Acute calculus cholecystitis is a very common condition, affecting 20% of all cases of symptomatic gallstone disease. Drainage of the gallbladder has been incorporated into the management of acute cholecystitis in high-risk surgical patients. This review examines various gallbladder drainage procedures, their indications, and complications in the management of acute cholecystitis in high-risk patients.
The Tokyo Guidelines have included drainage of the gallbladder for
the management of patients in grade 3 to stabilise them and perform an interval
cholecystectomy later. Percutaneous cholecystostomy is the most common drainage
procedure. The procedure is easy to perform, and it is associated with minimal
procedural side effects. The common problem is the care and maintenance of the
tube. Endoscopic drainage procedures are often indicated for high-risk patients
who would never undergo a cholecystectomy. Still, endoscopic drainage
procedures have slowly emerged for drainage of the gallbladder. Endoscopic
drainage includes endoscopic trans papillary gallbladder drainage (ETGBD) and
endoscopic ultrasound gallbladder drainage (EUSGBD). While effective, these
techniques require advanced endoscopic training and facilities, and this limits
its use in resource-limited settings.
Author
(s) Details
Kumar H.R.
Taylor's University School of Medicine and Health Science, 47500 Selangor,
Malaysia.
Please see the book here:- https://doi.org/10.9734/bpi/aodhr/v1/5478
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