| Theme | Biliopancreatic Drainage and Stenting | |
|---|---|---|
| Title | Endoscopic Treatment for Acute Cholecystitis | |
| Publish Date | 2012/04 | |
| Author | Ken Kamata | Department of Gastroenterology and Hepatology, Kinki University School of Medicine |
| Author | Masayuki Kitano | Department of Gastroenterology and Hepatology, Kinki University School of Medicine |
| Author | Hiroki Sakamoto | Department of Gastroenterology and Hepatology, Kinki University School of Medicine |
| Author | Hajime Imai | Department of Gastroenterology and Hepatology, Kinki University School of Medicine |
| Author | Takeshi Miyata | Department of Gastroenterology and Hepatology, Kinki University School of Medicine |
| Author | Kumpei Kadosaka | Department of Gastroenterology and Hepatology, Kinki University School of Medicine |
| Author | Masatoshi Kudo | Department of Gastroenterology and Hepatology, Kinki University School of Medicine |
| [ Summary ] | In cases of acute cholecystitis, percutaneous transhepatic gallbladder drainage (PTGBD) and percutaneous transhepatic gallbladder aspiration (PTGBA) are established techniques which have been performed for many years. On the other hand, endoscopic nasobiliary gallbladder drainage (ENGBD) has been performed in cases where there is a tendency for bleeding or ascites. However, we must pay attention to possible complications such as acute pancreatitis and damage to a cystic duct in cases where ENGBD has been employed. Recently, there have been several reports on EUS-guided gallbladder drainage, although this drainage method has not yet been fully established. Thus, the types of gallbladder drainage techniques for acute cholecystitis patients are diverse. The selection of the most suitable treatment is the key factor in achieving better outcomes for treatment of acute cholecystitis. | |