Abstract
Surgical candidates with acute cholecystitis and symptomatic cholelithiasis have conventionally been managed with cholecystectomy. Alternative interventions for nonoperative candidates include percutaneous gallbladder drainage or endoscopic decompression through ERCP and cystic duct stents.1,2 Percutaneous drains have inherent limitations and drain-related issues: pain, bleeding, obstruction, leaking, and dislodgement. Furthermore, they may fail to achieve definitive decompression, especially in cases of large-volume cholelithiasis.
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