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Dig Endosc. 2014 Jul;26(4):525-31. doi: 10.1111/den.12221. Epub 2014 Jan 14.

Endoscopic ultrasound-guided endoluminal drainage of the gallbladder.

Author information

1
Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical College, New York, USA.

Abstract

For patients with acute cholecystitis who are not suitable for surgery, endoscopic ultrasound-guided endoluminal drainage of the gallbladder (EUS-GBD) has been developed to overcome the limitations of percutaneous transhepatic gallbladder drainage when endoscopic transpapillary gallbladder drainage is not feasible. In the present review we have summarized the studies describing EUS-GBD. Indications, techniques, accessories, endoprostheses, limitations and complications reported in the different studies are discussed. There were 90 documented cases in the literature. The overall reported technical success rate was 87/90 (96.7%). All patients with technical success were clinically successful. A total of 11/90 (12.2%) patients had complications including pneumoperitoneum, bile peritonitis and stent migration. The advantage of EUS-GBD is its ability to provide gallbladder drainage especially in situations where percutaneous or transpapillary drainage is not feasible or is technically challenging. It also provides the option of internal drainage and the ability to carry out therapeutic maneuvers via cholecystoscopy.

KEYWORDS:

acute cholecystitis; endoscopic ultrasound-guided endoluminal drainage of the gallbladder (EUS-GBD); stent

PMID:
24422762
DOI:
10.1111/den.12221
[Indexed for MEDLINE]

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