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EUS-guided gallbladder drainage: A review of current practices and procedures
EUS-guided gallbladder drainage (EUS-GBD) is utilized for the treatment of acute cholecystitis and symptomatic cholelithiasis in patients who are poor operative candidates. Over the last several years, improved techniques and accessories have facilitated GBD. Recent literature demonstrated effective...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896434/ https://www.ncbi.nlm.nih.gov/pubmed/31897376 http://dx.doi.org/10.4103/eus.eus_41_19 |
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author | James, Theodore W. Baron, Todd Huntley |
author_facet | James, Theodore W. Baron, Todd Huntley |
author_sort | James, Theodore W. |
collection | PubMed |
description | EUS-guided gallbladder drainage (EUS-GBD) is utilized for the treatment of acute cholecystitis and symptomatic cholelithiasis in patients who are poor operative candidates. Over the last several years, improved techniques and accessories have facilitated GBD. Recent literature demonstrated effectiveness and safety of EUS-guided GBD. Available data suggest at least similar results when compared to percutaneous cholecystostomy. EUS-guided GBD can be performed as a primary intervention in patients with cholecystitis who are unfit for urgent surgical intervention and as a secondary intervention to internalize biliary drainage in patients with indwelling percutaneous cholecystostomy catheters. Various stents can be used for -EUS-guided GBD. The optimal device and technique have yet to be determined, although at the present time, the use of luminal apposing stents is preferred. The purpose of this review is to provide the highlights of the most recent literature on EUS-guided GBD. |
format | Online Article Text |
id | pubmed-6896434 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-68964342020-01-02 EUS-guided gallbladder drainage: A review of current practices and procedures James, Theodore W. Baron, Todd Huntley Endosc Ultrasound Review Article EUS-guided gallbladder drainage (EUS-GBD) is utilized for the treatment of acute cholecystitis and symptomatic cholelithiasis in patients who are poor operative candidates. Over the last several years, improved techniques and accessories have facilitated GBD. Recent literature demonstrated effectiveness and safety of EUS-guided GBD. Available data suggest at least similar results when compared to percutaneous cholecystostomy. EUS-guided GBD can be performed as a primary intervention in patients with cholecystitis who are unfit for urgent surgical intervention and as a secondary intervention to internalize biliary drainage in patients with indwelling percutaneous cholecystostomy catheters. Various stents can be used for -EUS-guided GBD. The optimal device and technique have yet to be determined, although at the present time, the use of luminal apposing stents is preferred. The purpose of this review is to provide the highlights of the most recent literature on EUS-guided GBD. Wolters Kluwer - Medknow 2019-11-28 /pmc/articles/PMC6896434/ /pubmed/31897376 http://dx.doi.org/10.4103/eus.eus_41_19 Text en Copyright: © 2019 Spring Media Publishing Co. Ltd http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Review Article James, Theodore W. Baron, Todd Huntley EUS-guided gallbladder drainage: A review of current practices and procedures |
title | EUS-guided gallbladder drainage: A review of current practices and procedures |
title_full | EUS-guided gallbladder drainage: A review of current practices and procedures |
title_fullStr | EUS-guided gallbladder drainage: A review of current practices and procedures |
title_full_unstemmed | EUS-guided gallbladder drainage: A review of current practices and procedures |
title_short | EUS-guided gallbladder drainage: A review of current practices and procedures |
title_sort | eus-guided gallbladder drainage: a review of current practices and procedures |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896434/ https://www.ncbi.nlm.nih.gov/pubmed/31897376 http://dx.doi.org/10.4103/eus.eus_41_19 |
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