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Bozic, Dorotea; Ardalic, Zarko; Mestrovic, Antonio; Bilandzic Ivisic, Josipa; Alicic, Damir; Zaja, Ivan; Ivanovic, Tomislav; Bozic, Ivona; Puljiz, Zeljko; Bratanic, Andre
Medicina, 01/2024, Volume: 60, Issue: 1Journal Article
Gallbladder drainage is a treatment option in high-risk surgical patients with moderate or severe acute cholecystitis. It may be applied as a bridge to cholecystectomy or a definitive treatment option. Apart from the simple and widely accessible percutaneous cholecystostomy, new attractive techniques have emerged in the previous decade, including endoscopic transpapillary gallbladder drainage and endoscopic ultrasound-guided gallbladder drainage. The aim of this paper is to present currently available drainage techniques in the treatment of AC; evaluate their technical and clinical effectiveness, advantages, possible adverse events, and patient outcomes; and illuminate the decision-making path when choosing among various treatment modalities for each patient, depending on their clinical characteristics and the accessibility of methods.
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