In high-risk surgical patients with acute cholecystitis who are not candidates for early laparoscopic cholecystectomy, gallbladder (GB) drainage is an alternative treatment option. Percutaneous transhepatic gallbladder drainage (PTGBD) is a recommended first line intervention because of its high efficacy and feasibility in most centers. However, with the advent of endoscopic accessories and technology, endoscopic GB drainage has been chosen as a more favorable choice by endoscopists. Endoscopic transpapillary gallbladder drainage (ETGBD) can be performed under either fluoroscopic or peroral cholangioscopic guidance via endoscopic retrograde cholangiopancreatography by the transpapillary placement of a long double-pigtail stent. In a patient with common bile duct stones, this procedure is accompanied with stone removal. ETGBD is especially useful for acute cholecystitis patients who are contraindicated for PTGBD or those with severe coagulopathy, thrombocytopenia, and abnormal anatomy. Moreover, the advantage of ETGBD is its preservation of the external GB structure. Thereby it would not disturb the future cholecystectomy. Recently, endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) using plastic, fully covered metallic, or lumen-apposing metal stents transmurally has emerged as a modality for GB drainage with higher technical and clinical success rates. EUS-GBD can provide a more permanent GB drainage than PTGBD and ETGBD.
Citations
Citations to this article as recorded by
Endoscopic management of acute cholecystitis in high‐risk surgical patients: A comprehensive review article Akinori Maruta, Takuji Iwashita, Kensaku Yoshida, Shogo Shimizu, Masahito Shimizu DEN Open.2026;[Epub] CrossRef
Acute cholecystitis management in high-risk, critically ill, and unfit-for-surgery patients: the Italian Society of Emergency Surgery and Trauma (SICUT) guidelines Federico Coccolini, Eugenio Cucinotta, Andrea Mingoli, Mauro Zago, Gaia Altieri, Alan Biloslavo, Roberto Caronna, Ismail Cengeli, Enrico Cicuttin, Roberto Cirocchi, Luigi Cobuccio, Gianluca Costa, Valerio Cozza, Camilla Cremonini, Giovanni Del Vecchio, Gi Updates in Surgery.2024; 76(2): 331. CrossRef
Bile as a liquid biopsy matrix: potential applications and limitations Maria Arechederra, Maria Rullán, Daniel Oyón, Matias A. Ávila, Jesús M. Urman, Carmen Berasain Exploration of Digestive Diseases.2024; : 5. CrossRef
The Success Rate Is Lower but Completion Rate of Laparoscopic Cholecystectomy Is higher in Endoscopic Transpapillary Gallbladder Drainage than Percutaneous Gallbladder Drainage for Acute Cholecystitis Toshiro Masuda, Hiroshi Takamori, Ken-ichi Ogata, Katsuhiro Ogawa, Kenji Shimizu, Ryuichi Karashima, Hidetoshi Nitta, Katsutaka Matsumoto, Tetsuya Okino, Hideo Baba Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2024; 34(4): 413. CrossRef
Single-Session Endoscopic Ultrasound–Directed Transgastric Endoscopic Retrograde Cholangiopancreatography and Simultaneous Endoscopic Ultrasound–Guided Transmural Gallbladder Drainage in Choledocholithiasis and Acute Cholecystitis After Unsuccessful Lapar Azhar Hussain, Vishnu Charan Suresh Kumar, Hafiz Muzaffar Akbar Khan ACG Case Reports Journal.2024; 11(8): e01469. CrossRef
Endosonografische Drainage der Gallenblase wegen akuter Cholezystitis bei Patienten mit hohem Operationsrisiko Markus Zachäus, Michael Bartels, Andreas Flade, Andreas Schubert-Hartmann, Regina Lamberts, Alireza Sepehri-Shamloo, Ulrich Paul Halm Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie.2023; 148(02): 140. CrossRef
Retrospective comparison of clinical outcomes of ultrasound-guided percutaneous cholecystostomy in patients with and without coagulopathy: a single center’s experience Hayato Yamahata, Minoru Yabuta, Mahbubur Rahman Japanese Journal of Radiology.2023; 41(9): 1015. CrossRef
Acute cholecystitis: “There’s more than one way to skin a cat”! Guido Costamagna Digestive Endoscopy.2022; 34(1): 73. CrossRef
Ultimate outcomes of three modalities for non-surgical gallbladder drainage in acute cholecystitis with or without concomitant common bile duct stones Wiriyaporn Ridtitid, Thanawat Luangsukrerk, Panida Piyachaturawat, Nicha Teeratorn, Phonthep Angsuwatcharakon, Pradermchai Kongkam, Rungsun Rerknimitr Annals of Hepato-Biliary-Pancreatic Surgery.2022; 26(1): 104. CrossRef
Endosonography-Guided Versus Percutaneous Gallbladder Drainage Versus Cholecystectomy in Fragile Patients with Acute Cholecystitis—A High-Volume Center Study Hayato Kurihara, Francesca M. Bunino, Alessandro Fugazza, Enrico Marrano, Giulia Mauri, Martina Ceolin, Ezio Lanza, Matteo Colombo, Antonio Facciorusso, Alessandro Repici, Andrea Anderloni Medicina.2022; 58(11): 1647. CrossRef
A Case of Xanthogranulomatous Cholecystitis that was Difficult to Differentiate from Gallbladder Cancer after Long-term Placement of an Endoscopic Transpapillary Gallbladder Drainage Tube Moeko KATO, Toshiro MASUDA, Takihiro KAMIO, Hiroshi TAKAMORI Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2022; 83(10): 1800. CrossRef
Endoscopic Ultrasound-Guided Gallbladder Drainage Versus Percutaneous Transhepatic Gallbladder Drainage for Acute Cholecystitis with High Surgical Risk: An Up-to-Date Meta-Analysis and Systematic Review Yunxiao Lyu, Ting Li, Bin Wang, Yunxiao Cheng, Liang Chen, Sicong Zhao Journal of Laparoendoscopic & Advanced Surgical Techniques.2021; 31(11): 1232. CrossRef
Efficacy and safety of conversion of percutaneous cholecystostomy to endoscopic transpapillary gallbladder stenting in high-risk surgical patients Hyung Ku Chon, Chan Park, Dong Eun Park, Tae Hyeon Kim Hepatobiliary & Pancreatic Diseases International.2021; 20(5): 478. CrossRef
A Case of Iatrogenic Pseudoaneurysm Caused by EGBS and Penetrating the Cystic Duct Takumi Habu, Akihiro Sako, Kotaro Nishida, Koichi Komatsu, Keiichi Arakawa, Takehito Maruyama, Shigeo Aoki, Hideyuki Mishima, Yuichi Matsui The Japanese Journal of Gastroenterological Surgery.2021; 54(12): 869. CrossRef
Intraductal Ultrasonography Can Enhance the Success of Endoscopic Transpapillary Gallbladder Drainage in Patients with Acute Cholecystitis
Clement Chun Ho Wu, Christopher Jen Lock Khor Clinical Endoscopy.2020; 53(2): 114. CrossRef
Clinical Evaluation of a Newly Developed Guidewire for Pancreatobiliary Endoscopy Shigeto Ishii, Toshio Fujisawa, Hiroyuki Isayama, Shingo Asahara, Shingo Ogiwara, Hironao Okubo, Hisafumi Yamagata, Mako Ushio, Sho Takahashi, Hiroki Okawa, Wataru Yamagata, Yoshihiro Okawa, Akinori Suzuki, Yusuke Takasaki, Kazushige Ochiai, Ko Tomishima, Journal of Clinical Medicine.2020; 9(12): 4059. CrossRef