EUS-guided gallbladder drainage versus percutaneous gallbladder drainage in high-risk patients with acute cholecystitis: a propensity score-matched analysis.

ABSTRACT:

Background

Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) using lumen apposing metal stent (LAMS) has emerged as a treatment option in patients with acute cholecystitis (AC) deemed unfit for surgery. Prior to this technique, percutaneous transhepatic gallbladder drainage (PT-GBD) was the only drainage modality available for these patients.

Objectives

This study compares clinical outcomes of EUS-GBD versus PT-GBD in high-risk surgical patients with AC.

Design

From July 2019 to October 2023, all consecutive patients with AC undergoing EUS-GBD (using LAMS) and PT-GBD at a single academic medical center were retrospectively reviewed and analyzed.

Methods

A propensity score-matched analysis using age, sex, and Charlson Comorbidity Index was performed. T

SUBMITTER: Pawa R 

PROVIDER: S-EPMC12449632 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature