title: Endoscopic ultrasound-guided endoluminal drainage of the gallbladder.
abstract: For patients with acute cholecystitis who are not suitable for surgery, endoscopic ultrasound-guided endoluminal drainage of the gallbladder (EUS-GBD) has been developed to overcome the limitations of percutaneous transhepatic gallbladder drainage when endoscopic transpapillary gallbladder drainage is not feasible. In the present review we have summarized the studies describing EUS-GBD. Indications, techniques, accessories, endoprostheses, limitations and complications reported in the different studies are discussed. There were 90 documented cases in the literature. The overall reported technical success rate was 87/90 (96.7%). All patients with technical success were clinically successful. A total of 11/90 (12.2%) patients had complications including pneumoperitoneum, bile peritonitis and stent migration. The advantage of EUS-GBD is its ability to provide gallbladder drainage especially in situations where percutaneous or transpapillary drainage is not feasible or is technically challenging. It also provides the option of internal drainage and the ability to carry out therapeutic maneuvers via cholecystoscopy.
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medical College, New York, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Widmer
authors.forename: Shashideep
authors.initials: S
authors.lastname: Singhal
authors.forename: Monica
authors.initials: M
authors.lastname: Gaidhane
authors.forename: Michel
authors.initials: M
authors.lastname: Kahaleh
mesh_terms: D041881:Cholecystitis, Acute / Q000000981:diagnostic imaging / Q000628:therapy*; D004322:Drainage / Q000379:methods; D016145:Endoscopy, Digestive System / Q000379:methods*; D006801:Humans; D018579:Patient Selection; D015607:Stents; D018084:Ultrasonography, Interventional
keywords: acute cholecystitis; endoscopic ultrasound-guided endoluminal drainage of the gallbladder (EUS-GBD); stent