RT info:eu-repo/semantics/article
T1 Endoscopic gallbladder drainage: a comprehensive review on indications, techniques, and future perspectives
A1 Troncone, Edoardo
A1 Amendola, Rosa
A1 Moscardelli, Alessandro
A1 De Cristofaro, Elena
A1 De Vico, Pasquale
A1 Paoluzi, Omero Alessandro
A1 Monteleone, Giovanni
A1 Pérez-Miranda Castillo, Manuel
A1 Del Vecchio Blanco, Giovanna
K1 Acute cholecystitis
K1 Colecistitis - Tratamiento
K1 Gallbladder - Diseases
K1 Vésicula biliar - Enfermedades
K1 Gastroenterology
K1 Endoscopic ultrasonography
K1 Ultrasonidos en medicina
K1 Endoscopic retrograde cholangiopancreatography
K1 Drainage, Surgical
K1 Gastrointestinal system - Diseases
K1 Sistema gastrointestinal - Enfermedades
K1 Medicine
K1 3205.03 Gastroenterología
K1 32 Ciencias Médicas
AB In recent years, therapeutic endoscopy has become a fundamental tool in the management of gallbladder diseases in light of its minimal invasiveness, high clinical efficacy, and good safety profile. Both endoscopic transpapillary gallbladder drainage (TGBD) and endoscopic ultrasound (EUS)-guided gallbladder drainage (EUS-GBD) provide effective internal drainage in patients with acute cholecystitis unfit for cholecystectomy, avoiding the drawbacks of external percutaneous gallbladder drainage (PGBD). The availability of dedicated lumen-apposing metal stents (LAMS) for EUS-guided transluminal interventions contributed to the expansion of endoscopic therapies for acute cholecystitis, making endoscopic gallbladder drainage easier, faster, and hence more widely available. Moreover, EUS-GBD with LAMS opened the possibility of several cholecystoscopy-guided interventions, such as gallstone lithotripsy and clearance. Finally, EUS-GBD has also been proposed as a rescue drainage modality in malignant biliary obstruction after failure of standard techniques, with encouraging results. In this review, we will describe the TBGD and EUS-GBD techniques, and we will discuss the available data on clinical efficacy in different settings in comparison with PGBD. Finally, we will comment on the future perspectives of EUS-GBD, discussing the areas of uncertainty in which new data are more strongly awaited.
PB MDPI
SN 1648-9144
YR 2024
FD 2024
LK https://uvadoc.uva.es/handle/10324/70098
UL https://uvadoc.uva.es/handle/10324/70098
LA eng
NO Medicina, 2024, Vol. 60, Nº. 4, 633
NO Producción Científica
DS UVaDOC
RD 08-ene-2025