Endoscopic Gallbladder Drainage: A Comprehensive Review on Indications, Techniques, and Future Perspectives

被引:4
作者
Troncone, Edoardo [1 ]
Amendola, Rosa [1 ]
Moscardelli, Alessandro [1 ]
De Cristofaro, Elena [1 ]
De Vico, Pasquale [2 ]
Paoluzi, Omero Alessandro [1 ]
Monteleone, Giovanni [1 ]
Perez-Miranda, Manuel [3 ]
Del Vecchio Blanco, Giovanna [1 ]
机构
[1] Univ Roma Tor Vergata, Dept Syst Med, I-00133 Rome, Italy
[2] Univ Roma Tor Vergata, Dept Anaesthesia, I-00133 Rome, Italy
[3] Univ Hosp Rio Hortega, Dept Gastroenterol & Hepatol, Valladolid 47012, Spain
来源
MEDICINA-LITHUANIA | 2024年 / 60卷 / 04期
关键词
acute cholecystitis; EUS-guided drainage; interventional EUS; therapeutic EUS; ERCP; cholecystostomy; cholecystectomy; biliary obstruction; MALIGNANT BILIARY OBSTRUCTION; APPOSING METAL STENT; HIGH-SURGICAL-RISK; ACUTE CHOLECYSTITIS; PERCUTANEOUS CHOLECYSTOSTOMY; CYSTIC DUCT; LAPAROSCOPIC CHOLECYSTECTOMY; PANCREATIC-CANCER; RANDOMIZED-TRIAL; MANAGEMENT;
D O I
10.3390/medicina60040633
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In recent years, therapeutic endoscopy has become a fundamental tool in the management of gallbladder diseases in light of its minimal invasiveness, high clinical efficacy, and good safety profile. Both endoscopic transpapillary gallbladder drainage (TGBD) and endoscopic ultrasound (EUS)-guided gallbladder drainage (EUS-GBD) provide effective internal drainage in patients with acute cholecystitis unfit for cholecystectomy, avoiding the drawbacks of external percutaneous gallbladder drainage (PGBD). The availability of dedicated lumen-apposing metal stents (LAMS) for EUS-guided transluminal interventions contributed to the expansion of endoscopic therapies for acute cholecystitis, making endoscopic gallbladder drainage easier, faster, and hence more widely available. Moreover, EUS-GBD with LAMS opened the possibility of several cholecystoscopy-guided interventions, such as gallstone lithotripsy and clearance. Finally, EUS-GBD has also been proposed as a rescue drainage modality in malignant biliary obstruction after failure of standard techniques, with encouraging results. In this review, we will describe the TBGD and EUS-GBD techniques, and we will discuss the available data on clinical efficacy in different settings in comparison with PGBD. Finally, we will comment on the future perspectives of EUS-GBD, discussing the areas of uncertainty in which new data are more strongly awaited.
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页数:17
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