Endoscopic Ultrasound-Guided Gallbladder Drainage versus Percutaneous Gallbladder Drainage for Acute Cholecystitis: A Systematic Review and Meta-Analysis

被引:21
作者
Boregowda, Umesha [1 ]
Chen, Millie [1 ]
Saligram, Shreyas [1 ]
机构
[1] Univ Texas Hlth, Div Gastroenterol & Adv Endoscopy, San Antonio, TX 78229 USA
关键词
endoscopic ultrasound-guided gallbladder drainage; percutaneous gallbladder drainage; meta-analysis; acute cholecystitis; gallbladder drainage; EUS guided gallbladder drainage; lumen apposing metal stent; plastic stent; APPOSING METAL STENT; HIGH-RISK; ADVERSE EVENTS; CHOLECYSTOSTOMY; OUTCOMES; CHOLECYSTECTOMY; MANAGEMENT; UNFIT;
D O I
10.3390/diagnostics13040657
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Percutaneous transhepatic gallbladder drainage (PT-GBD) has been the treatment of choice for acute cholecystitis patients who are not suitable for surgery. The effectiveness of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) as an alternative to PT-GBD is not clear. In this meta-analysis, we have compared their efficacy and adverse events. Methods: We adhered to the PRISMA statement to conduct this meta-analysis. Online databases were searched for studies that compared EUS-GBD and PT-GBD for acute cholecystitis. The primary outcomes of interest were technical success, clinical success, and adverse events. The pooled odds ratio (OR) with a 95% confidence interval (CI) was calculated using the random-effects model. Results: A total of 396 articles were screened, and 11 eligible studies were identified. There were 1136 patients, of which 57.5% were male, 477 (mean age 73.33 +/- 11.28 years) underwent EUS-GBD, and 698 (mean age 73.77 +/- 8.7 years) underwent PT-GBD. EUS-GBD had significantly better technical success (OR 0.40; 95% CI 0.17-0.94; p = 0.04), fewer adverse events (OR 0.35; 95% CI 0.21-0.61; p = 0.00), and lower reintervention rates (OR 0.18; 95% CI 0.05-0.57; p = 0.00) than PT-GBD. No difference in clinical success (OR 1.34; 95% CI 0.65-2.79; p = 0.42), readmission rate (OR 0.34; 95% CI 0.08-1.54; p = 0.16), or mortality rate (OR 0.73; 95% CI 0.30-1.80; p = 0.50) was noted. There was low heterogeneity (I-2 = 0) among the studies. Egger's test showed no significant publication bias (p = 0.595). Conclusion: EUS-GBD can be a safe and effective alternative to PT-GBD for treating acute cholecystitis in non-surgical patients and has fewer adverse events and a lower reintervention rate than PT-GBD.
引用
收藏
页数:13
相关论文
共 25 条
[1]   Meta-analysis of outcomes of endoscopic ultrasound-guided gallbladder drainage versus percutaneous cholecystostomy for the management of acute cholecystitis [J].
Ahmed, Ola ;
Rogers, Ailin C. ;
Bolger, Jarlath C. ;
Mastrosimone, Achille ;
Lee, Michael J. ;
Keeling, Aoife N. ;
Cheriyan, Daniel ;
Robb, William B. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2018, 32 (04) :1627-1635
[2]   EUS-GUIDED VERSUS PERCUTANEOUS GALLBLADDER DRAINAGE IN FRAGILE PATIENTS WITH ACUTE CHOLECYSTITIS: A RETROSPECTIVE ANALYSIS [J].
Anderloni, A. ;
Fugazza, A. ;
Costa, G. ;
Ardito, A. ;
Mei, S. ;
Ceolin, M. ;
Pedicini, V. ;
Kurihara, H. ;
Repici, A. .
DIGESTIVE AND LIVER DISEASE, 2017, 49 :E125-E125
[3]   Endoscopic ultrasound-guided transmural stenting for gallbladder drainage in high-risk patients with acute cholecystitis: a systematic review and pooled analysis [J].
Anderloni, Andrea ;
Buda, Andrea ;
Vieceli, Filippo ;
Khashab, Mouen A. ;
Hassan, Cesare ;
Repici, Alessandro .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2016, 30 (12) :5200-5208
[4]  
Boregowda Umesha, 2018, World J Gastrointest Pharmacol Ther, V9, P47, DOI [10.4292/wjgpt.v9.i6.47, 10.4292/wjgpt.v9.i6.47]
[5]   EUS-GUIDED VERSUS PERCUTANEOUS GALLBLADDER DRAINAGE IN PATIENTS WHO ARE UNFIT FOR CHOLECYSTECTOMY: A COMMUNITY HOSPITAL SETTING [J].
Chaar, Abdelkader ;
Zamora-Sifuentes, Jose ;
Nasser, Abdulla ;
Szpunar, Susan ;
Barawi, Mohammed .
GASTROINTESTINAL ENDOSCOPY, 2019, 89 (06) :AB571-AB571
[6]   Feasibility of per-oral cholecystoscopy and advanced gallbladder interventions after EUS-guided gallbladder stenting (with video) [J].
Chan, Shannon Melissa ;
Teoh, Anthony Yuen Bun ;
Yip, Hon Chi ;
Wong, Vivien Wai Yin ;
Chiu, Philip Wai Yan ;
Ng, Enders Kwok Wai .
GASTROINTESTINAL ENDOSCOPY, 2017, 85 (06) :1225-1232
[7]   EUS-Guided Gallbladder Drainage Reduces Late Adverse Event and Need for Re-Intervention Compared With Percutaneous Cholecystostomy in Patents Who Are Not Eligible for Surgery [J].
Cho, Dong Hui ;
Lee, Sang Soo ;
Oh, Dongwook ;
Song, Tae Jun ;
Park, Do Hyun ;
Seo, Dong Wan ;
Lee, Sung Koo ;
Kim, Myung-Hwan .
GASTROINTESTINAL ENDOSCOPY, 2017, 85 (05) :AB469-AB469
[8]   Diagnostic criteria and severity assessment of acute cholecystitis:: Tokyo Guidelines [J].
Hirota, Masahiko ;
Takada, Tadahiro ;
Kawarada, Yoshifumi ;
Nimura, Yuji ;
Miura, Fumihiko ;
Hirata, Koichi ;
Mayumi, Toshihiko ;
Yoshida, Masahiro ;
Strasberg, Steven ;
Pitt, Henry ;
Gadacz, Thomas R. ;
de Santibanes, Eduardo ;
Gouma, Dirk J. ;
Solomkin, Joseph S. ;
Belghiti, Jacques ;
Neuhaus, Horst ;
Buechler, Markus W. ;
Fan, Sheung-Tat ;
Ker, Chen-Guo ;
Padbury, Robert T. ;
Liau, Kui-Hin ;
Hilvano, Serafin C. ;
Belli, Giulio ;
Windsor, John A. ;
Dervenis, Christos .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY, 2007, 14 (01) :78-82
[9]   CHOLECYSTECTOMY IN THE ELDERLY - A PROSPECTIVE-STUDY [J].
HOUGHTON, PWJ ;
JENKINSON, LR ;
DONALDSON, LA .
BRITISH JOURNAL OF SURGERY, 1985, 72 (03) :220-222
[10]   Similar Efficacies of Endoscopic Ultrasound Gallbladder Drainage With a Lumen-Apposing Metal Stent Versus Percutaneous Transhepatic Gallbladder Drainage for Acute Cholecystitis [J].
Irani, Shayan ;
Ngamruengphong, Saowanee ;
Teoh, Anthony ;
Will, Uwe ;
Nieto, Jose ;
Abu Dayyeh, Barham K. ;
Gan, S. Ian ;
Larsen, Michael ;
Yip, Hon Chi ;
Topazian, Mark D. ;
Levy, Michael J. ;
Thompson, Christopher C. ;
Storm, Andrew C. ;
Hajiyeva, Gulara ;
Ismail, Amr ;
Chen, Yen-I ;
Bukhari, Majidah ;
Chavez, Yamile Haito ;
Kumbhari, Vivek ;
Khashab, Mouen A. .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2017, 15 (05) :738-745