Can Endoscopic Ultrasound Be Used to Treat Cholecystitis in Surgical Candidates?

New evidence suggests it might be an alternative treatment to cholecystectomy.

EUS-guided gallbladder drainage (EUS-GB) involves transmural placement of a lumen-apposing metal stent from the stomach or the duodenum to the gallbladder to treat cholecystitis and biliary colic. To date, almost all studies of EUS-GB focus on patients considered poor surgical candidates, usually due to comorbidities. As such, EUS-GB has mostly been viewed as an alternative to percutaneous cholecystostomy tube placement. In a recent single-center, retrospective study, investigators compared outcomes of EUS-GB and laparoscopic cholecystectomy (LC) for acute cholecystitis in 60 propensity score–matched patients (30 per procedure). Results were as follows:

Technical success rates were 100% for both EUS-GB and LC.
Clinical success rates were 93.3…

Reviewing Author

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Can Endoscopic Ultrasound Be Used to Treat Cholecystitis in Surgical Candidates?

Topics

Reviewing Author