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Purpose of Review <p>Endoscopic Ultrasound guided Gall Bladder drainage (EUS-GBD) is a useful tool in management of various gall bladder related pathologies. While the initial use was limited for non-surgical patients with acute cholecystitis, recent data has shown ever expanding indications. The purpose of this review article is to explore recent literature behind EUS-GBD and its role in treatment algorithm of various conditions.</p> Recent Findings <p>In non-surgical candidates with acute cholecystitis, EUS-GBD has better clinical efficacy and safety profile compared with endoscopic trans-papillary gallbladder drainage (ETP-GBD) or percutaneous cholecystostomy tube placement for gallbladder drainage (PCT-GBD). There is increasing evidence that EUS-GBD can be a suitable option for patients’ acute cholecystitis who are candidates for interval cholecystectomy. While there is promising data for use of EUS-GBD for malignant bile duct obstruction (MBDO) in patent cystic duct, its true utility is yet to be seen. Case series and animal studies show future promises of EUS-GBD for cholecystolithotomy and gall bladder polyp resection.</p> Summary <p>Endoscopic Ultrasound guided Gall Bladder drainage (EUS-GBD) is safe and effective options for non-surgical patients with acute cholecystitis. Based on local expertise and case, it can be considered for MBDO or acute cholecystitis patients who are candidates for interval cholecystectomy.</p>

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Endoscopic-Ultrasound-Guided Gallbladder Drainage: Potential Shift in Practice or Still a Secondary Option?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年7月9日

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  • Abdullah A. Abbasi,
  • Saurabh Chandan,
  • Sagar Pathak,
  • Dennis Yang,
  • Mustafa A. Arain

摘要

Purpose of Review

Endoscopic Ultrasound guided Gall Bladder drainage (EUS-GBD) is a useful tool in management of various gall bladder related pathologies. While the initial use was limited for non-surgical patients with acute cholecystitis, recent data has shown ever expanding indications. The purpose of this review article is to explore recent literature behind EUS-GBD and its role in treatment algorithm of various conditions.

Recent Findings

In non-surgical candidates with acute cholecystitis, EUS-GBD has better clinical efficacy and safety profile compared with endoscopic trans-papillary gallbladder drainage (ETP-GBD) or percutaneous cholecystostomy tube placement for gallbladder drainage (PCT-GBD). There is increasing evidence that EUS-GBD can be a suitable option for patients’ acute cholecystitis who are candidates for interval cholecystectomy. While there is promising data for use of EUS-GBD for malignant bile duct obstruction (MBDO) in patent cystic duct, its true utility is yet to be seen. Case series and animal studies show future promises of EUS-GBD for cholecystolithotomy and gall bladder polyp resection.

Summary

Endoscopic Ultrasound guided Gall Bladder drainage (EUS-GBD) is safe and effective options for non-surgical patients with acute cholecystitis. Based on local expertise and case, it can be considered for MBDO or acute cholecystitis patients who are candidates for interval cholecystectomy.