Endoscopic ultrasound (EUS) has a high spatial resolution that can improve the diagnosis of GB polypoid lesions, GB wall thickness, and GB carcinoma staging. Vascularity can be evaluated using contrast-enhancing agents. Therefore, contrast-enhanced EUS may be useful for the differential diagnosis of GB lesions.

EUS-guided gallbladder drainage (EUS-GBD) is utilized for the treatment of acute cholecystitis and symptomatic cholelithiasis in patients who are poor operative candidates. Over the last several years, improved techniques and accessories have facilitated GBD. Recent literature demonstrated effectiveness and safety of EUS-guided GBD.

2023年3月24日 · The transmural EUS-GBD approach involves placing a stent from the duodenum or stomach into the gallbladder under EUS guidance. Pigtail plastic stents and biliary self-expandable metal stents were ill-suited for this indication because of their risk of leakage, longer length causing contralateral wall injury or occlusions, and risk of migration ...

Description: Endoscopic gallbladder drainage is a feasible and efficacious alternative to percutaneous drainage in the management of acute cholecystitis for high-risk surgical candidates. Endoscopic ultrasound-guided gallbladder drainage and per-oral cholecystoscopy is facilitated by the use of lumen-apposing metal stents.

Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) has emerged as a safe and effective minimally invasive alternative to both percutaneous and endoscopic transpapillary GBD in patients with acute cholecystitis.

2024年2月8日 · This review summarizes recent advances in the differential diagnosis of GB lesions, focusing primarily on endoscopic ultrasound (EUS) and related technologies. Fundamental B-mode EUS and contrast-enhanced harmonic EUS (CH-EUS) have been reported to be useful for the diagnosis of GB diseases because they can evaluate the …

Endoscopic GB drainage is a safe and effective treatment for high-risk surgical candidates with symptomatic GB disease. EUS-guided transmural drainage is superior to transpapillary drainage and associated with a lower rate of reintervention compared to …

2016年9月15日 · EUS-guided gallbladder (GB) drainage is gradually emerging as an option among patients who are not eligible for surgical intervention. Calculous and acalculous cholecystitis, biliary malignancy with patent cystic duct and GB hydrops are few of the indications for this novel technique.

2024年11月18日 · EUS-GBD can be performed for three indications: (i) high-risk surgical patients with acute cholecystitis; (ii) internalization in patients who underwent PT-GBD; and (iii) patients suffering from malignant biliary obstruction with failed endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound-guided biliary drainage (EUS-BD).

EUS-guided gallbladder drainage (EUS-GBD) recently emerged as a novel minimally invasive therapeutic intervention, an alternative to percutaneous cholecystostomy (PT-GBD), for patients at high surgical risk with acute cholecystitis (AC). 1 The advent of lumen-apposing metal stents (LAMSs), allowing adherence of the mobile gallbladder with the ...