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. 2023 Apr 8;12(8):2778.
doi: 10.3390/jcm12082778.

The Efficacy and Safety of EUS-Guided Gallbladder Drainage as a Bridge to Surgery for Patients with Acute Cholecystitis

Ken Ishii  1 , Yuji Fujita  1 , Eisuke Suzuki  1 , Yuji Koyama  1 , Seitaro Tsujino  1 , Atsuki Nagao  2 , Kunihiro Hosono  3 , Takuma Teratani  1 , Kensuke Kubota  3 , Atsushi Nakajima  3
Affiliations

The Efficacy and Safety of EUS-Guided Gallbladder Drainage as a Bridge to Surgery for Patients with Acute Cholecystitis

Ken Ishii et al. J Clin Med. .

Abstract

Background and aim: This study aimed to compare the efficacy and safety of endoscopic ultrasound-guided gallbladder drainage and percutaneous transhepatic gallbladder drainage as a bridge to surgery in patients with acute cholecystitis unfit for urgent cholecystectomy.

Methods: This retrospective study included 46 patients who underwent cholecystectomy following endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) or percutaneous transhepatic gallbladder drainage (PTGBD) for acute cholecystitis in NTT Tokyo Medical Center. We surveyed 35 patients as the EUS-GBD group and 11 patients as the PTGBD group, and compared the rate of technical success of the cholecystectomy and periprocedural adverse events. A 7-F, 10-cm double pigtail plastic stent was used for ultrasound-guided gallbladder drainage.

Results: The rate of technical success of cholecystectomy was 100% in both groups. Regarding postsurgical adverse events, no significant difference was noted between the two groups (EUS-GBD group, 11.4%, vs. PTGBD group, 9.0%; p = 0.472).

Conclusions: EUS-GBD as a BTS seems to be an alternative for patients with AC because it can ensure lower adverse events. On the other hand, there are two major limitations in this study--the sample size is small and there is a risk of selection bias.

Keywords: EUS drainage; acute cholecystitis; bridge to surgery.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Result of analyzed patients (pts) with acute cholecystitis.
See this image and copyright information in PMC

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References

    1. Glenn F. Cholecystostomy in the high risk patient with biliary tract disease. Ann. Surg. 1977;185:185–191. doi: 10.1097/00000658-197702000-00009. - DOI - PMC - PubMed
    1. Margiotta S.J., Jr., Willis I.H., Wallack M.K. Cholecystectomy in the elderly. Am. Surg. 1988;54:34–39. doi: 10.1016/S0002-9610(88)80541-5. - DOI - PubMed
    1. Edlund G., Ljungdahl M. Acute cholecystitis in the elderly. Am. J. Surg. 1990;159:414–416. doi: 10.1016/S0002-9610(05)81285-1. - DOI - PubMed
    1. Lai P.B.S., Kwong K.H., Leung K.L., Kwok S.P.Y., Chan A.C.W., Chung S.C.S., Lau W.Y. Randomized trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br. J. Surg. 1998;85:764–767. doi: 10.1046/j.1365-2168.1998.00708.x. - DOI - PubMed
    1. Weigelt J.A., Norcross J.F., Aurbakken C.M. Cholecystectomy after tube cholecystostomy. Am. J. Surg. 1983;146:723–726. doi: 10.1016/0002-9610(83)90327-6. - DOI - PubMed