Use of endoscopic ultrasound-guided gallbladder drainage as a rescue approach in cases of unsuccessful biliary drainage  

作　　者：Alessandro Fugazza Kareem Khalaf Katarzyna M Pawlak Marco Spadaccini Matteo Colombo Marta Andreozzi Marco Giacchetto Silvia Carrara Chiara Ferrari Cecilia Binda Benedetto Mangiavillano Andrea Anderloni Alessandro Repici 

机构地区：[1]Division of Gastroenterology and Digestive Endoscopy,Humanitas Research Hospital-IRCCS,Rozzano 20089,Milano,Italy [2]Division of Gastroenterology,St.Michael’s Hospital,University of Toronto,Toronto M5B 1W8,ON,Canada [3]Department of Anesthesia,Humanitas Research Hospital-IRCCS,Rozzano 20089,Milano,Italy [4]Gastroenterology and Digestive Endoscopy Unit,Forlì-Cesena Hospitals,Romagna 47121,Italy [5]Gastrointestinal Endoscopy Unit,Humanitas Mater Domini,Castellanza 21100,Italy [6]Gastroenterology and Digestive Endoscopy Unit,Fondazione IRCCS Policlinico San Matteo,Pavia 27100,Italy

出　　处：《World Journal of Gastroenterology》2024年第1期70-78,共9页世界胃肠病学杂志（英文版）

摘　　要：This narrative review provides an overview of the utilization of endoscopic ultrasound-guided gallbladder drainage(EUS-GBD)as a salvage approach in cases of unsuccessful conventional management.EUS-GBD is a minimally invasive and effective technique for drainage in patients with acute cholecystitis with high risk of surgery.The procedure has demonstrated impressive technical and clinical success rates with low rates of adverse events,making it a safe and effective option for appropriate candidates.Furthermore,EUS-GBD can also serve as a rescue option for patients who have failed endoscopic retrograde cholangiopancreatography or EUS biliary drainage for relief of jaundice in malignant biliary stricture.However,patient selection is critical for the success of EUS-GBD,and proper patient selection and risk assessment are important to ensure the safety and efficacy of the procedure.As the field continues to evolve and mature,ongoing research will further refine our understanding of the benefits and limitations of EUS-GBD,ultimately leading to improved outcomes for patients.

关 键 词：Endoscopic ultrasound-guided gallbladder drainage Gallbladder drainage Acute cholecystitis Malignant obstruction Interventional endoscopic ultrasound Lumen-apposing metal stents 

分 类 号：R657.4[医药卫生—外科学]