In high-risk surgical patients with acute cholecystitis, a systematic review and meta-analysis compared two alternative treatments: endoscopic ultrasound-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMS) and percutaneous cholecystostomy (PTGBD). The study found that while the two groups had similar early adverse events, EUS-GBD-LAMS was associated with significantly lower rates of delayed and overall adverse events. Additionally, patients undergoing EUS-GBD-LAMS had shorter hospital stays compared to PTGBD, making it a safer and more efficient option for non-surgical candidates with acute cholecystitis.
Journal Article by Hayat U, Al Shabeeb R (…) Adler DG et 7 al. in Gastrointest Endosc
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