• Medicina · Dec 2023

    Review

    Assessment of Gallbladder Drainage Methods in the Treatment of Acute Cholecystitis: A Literature Review.

    • Dorotea Bozic, Zarko Ardalic, Antonio Mestrovic, Josipa Bilandzic Ivisic, Damir Alicic, Ivan Zaja, Tomislav Ivanovic, Ivona Bozic, Zeljko Puljiz, and Andre Bratanic.
    • Department of Gastroenterology, University Hospital of Split, Spinciceva 1, 21000 Split, Croatia.
    • Medicina (Kaunas). 2023 Dec 20; 60 (1).

    AbstractGallbladder drainage is a treatment option in high-risk surgical patients with moderate or severe acute cholecystitis. It may be applied as a bridge to cholecystectomy or a definitive treatment option. Apart from the simple and widely accessible percutaneous cholecystostomy, new attractive techniques have emerged in the previous decade, including endoscopic transpapillary gallbladder drainage and endoscopic ultrasound-guided gallbladder drainage. The aim of this paper is to present currently available drainage techniques in the treatment of AC; evaluate their technical and clinical effectiveness, advantages, possible adverse events, and patient outcomes; and illuminate the decision-making path when choosing among various treatment modalities for each patient, depending on their clinical characteristics and the accessibility of methods.

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