EUS-GBD should be considered for patients with acute cholecystitis who are unable to undergo surgery, according to a recent clinical practice update by the AmerGastroAssn. GastroTwitter
Will PassEndoscopic ultrasound-guided gallbladder drainage should be considered for patients with acute cholecystitis who are unable to undergo surgery, according to a recent clinical practice update by the American Gastroenterological Association., of Virginia Mason Medical Center, Seattle, and colleagues, also covers techniques and outcomes of EUS-GBD and provides suggestions for training and patient selection.
According to the update, EUS-GBD is suggested in three scenarios: for draining the gallbladder in patients with acute cholecystitis who are at high risk for surgery, for removing percutaneous cholecystostomy drains in patients who cannot undergo cholecystectomy, and for draining malignant biliary obstruction in patients who have not responded to other treatments.
While the update provides technical guidance on performing EUS-GBD, Irani and colleagues make clear that EUS-GBD is a highly specialized procedure that requires sufficient training to optimal results. Addressing unmet needs, Irani and colleagues suggested that more research is needed to standardize patient selection, procedure technique, and stent follow-up evaluation.
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