Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound-Guided Gallbladder Drainage

Gastrointest Endosc Clin N Am. 2019 Apr;29(2):293-310. doi: 10.1016/j.giec.2018.12.002.

Abstract

"Gallbladder disease is one of the most common gastrointestinal diseases encountered in clinical practice. Surgical removal and percutaneous drainage are both widely available and effective in the management of acute cholecystitis. Several endoscopic approaches exist as an alternative to these interventions. These include transpapillary approaches via endoscopic retrograde cholangiopancreatography (ERCP), transmural drainage and access approaches via endoscopic ultrasound (EUS), and endoscopic surgical approaches using natural orifice transluminal endoscopic surgery (NOTES) techniques. This article reviews the epidemiology and pathophysiology of gallbladder diseases and discusses the various percutaneous, surgical, and endoscopic approaches to managing gallbladder disease."

Keywords: Cholecystitis; Endoscopic retrograde cholangiopancreatography (ERCP); Endoscopic ultrasound (EUS); Gallbladder drainage.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Cholangiopancreatography, Endoscopic Retrograde*
  • Cholecystectomy
  • Cholecystitis, Acute / drug therapy
  • Cholecystitis, Acute / epidemiology
  • Cholecystitis, Acute / etiology
  • Cholecystitis, Acute / surgery*
  • Drainage / methods*
  • Endosonography*
  • Gallstones / epidemiology
  • Gallstones / etiology
  • Humans
  • Stents*
  • Ultrasonography, Interventional

Substances

  • Anti-Bacterial Agents