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Endoscopic ultrasound guided gallbladder drainage - is it ready for prime time?

查看全文 作　　者：[1]UmeshaBoregowda;Chandraprakash [1]Umapathy;Arpitha [1]Nanjappa;Helen [2]Wong;Madhav [3]Desai;Marina [1]Roytman;Thimmaiah [1]Theethira;Shreyas [2]Saligram 高影响力作者 机构地区：[1]Department of Gastroenterology and Hepatology, University of California San Francisco, Fresno, CA 93721, United States;[2]Department of Gastroenterology and Hepatology, VA Central California Healthcare System, Fresno, CA 93703, United States;[3]Department of Gastroenterology and Hepatology, Kansas University Medical Center, Kansas City, Kansas 66160, United States高影响力机构 出　　处：《World Journal of Gastrointestinal Pharmacology and Therapeutics》索引2018年第9卷第6期,共8页高影响力期刊 摘　　要：Management of acute cholecystitis includes initial stabilization and antibiotics. However, the most definitive treatment is cholecystectomy. A small percentage of patients who are not suitable for surgery due to the severity of cholecystitis or comorbidities will require a temporary measure as a bridge to surgery or permanent nonoperative management to decrease the mortality and morbidity. Most of these patients who require conservative management were managed with percutaneous transhepatic cholecystostomy or trans-papillary drainage of gallbladder drainage with cystic duct stenting through endoscopic retrograde cholangiopancreaticography(ERCP). Although, these conservative measures are effective, they can cause significant discomfort to the patients especially if used as a long-term measure. In view of this, there is a need for further minimally invasive procedures, which is safe, effective and comfortable to patients. Endoscopic ultrasound(EUS) guided gallbladder drainage is a novel method of gallbladder drainage first described in 2007^([1]). Over the last decade, EUS guided gallbladder drainage has evolved as an effective alternative to percutaneous cholecystostomy and trans-papillary gallbladder drainage. Our goal is to review available literature regarding the scope of EUS guided gallbladder drainage as a viable alternative to percutaneous cholecystostomy or cystic duct stenting through ERCP among patients who are not suitable for cholecystectomy. 关 键 词：急性胆囊炎 抗生素 治疗方法 临床分析
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