Endoscopic Gallbladder Drainage EUS LAMS vs. ERCP Trans-papillary Drainage.

Q1 Medicine Current Gastroenterology Reports Pub Date : 2025-12-01 Epub Date: 2024-11-16 DOI:10.1007/s11894-024-00948-2

Maham Hayat, Yasi Xiao, Mustafa A Arain, Dennis Yang

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Abstract

Purpose of review: In this review, we discuss the role of endoscopic gallbladder drainage for acute cholecystitis in non-surgical candidates, describe technical aspects, clinical outcomes, and elaborate on considerations when determining which approach to adopt for a given patient.

Recent findings: Cholecystectomy remains the criterion standard for management of acute cholecystitis in patients who can safely undergo surgery. For non-surgical candidates, percutaneous cholecystostomy (PTC-GBD) has been the traditional strategy to drain and decompress the gallbladder. Advances in endoscopy have further expanded the nonsurgical interventions and approaches to cholecystitis. Both endoscopic transpapillary gallbladder drainage (ET-GBD) and endoscopic ultrasound guided gallbladder drainage (EUS-GBD) have become acceptable alternatives to PTC-GBD, with growing literature supporting their efficacy, safety and improved patient quality of life when compared to a percutaneous approach. Choosing the appropriate endoscopic technique for gallbladder drainage should be tailored to each patient, keeping in view the specific clinical scenarios, endoscopist preference and following a multi-disciplinary approach.

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内镜胆囊引流术 EUS LAMS 与 ERCP 经乳头引流术对比。

综述的目的：在这篇综述中，我们讨论了内镜胆囊引流术在非手术治疗急性胆囊炎中的作用，描述了技术方面和临床结果，并详细阐述了在决定对特定患者采用哪种方法时的注意事项：最新研究结果：对于可以安全接受手术的患者，胆囊切除术仍是治疗急性胆囊炎的标准方法。对于非手术患者，经皮胆囊造口术（PTC-GBD）一直是胆囊引流和减压的传统策略。内镜技术的进步进一步扩大了胆囊炎的非手术干预和治疗方法。内镜下胆囊经皮腔引流术（ET-GBD）和内镜下超声引导胆囊引流术（EUS-GBD）已成为可接受的 PTC-GBD 替代方法，越来越多的文献支持这两种方法的有效性、安全性以及与经皮方法相比患者生活质量的改善。选择合适的内镜技术进行胆囊引流应根据每位患者的具体临床情况、内镜医师的偏好和多学科方法进行。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Gastroenterology Reports Medicine-Gastroenterology

CiteScore

7.80

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0.00%

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期刊介绍： As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.

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