Endoscopic therapies for gallbladder drainage.

Cholecystitis, Acute / surgery Cholecystostomy Drainage Endosonography Gallbladder / surgery Humans Quality of Life

Journal

Gastrointestinal endoscopy
ISSN: 1097-6779
Titre abrégé: Gastrointest Endosc
Pays: United States
ID NLM: 0010505

Informations de publication

Date de publication:
10 2021
Historique:
received: 21 05 2021
accepted: 21 05 2021
pubmed: 5 8 2021
medline: 16 10 2021
entrez: 4 8 2021
Statut: ppublish

Résumé

Endoscopic management of acute cholecystitis has expanded in patients who are considered nonoperative candidates. Traditionally managed with percutaneous cholecystostomy (PC), improvement in techniques and devices has led to increased use of endoscopic methods for gallbladder drainage. This document reviews technical aspects of endoscopic transpapillary gallbladder drainage (ET-GBD) and EUS-guided GBD (EUS-GBD) as well as their respective technical/clinical success and adverse event rates. Available comparative data are also reviewed among nonsurgical gallbladder drainage techniques (PC, ET-GBD, and EUS-GBD). The MEDLINE database was searched through March 2021 for relevant articles by using keywords including "acute cholecystitis," "interventional EUS," "percutaneous cholecystostomy," "transpapillary gallbladder drainage," "EUS-guided gallbladder drainage," "lumen-apposing metal stent," "gallbladder stenting," and "endoscopic gallbladder drainage." The manuscript was drafted by 2 authors and reviewed by members of the American Society for Gastrointestinal Endoscopy Technology Committee and subsequently by the American Society for Gastrointestinal Endoscopy Governing Board. Multiple studies have demonstrated acceptable outcomes comparing PC and both endoscopic gallbladder drainage techniques, ET-GBD and EUS-GBD. Published data suggest that endoscopic gallbladder drainage techniques may be associated with lower rates of adverse events and improved quality of life. However, there are important clinical considerations for choosing among these treatment options, requiring a multidisciplinary and collaborative approach to therapeutic decision-making in these patients. The implementation of EUS-GBD and ET-GBD in high-risk surgical patients with acute cholecystitis may result in favorable outcomes when compared with PC. Further improvements in techniques and training should lead to more widespread acceptance and dissemination of these treatment options.

Sections du résumé

BACKGROUND AND AIMS
Endoscopic management of acute cholecystitis has expanded in patients who are considered nonoperative candidates. Traditionally managed with percutaneous cholecystostomy (PC), improvement in techniques and devices has led to increased use of endoscopic methods for gallbladder drainage. This document reviews technical aspects of endoscopic transpapillary gallbladder drainage (ET-GBD) and EUS-guided GBD (EUS-GBD) as well as their respective technical/clinical success and adverse event rates. Available comparative data are also reviewed among nonsurgical gallbladder drainage techniques (PC, ET-GBD, and EUS-GBD).
METHODS
The MEDLINE database was searched through March 2021 for relevant articles by using keywords including "acute cholecystitis," "interventional EUS," "percutaneous cholecystostomy," "transpapillary gallbladder drainage," "EUS-guided gallbladder drainage," "lumen-apposing metal stent," "gallbladder stenting," and "endoscopic gallbladder drainage." The manuscript was drafted by 2 authors and reviewed by members of the American Society for Gastrointestinal Endoscopy Technology Committee and subsequently by the American Society for Gastrointestinal Endoscopy Governing Board.
RESULTS
Multiple studies have demonstrated acceptable outcomes comparing PC and both endoscopic gallbladder drainage techniques, ET-GBD and EUS-GBD. Published data suggest that endoscopic gallbladder drainage techniques may be associated with lower rates of adverse events and improved quality of life. However, there are important clinical considerations for choosing among these treatment options, requiring a multidisciplinary and collaborative approach to therapeutic decision-making in these patients.
CONCLUSIONS
The implementation of EUS-GBD and ET-GBD in high-risk surgical patients with acute cholecystitis may result in favorable outcomes when compared with PC. Further improvements in techniques and training should lead to more widespread acceptance and dissemination of these treatment options.

Identifiants

DOI: 10.1016/j.gie.2021.05.031 PMID: 34344541
pubmed: 34344541
pii: S0016-5107(21)01401-2
doi: 10.1016/j.gie.2021.05.031
pii:
doi:

Types de publication

Practice Guideline

Langues

eng

Sous-ensembles de citation

IM

Pagination

671-684

Informations de copyright

Copyright © 2021 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

Auteurs

Monica Saumoy (M)

Department of Gastroenterology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Julie Yang (J)

Division of Gastroenterology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.

Amit Bhatt (A)

Department of Gastroenterology, Hepatology & Nutrition, Cleveland Clinic, Cleveland, Ohio, USA.

Juan Carlos Bucobo (JC)

Division of Gastroenterology and Hepatology, Stony Brook Medicine, Stony Brook, New York, USA.

Vinay Chandrasekhara (V)

Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.

Andrew P Copland (AP)

Division of Gastroenterology and Hepatology, University of Virginia Health Systems, Charlottesville, Virginia, USA.

Kumar Krishnan (K)

Division of Gastroenterology, Department of Internal Medicine, Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts, USA.

Nikhil A Kumta (NA)

Division of Gastroenterology, Mount Sinai Hospital, New York, New York, USA.

Ryan J Law (RJ)

Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.

Rahul Pannala (R)

Department of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA.

Mansour A Parsi (MA)

Section for Gastroenterology and Hepatology, Tulane University Health Sciences Center, New Orleans, Louisiana, USA.

Erik F Rahimi (EF)

Department of Gastroenterology, Baylor Scott & White Health, Lakeway, Texas, USA.

Guru Trikudanathan (G)

Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA.

Arvind J Trindade (AJ)

Department of Gastroenterology, Zucker School of Medicine at Hofstra/Northwell, Long Island Jewish Medical Center, New Hyde Park, New York, USA.

David R Lichtenstein (DR)

Division of Gastroenterology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA.

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Classifications MeSH

questionsmedicales.fr › Maladies de l'appareil digestif › Maladie des voies biliaires › Maladies de la vésicule biliaire › Cholécystite › Cholécystite aigüe › Endoscopic therapies for gallbladder drainage.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie digestive › Procédures de chirurgie des voies biliaires › Cholécystostomie › Endoscopic therapies for gallbladder drainage.
questionsmedicales.fr › Procédures de chirurgie opératoire › Drainage › Endoscopic therapies for gallbladder drainage.
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Échographie › Endosonographie › Endoscopic therapies for gallbladder drainage.
questionsmedicales.fr › Système digestif › Voies biliaires › Vésicule biliaire › Endoscopic therapies for gallbladder drainage.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Endoscopic therapies for gallbladder drainage.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Endoscopic therapies for gallbladder drainage.