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Review
. 2023 Dec 20;60(1):5.
doi: 10.3390/medicina60010005.

Assessment of Gallbladder Drainage Methods in the Treatment of Acute Cholecystitis: A Literature Review

Dorotea Bozic  1 , Zarko Ardalic  1 , Antonio Mestrovic  1 , Josipa Bilandzic Ivisic  2 , Damir Alicic  1 , Ivan Zaja  1   3 , Tomislav Ivanovic  4 , Ivona Bozic  5 , Zeljko Puljiz  1   6 , Andre Bratanic  1   6
Affiliations
Review

Assessment of Gallbladder Drainage Methods in the Treatment of Acute Cholecystitis: A Literature Review

Dorotea Bozic et al. Medicina (Kaunas). .

Abstract

Gallbladder drainage is a treatment option in high-risk surgical patients with moderate or severe acute cholecystitis. It may be applied as a bridge to cholecystectomy or a definitive treatment option. Apart from the simple and widely accessible percutaneous cholecystostomy, new attractive techniques have emerged in the previous decade, including endoscopic transpapillary gallbladder drainage and endoscopic ultrasound-guided gallbladder drainage. The aim of this paper is to present currently available drainage techniques in the treatment of AC; evaluate their technical and clinical effectiveness, advantages, possible adverse events, and patient outcomes; and illuminate the decision-making path when choosing among various treatment modalities for each patient, depending on their clinical characteristics and the accessibility of methods.

Keywords: acute cholecystitis; endoscopic gallbladder drainage; percutaneous cholecystostomy; percutaneous gallbladder drainage; transpapillary gallbladder drainage.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Scheme 1
Scheme 1
Flow diagram.
Figure 1
Figure 1
Calculous and acalculous cholecystitis. EUS-obtained image of the acute calculous cholecystitis (A) and the US image of the acalculous cholecystitis with the proposed US-guided transhepatic needle pathway (B).
Figure 2
Figure 2
MSCT-guided gallbladder drainage. MSCT-guided gallbladder drainage using the transhepatic approach: (A) needle introduction, (B) insertion into the gallbladder, and (C) guidewire with J tip positioned into the gallbladder.
Figure 3
Figure 3
Percutaneous gallbladder drainage set and postprocedural view. (A) Pigtail locking set includes (from left to right and from top to bottom) three dilators of different widths, introducer needle with stylet, metal stiffening cannula with the biliary drainage catheter, stainless steel J-tip guidewire, stainless steel guidewire with floppy tip, and device to connect catheter to the drainage bag; (B) postprocedural presentation of the drainage catheter and the drainage bag.
See this image and copyright information in PMC

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