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KMID : 1038120180510020150
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Clinical Endoscopy
2018 Volume.51 No. 2 p.150 ~ p.155
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Current Status of Endoscopic Gallbladder Drainage
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Chan Joey Ho Yi
Teoh Anthony Yuen Bun
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Abstract
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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.
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KEYWORD
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Endoscopic gallbladder drainage, Endoscopic ultrasound-guided gallbladder drainage, Percutaneous cholecystostomy, Cholecystitis, acute, Interventional endoscopic ultrasonography
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