TY - JOUR
T1 - TG13 indications and techniques for gallbladder drainage in acute cholecystitis (with videos)
AU - Tsuyuguchi, Toshio
AU - Itoi, Takao
AU - Takada, Tadahiro
AU - Strasberg, Steven M.
AU - Pitt, Henry A.
AU - Kim, Myung Hwan
AU - Supe, Avinash N.
AU - Mayumi, Toshihiko
AU - Yoshida, Masahiro
AU - Miura, Fumihiko
AU - Gomi, Harumi
AU - Kimura, Yasutoshi
AU - Higuchi, Ryota
AU - Okamoto, Kohji
AU - Yamashita, Yuichi
AU - Gabata, Toshifumi
AU - Hata, Jiro
AU - Kusachi, Shinya
PY - 2013/1
Y1 - 2013/1
N2 - 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. Free full-text articles and a mobile application of TG13 are available via http://www.jshbps.jp/en/guideline/tg13. html.
AB - 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. Free full-text articles and a mobile application of TG13 are available via http://www.jshbps.jp/en/guideline/tg13. html.
KW - Acute cholecystitis
KW - Endoscopic naso-gallbladder drainage (ENGBD)
KW - Endoscopic ultrasound
KW - Gallbladder drainage
KW - Percutaneous transhepatic gallbladder drainage (PTGBD)
UR - http://www.scopus.com/inward/record.url?scp=84873473928&partnerID=8YFLogxK
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U2 - 10.1007/s00534-012-0570-2
DO - 10.1007/s00534-012-0570-2
M3 - Article
C2 - 23307009
AN - SCOPUS:84873473928
SN - 1868-6974
VL - 20
SP - 81
EP - 88
JO - Journal of Hepato-Biliary-Pancreatic Sciences
JF - Journal of Hepato-Biliary-Pancreatic Sciences
IS - 1
ER -