DOI QR코드

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Current Status of Endoscopic Gallbladder Drainage

  • Chan, Joey Ho Yi (Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital) ;
  • Teoh, Anthony Yuen Bun (Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital)
  • 투고 : 2017.08.08
  • 심사 : 2017.08.26
  • 발행 : 2018.03.30

초록

The gold standard for treatment of acute cholecystitis is laparoscopic cholecystectomy. However, cholecystectomy is often not suitable for surgically unfit patients who are too frail due to various co-morbidities. As such, several less invasive endoscopic treatment modalities have been developed to control sepsis, either as a definitive treatment or as a temporizing modality until the patient is stable enough to undergo cholecystectomy at a later stage. Recent developments in endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) with EUS-specific stents having lumen-apposing properties have demonstrated potential as a definitive treatment modality. Furthermore, advanced gallbladder procedures can be performed using the stents as a portal. With similar effectiveness as percutaneous transhepatic cholecystostomy and lower rates of adverse events reported in some studies, EUS-GBD has opened exciting possibilities in becoming the next best alternative in treating acute cholecystitis in surgically unfit patients. The aim of this review article is to provide a summary of the various methods of GBD with particular focus on EUS-GBD and the many new prospects it allows.

키워드

참고문헌

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