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Acute Cholecystitis
Published in Savio George Barreto, Shailesh V. Shrikhande, Dilemmas in Abdominal Surgery, 2020
Takanori Morikawa, Michiaki Unno
In case of patients who are not be suitable for emergent surgical treatment due to severe comorbidities or the severity of cholecystitis, due consideration for a percutaneous cholecystostomy or percutaneous transhepatic gallbladder drainage, should be considered as an alternative treatment to surgery if their disease does not respond to conservative measures [5]. Percutaneous transhepatic gallbladder drainage has been reported to have comparable outcomes to cholecystectomy in literature when performed for the appropriate indications. It may also be used as a bridge to surgery at the hospitals where complicated surgeries are difficult and/or surgeons at work do not have expertise in managing severe acute cholecystitis.
Clinical outcomes and predictors of technical failure of endoscopic transpapillary gallbladder drainage in acute cholecystitis
Published in Scandinavian Journal of Gastroenterology, 2023
Junya Sato, Kazunari Nakahara, Yosuke Michikawa, Ryo Morita, Keigo Suetani, Akihiro Sekine, Yosuke Igarashi, Shinjiro Kobayashi, Takehito Otsubo, Fumio Itoh
Acute cholecystitis is diagnosed in 3–10% of patients who visit hospitals with abdominal pain [1–3]. Early laparoscopic cholecystectomy is the standard therapy for acute cholecystitis [4]. Gallbladder drainage is the treatment option for patients who cannot undergo early surgery. According to the Tokyo guidelines 2018 [5], gallbladder drainage is considered indicative of grade II (moderate) or grade III (severe) acute cholecystitis. The standard method of gallbladder drainage is percutaneous transhepatic gallbladder drainage (PTGBD). PTGBD is an effective treatment, but some patients are not suitable because of ongoing antithrombotic therapy, ascites, or anatomically inaccessible location [6].
Same day endoscopic retrograde cholangio-pancreatography immediately after endoscopic ultrasound for choledocholithiasis is feasible, safe and cost-effective
Published in Scandinavian Journal of Gastroenterology, 2021
Wisam Sbeit, Anas Kadah, Amir Shahin, Tawfik Khoury
There were no more procedure or sedation related complications in the same session compared to the tow sessions' group. Several studies have reported on the safety of single session EUS and ERCP patients with choledocholithiasis [11,12] and pancreato-biliary disorders [13,14]. A recent meta-analysis reached the conclusion that combining EUS-fine needle aspiration with ERCP-based tissue sampling in the same session is superior to either method alone in malignant biliary strictures diagnosis [15]. Same session EUS gallbladder drainage and ERCP has also been shown to be safe and effective in patients with acute cholecystitis and concomitant choledocholithiasis [16].