AGA Clinical Practice Update on Role of EUS-Guided Gallbladder Drainage in Acute Cholecystitis: Commentary

Shayan S. Irani, Kaveh Sharzehi, Uzma D. Siddiqui

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Description: Endoscopic gallbladder drainage is a feasible and efficacious alternative to percutaneous drainage in the management of acute cholecystitis for high-risk surgical candidates. Endoscopic ultrasound–guided gallbladder drainage and per-oral cholecystoscopy is facilitated by the use of lumen-apposing metal stents. Endoscopic ultrasound–guided gallbladder drainage should be performed by those expert in advanced therapeutic endoscopic ultrasound. Multidisciplinary collaboration between interventional radiology and surgery is paramount in the care of these patients. Choosing the optimal drainage method is dependent on individual patient characteristics. Methods: This commentary was drawn from a review of the literature to provide practical advice. Because this was not a systematic review, we did not perform any formal rating of the quality of evidence or strength of the presented considerations. This expert commentary was commissioned and approved by the American Gastroenterological Association (AGA) Institute Clinical Practice Updates Committee and the AGA Governing Board to provide timely guidance on a topic of high clinical importance to the AGA membership, and underwent internal peer-review by the Clinical Practice Updates Committee and external peer-review through standard procedures of Clinical Gastroenterology and Hepatology.

Original languageEnglish (US)
Pages (from-to)1141-1147
Number of pages7
JournalClinical Gastroenterology and Hepatology
Volume21
Issue number5
DOIs
StatePublished - May 2023

Keywords

  • Acute cholecystitis
  • ERCP
  • EUS
  • gallbladder drainage
  • per-oral cholecystoscopy

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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