Interventional procedure overview of endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis when surgery is not an option
Closed for comments This consultation ended on at Request commenting lead permission
Existing assessments of this procedure
A guideline on the use of therapeutic endoscopic ultrasound-guided procedures was published by the ESGE in 2022 (van der Merwe 2022). The ESGE made the following recommendation regarding EUS-GBD:
'ESGE recommends that, in patients at high surgical risk, EUS-guided gallbladder drainage (GBD) should be favored over percutaneous gallbladder drainage where both techniques are available, owing to the lower rates of adverse events and need for re-interventions in EUS-GBD (Strong recommendation, high quality of evidence)'.
The Tokyo Guidelines 2018 (Mori 2017) include the following recommendation:
'We recommend PT-GBD as a standard drainage method for surgically high-risk patients with acute cholecystitis. (Recommendation 1, level B). However, ETP-GBD or EUS-GBD could be considered in high-volume institutes when performed by skilled endoscopists. (Level B)'
How are you taking part in this consultation?
You will not be able to change how you comment later.
You must be signed in to answer questions