Su1360 Endoscopic Management of Cholecystitis: Are We Ready for Primetime?

Abstract

ENGBD group (35 cases) and PTGBD group (39 cases) were compared as to the final drainage technique, the frequency of adverse events during drainage (late adverse events), improvement effects of inflammation, time from drainage to surgery, the operation time, and hospitalization period. Results: As to the final drainage technique, the success rate of the procedure was 74.5% in the ENGBD group and 100% in the PTGBD group, which yielded a significant difference. There was no significant difference in the frequency of early adverse events. Between the two final drainage techniques, there was no significant difference in the frequency of late adverse events, improvement effects of inflammation, time from drainage to surgery, operation time and the hospitalization period. Conclusion: The results of this study suggest that ENGBD could be the primary drainage technique in acute cholecystitis cases, with contraindications of PTGBD such as undergoing antithrombotic therapy, complications with choledocholithiasis, and suspected gallbladder cancer. Furthermore, considering the prevalence of antithrombotic therapy, an increase in the elderly population, and the frequency of complications of choledocholithiasis, in addition to the results that ENGBD and PTGBD were comparable in treatment outcomes except the success rate, ENGBD may play a greater role in the treatment of acute cholecystitis.