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Endoscopic Ultrasound-Guided Gallbladder Drainage: Current Perspectives

Authors Fugazza A, Colombo M, Repici A, Anderloni A

Received 6 December 2019

Accepted for publication 13 April 2020

Published 15 May 2020 Volume 2020:13 Pages 193—201

DOI https://doi.org/10.2147/CEG.S203626

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Andreas M. Kaiser


Alessandro Fugazza,1 Matteo Colombo,1,2 Alessandro Repici,1,2 Andrea Anderloni1

1Digestive Endoscopy Unit, Department of Gastroenterology, Humanitas Clinical and Research Center-IRCCS, Rozzano (MI), Italy; 2Humanitas University, Department of Biomedical Sciences, Milan, Italy

Correspondence: Andrea Anderloni
Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Research Hospital, Rozzano, Italy
Tel +39 02 82247308
Email andrea.anderloni@humanitas.it

Abstract: According to the recently updated Tokyo Guidelines, laparoscopic cholecystectomy still represents the gold standard for the treatment of acute cholecystitis. However, fragile patients, due to comorbidities or poor clinical conditions, have a high surgical risk. In such cases, percutaneous or endoscopic gallbladder drainage is considered the treatment of choice. In particular, endoscopic ultrasound-guided gallbladder drainage with the placement of specifically designed stents is now considered an alternative option. In addition, the opening of an access door to the lumen of the gallbladder could offer new opportunities for the endoscopic treatment of gallbladder diseases. The purpose of this review is to provide an update on the latest available evidence in the literature regarding the endoscopic ultrasound-guided gallbladder drainage.

Keywords: endoscopic ultrasound-guided gallbladder drainage, lumen-apposing metal stent, acute cholecystitis, percutaneous gallbladder drainage; cholecystostomy

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