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KMID : 1048120130020010030
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International Journal of Gastrointestinal Intervention
2013 Volume.2 No. 1 p.30 ~ p.35
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Can endoscopic ultrasound help to drain the gallbladder?
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Choi Jun-Ho
Park Do-Hyun
Lee Sang-Soo
Seo Dong-Wan
Lee Sung-Koo
Kim Myung-Hwan
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Abstract
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Percutaneous transhepatic gallbladder drainage (PTGBD) is a less invasive standard procedure to decompress the inflamed gallbladder in patients who are at high risk for emergency cholecystectomy. Recently, endoscopic ultrasonography-guided transmural gallbladder drainage (EUS-GBD) has been proposed as an alternative effective treatment modality for the management of acute cholecystitis in high-risk patients. EUS-GBD includes EUS-guided nasogallbladder drainage, gallbladder aspiration, and gallbladder stenting via a transmural endoscopic approach. Several investigators have reported high technical success with acceptable complication rates. Further prospective evaluation of the feasibility, safety, and efficacy of EUS-GBD will help identify the most suitable indications for this procedure. This article is a detailed review of the use of EUS for gallbladder drainage, with an emphasis on its technical aspects.
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KEYWORD
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Cholecystitis, Endoscopic ultrasonography, Gallbladder, Radiological procedure
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