Post written by Andrew C. Storm, MD, from the Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Acute cholecystitis (AC) is a common disease, and while gallbladder removal surgery is one of the most commonly performed operations, some patients are not candidates for surgery. Left untreated, patients with AC can develop gangrene and gallbladder perforation, …
Tag: cholecystitis
EUS-guided gallbladder drainage versus laparoscopic cholecystectomy for acute cholecystitis
Post written by Anthony Yuen Bun Teoh, FRCSEd (Gen), from the Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong SAR. EUS-guided gallbladder drainage (EUS-GBD) is a safe alternative to percutaneous cholecystostomy (PT-GBD) for acute cholecystitis. How the procedure compares to laparoscopic cholecystectomy (LC) is uncertain. The aim of …
EUS-guided cholecystogastrostomy for acute cholecystitis in a patient with an omphalocele
Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. We present a case of a 34-year-old woman with a history of an incompletely repaired omphalocele with recurrent small bowel obstructions and lung hypoplasia complicated by chronic respiratory failure requiring nocturnal non-invasive ventilation, who presented with concern …
Long-term outcomes of EGBS
Tadahisa Inoue, MD, from the Department of Gastroenterology, Gifu Prefectural Tajimi Hospital, in Tajimi, Japan discusses this Original Article "Long-term outcomes of endoscopic gallbladder stenting in high-risk surgical patients with calculous cholecystitis (with videos)." The focus of this study was to evaluate the long-term outcomes associated with endoscopic gallbladder stenting (EGBS). Cholecystectomy is a fundamental …
Endoscopic vs percutaneous gallbladder drainage
Nikhil A. Kumta, MD, from the Division of Gastroenterology and Hepatology, Weill Cornell Medical College, in New York, New York, USA discusses this Original Article, "Endoscopic gallbladder drainage compared with percutaneous drainage." Our aim was to compare endoscopic gallbladder drainage (EGBD) and percutaneous gallbladder drainage (PGBD) for patients with cholecystitis who were non-surgical candidates in …
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Single-step EUS-guided stent puncture and delivery
Anthony Yuen Bun Teoh, FRCSEd (Gen) from the Department of Surgery at the Prince of Wales Hospital at the Chinese University of Hong Kong in Hong Kong SAR, China shares this video case from the VideoGIE section "Single-step EUS-guided puncture and delivery of a lumen-apposing stent for gallbladder drainage using a novel cautery-tipped stent delivery system." …
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Transgastric gallstone extraction
Takao Itoi, MD, PhD, FASGE from the Tokyo Medical University in Tokyo, Japan presents this video case "Transgastric large gallstone extraction in a patient with acute cholecystitis through a lumen-apposing metal stent (with video)" from the April issue. A Tokyo guideline in 2013 proposed that percutaneous transhepatic gallbladder drainage (PTGBD) is considered a safe alternative …
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