Sa1549 – Causative Pathogens Pattern in Endoscopic Ultrasoundguided Gallbladder Drainage Cases for Acute Cholecystits

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Endoscopic Gallbladder Drainage for Acute Cholecystitis

BACKGROUND/AIMS Surgery is the mainstay of treatment for cholecystitis. However, gallbladder stenting (GBS) has shown promise in debilitated or high-risk patients. Endoscopic transpapillary GBS and endoscopic ultrasound-guided GBS (EUS-GBS) have been proposed as safe and effective modalities for gallbladder drainage. METHODS Data from patients with cholecystitis were prospectively collected f...

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Transgastric endoscopic ultrasound (EUS)-guided gallbladder drainage for acute cholecystitis.

patients with a covered metallic stent (CMS) placed in the bile duct [1,2]. Percutaneous transhepatic gallbladder drainage, which involves an external drainage tube, decreases the ability of the patient to carry out their normal daily activities. Recently, endoscopic ultrasound (EUS)guided drainage has been employed successfully for hepatogastrostomy, bilioduodenostomy, and pancreatogastrostomy...

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TOPIC HIGHLIGHT Gallbladder drainage guided by endoscopic ultrasound

The gold-standard management of acute cholecystitis is cholecystectomy. Surgical intervention may be contraindicated due to permanent causes. To date, the classical approach is percutaneous cholecystostomy in patients unresponsive to medical therapy. However, with this treatment some patients may experience discomfort, complications and a decrease in their quality of life. In these cases, endos...

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Endoscopic ultrasound-guided gallbladder drainage: Redefines the boundaries

Last one decade has seen a rapid expansion of indications and technical feasibility for endoscopic ultrasound (EUS)-guided interventions. EUS-guided gallbladder (GB) drainage is gradually emerging as an option among patients who are not eligible for surgical intervention. Calculous and acalculous cholecystitis, biliary malignancy with patent cystic duct and GB hydrops are few of the indications...

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Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis: Long-term outcomes after removal of a self-expandable metal stent

AIM To assess the long-term outcomes of this procedure after removal of self-expandable metal stent (SEMS). The efficacy and safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) with SEMS were also assessed. METHODS Between January 2010 and April 2015, 12 patients with acute calculous cholecystitis, who were deemed unsuitable for cholecystectomy, underwent EUS-GBD with a SEMS...

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ژورنال

عنوان ژورنال: Gastroenterology

سال: 2019

ISSN: 0016-5085

DOI: 10.1016/s0016-5085(19)37704-2