Appendix, Gallbladder and Surgical Emergencies · 26 December 2025

Endoscopic Ultrasound for Acute Cholecystitis Shows Strong Results

EUS-guided gallbladder drainage is a viable option for high-risk patients with acute cholecystitis, offering both safety and effectiveness.

Technical and clinical success rates were high at 95.8%.
The study analyzed data from 701 patients across 18 studies with over a year of follow-up.

Surgeons can consider EUS-GBD as a first-line treatment for patients unfit for surgery, given its low adverse event rates.

This approach offers a durable solution with minimal complications.

Review by Canakis A, Tugarinov N (…) Baron TH et 9 al. in Gastrointest Endosc

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J Am Coll Surg5 Nov 2026

Waiting after pulmonary embolism cuts complications

Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.

J Am Coll Surg5 Nov 2026

Waiting 60 days after pulmonary embolism before emergency surgery is linked to fewer complications.

Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).

Appendix, Gallbladder and Surgical Emergencies3 Nov 2026

Emergency surgery: lung complications raise death risk

After major emergency abdominal surgery, patients who develop lung complications face much higher death risk, most sharply in the first days.

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