PMID- 35691695
OWN - NLM
STAT- MEDLINE
DCOM- 20220614
LR  - 20220614
IS  - 1558-1950 (Electronic)
IS  - 1052-5157 (Linking)
VI  - 32
IP  - 3
DP  - 2022 Jul
TI  - Endoscopic Management of Acute Cholecystitis.
PG  - 527-543
LID - S1052-5157(22)00010-1 [pii]
LID - 10.1016/j.giec.2022.02.004 [doi]
AB  - Endoscopic drainage of the gallbladder for acute cholecystitis can be performed 
      with the transpapillary method or endoscopic ultrasound (EUS)-guided method. 
      EUS-guided gallbladder drainage (EUS-GBD) is gaining popularity as the treatment 
      of choice for acute cholecystitis in patients who are deemed high-risk for 
      cholecystectomy (CCY). It provides an alternative to percutaneous drainage and 
      laparoscopic CCY in these patients. With the development of lumen-apposing metal 
      stents (LAMS), the procedure is associated with high rates of technical and 
      clinical success with low rates of adverse events (AEs). The aim of this article 
      is to provide an overview of the current status of EUS-GBD including the 
      indications, techniques, stent systems in-use, and how the procedure compares to 
      conventional techniques are outlined. Furthermore, the feasibility of 
      cholecystoscopy and advanced gallbladder interventions is explored. Finally, a 
      comparison in outcomes of EUS-GBD versus laparoscopic CCY is provided giving some 
      initial data in support of the procedure as an alternative to surgery in a 
      selected group of patients.
CI  - Copyright (c) 2022 Elsevier Inc. All rights reserved.
FAU - Luo, Xiaobei
AU  - Luo X
AD  - Department of Gastroenterology, Nanfang Hospital, Southern Medical University, 
      Guangzhou, China.
FAU - Sharaiha, Reem
AU  - Sharaiha R
AD  - Division of Gastroenterology and Hepatology, New York Presbyterian Hospital/Weill 
      Cornell Medical Centre, New York, NY, USA.
FAU - Teoh, Anthony Yuen Bun
AU  - Teoh AYB
AD  - Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong 
      Kong, Shatin, Hong Kong. Electronic address: anthonyteoh@surgery.cuhk.edu.hk.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20220511
PL  - United States
TA  - Gastrointest Endosc Clin N Am
JT  - Gastrointestinal endoscopy clinics of North America
JID - 9202792
SB  - IM
MH  - *Cholecystitis, Acute/diagnostic imaging/etiology/surgery
MH  - Drainage/methods
MH  - Endosonography/methods
MH  - Humans
MH  - Retrospective Studies
MH  - Stents
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Acute cholecystitis
OT  - EUS-guided gallbladder drainage
OT  - Endoscopic transpapillary gallbladder drainage
OT  - Percutaneous transhepatic gallbladder drainage
COIS- Disclosure A.Y.B. Teoh is a consultant for Boston Scientific, Cook, Taewoong and 
      Microtech Medical Corporations. R. Sharaiha is a consultant for Boston 
      Scientific, Cook, Lumendi. Other co-authors do not have any conflicts of interest 
      to disclose.
EDAT- 2022/06/13 06:00
MHDA- 2022/06/15 06:00
CRDT- 2022/06/12 21:07
PHST- 2022/06/12 21:07 [entrez]
PHST- 2022/06/13 06:00 [pubmed]
PHST- 2022/06/15 06:00 [medline]
AID - S1052-5157(22)00010-1 [pii]
AID - 10.1016/j.giec.2022.02.004 [doi]
PST - ppublish
SO  - Gastrointest Endosc Clin N Am. 2022 Jul;32(3):527-543. doi: 
      10.1016/j.giec.2022.02.004. Epub 2022 May 11.