Year 2023 / Volume 115 / Number 7
Letter
EUS-guided gallbladder drainage as a treatment for acute perforated cholecystitis

404-405

DOI: 10.17235/reed.2022.9315/2022

Carlos Chavarría, Lorena Sancho-del Val, José Antonio Rueda-Camino, Cristina Cuadrado-Tiemblo, Carlos Castaño-Milla,

Abstract
Acute perforated cholecystitis is a rare but severe complication of acute cholecystitis. Currently, EUS-GBD using LAMS is the preferred choice for gallbladder drainage in high-risk surgical patients with acute cholecystitis unfit for cholecystectomy. However, it has been suggested to avoid this procedure when there is suspicion of gallbladder perforation or necrosis. The evidence of EUS-GBD in this setting is scarce. Our case demonstrates that EUS-GBD with LAMS can be effective in the management of type II perforation of the gallbladder.
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References
1. Date RS, Thrumurthy SG, Whiteside S, et al. Gallbladder perforation: case series and systematic review. Int J Surg. 2012;10(2):63-8.
2. van der Merwe SW, van Wanrooij RLJ, Bronswijk M, et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2022;54(2):185-205.
3. Teoh AYB. Outcomes and limitations in EUS-guided gallbladder drainage. Endosc Ultrasound. 2019;8(Suppl 1):S40-S3.
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Chavarría C, Sancho-del Val L, Rueda-Camino J, Cuadrado-Tiemblo C, Castaño-Milla C. EUS-guided gallbladder drainage as a treatment for acute perforated cholecystitis. 9315/2022


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Publication history

Received: 29/10/2022

Accepted: 03/11/2022

Online First: 10/11/2022

Published: 06/07/2023

Article Online First time: 12 days

Article editing time: 250 days


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