Endoscopic ultrasound‐guided gallbladder drainage for the management of acute cholecystitis (with video)
作者： Irene Peñas-Herrero , Carlos de la Serna-Higuera , Manuel Perez-Miranda
DOI: 10.1002/JHBP.182
关键词: Endoscopic ultrasound 、 Gallbladder 、 Drainage 、 Surgery 、 Stent 、 General surgery 、 Acute cholecystitis 、 Medicine 、 Drainage tubes 、 Adverse effect 、 Percutaneous
摘要: Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) has been introduced as an alternative to percutaneous transhepatic for the treatment of acute cholecystitis in non-surgical candidates. A systematic review English language literature through PubMed search until June 2014 was conducted. One hundred and fifty-five patients with treated EUS-GBD eight studies 12 case reports, two other causes were identified. Overall, technical success obtained 153 (97.45%) clinical 150 (99.34%) cholecystitis. Adverse events developed less than 8% patients, all them managed conservatively. performed plastic stents, nasobiliary tubes, standard or modified tubular self-expandable metal stents (SEMS) lumen-apposing (LAMS) by different authors apparently similar outcomes. No comparison between stent types have reported. is a promising novel intervention high surgical risk patients. Feasibility, safety efficacy published from expert centers are very compared currently available alternatives. Further needed establish long-term outcomes this procedure practice settings before can be widely disseminated.
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