PDF(Pubmed)
Abstract：
A percutaneous cholecystostomy tube (PCT) is the conventionally favored nonoperative intervention for treating acute cholecystitis. However, PCT is beset by high adverse event rates, need for scheduled reintervention, and inadvertent dislodgement, as well as patient dissatisfaction with a percutaneous drain. Recent advances in endoscopic therapy involve the implementation of endoscopic transpapillary drainage (ETP-GBD) and endoscopic ultrasound-guided gallbladder drainage (EUS-GBD), which are increasingly preferred over PCT due to their favorable technical and clinical success combined with lower complication rates. In this article, we provide a comprehensive review of the literature on EUS-GBD and ETP-GBD, delineating instances when clinicians should opt for endoscopic management and highlighting potential risks associated with each approach.
摘要：
经皮胆囊造口管（PCT）是治疗急性胆囊炎的常规首选非手术干预措施。然而,PCT受到高不良事件发生率的困扰，需要定期的重新干预，和无意的移位，以及患者对经皮引流的不满。内镜治疗的最新进展涉及内镜经乳头引流（ETP-GBD）和内镜超声引导胆囊引流（EUS-GBD）的实施。由于其有利的技术和临床成功以及较低的并发症发生率，它们越来越优于PCT。在这篇文章中,我们对EUS-GBD和ETP-GBD的文献进行了全面的综述，描述临床医生应选择内镜治疗的情况,并强调与每种方法相关的潜在风险.
