Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review

Laparoscopic cholecystectomy is the standard and fundamental treatment of choice for acute cholecystitis; however, there are cases in which patients may be poor surgical candidates due to advanced age, comorbidities, and/or general condition. The rate of recurrent cholecystitis is high in patients w...

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Autores principales: Tadahisa Inoue, Michihiro Yoshida, Yuta Suzuki, Rena Kitano, Fumihiro Okumura, Itaru Naitoh
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:53ef2243b90142d690b1927107f59e652021-11-11T17:30:34ZLong-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review10.3390/jcm102148422077-0383https://doaj.org/article/53ef2243b90142d690b1927107f59e652021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4842https://doaj.org/toc/2077-0383Laparoscopic cholecystectomy is the standard and fundamental treatment of choice for acute cholecystitis; however, there are cases in which patients may be poor surgical candidates due to advanced age, comorbidities, and/or general condition. The rate of recurrent cholecystitis is high in patients who are not surgically treated; therefore, the prevention of recurrence in this patient population is an important subject of investigation in the management of cholecystitis. Although it has recently been reported that long-term stent placement by endoscopic gallbladder stenting or endoscopic ultrasound-guided gallbladder drainage may reduce the recurrence rate, its efficacy and safety remain controversial. Additionally, details surrounding the long-term stent management of these treatment methods should be further investigated. In this review, we summarize the updated evidence regarding the usefulness of long-term stent placement with endoscopic gallbladder stenting or endoscopic ultrasound-guided gallbladder drainage as a preventive measure for recurrence of cholecystitis and discuss issues that should be addressed in future studies.Tadahisa InoueMichihiro YoshidaYuta SuzukiRena KitanoFumihiro OkumuraItaru NaitohMDPI AGarticleacute cholecystitisrecurrent cholecystitisendoscopic gallbladder stentingendoscopic ultrasound-guided gallbladder drainageMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4842, p 4842 (2021)
institution DOAJ
collection DOAJ
language EN
topic acute cholecystitis
recurrent cholecystitis
endoscopic gallbladder stenting
endoscopic ultrasound-guided gallbladder drainage
Medicine
R
spellingShingle acute cholecystitis
recurrent cholecystitis
endoscopic gallbladder stenting
endoscopic ultrasound-guided gallbladder drainage
Medicine
R
Tadahisa Inoue
Michihiro Yoshida
Yuta Suzuki
Rena Kitano
Fumihiro Okumura
Itaru Naitoh
Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
description Laparoscopic cholecystectomy is the standard and fundamental treatment of choice for acute cholecystitis; however, there are cases in which patients may be poor surgical candidates due to advanced age, comorbidities, and/or general condition. The rate of recurrent cholecystitis is high in patients who are not surgically treated; therefore, the prevention of recurrence in this patient population is an important subject of investigation in the management of cholecystitis. Although it has recently been reported that long-term stent placement by endoscopic gallbladder stenting or endoscopic ultrasound-guided gallbladder drainage may reduce the recurrence rate, its efficacy and safety remain controversial. Additionally, details surrounding the long-term stent management of these treatment methods should be further investigated. In this review, we summarize the updated evidence regarding the usefulness of long-term stent placement with endoscopic gallbladder stenting or endoscopic ultrasound-guided gallbladder drainage as a preventive measure for recurrence of cholecystitis and discuss issues that should be addressed in future studies.
format article
author Tadahisa Inoue
Michihiro Yoshida
Yuta Suzuki
Rena Kitano
Fumihiro Okumura
Itaru Naitoh
author_facet Tadahisa Inoue
Michihiro Yoshida
Yuta Suzuki
Rena Kitano
Fumihiro Okumura
Itaru Naitoh
author_sort Tadahisa Inoue
title Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title_short Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title_full Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title_fullStr Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title_full_unstemmed Long-Term Outcomes of Endoscopic Gallbladder Drainage for Cholecystitis in Poor Surgical Candidates: An Updated Comprehensive Review
title_sort long-term outcomes of endoscopic gallbladder drainage for cholecystitis in poor surgical candidates: an updated comprehensive review
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/53ef2243b90142d690b1927107f59e65
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