostomy and lower rates of adverse events reported in some studies, EUS-GBD has opened exciting possibilities in becoming the next best alternative in treating acute cholecystitis in surgically unfit patients. The aim of this review article is to provide a summary of the various methods of gallbladder drainage GBD with particular focus on EUS-GBD and the many new prospects it allows.
