Introduction: Acute cholecystitis in patients with malignant biliary obstruction can be difficult to manage, particularly when surgery is not feasible. Endoscopic transpapillary gallbladder drainage (ETGBD) is an attractive minimally invasive option, but selective cannulation of the cystic duct remains technically challenging.
Introduction: Acute cholecystitis in patients with malignant biliary obstruction can be difficult to manage, particularly when surgery is not feasible. Endoscopic transpapillary gallbladder drainage (ETGBD) is an attractive minimally invasive option, but selective cannulation of the cystic duct remains technically challenging. This video case demonstrates the use of a novel ETGBD catheter to facilitate successful gallbladder drainage.
Why was this technique needed?
Key Technical Points:
Clinical Impact:
Endoscopic transpapillary gallbladder drainage is an important alternative for patients with acute cholecystitis and malignant biliary obstruction. The availability of dedicated devices may simplify technically difficult procedures, expand the applicability of ETGBD, and reduce dependence on percutaneous drainage.
Bottom Line:
Novel ETGBD accessories can improve the success of endoscopic gallbladder drainage in patients with malignant biliary strictures. As dedicated devices continue to evolve, ETGBD may become an increasingly practical minimally invasive option for high-risk patients.
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