Clinical and Experimental Gastroenterology (May 2020)
Endoscopic Ultrasound-Guided Gallbladder Drainage: Current Perspectives
Abstract
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, ItalyCorrespondence: Andrea AnderloniDigestive Endoscopy Unit, Division of Gastroenterology, Humanitas Research Hospital, Rozzano, ItalyTel +39 02 82247308Email [email protected]: 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
