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Journal of Hepato-Biliary-Pancreatic Sciences

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01-01-2013 | Guideline

TG13 indications and techniques for gallbladder drainage in acute cholecystitis (with videos)

Authors: Toshio Tsuyuguchi, Takao Itoi, Tadahiro Takada, Steven M. Strasberg, Henry A. Pitt, Myung-Hwan Kim, Avinash N. Supe, Toshihiko Mayumi, Masahiro Yoshida, Fumihiko Miura, Harumi Gomi, Yasutoshi Kimura, Ryota Higuchi, Kohji Okamoto, Yuichi Yamashita, Toshifumi Gabata, Jiro Hata, Shinya Kusachi

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 1/2013

Abstract

Percutaneous transhepatic gallbladder drainage (PTGBD) is considered a safe alternative to early cholecystectomy, especially in surgically high-risk patients with acute cholecystitis. Although randomized prospective controlled trials are lacking, data from most retrospective studies demonstrate that PTGBD is the most common gallbladder drainage method. There are several alternatives to PTGBD. Percutaneous transhepatic gallbladder aspiration is a simple alternative drainage method with fewer complications; however, its clinical usefulness has been shown only by case-series studies. Endoscopic naso-gallbladder drainage and gallbladder stenting via a transpapillary endoscopic approach are also alternative methods in acute cholecystitis, but both of them have technical difficulties resulting in lower success rates than that of PTGBD. Recently, endoscopic ultrasonography-guided transmural gallbladder drainage has been reported as a special technique for gallbladder drainage. However, it is not yet an established technique. Therefore, it should be performed in high-volume institutes by skilled endoscopists. Further prospective evaluations of the feasibility, safety, and efficacy of these various approaches are needed. This article describes indications and techniques of drainage for acute cholecystitis.

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Title: TG13 indications and techniques for gallbladder drainage in acute cholecystitis (with videos)
Authors: Toshio Tsuyuguchi
Takao Itoi
Tadahiro Takada
Steven M. Strasberg
Henry A. Pitt
Myung-Hwan Kim
Avinash N. Supe
Toshihiko Mayumi
Masahiro Yoshida
Fumihiko Miura
Harumi Gomi
Yasutoshi Kimura
Ryota Higuchi
Kohji Okamoto
Yuichi Yamashita
Toshifumi Gabata
Jiro Hata
Shinya Kusachi
Publication date: 01-01-2013
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 1/2013
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-012-0570-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

TG13 indications and techniques for gallbladder drainage in acute cholecystitis (with videos)

Abstract

Keynote webinar | Spotlight on medication adherence

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