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Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review

Laparoscopic cholecystectomy is the standard and fundamental treatment of choice for acute cholecystitis; however, there are cases in which patients may be poor surgical candidates due to advanced age, comorbidities, and/or general condition. The rate of recurrent cholecystitis is high in patients w...

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Autores principales: Inoue, Tadahisa, Yoshida, Michihiro, Suzuki, Yuta, Kitano, Rena, Okumura, Fumihiro, Naitoh, Itaru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584655/
https://www.ncbi.nlm.nih.gov/pubmed/34768361
http://dx.doi.org/10.3390/jcm10214842
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author Inoue, Tadahisa
Yoshida, Michihiro
Suzuki, Yuta
Kitano, Rena
Okumura, Fumihiro
Naitoh, Itaru
author_facet Inoue, Tadahisa
Yoshida, Michihiro
Suzuki, Yuta
Kitano, Rena
Okumura, Fumihiro
Naitoh, Itaru
author_sort Inoue, Tadahisa
collection PubMed
description Laparoscopic cholecystectomy is the standard and fundamental treatment of choice for acute cholecystitis; however, there are cases in which patients may be poor surgical candidates due to advanced age, comorbidities, and/or general condition. The rate of recurrent cholecystitis is high in patients who are not surgically treated; therefore, the prevention of recurrence in this patient population is an important subject of investigation in the management of cholecystitis. Although it has recently been reported that long-term stent placement by endoscopic gallbladder stenting or endoscopic ultrasound-guided gallbladder drainage may reduce the recurrence rate, its efficacy and safety remain controversial. Additionally, details surrounding the long-term stent management of these treatment methods should be further investigated. In this review, we summarize the updated evidence regarding the usefulness of long-term stent placement with endoscopic gallbladder stenting or endoscopic ultrasound-guided gallbladder drainage as a preventive measure for recurrence of cholecystitis and discuss issues that should be addressed in future studies.
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spelling pubmed-85846552021-11-12 Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review Inoue, Tadahisa Yoshida, Michihiro Suzuki, Yuta Kitano, Rena Okumura, Fumihiro Naitoh, Itaru J Clin Med Review Laparoscopic cholecystectomy is the standard and fundamental treatment of choice for acute cholecystitis; however, there are cases in which patients may be poor surgical candidates due to advanced age, comorbidities, and/or general condition. The rate of recurrent cholecystitis is high in patients who are not surgically treated; therefore, the prevention of recurrence in this patient population is an important subject of investigation in the management of cholecystitis. Although it has recently been reported that long-term stent placement by endoscopic gallbladder stenting or endoscopic ultrasound-guided gallbladder drainage may reduce the recurrence rate, its efficacy and safety remain controversial. Additionally, details surrounding the long-term stent management of these treatment methods should be further investigated. In this review, we summarize the updated evidence regarding the usefulness of long-term stent placement with endoscopic gallbladder stenting or endoscopic ultrasound-guided gallbladder drainage as a preventive measure for recurrence of cholecystitis and discuss issues that should be addressed in future studies. MDPI 2021-10-21 /pmc/articles/PMC8584655/ /pubmed/34768361 http://dx.doi.org/10.3390/jcm10214842 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Inoue, Tadahisa
Yoshida, Michihiro
Suzuki, Yuta
Kitano, Rena
Okumura, Fumihiro
Naitoh, Itaru
Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title_full Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title_fullStr Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title_full_unstemmed Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title_short Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title_sort long-term outcomes of endoscopic gallbladder drainage for cholecystitis in poor surgical candidates: an updated comprehensive review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584655/
https://www.ncbi.nlm.nih.gov/pubmed/34768361
http://dx.doi.org/10.3390/jcm10214842
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