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Year : 2019  |  Volume : 8  |  Issue : 7  |  Page : 28-34

EUS-guided gallbladder drainage: A review of current practices and procedures

Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC, USA

Correspondence Address:
Dr. Todd Huntley Baron
130 Mason Farm Road, CB 7080 Chapel Hill, NC 27599
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/eus.eus_41_19

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EUS-guided gallbladder drainage (EUS-GBD) is utilized for the treatment of acute cholecystitis and symptomatic cholelithiasis in patients who are poor operative candidates. Over the last several years, improved techniques and accessories have facilitated GBD . Recent literature demonstrated effectiveness and safety of EUS-guided GBD. Available data suggest at least similar results when compared to percutaneous cholecystostomy. EUS-guided GBD can be performed as a primary intervention in patients with cholecystitis who are unfit for urgent surgical intervention and as a secondary intervention to internalize biliary drainage in patients with indwelling percutaneous cholecystostomy catheters. Various stents can be used for -EUS-guided GBD. The optimal device and technique have yet to be determined, although at the present time, the use of luminal apposing stents is preferred. The purpose of this review is to provide the highlights of the most recent literature on EUS-guided GBD.

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