Endoscopic gallbladder drainage compared with percutaneous drainage

Efficacy and safety of endoscopic gallbladder drainage in acute cholecystitis: Is it better than percutaneous gallbladder drainage?

“…Therefore a total of 66 full-text articles were reviewed, of which 23 studies (8, with 809 patients were included in the meta-analysis for primary outcomes of interest. One additional study (38) containing overlapping data with Widmer et al (33) was included in the secondary outcome of interest only. The search strategy is summarized in Figure 1.…”

“…Eighteen studies (8, 16-25, 28, 30-33, 36, 37) (8,23,29,30,(32)(33)(34)38) were rated as high quality, 10 (17, 19, 21, 24, 25, 27, 28, 31, 35, 36) were of moderate quality, and 4 (16,18,20,22) were of low quality as per the NOS quality assessment. The 2 randomized studies (26,37) had lowrisk of bias as per the Cochran tool for assessing risk of bias.…”

“…Three studies (26,30,38) directly compared the efficacy and safety of endoscopic gallbladder drainage in acute cholecystitis as compared with percutaneous gallbladder drainage. EUSguided transmural drainage was exclusively used by Jang et al (26), whereas Kedia et al (38) used both EUS-guided transmural and ERC-guided transpapillary drainage.…”

Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies

“…More recent reports of ERCP guided transcystic gallbladder drainage has shown to be as effective as percutaneous drainage with lower pain scores and need for repeat procedures. 215,216 For confirmed CRE infections from a contaminated duodenoscope, the suspected device should be taken out of working circulation and quarantined. The event should be reported to the appropriate public health agencies, Food and Drug and Administration, the device manufacturers, and the persons responsible for infection control for the endoscopy unit.…”

EUS-guided transmural gallbladder drainage: a new era has begun

“…In addition, it cannot be performed in patients with ascites or those on anticoagulants. The need for leaving an exterior drainage tube can be burdensome and uncomfortable, requiring multiple sessions [Kedia et al 2015] and tube dislodgement occurs in 0.3-12% of patients [Ito et al 2004, Hatzidakis et al 2002, Kiviniemi et al 1998]. Interestingly percutaneous drainage of the gallbladder has been increasingly used in an attempt to 'cool off' the gallbladder and facilitates a future resection.…”