Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2018 Dec 5;9(6):47-54.
doi: 10.4292/wjgpt.v9.i6.47.

Endoscopic ultrasound guided gallbladder drainage - is it ready for prime time?

Umesha Boregowda  1 , Chandraprakash Umapathy  1 , Arpitha Nanjappa  1 , Helen Wong  2 , Madhav Desai  3 , Marina Roytman  1 , Thimmaiah Theethira  1 , Shreyas Saligram  1
Affiliations
Editorial

Endoscopic ultrasound guided gallbladder drainage - is it ready for prime time?

Umesha Boregowda et al. World J Gastrointest Pharmacol Ther. .

Abstract

Management of acute cholecystitis includes initial stabilization and antibiotics. However, the most definitive treatment is cholecystectomy. A small percentage of patients who are not suitable for surgery due to the severity of cholecystitis or comorbidities will require a temporary measure as a bridge to surgery or permanent nonoperative management to decrease the mortality and morbidity. Most of these patients who require conservative management were managed with percutaneous transhepatic cholecystostomy or trans-papillary drainage of gallbladder drainage with cystic duct stenting through endoscopic retrograde cholangiopancreaticography (ERCP). Although, these conservative measures are effective, they can cause significant discomfort to the patients especially if used as a long-term measure. In view of this, there is a need for further minimally invasive procedures, which is safe, effective and comfortable to patients. Endoscopic ultrasound (EUS) guided gallbladder drainage is a novel method of gallbladder drainage first described in 2007[1]. Over the last decade, EUS guided gallbladder drainage has evolved as an effective alternative to percutaneous cholecystostomy and trans-papillary gallbladder drainage. Our goal is to review available literature regarding the scope of EUS guided gallbladder drainage as a viable alternative to percutaneous cholecystostomy or cystic duct stenting through ERCP among patients who are not suitable for cholecystectomy.

Keywords: Acute acalculous cholecystitis; Acute cholecystitis; Endoscopic ultrasound guided gallbladder drainage; Percutaneous cholecystostomy; Trans-papillary gallbladder drainage.

PubMed Disclaimer

Conflict of interest statement

Conflict-of-interest statement: None of the authors have any conflicts of interest.

Figures

Figure 1
Figure 1
Schematic diagram of trans-papillary cystic duct stenting.
Figure 2
Figure 2
Lumen apposing metal stent.
Figure 3
Figure 3
Endoscopic ultrasound guided gallbladder drainage.
See this image and copyright information in PMC

References

    1. Baron TH, Topazian MD. Endoscopic transduodenal drainage of the gallbladder: implications for endoluminal treatment of gallbladder disease. Gastrointest Endosc. 2007;65:735–737. - PubMed
    1. Katabathina VS, Zafar AM, Suri R. Clinical Presentation, Imaging, and Management of Acute Cholecystitis. Tech Vasc Interv Radiol. 2015;18:256–265. - PubMed
    1. Friedman GD. Natural history of asymptomatic and symptomatic gallstones. Am J Surg. 1993;165:399–404. - PubMed
    1. Kimura Y, Takada T, Strasberg SM, Pitt HA, Gouma DJ, Garden OJ, Büchler MW, Windsor JA, Mayumi T, Yoshida M, et al. TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2013;20:8–23. - PubMed
    1. Huffman JL, Schenker S. Acute acalculous cholecystitis: a review. Clin Gastroenterol Hepatol. 2010;8:15–22. - PubMed

Publication types