Skip to main content
SpringerLink
Log in

Endoscopic Ultrasound-Guided Gallbladder Drainage

  • Review
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

The mainstay of management of acute cholecystitis is surgical. Despite the advances in anesthesia and laparoscopic surgery, there is a significant pool of patients that are not candidates for surgery given their significant comorbidities and limited functional reserve. Historically percutaneous gallbladder drainage has been utilized to temporize these patients. Recently, endoscopic approaches are being explored with transpapillary and transmural drainage. In this article, we discuss the background, current status, technical challenges, adverse events, and outcomes of endoscopic ultrasound-guided gallbladder drainage for management of acute cholecystitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Itoi T, Coelho-Prabhu N, Baron TH. Endoscopic gallbladder drainage for management of acute cholecystitis. Gastrointest Endosc. 2010;71(6):1038–1045.

    PubMed  Google Scholar 

  2. Minaga K, et al. Clinical efficacy and safety of endoscopic ultrasound-guided gallbladder drainage replacement of percutaneous drainage: a multicenter retrospective study. Dig Endosc. 2019;31(2):180–187.

    PubMed  Google Scholar 

  3. Bundy J, et al. Percutaneous cholecystostomy: long-term outcomes in 324 patients. Cardiovasc Intervent Radiol. 2018;41(6):928–934.

    PubMed  Google Scholar 

  4. Kwan V, et al. EUS-guided cholecystenterostomy: a new technique (with videos). Gastrointest Endosc. 2007;66(3):582–586.

    PubMed  Google Scholar 

  5. Cho SH, et al. Comparison of the effectiveness and safety of lumen-apposing metal stents and anti-migrating tubular self-expandable metal stents for EUS-guided gallbladder drainage in high surgical risk patients with acute cholecystitis. Gastrointest Endosc. 2020;91(3):543–550.

    PubMed  Google Scholar 

  6. Manta R, et al. Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis with a lumen-apposing metal stent: a systematic review of case series. Eur J Gastroenterol Hepatol. 2018;30(7):695–698.

    PubMed  Google Scholar 

  7. Teoh AY, Binmoeller KF, Lau JY. Single-step EUS-guided puncture and delivery of a lumen-apposing stent for gallbladder drainage using a novel cautery-tipped stent delivery system. Gastrointest Endosc. 2014;80(6):1171.

    PubMed  Google Scholar 

  8. Jain D, et al. Endoscopic ultrasound-guided gallbladder drainage using a lumen-apposing metal stent for acute cholecystitis: a systematic review. Clin Endosc. 2018;51(5):450–462.

    PubMed  PubMed Central  Google Scholar 

  9. Dollhopf M, et al. EUS-guided gallbladder drainage in patients with acute cholecystitis and high surgical risk using an electrocautery-enhanced lumen-apposing metal stent device. Gastrointest Endosc. 2017;86(4):636–643.

    PubMed  Google Scholar 

  10. Walter D, et al. EUS-guided gall bladder drainage with a lumen-apposing metal stent: a prospective long-term evaluation. Gut. 2016;65(1):6–8.

    CAS  PubMed  Google Scholar 

  11. Irani S, et al. Similar efficacies of endoscopic ultrasound gallbladder drainage with a lumen-apposing metal stent versus percutaneous transhepatic gallbladder drainage for acute cholecystitis. Clin Gastroenterol Hepatol. 2017;15(5):738–745.

    PubMed  Google Scholar 

  12. Sánchez-Luna SA, Wong M, Rustagi T. Bleeding from buried cholecystogastrostomy lumen-apposing metal stent: the double pigtail catheter rescue treatment. ACG Case Rep J. 2020;7(4):e00368.

    PubMed  PubMed Central  Google Scholar 

  13. Ling C, Paleti S, Rustagi T. Su1155 comparsion of eus-guided cholecystogastrostomy and cholecystoduodenostomy with lumen-apposing metal stent for gallbladder drainage. Gastrointest Endosc.. 2019;89(6):AB292.

    Google Scholar 

  14. Han D, et al. Lumen apposing metal stents (LAMSs) for drainage of pancreatic and gallbladder collections: a meta-analysis. J Clin Gastroenterol. 2018;52(9):835–844.

    PubMed  Google Scholar 

  15. Irani S, et al. EUS-guided gallbladder drainage with a lumen-apposing metal stent (with video). Gastrointest Endosc. 2015;82(6):1110–1115.

    PubMed  Google Scholar 

  16. Itoi T, et al. Clinical evaluation of a novel lumen-apposing metal stent for endosonography-guided pancreatic pseudocyst and gallbladder drainage (with videos). Gastrointest Endosc. 2012;75(4):870–876.

    PubMed  Google Scholar 

  17. Zhang K, et al. Retrievable puncture anchor traction method for EUS-guided gallbladder drainage: a porcine study. Gastrointest Endosc. 2018;88(6):957–963.

    PubMed  Google Scholar 

  18. Kalva NR, et al. Efficacy and safety of lumen apposing self-expandable metal stents for EUS guided cholecystostomy: a meta-analysis and systematic review. Can J Gastroenterol Hepatol. 2018;2018:7070961.

    PubMed  PubMed Central  Google Scholar 

  19. Mohan BP, et al. Endoscopic ultrasound-guided gallbladder drainage, transpapillary drainage, or percutaneous drainage in high risk acute cholecystitis patients: a systematic review and comparative meta-analysis. Endoscopy. 2020;52(2):96–106.

    PubMed  Google Scholar 

  20. Chan EOT, et al. Gastrointestinal bleeding after endoscopic ultrasound-guided gallbladder drainage. Endoscopy. 2020.

  21. Anderloni A, et al. EUS-guided gallbladder drainage using a lumen-apposing self-expandable metal stent in patients with coagulopathy or anticoagulation therapy: a case series. Endosc Int Open. 2017;5(11):E1100–E1103.

    PubMed  PubMed Central  Google Scholar 

  22. Lisotti A, Cominardi A, Bacchilega I, Fusaroli P. Failed endoscopic ultrasound-guided gallbladder drainage due to severe bleeding immediately rescued by redo-drainage under contrast-harmonic guidance. Endoscopy. 2019.

  23. Choi JH, et al. Long-term outcomes after endoscopic ultrasonography-guided gallbladder drainage for acute cholecystitis. Endoscopy. 2014;46(8):656–661.

    PubMed  Google Scholar 

  24. Ahmed O, et al. Endoscopic ultrasound-guided gallbladder drainage: results of long-term follow-up. Saudi J Gastroenterol. 2018;24(3):183–188.

    PubMed  PubMed Central  Google Scholar 

  25. Kamata K, et al. Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis: long-term outcomes after removal of a self-expandable metal stent. World J Gastroenterol. 2017;23(4):661–667.

    PubMed  PubMed Central  Google Scholar 

  26. Teoh AYB, Kitano M, Itoi T, et al. Endosonography-guided gallbladder drainage versus percutaneous cholecystostomy in very high-risk surgical patients with acute cholecystitis: an international randomised multicentre controlled superiority trial (DRAC 1). Gut. 2020.

  27. de la Serna-Higuera C, et al. EUS-guided transenteric gallbladder drainage with a new fistula-forming, lumen-apposing metal stent. Gastrointest Endosc. 2013;77(2):303–308.

    PubMed  Google Scholar 

  28. Yuste RT, et al. Safety and clinical outcomes of endoscopic ultrasound-guided gallbladder drainage with lumen-apposing metal stents in patients with dwell time over one year. Ann Gastroenterol. 2019;32(5):514–521.

    PubMed  PubMed Central  Google Scholar 

  29. Saumoy M, et al. Successful cholecystectomy after endoscopic ultrasound gallbladder drainage compared with percutaneous cholecystostomy, can it be done? J Clin Gastroenterol. 2019;53(3):231–235.

    PubMed  Google Scholar 

  30. Teoh AYB, et al. Endosonography-guided gallbladder drainage versus percutaneous cholecystostomy in very high-risk surgical patients with acute cholecystitis: an international randomised multicentre controlled superiority trial (DRAC 1). Gut. 2020;69(6):1085–1091.

    CAS  PubMed  Google Scholar 

  31. Khan MA, Atiq O, Kubiliun N, et al. Efficacy and safety of endoscopic gallbladder drainage in acute cholecystitis: Is it better than percutaneous gallbladder drainage? Gastrointest Endosc. 2017; 85(1):76–87 e3

    PubMed  Google Scholar 

  32. Siddiqui A, et al. Three-way comparative study of endoscopic ultrasound-guided transmural gallbladder drainage using lumen-apposing metal stents versus endoscopic transpapillary drainage versus percutaneous cholecystostomy for gallbladder drainage in high-risk surgical patients with acute cholecystitis: clinical outcomes and success in an International Multicenter Study. Surg Endosc. 2019;33(4):1260–1270.

    PubMed  Google Scholar 

  33. Sobani ZA, Ling C, Rustagi T. Endoscopic transpapillary gallbladder drainage for acute cholecystitis. Dig Dis Sci. 2020;. https://doi.org/10.1007/s10620-020-06422-z.

    Article  PubMed  Google Scholar 

  34. Gulati R, Rustagi T. Bouncing off the balloon: a new trick for selective cystic duct cannulation. J Hepatobiliary Pancreat Sci. 2020.

  35. Higa JT, et al. EUS-guided gallbladder drainage with a lumen-apposing metal stent versus endoscopic transpapillary gallbladder drainage for the treatment of acute cholecystitis (with videos). Gastrointest Endosc. 2019;90(3):483–492.

    PubMed  Google Scholar 

  36. Krishnamoorthi R, et al. EUS-guided versus endoscopic transpapillary gallbladder drainage in high-risk surgical patients with acute cholecystitis: a systematic review and meta-analysis. Surg Endosc. 2020;34(5):1904–1913.

    PubMed  Google Scholar 

  37. Oh D, et al. EUS-guided cholecystostomy versus endoscopic transpapillary cholecystostomy for acute cholecystitis in high-risk surgical patients. Gastrointest Endosc. 2019;89(2):289–298.

    PubMed  Google Scholar 

  38. Sharma V, Rana SS, Bhasin DK. Endoscopic ultrasound guided interventional procedures. World J Gastrointest Endosc. 2015;7(6):628–642.

    PubMed  PubMed Central  Google Scholar 

  39. Law R, Baron TH. Endoscopic ultrasound-guided gallbladder drainage. Gastrointest Endosc Clin N Am. 2018;28(2):187–195.

    PubMed  Google Scholar 

  40. Chantarojanasiri T, et al. Feasibility of conversion of percutaneous cholecystostomy to internal transmural endoscopic ultrasound-guided gallbladder drainage. Saudi J Gastroenterol. 2017;23(6):318–322.

    PubMed  PubMed Central  Google Scholar 

  41. Law R, et al. Conversion of percutaneous cholecystostomy to internal transmural gallbladder drainage using an endoscopic ultrasound-guided, lumen-apposing metal stent. Clin Gastroenterol Hepatol. 2016;14(3):476–480.

    PubMed  Google Scholar 

  42. Paleti S, et al. Su1191 EUS-guided gall bladder drainage using lumen apposing metal stent for malignant biliary obstruction. Gastrointest Endosc.. 2019;89(6):AB308.

    Google Scholar 

  43. Imai H, et al. EUS-guided gallbladder drainage for rescue treatment of malignant distal biliary obstruction after unsuccessful ERCP. Gastrointest Endosc. 2016;84(1):147–151.

    PubMed  Google Scholar 

  44. Fugazza A, et al. Confocal laser endomicroscopy in gastrointestinal and pancreatobiliary diseases: a systematic review and meta-analysis. Biomed Res Int. 2016;2016:4638683.

    PubMed  PubMed Central  Google Scholar 

  45. Nakai Y, et al. Confocal laser endomicroscopy in gastrointestinal and pancreatobiliary diseases. Dig Endosc. 2014;26(Suppl 1):86–94.

    PubMed  Google Scholar 

  46. Teoh AY, et al. In vivo appearances of gallbladder carcinoma under magnifying endoscopy and probe-based confocal laser endomicroscopy after endosonographic gallbladder drainage. Endoscopy. 2014;46:E13-4.

    PubMed  Google Scholar 

  47. Chan JHY, Teoh AYB. Current status of endoscopic gallbladder drainage. Clin Endosc. 2018;51(2):150–155.

    PubMed  Google Scholar 

  48. Chan SM, et al. Feasibility of per-oral cholecystoscopy and advanced gallbladder interventions after EUS-guided gallbladder stenting (with video). Gastrointest Endosc. 2017;85(6):1225–1232.

    PubMed  Google Scholar 

  49. Rustagi T, AbuDayyeh BK. Endoscopic closure of gallbladder perforation. Gastrointest Endosc. 2016;84(3):528–529.

    PubMed  Google Scholar 

Download references

Funding

None.

Author information

Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of New Mexico, MSC10 5550, 1, Albuquerque, NM, 87131, USA

    Zain A. Sobani, Christina Ling & Tarun Rustagi

Authors
  1. Zain A. Sobani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Christina Ling
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tarun Rustagi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tarun Rustagi.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sobani, Z.A., Ling, C. & Rustagi, T. Endoscopic Ultrasound-Guided Gallbladder Drainage. Dig Dis Sci 66, 2154–2161 (2021). https://doi.org/10.1007/s10620-020-06520-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-020-06520-y

Keywords

Search

Navigation